Health systems in transition : Uzbekistan

5.3.3 Quality of care
Rigorous and comprehensive evaluations of the quality of care in primary care 
facilities are lacking. Quality evaluations are mainly limited to public facilities 
and focus mostly on structural aspects rather than outcomes, while process 
evaluations are generally not carried out. Structural evaluations of the state of 
health facilities and equipment are undertaken by agencies of the Ministry of 
Health. While no representative national survey to assess the quality of care 

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Health systems in transition
  
Uzbekistan
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has been conducted so far, anecdotal evidence suggests that many medical 
practices are outdated (Asadov & Aripov, 2009; Expert-Fikri, 2011; Ahmedov 
et al., 2012).
Very few national initiatives have been carried out to improve the quality 
of primary care. One of these initiatives includes regular supervisory visits by 
secondary or tertiary-level specialists to rural primary care facilities. As part 
of this programme, a team of specialists provides free consultations to a large 
number of patients over a period of a few days.