Asanbek Kyzy Aiperi, Sulaimanova Gulnura, Kalmatov Roman, Mamyrova Kanykey, Abdyrasulov Kubat, Fonken Paul, Bardella Inis Jane
Department of Public Health, Institute of Science Tokyo, Tokyo, Japan.
Osh State University, Osh, AkBuura, Kyrgyzstan.
Fam Med. 2025 May;57(5):349-354. doi: 10.22454/FamMed.2025.891335. Epub 2025 Apr 10.
Following its independence from the Soviet Union in 1991, Kyrgyzstan became a pioneer in Central Asia by implementing extensive health care reforms that introduced family medicine. Beginning in the late 1990s, these reforms strengthened primary health care by introducing family medicine as a specialty and a key component of the health care system. This approach improved the quality of medical care while reducing health care costs and gradually extended to reforms in medical education and the broader health care system, including efforts to address the rural medical workforce. However, challenges remain in fully embedding family medicine into Kyrgyzstan's medical education and health care system. This paper aims to analyze the progress made since the early reforms, assess recent developments, and explore the ongoing challenges in institutionalizing family medicine within Kyrgyzstan's health care landscape. A full-text Russian translation of this article is available from author Paul Fonken (paul.fonken@gmail.com).
1991年吉尔吉斯斯坦从苏联独立后，通过实施广泛的医疗保健改革引入家庭医学，成为中亚地区的先驱。从20世纪90年代末开始，这些改革通过将家庭医学作为一个专业和医疗保健系统的关键组成部分来加强初级医疗保健。这种方法提高了医疗质量，同时降低了医疗成本，并逐渐扩展到医学教育和更广泛的医疗保健系统的改革，包括解决农村医疗劳动力问题的努力。然而，在将家庭医学完全融入吉尔吉斯斯坦的医学教育和医疗保健系统方面仍然存在挑战。本文旨在分析早期改革以来取得的进展，评估近期发展情况，并探讨在吉尔吉斯斯坦医疗保健格局中将家庭医学制度化过程中持续存在的挑战。本文作者保罗·冯肯（paul.fonken@gmail.com）提供了该文章的俄文全文翻译。
