Under the new system, registered doctors and pharmacists will be eligible for additional payments of UZS 7 million, while nurses will qualify for UZS 3.5 million. The government also plans to introduce performance-based assessments across hospitals and outpatient clinics, with patient feedback serving as the main measure of service quality.

President Shavkat Mirziyoyev announced the measures at a meeting with healthcare and pharmaceutical workers on October 27. The plans also cover professional training, the management of specialized medical centers and the introduction of artificial intelligence in healthcare.

“Activities related to public health must be governed by clear rules and strict oversight, and only professionals should be allowed to carry them out,” Mirziyoyev said.

Medical registration to become mandatory in 2030

The procedure for state registration of medical and pharmaceutical workers was approved by Cabinet of Ministers Resolution No. 577 on October 19, 2026.

Registration will be voluntary from July 1, 2027, through the end of 2029. During this transition period, medical and pharmaceutical professionals can register by passing a special examination or automatically upon receiving a qualification category.

From January 1, 2030, only registered professionals will be allowed to practice medicine or pharmacy in their respective specialties. Registration will remain valid for five years, after which it must be renewed.

The Center for the Assessment of Qualifications of Medical and Pharmaceutical Workers will oversee the process.

Medical workers with a scientific degree and at least 20 years of experience in their specialty may qualify for registration without taking the special examination, subject to the applicable requirements.

Applications can be submitted through public service centers, the Unified Portal of Interactive Public Services or a dedicated medical platform.

Patient feedback to influence medical staff pay

From 2027, hospitals and outpatient clinics at the national, regional and district levels will begin collecting patient assessments of the services they provide.