DISASTER MEDICINE No. 2(106)•2019

PERFECTION OF ORGANIZATIONAL MODEL OF DELIVERY OF EMERGENCY MEDICAL CARE AT REGIONAL LEVEL Download the article in pdf format

Goncharov S.F.1,2, Bystrov M.V.1,2

1 The Federal State Budgetary Institution «All-Russian Centre for Disaster Medicine «Zaschita» of Health Ministry of the Russian Federation, Moscow

2 Federal State Budgetary Educational Institution of Further Professional Education «Russian Medical Academy of Postgraduate Education» of the Ministry of Healthcare of the Russian Federation, Moscow

UDK 614.2

Pp. 5–10

It is noted that the improvement of the system of organization and provision of emergency medical care (EMC) and medical evacuation at the regional level is largely dependent on strengthening of the role of medical evacuation (ME) of patients in need of medical care in emergency and urgent forms to medical organizations of the 2nd and 3rd levels. The coordination and management of the EMC and ME system at the regional level, including the solution of inter-hospital and inter-regional ME, is the obligation of the regional center for EMC and disaster medicine, which unites the territorial center for disaster medicine (TCDM), first aid station, and the Department of emergency consulting medical care. The functions and problems solved by the regional center for EMC and disaster medicine are discussed.

The results of the scientific research conducted at the All-Russian Center for Disaster Medicine “Zaschita” by questioning specialists (experts) involved in the organization and provision of EMC in 58 subjects of the Russian Federation are analyzed.

 

Key words: Department of emergency consulting medical care, emergency medical care, first aid station, medical evacuation, medical treatment organizations, organizational model, regional center for emergency medical care and disaster medicine, regional level, routing, territorial center for disaster medicine

 

For citation: Goncharov S.F., Bystrov M.V., (Perfection of Organizational Model of Delivery of Emergency Medical Care at Regional Level), Disaster Medicine, 2019; 2(106): 5–10 (In Rus.).

https://doi.org/10.33266/2070-1004-2019-2-5-10

 

REFERENCES

1. On the approval of Regulations of the All-Russian Service for Disaster Medicine, Decree of the Government of the Russian Federation dated August 26, 2013, No. 734-FZ (In Rus.).

2. Goncharov S.F., Bobiy B.V., Bystrov M.V., (On Preparedness of Service for Disaster Medicine of Health Ministry of Russia for Response and Activity in Emergency Situation Environment), Medicina katastrof, (Disaster medicine), 2017; 1: 5–12 (In Rus.).

3. Goncharov S.F., Bystrov M.V., Bobiy B.V., (Pressing questions of organization of providing of urgent medicare are in the different modes of activity), Skoraya medicinskaya pomoshch’, (Emergency medical care), 2017; 18; 4: 4–9 (In Rus.).

4. Bystrov M.V., (A role and place of Service of medicine of catastrophes is in the system of organization and providing of urgent medicare a population in the different modes of activity), Medicina katastrof, Sluzhba mediciny katastrof, (Disaster medicine. Service for Disaster Medicine), 2017; 1: 3–6 (In Rus.).

5. Bystrov M.V., (Perfection of Organization of Delivery of Emergency Medical Care to Casualties in Emergency Situation Environment and in Regular Regime), Medicina katastrof, (Disaster medicine), 2016; 1: 14–17 (In Rus.).

6Goncharov S.F., Bystrov M.V., Tsinika G.V., (Disaster Medicine and Emergency Medical Care: Organization of Emergency Medical Care Delivery in Liquidation of Medical and Sanitary Consequences of Emergency Situations), Medicina katastrof, (Disaster medicine), 2015; 1: 15–18 (In Rus.).

7. On the fundamental principles of the public health protection in the Russian Federation, Federal Law dated November 21, 2011, No. 323-FZ (In Rus.).

8. Belova A.B., (Information Space of All Russian Service for Disaster Medicine), Medicina katastrof, (Disaster medicine), 2017; 3: 5–8 (In Rus.).

9. Baranova N.N., (Medical Evacuation of Victims: Their State, Problems. Report 2), Disaster Medicine, 2019; 1(105): 42–46 (In Rus.).

10. Baranova N.N., Bobiy B.V., Goncharov S.F., Nazarenko G.I., Odintsov N.I., (Information and Telecommunication Technologies in Activities of Service for Disaster Medicine of Ministry of Health of Russia), Disaster Medicine, 2019; 1(105): 5–11 (In Rus.).

11. Baranova N.N., Bobiy B.V., Goncharov S.F., Kipor G.V., Fisun A.Ya., (Medical Evacuation within System of Liquidation of Medical and Sanitary Consequences of Crisis Situations), Medicina katastrof, (Disaster medicine), 2018; 1: 5–14 (In Rus.).

12. Goncharov S.F., Bystrov M.V., Kudryavtsev B.P., Savvin Yu.N., (Problem of plural and sochetannoy trauma (politravmy), ways of decision, role of Service of medicine of catastrophes), Politravma, 2016; 2: 6–10 (In Rus.).

13. Goncharov S.F., Bystrov M.V., Kudryavtsev B.P., Savvin Yu.N., (Clinical Recommendations on Disaster Medicine (Delivery of Medical Care to Casualties of Emergency Situations)), Medicina katastrof, (Disaster medicine), 2015; 2: 26–29 (In Rus.).

14. Bagnenko S.F., (Perfection of organization of medical first-aid and medical evacuation is in the subjects of Russian Federation), Lecture in Ministry of health of Russia with participation the leaders of management organs by the health protection of subjects of Russian Federation, 2019 (In Rus.).

15Bagnenko S.F., Polushin Yu.S., Miroshnichenko A.G. et al., Organizaciya raboty stacionarnogo otdeleniya skoroj medicinskoj pomoshchi, (Organization of work of stationary separation of medical first-aid), Recommended practice, St. Petersburg Publ., 2015, 73 p. (In Rus.).