DAVLAT TIBBIY SUGʻURTASI AHOLIGA QANDAY QULAYLIKLAR YaRATADI?

Davlat rahbarining 2020 yil 12 noyabrda qabul qilingan “Sogʻliqni saqlash tizimini tashkil etishning yangi modeli va davlat tibbiy sugʻurtasi mexanizmlarini Sirdaryo viloyatida joriy etish chora-tadbirlari toʻgʻrisida”gi qarorida tibbiy xizmat koʻrsatishning yangi mexanizmini joriy etish, davlat tibbiy sugʻurta tizimi bilan bogʻliq ishlarni tashkil etish belgilangan.

Dastlab, bu tizim Sirdaryo viloyatida aprobatsiyadan oʻtkazilib, kelgysida respublikamizning barcha hududlarida bosqichma-bosqich joriy etilishi koʻzda tutilgan.

Shunga binoan, Davlat tibbiy sugʻurta jamgʻarmasi tashkil etildi. Sogʻliqni saqlash vazirligi, Davlat tibbiy sugʻurta jamgʻarmasi va Sirdaryo viloyat sogʻliqni saqlash boshqarmasi bilan hamkorlikda yangi tizimni ishga tushirish, aholiga kafolatlangan paket hisobidan tibbiy xizmat koʻrsatish borasidagi ishlar Sirdaryoda boshlab yuborildi.

Tibbiyot xodimlarini jahon tajribasini oʻrgangan malakali mutaxassislar tomonidan oʻqitish yoʻlga qoʻyildi.

Viloyat aholisining 94,7 foizi (801 ming 358 nafari) tibbiy xatlovdan oʻtkazildi. Ularning salomatligi oʻrganilib, toʻrtta —eng yuqori, yuqori, oʻrta va past xavf guruhlariga ajratildi. Eng yuqori xavf guruhida turgan 145 ming nafardan ortiq fuqaroni sogʻlomlashtirish ustida ish olib borilmoqda.

Davlat tibbiy sugʻurta mexanizmi bilan bogʻliq ishlar Sirdaryo viloyatida joriy yilning 1 iyulidan boshlandi. Tizim boʻyicha tibbiyot xodimlari koʻrsatilgan xizmatlar hisobiga haq oladi.

Hisob-kitob ishlari Davlat tibbiy sugʻurta jamgʻarmasi va uning hududiy boʻlimlari tomonidan amalga oshiriladi. Bunda tibbiyot xodimi tomonidan tibbiyot muassasasiga murojaat qilgan fuqaroga koʻrsatilgan tibbiy xizmat turi, sifatiga alohida eʼtibor qaratiladi.

Shifokor va hamshira koʻrsatilmagan xizmat turi uchun davlat byudjetidan ish haqi ololmaydi.

Tizimdagi ishlar toʻliq tashkil etilgandan soʻng, aholi toʻla-toʻkis kafolatlangan tibbiy xizmat koʻrsatish paketlaridan foydalana boshlaydi. Eski tartibga koʻra nogironligi boʻlgan shaxslar, xotin-qizlar, urush qatnashchilari va boshqa shu kabi shaxslarga bepul xizmat koʻrsatilar edi.

Yangi tizimga koʻra, bemor tibbiyot muassasasiga kelgunga qadar bir necha tekshiruvlardan oʻtadi.

Soʻng unga birlamchi tibbiy-sanitariya muassasasida ishlovchi oila shifokori, terapevt, pediatr, doya va boshqa tibbiyot xodimlari tomonidan xizmat koʻrsatiladi.

Kasalligi oʻrta darajadagi bemorlar birlamchi tibbiy-sanitariya massasasida davolansa, ogʻir darajadagilar oila shifokori yoʻllanmasi bilan yuqori darajadagi shifoxonalarga yoʻnaltiriladi.

Birlamchi tibbiy-sanitariya muassasasida bemorni davolashning iloji boʻlmasa, tuman yoki shahar shifoxonasiga yoʻllanma beriladi. Yoʻllanmaga asosan shahar yoki tuman tibbiyot birlashmasida kafolatlangan paket asosida xizmat koʻrsatiladi.

Bemorni tuman yoki shahar tibbiyot birlashmasida ham davolash imkoni boʻlmasa, viloyatga yoʻllanma beriladi.

Dori-darmon, oʻrin-joy va boshqa xizmatlar uchun pul toʻlanmaydi. Bu xarajatlar Davlat tibbiy sugʻurta jamgʻarmasi tomonidan moliyalashtiriladi.

Mazkur mexanizm Sirdaryo viloyatida sinovdan oʻtkazilmoqda. Tibbiyot xodimlarning davlat tibbiy sugʻurta mexanizmlari va kafolatlangan tibbiy xizmat tizimi borasidagi tajribasi kun sayin oshib, yuzaga chiqishi mumkin boʻlgan muammolar bosqichma-bosqich hal etilyapti.

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