As in all sectors of Kyrgyzstan, there is a need of cardinal changes in the healthcare system. With the help of World Health Organization during 1994-1996, the National Healthcare reform program of Republic of Kyrgyzstan “Manas” was developed (1996-2006).
Main features of the newly created healthcare model are: multiplicity; forming of infrastructure that is correspondent to the needs of population in the financial resources and medical help; decentralization of management, increase of financial and management autonomy of the healthcare organization. Healthcare sector was divided on suppliers and buyers of medical services. Among the priorities were declared: development of primary healthcare, family medicine, free choice of family doctor, making medical services accessible to the population in the frames of the Program of notational guarantees. New methods of financing, that was oriented on end result, and methods of paying medical workers in relation to the quality of their work done, were implemented. The results of ten-year period of the healthcare reform show that although the economic situation is quite difficult, due to the help of the country and partners from WHO, World Bank, German Bank of Reconstruction and Development, Asian Bank of Development, USAID, UN, DFID, US, Switzerland, Japan’s international organizations, The Global fund to Fight AIDS, Tuberculosis and Malaria (GFATM), international Kirgizstan’s NGO, etc. we managed to overcome systematic crisis in healthcare.
In order to improve the quality of healthcare services there is whole complex of events, that are directed to increase professional competence of the healthcare workers, to implement stimulation mechanisms, to improve material-technical base of the healthcare organizations, to make medical drugs accessible, to make monitoring and to implement modern methods of management. There were developed and implemented accreditation and licensing standards for the healthcare organizations.
Nongovernmental professional associations were created in order to support medical organizations and to lobby their interests.
There was also developed the concept of managing the quality of medical services that is based on the expertise of the medical documentation, monitoring and analysis of the quality indicators, implementation of the methods of constant quality management.
New methods of financing and providing salary to medical workers create economical stimulus that increase quality of medical services, increase of the salary and equalization in the stationeries on the premiere level.
In order to increase the quality of the medical help and patient’s safety, there was created the committee on the quality of the medical help and patient’s safety by the main doctor of the National hospital on the 6th of September 2006, #34.
