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Uzbekistan: health system review / World Health Organization. Regional Office for Europe;European Observatory on Health Systems and Policies;Ahmedov, Mohir;Azimov, Ravshan;Alimova, Vasila;Rechel, Bernd

Tác giả : World Health Organization. Regional Office for Europe;European Observatory on Health Systems and Policies;Ahmedov, Mohir;Azimov, Ravshan;Alimova, Vasila;Rechel, Bernd

Nhà xuất bản : World Health Organization. Regional Office for Europe

Năm xuất bản : 2007

Tùng thư : Health Systems in Transition, vol. 9 (3)

Chủ đề : 1. Delivery of Health Care -- organization and administration. 2. Evaluation Studies. 3. Health Care Reform. 4. Health Systems Plans. 5. Healthcare Financing. 6. Uzbekistan. 7. Publications.

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The Health Systems in Transition (HiT) profiles are country-based reports that provide a detailed description of a health system and of policy initiatives in progress or under development. HiTs examine different approaches to the organization, financing and delivery of health services and the role of the main actors in health systems; describe the institutional framework, process, content and implementation of health and health care policies; and highlight challenges and areas that require more in-depth analysis. The Uzbek health system has undergone significant changes since the country became independent in 1991. While Uzbekistan has made progress in the restructuring of different layers of health services with an increased emphasis on primary care, the coordination of different levels of care remains a major challenge. The establishment of a state-guaranteed benefits package was an important element of health reforms. However, a number of essential services were left outside the state-guaranteed benefits package for the majority of the population, including secondary and tertiary services and outpatient pharmaceuticals. This has created many challenges, such as increasing the pressure on emergency services, which are formally free of charge. Overall, access to secondary and tertiary care seems to have deteriorated in recent years and out-of-pocket payments (both formal and informal) present a major barrier to accessing health services and pharmaceuticals, in particular for low-income groups. There are significant differences in terms of per capita health expenditure across regions and many rural physician points face staffing shortages. Quality improvement is another major challenge and initial quality improvement initiatives are now being undertaken. xx, 206 p.

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Thư viện	Ký hiệu xếp giá	Dữ liệu nguồn
Tổ chức y tế thế giới		https://iris.who.int/handle/10665/107847

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260	__	$bWorld Health Organization. Regional Office for Europe ,$c2007
490	__	$aHealth Systems in Transition, vol. 9 (3)
520	__	$axx, 206 p.
520	__	$aThe Health Systems in Transition (HiT) profiles are country-based reports that provide a detailed description of a health system and of policy initiatives in progress or under development. HiTs examine different approaches to the organization, financing and delivery of health services and the role of the main actors in health systems; describe the institutional framework, process, content and implementation of health and health care policies; and highlight challenges and areas that require more in-depth analysis. The Uzbek health system has undergone significant changes since the country became independent in 1991. While Uzbekistan has made progress in the restructuring of different layers of health services with an increased emphasis on primary care, the coordination of different levels of care remains a major challenge. The establishment of a state-guaranteed benefits package was an important element of health reforms. However, a number of essential services were left outside the state-guaranteed benefits package for the majority of the population, including secondary and tertiary services and outpatient pharmaceuticals. This has created many challenges, such as increasing the pressure on emergency services, which are formally free of charge. Overall, access to secondary and tertiary care seems to have deteriorated in recent years and out-of-pocket payments (both formal and informal) present a major barrier to accessing health services and pharmaceuticals, in particular for low-income groups. There are significant differences in terms of per capita health expenditure across regions and many rural physician points face staffing shortages. Quality improvement is another major challenge and initial quality improvement initiatives are now being undertaken.
650	_2	$aDelivery of Health Care $xorganization and administration
650	_2	$aEvaluation Studies
650	_2	$aHealthcare Financing
650	_2	$aHealth Care Reform
650	_2	$aHealth Systems Plans
650	_2	$aUzbekistan
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700	__	$aAzimov, Ravshan
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Uzbekistan: health system review / World Health Organization. Regional Office for Europe;European Observatory on Health Systems and Policies;Ahmedov, Mohir;Azimov, Ravshan;Alimova, Vasila;Rechel, Bernd

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