On December 10, a videoconference meeting was held under the chairmanship of President Shavkat Mirziyoyev on measures to improve and expand the coverage of the endocrinological services.
The endocrinology is one of the key areas in ensuring human health and quality of life. In recent years, a special program has been implemented to improve this particular healthcare sector.
The material and technical base of 14 branches of the Republican Specialized Scientific and Practical Medical Center of Endocrinology was bettered. Owing to the creation of special departments in these branches, the number of applications to the republican center has decreased twofold, unnecessary expenses of about 5 thousand citizens have been prevented. Every year, 80 thousand patients are provided with insulin free of charge.
As it is well-known, the immunodeficiency is widespread among the population of Uzbekistan. As a result, the incidence of thyroid disease is high. Over the past five years, the endocrine diseases have increased by 20%, including among the youth.
In general, as shown by the results of a study conducted on a sample of 2 million people, such diseases occur in 6% of those surveyed. Due to the lack of conditions and specialists for blood tests in the regions, the number of applications to the capital city for diseases related to eyes, kidneys and ankles caused by serious complications of endocrine diseases has increased.
In this regard, the issues related to solving problems in the early detection and treatment of endocrine diseases, in particular, improving the work of primary care were discussed at the meeting.
«It is not necessary to purchase sophisticated equipment for the early detection of endocrine diseases in primary care. A good result can be achieved by equipping laboratories, providing them with the necessary reagents and training not only endocrinologists, but also family doctors», - the President said.
The President has stressed the need to introduce a new system in this direction. A separate program for the early detection, prevention and treatment of endocrine diseases will be adopted.
In this case, first of all, close interaction between family doctors and endocrinologists will be established. The role of medical teams, nurses’ offices and locally organized Health Schools will be strengthened.
For instance, during the meeting it was noted that the number of appeals to regional centers can be reduced by 50%, if 10 types of analysis are arranged in the primary care.
In addition, for the purpose of early detection of endocrine diseases, starting next year, the population over 40 years of age will be screened at least once a year. The Unified Electronic Register of Patients with Endocrine Diseases will be launched. Each medical team will be equipped with a glucometer for the rapid-response tests.
From July 1 next year, the pregnant and lactating women, children aged 3 to 15 years will be provided with an iodine preparation for free. Apart from this, more than 200 thousand people in need will be provided free of charge with Metformin for diabetic patients. The diabetics and people at risk for diabetes will be trained in disease management.
The responsible officials were given instructions on the implementation of this system. The measures have also been identified for training specialists for the primary care system, production and distribution of medicines in demand through family polyclinics.
The issues related to reorganization of laboratory services at medical institutions were also considered at the meeting.
In particular, by establishing the necessary laboratory tests in the districts, it is possible to increase the number of services from 5 to 17 and reduce the number of calls to the republican center by 20 percent.
In regard to this matter and taking into account the international experience, it is indicated that the standards for laboratory analyzes should be completely revised and updated.
Through optimizing the laboratories of family and central polyclinics, central hospitals and emergency departments, the round-the-clock central laboratories will be established in the districts. They will be provided with transport to collect materials from family clinics and medical centers.
Over the next year, the qualifications of more than 1 thousand doctors and more than 3 thousand middle-level workers working in laboratories will be upgraded.
It is set to increase the number of inter-district departments of the endocrinological center from the current 29 to 50. The branches in the regions will be equipped with new medical equipment, and the number of services will increase from 15 to 40.
The main institution of the sphere is the Republican Specialized Scientific and Practical Medical Center of Endocrinology. The President instructed to transfer the center to new premises on the territory of the clinic of the Tashkent Medical Academy and organize its activities on a multidisciplinary basis.
It was noted that the Center will organize such advanced areas as the treatment of hormonal and mineral disorders, reproductive and endocrine gynecology, cancer endocrinology, cardio diabetes and interventional surgery. In addition, more than 20 new types of high-tech operations will be established.
To this end, the Endocrinological Center will be transformed into a scientific and innovative institution. The foreign specialists will be involved in research work, and quotas for doctoral studies will be doubled. It is envisioned to organize foreign internships for doctors of the center.
The responsible officials reported on the issues discussed at the meeting, opinions and suggestions of doctors were taken into consideration.