Addressing the challenges of improving primary care quality in Uzbekistan: a qualitative study of Chronic Heart Failure management

The main barriers to implementing international standards of care were: reluctance of physicians (and patients) to abandon ineffective interventions; enduring, system-wide incentives for clinically unnecessary hospitalization; and the lack of structural support for evidence-based health services improvement.

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Ahmedov M, Green J, Azimov R, Avezova G, Inakov S, Mamatkulov B. Addressing the challenges of improving primary care quality in Uzbekistan: a qualitative study of Chronic Heart Failure management. Health Policy and Planning. 2012;28(5):458-466. doi: 10.1093/heapol/czs091