Tashkent, Uzbekistan (UzDaily.com) — A presidential decree titled “On Measures for the Consistent Continuation of Sectoral Reforms Through the Improvement of the Healthcare System and Principles of Medical Care Delivery” has approved a comprehensive plan to enhance the structure of primary healthcare in Uzbekistan.

The main objectives of the new healthcare model include leveraging international best practices, increasing the proportion of family doctors to 70%, and reducing paperwork through digitalization—an effort expected to decrease the administrative burden on medical personnel by up to 30%.

Starting from 1 July 2025, the new healthcare organization model will be piloted in selected districts and cities. From 1 January 2026, it will be implemented across all districts and cities of Samarkand region. As part of this experimental project, local health departments will be established within district and city medical associations.

The reform includes a major restructuring of primary healthcare: family polyclinics, family doctor units, and mahalla-based medical points will be transformed into legally independent family polyclinics and branches, based on the size of the population served.

These new facilities will provide a wide range of services, including general medical care, pediatrics, obstetrics and gynecology, diagnostics, and outsourced dental services. Importantly, residents will have the right to freely choose their family doctor.

Each medical team will serve up to 3,000 individuals, with the goal of reducing this to 1,700 people per team by 2030. All healthcare workers in family polyclinics will be required to work full-time.

For communities located over 10 km away from a polyclinic, mobile medical teams will be established. Medical staff providing these services will receive a 50% salary bonus.

Additional incentives include:

Extra payments per patient exceeding the norm: 0.3% of the minimum wage in cities and 0.5% in rural areas.

100% bonus of the base salary for medical personnel who complete certified training in family health.

20% salary increase for doctors and 10% for nurses in district and city hospitals.

Performance-based bonuses (KPI) of up to 100% of the monthly salary for family polyclinic and hospital staff.

A management training program will be introduced for healthcare administrators. Those who complete the course and receive certification will get a 100% salary bonus, while their deputies and chief nurses will receive 80% and 50%, respectively. Failure to achieve more than 56% KPI within a year will result in dismissal.

Furthermore, district medical institutions will be consolidated into multidisciplinary hospitals, operating under a unified organizational, administrative, and financial structure supervised by the Ministry of Health.

Overall, the reform aims to bring modern international standards and innovative approaches to Uzbekistan’s healthcare system, significantly improving the quality and accessibility of medical services for the population.