Major changes in the healthcare system in Uzbekistan

A major decision has been made in Uzbekistan to further deepen reforms in the healthcare system and improve the quality of medical services for the population. A new document signed by the president of the country marks another important stage in the healthcare sector and opens the door to major changes aimed at improving medical service quality and creating a modern healthcare system.

According to the decision, starting from July 1, 2025, a completely new model of healthcare organization will be introduced in 15 districts and cities of the country, and from January 1, 2026, in the Samarkand region. This new model is planned to be implemented as a pilot project. Its goal is to improve the efficiency and quality of medical services and to transition to a new stage in medical care delivery.

During the reform process, special attention is given to primary healthcare institutions. Now, family polyclinics will play a central role in the effectiveness of medical services and the protection of public health. Services of family doctors, pediatricians, dentists, obstetricians-gynecologists, and other specialists will be provided on an outsourcing basis, fully meeting the population's demand for medical care.

Within the new system, mechanisms will be introduced to regularly improve the qualifications of doctors and healthcare staff in family polyclinics and to ensure fair wages. In particular, starting from July 1, 2025, additional bonuses will be assigned to doctors performing complex medical procedures in all state medical institutions. These bonuses will range from 25% to 100% of their monthly salary.

Under the pilot project, special agreements defining the clear responsibilities, rights, and obligations between the population and healthcare workers will be established. This aims to improve the quality of medical services and ensure the effective delivery of a guaranteed medical care package. Based on the population size, contracts will be signed with the State Health Insurance Fund, and patients will be provided with essential medicines free of charge within the guaranteed package.

District (city) health departments will be organized as independent state administrative bodies with their own treasury accounts, official seals bearing the state emblem, and independent balances. This will contribute to improving the efficiency and transparency of medical institutions at the district level.

Another notable aspect of this decision is the "90 Days of Change in Medicine" program. Within this program, rapid measures will begin from June 1, 2025, to create comfortable conditions for the population in medical institutions. In particular, waiting areas will be improved, and online appointment systems expanded. "Mother and Child" rooms will be established, and sanitary-hygienic rooms will be renovated and equipped to modern standards.

According to the document, hiring in primary healthcare institutions and central hospitals will be conducted based on transparent and fair examinations. This ensures fairness and objectivity in evaluating the qualifications of healthcare personnel.

Overall, this decision is one of the most significant reforms in the healthcare field in the country and marks a new stage in protecting public health. The main goal of the reforms is to provide every individual with high-quality medical services and further promote a healthy lifestyle in Uzbekistan. As a result, it is expected that the quality of life will improve and the healthcare system will continue to advance.