Starting from July 1, 2021, the Gulistan medical cluster of the Syrdarya region will be created.

In accordance with the adopted document, the cluster will be formed on the basis of several regional specialized medical institutions: a regional branch of the Republican Scientific Center for Emergency Medicine, an endocrinological dispensary, an eye hospital, a medical diagnostic center, and a hospital for war and labor veterans.

The implementation of a pilot project to introduce a new model of organization of the health system and mechanisms of state health insurance in the Syrdarya region is based on WHO recommendations.

The main tasks and areas of activity of the Gulistan cluster are highlighted:

implementation of international standards in the examination of patients, providing them with highly qualified medical care;

creating favorable conditions for training doctors of narrow specialties;

active participation in the implementation of a pilot project on the introduction of state health insurance mechanisms and the development of scientifically based conclusions on the implementation of insurance mechanisms in practice;

providing highly qualified inpatient care to patients;

providing consulting and organizational and methodological assistance to specialists of regional (city) medical associations.

The new system includes the development of a state-guaranteed package of free medical services and medicines.

Other types of services that are not included in this package will be provided on a paid basis.

Through a single electronic platform, the analysis of indicators related to the health of the population will be carried out.

The platform will also allow you to assign patients to medical institutions, keep medical records, issue prescriptions for medicines, and send them to medical institutions.

In addition, on the basis of the guaranteed package, the authorities will gradually begin to introduce the mechanism of state health insurance. It is planned to test the system in the period from July 1, 2021 to the end of 2022 in the Syrdarya region, and starting from 2023 — phased implementation in other regions of the republic.

Uzbekistan has established the State Health Insurance Fund and its supervisory Board, and approved a mechanism for making payments for a guaranteed package through financing methods (per capita financing, for a "treated case", based on the results of work performed, and others) focused on the final result.

Today, the share of inefficient spending in the healthcare system reaches 40%. The lack of equal conditions for public and private medical institutions is a serious obstacle to improving the quality of medical services.