Evidence map›Paper›PMID 38073710›Full record

ArticleHealth policy OPEN2023

Primary care reforms in Central Asia - On the path to universal health coverage?

Bernd Rechel, Aigul Sydykova, Saltanat Moldoisaeva, Dilorom Sodiqova, Yerbol Spatayev, Mohir Ahmedov, Susannah Robinson, Anna Sagan

Open access · goldAbstract read
In one paragraph

Article in Health policy OPEN, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
5.8field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 20 citations in OpenAlex.

  1. Review
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  8. Public Health Communication Challenges in Eastern Europe and Central Asia: A Scoping Review.International journal of environmental research and public health · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Bernd RechelBernd Rechel, European Observatory on Health Systems and Policies, London School of Hygiene & Tropical Medicine, London, United Kingdom.
Aigul SydykovaBernd Rechel, European Observatory on Health Systems and Policies, London School of Hygiene & Tropical Medicine, London, United Kingdom.
Saltanat MoldoisaevaBernd Rechel, European Observatory on Health Systems and Policies, London School of Hygiene & Tropical Medicine, London, United Kingdom.
Dilorom SodiqovaBernd Rechel, European Observatory on Health Systems and Policies, London School of Hygiene & Tropical Medicine, London, United Kingdom.
Yerbol SpatayevBernd Rechel, European Observatory on Health Systems and Policies, London School of Hygiene & Tropical Medicine, London, United Kingdom.
Mohir AhmedovBernd Rechel, European Observatory on Health Systems and Policies, London School of Hygiene & Tropical Medicine, London, United Kingdom.
Susannah RobinsonBernd Rechel, European Observatory on Health Systems and Policies, London School of Hygiene & Tropical Medicine, London, United Kingdom.
Anna SaganBernd Rechel, European Observatory on Health Systems and Policies, London School of Hygiene & Tropical Medicine, London, United Kingdom.
London School of Hygiene & Tropical Medicine · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This article reviews progress in primary care reforms in the four Central Asian countries Kazakhstan, Kyrgyzstan, Tajikistan and Uzbekistan. It draws on the country monitoring work of the European Observatory on Health Systems and Policies, a review of the peer-reviewed literature and an analysis of data available in international databases. The retrieved information was organized according to key health system functions (governance, provision, financing and resource generation), as well as key aims of universal health coverage (access to and quality of primary care and financial protection). The article finds that the four countries have made substantial reforms in all of these areas, but that there is still some way to go towards universal health coverage. Key challenges are the overall lack of public funding for primary care, poor financial protection due to prescribed outpatient medications being generally outside of publicly funded benefits packages, the low status and salary of primary care workers, problems of access to primary care in rural areas, and underdeveloped quality monitoring and improvement systems.

Identifiers

PMID38073710
PMCPMC10704368
OpenAlexW4389043816

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.