INTERNATIONAL EXPERIENCE IN INTRODUCING THE STATE MEDICAL INSURANCE SYSTEM IN UZBEKISTAN: COMPARATIVE ANALYSIS AND DEVELOPMENT PERSPECTIVES
DOI:
https://doi.org/10.55640/Keywords:
State Medical Insurance, Healthcare Financing, Strategic Purchasing, Beveridge Model, Bismarck Model, Out-of-Pocket Expenditure, Healthcare Infrastructure, Uzbekistan.Abstract
This article examines the systemic transformation of healthcare financing in Uzbekistan through the gradual introduction of the State Medical Insurance (SMI) system. As the country transitions from an input-based, rigid budgetary allocation model to an output-based strategic purchasing framework, analyzing international experience becomes critical. This study provides a comparative institutional and economic analysis of the Beveridge, Bismarck, and National Health Insurance models against the socioeconomic realities of Uzbekistan. Utilizing recent structural and macroeconomic indicators up to 2026, the paper highlights the financial achievements of the early pilot phases, maps out systemic bottlenecks such as out-of-pocket expenditures and informal sector coverage, and presents strategic pathways for ensuring long-term fiscal sustainability and clinical efficiency.
References
1.Ruzmetova, G. (2026). Priorities for Improving the Healthcare Financing System in Uzbekistan. Innovation Science and Technology, 2(5), 12-28.
2.Isoyevna, N. Q. (2026). Enhanced Methodology for Analysing Insurance Market Transformation under Economic Globalisation and Digitalisation: The Case of Uzbekistan. International Journal of Social Sciences & Interdisciplinary Research, 15(01), 42-56.
3.Xaydarova, D. (2021). Implementation of the Pilot Project of the Medical Insurance Mechanism in the Syrdarya Region. Review of Socio-Economic and Humanitarian Research, 4(12), 50-64.
4.Umurzakova, M. (2025). Statistical Indicators and Structural Transformations in Mandatory Health Insurance Systems: Global and National Dimensions. Journal of Modern Public Knowledge, 6(3), 641-653.
5.Sadatovich, P. S. (2024). Ways to Increase the Effectiveness of Implementing Medical Insurance in Uzbekistan. CyberLeninka Economic Studies, 11(2), 78-92
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