Reportedly, immunodeficiency states are widespread among the population of Uzbekistan. As a result, the incidence of thyroid diseases is high. Over the past five years, the incidence of endocrine diseases has increased by 20 percent, including among young people.
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 districts, the number of visits to the capital for eye, kidney and ankle diseases caused by serious complications of endocrine diseases has increased.
In this regard, the meeting discussed issues related to solving problems in the field of early detection and treatment of endocrine diseases, in particular, improving the work of primary care.
“It is not necessary to purchase sophisticated equipment for 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 head of state stressed the need to introduce a new system in this direction. A separate program for early detection, prevention and treatment of endocrine diseases will be adopted.
At the same time, first of all, close interaction of family doctors and endocrinologists will be established. The role of medical teams, nursing offices and community health schools will be strengthened. For example, the number of calls to regional centers can be reduced by 50% if 10 types of analysis are established in the primary care.
In addition, with the aim of early detection of endocrine diseases from next year, the next population over 40 years old will be screened at least once a year. A unified electronic register of patients with endocrine diseases will be launched. Each medical team will be provided with a rapid blood glucose meter.
From July 1 next year, pregnant and lactating women, children aged 3 to 15 years will be provided with iodine preparation free of charge. Also, more than 200 thousand people in need will be provided free of charge metformin for patients with diabetes. Diabetics and people at risk for diabetes will be trained in disease management.
The responsible executives have been instructed on how to implement this system. Measures have also been identified for training specialists for the primary healthcare system, for the production and distribution of drugs in demand through family polyclinics.
The meeting also discussed the issues of reorganization of laboratory services in medical institutions. In particular, having established 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%.
In this regard, it is indicated that the standards for laboratory analyzes should be completely revised and updated taking into account international experience. Twenty-four-hour central laboratories will be created in the districts by optimizing the laboratories of family and central polyclinics, central hospitals and emergency departments. They will be provided with transport to collect materials from family clinics and medical centers.
Over the next year, more than 1,000 doctors and more than 3,000 middle-level workers working in laboratories will be upgraded. It is planned to increase the number of interdistrict departments of the endocrinology center from the current 29 to 50. 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 for Endocrinology. The head of state instructed to move the center to new buildings 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, oncoendocrinology, cardiac diabetes and interventional surgery. In addition, more than 20 new types of high-tech operations will be organized.
Responsible executives provided information on the issues discussed at the meeting, opinions and proposals of doctors were heard.