ORDER OF THE MINISTRY OF HEALTH AND SOCIAL PROTECTION OF THE REPUBLIC OF TAJIKISTAN, MINISTRY OF FINANCE OF THE REPUBLIC OF TAJIKISTAN

of November 5, 2014 No. No. 938, 135

About approval of "Rules of copayment of rendering medical and sanitary services to citizens of the Republic of Tajikistan in public institutions of health care system" and "The instruction about special means of public institutions of health care system of the Republic of Tajikistan" within implementation of procedure for rendering medical and sanitary services to citizens of the Republic of Tajikistan in public institutions of health care system

For the purpose of execution of item 4 of the order of the Government of the Republic of Tajikistan of December 2, 2008, for No. 600 "About procedure for rendering medical and sanitary services to citizens of the Republic of Tajikistan of the state health care system",

We dispose:

1. Approve "Rules of copayment of rendering medical and sanitary services to citizens of the Republic of Tajikistan in public institutions of health care system";

"Instruction about special means of public institutions of health care system of the Republic of Tajikistan" (appendix 1 and 2).

2. To financial administrations and public health departments of local executive bodies of the government of the Gorno-Badakhshan Autonomous Region, areas, the city of Dushanbe, cities and areas of republican subordination, and also republican medical preventive organizations to head and provide implementation of this order.

3. The joint Order of the Ministry of Health of the Republic of Tajikistan and the Ministry of Finance of the Republic of Tajikistan of September 12, 2011 to consider No. 504-58 invalid.

4. To provide this order according to statutory rules for state registration in the Ministry of Justice of the Republic of Tajikistan.

5. This order after state registration and official publication to enact.

6. Control of execution of this order to assign to Management of economy and planning of the budget of industries of health care and social protection of the population of the Ministry of Health and Social Protection of the Republic of Tajikistan and Head department of the government budget of the Ministry of Finance of the Republic of Tajikistan.

No. No. 938, 135 are approved by the joint Order of the Minister of Health and Social Protection of the Republic of Tajikistan, the Minister of Finance of the Republic of Tajikistan of November 5, 2014

Rules of copayment of medical and sanitary services to citizens of the Republic of Tajikistan in public institutions of health care system

Rules of copayment of medical and sanitary services to citizens of the Republic of Tajikistan in organizations of the state health care system are developed on the basis of item 4 of the order of the Government of the Republic of Tajikistan of December 2, 2008 No. 600 "About procedure for rendering medical and sanitary services to citizens of the Republic of Tajikistan in public institutions of health care system" and the fifth paragraph of Item 2 of Chapter 1 "The strategy of financing of health care system of the Republic of Tajikistan of 2005 - 2015" which is approved by the order of the Government of the Republic of Tajikistan of May 10, 2005 No. 171 and determines procedure for single receipts, the reporting, use and return of means of copayment for rendering medical and sanitary services to citizens of the Republic of Tajikistan in public institutions of health care system.

1. The basic concepts and the reduced phrases

1. The basic concepts and the reduced phrases which are used in these rules:

- vaginal secret - the analysis of vaginal dab in laboratory for the purpose of determination of the causative agent of female diseases;

- ultrasonography - inspection by means of the medical equipment for the purpose of determination of density of body tissue;

- urgent and first indicators - indicators of condition of the patient (pulse, blood pressure, warm activities and breath) which threaten the patient's life in case of otlozhka or not rendering the emergency emergency medical service;

- the emergency intervention to measure normalization of haemo dynamics and airways - carrying out emergency medical measures (removal of the patient from condition life-threatening, normalization of pulse, warm activities, airways, blood pressure);

- dispensary observation - in case, patients with chronic diseases being under observation in polyclinic;

- leprosy - infectious disease which infects the person with mycobacteria;

- rage - infectious disease which to become the reason of injury of the central nervous system and way of sting or saliva of animal of people catches rage disease;

- expensive - it the cost of medical services is higher than 1000 somoni;

- lechebno - diagnostic high technologies - inspection and treatment of the patient with use modern lechebno - diagnostic technologies, on the example of diagnostics with use of computer tomography, angiography, magnitno - rezonansovy tomographies, transactions of heart and nervous system, renal transplantation and liver, endoprosthesis replacement of joints, treatment with use of stem cells, extracorporal fertilization and others;

- IVBDV - integration of introduction of disease of children's age;

- LKK - medical control commission;

- PHC - primary health care;

- RW - Wasserman's reaction, analysis type which reveals syphilis;

- HIV/AIDS - human immunodeficiency virus and syndrome of acquisition of immunodeficiency;

- DOTS (DOTS) - the program controlled treatment of tuberculosis.

2. General provisions

2. Free medical and sanitary services include - types, amount and conditions of provision of the medical and sanitary help in public institutions of health care system according to the amount of financing of industry of health care from the government budget, and also available donor resources on implementation of appropriate programs in the field of public health care.

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