DISASTER MEDICINE No. 2 •2025

https://doi.org/10.33266/2070-1004-2025-2

Original article

Organizational Models of Functioning of Territorial Centers of Disaster Medicine

A.V.Osipov1, S.F.Goncharov2,3, M.V.Bystrov1,4, I.V.Gashigullina1, O.V.Kakurin1, A.I.Kilnik1, G.A.Bagaev1, A.P.Maksachuk1

Download the article in pdf format

1 Federal Disaster Medicine Center of the Pirogov National Medical and Surgical Center of the Ministry of Health of the Russian Federation, Moscow, Russian Federation

2 State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency, Moscow, Russian Federation

3 Russian Medical Academy of Continuous Professional Education, the Ministry of Health of the Russian Federation, Moscow, Russian Federation

4 Pirogov Russian National Research Medical University of the Ministry of Health of the Russian Federation, Moscow, Russian Federation

UDC 614.2:614.88

P. 23-32

 

Summary. The objective of the study is to analyze the current organizational models of functioning of territorial disaster medicine centers (TDMCs) of the constituent entities of the Russian Federation (constituents).

Research materials and methods. Research materials – data on the number of emergencies, the number of victims, fatalities, hospitalizations and deaths in medical treatment organizations (MTOs) in dynamics in 2019-2024 and in the context of organizational models of TDMCs over a five-year period.

Research methods – direct observation method, SWOT-analysis, analytical, statistical processing method using a special information program.

Research results and their analysis. The advantages and potential risks of various organizational models of TDMCs are presented, which, taking into account the territorial characteristics of healthcare in specific entities, are important when choosing a particular model by the regional healthcare authority; the results of the study of medical and statistical indicators in emergencies and a comparison of their values in regions with different organizational models of TDMCs functioning are presented. Proposals have been made on promising options for organizing the provision of emergency medical care in the pre-hospital period at the regional level.

A conclusion has been made on the advisability of maintaining the variability of organizational models of the TCMC, taking into account the diversity of territorial features of the constituent entities of the Russian Federation.

Keywords: disaster medicine, constituent entities of the Russian Federation, emergencies, emergency medical care, medical and sanitary consequences, medical evacuation, organizational models, pre-hospital period, provision of medical care, routing, territorial center for disaster medicine, victims

For citation: Osipov A.V., Goncharov S.F., Bystrov M.V., Gashigullina I.V., Kakurin O.V., Kilnik A.I., Bagaev G.A., Maksachuk A.P. Organizational Models of Functioning of Territorial Centers of Disaster Medicine. Meditsina Katastrof = Disaster Medicine. 2025;2: 23-32 (In Russ.). https://doi.org/10.33266/2070-1004-2025-2-23-32

 

References

  1. Bobiy B.V. Normative Legal Regulation and Organizational and Methodological Support for the Functioning of the Disaster Medicine Service of the Ministry of Health of Russia: Status and Some Areas of Improvement. Meditsina Katastrof = Disaster Medicine. 2024;4:59-69 (In Russ.). doi: 10.33266.2070-004-2024-4-59-69.
  2. Bystrov M.V. Organizatsiya Okazaniya Meditsinskoy Pomoshchi postradavshim pri Chrezvychaynykh Situatsiyakh Tekhnogennogo i Prirodnogo Kharaktera na Federal’nom i Regional’nom Urovnyakh = Organization of Medical Care for Victims of Man-Made and Natural Emergencies at the Federal and Regional Levels. Doctor’s Thesis (Med.). Moscow, 2023. 389 p. (In Russ.).
  3. Zamyatin M.N., Bystrov M.V., Kolodkin A.A., Kil’nik A.I., Belova A.B., Isayeva I.V., Bagayev G.A., Katayev A.S., Magazeyshchikova N.G. Main Results of the Activities of the Federal Center for Disaster Medicine of the N.I. Pirogov National Medical and Surgical Center of the Ministry of Health of the Russian Federation and the Disaster Medicine Service of the Ministry of Health of the Russian Federation in 2021. Meditsina Katastrof = Disaster Medicine. 2022;1:13-19 (In Russ.). doi: 10.33266/2070-1004-2022-1-13-19.
  4. Teplov V.M., Tsebrovskaya Ye.A., Grigor’yev S.A., Ikhayev A.B., Ovsyannikova V.A., Potapova L.A., Bagnenko S.F. Functioning of the Joint Emergency Medical Service and the Disaster Medicine Service in a Protracted Emergency of a Biological and Social Nature. Meditsina Katastrof = Disaster Medicine. 2024;2:17-20 (In Russ.). doi: 10.33266/2070-1004-2024-2-17-20.
  5. Gashigullina I.V., Kakurin O.V., Bystrov M.V., Isayeva I.V., Anchokov YU.YU., Velichko Ye.A., Sibgatullin A.S. Comparative Analysis of Exercises Conducted by Territorial Centers of Disaster Medicine with Different Organizational Models of Functioning. Proceedings of the 23rd All-Russian Scientific and Practical Congress with International Participation Skoraya Meditsinskaya Pomoshch’-2024 = Emergency Medical Care-2024. St. Petersburg, June 13-14, 2024. St. Peterburg Publ., 2024. Pp. 36-38 (In Russ.).
  6. Ivanova A.A., Aprosimov L.A., Potapov A.F., Sotnikov V.A., Arzhakova V.V., Sleptsova N.A. Provision of Emergency Specialized Medical Care and Medical Evacuation Using Medical Aviation in the Republic of Sakha (Yakutia) in the Conditions of the Covid-19 Pandemic. Meditsina Katastrof = Disaster Medicine. 2023;4:46-52 (In Russ.). doi: 10.33266/2070-1004-2023-4-46-52.
  7. Popov V.P. Sovershenstvovaniye Sistemy Organizatsii Ekstrennoy Meditsinskoy Pomoshchi v Sub’yekte Rossiyskoy Federatsii = Improving the System of Organizing Emergency Medical Care in a Constituent Entity of the Russian Federation. Extended Abstract of Doctor’s Thesis (Med.). Ekaterinburg Publ., 2014. 42 p. (In Russ.).
  8. Markov S.V., Samoylov A.S., Goncharov S.F. Forces and Means of the Disaster Medicine Service of the Sakhalin Region for Medical and Evacuation Support for Victims in Emergency Situations. Meditsina Katastrof = Disaster Medicine. 2023;2:19-22 (In Russ.). doi: 10.33266/2070-1004-2023-2-19-22.
  9. Bagnenko S.F., Minnullin I.P., Miroshnichenko A.G., Teplov V.M., Razumnyy N.V. Directions for Improving the Organization of Emergency, Including Specialized Emergency, Medical Care, Specialized Medical Care in Emergency and Urgent Forms and Medical Evacuation in a Constituent Entity of the Russian Federation. Vestnik Roszdravnadzora = Bulletin of Roszdravnadzor. 2019;3:70-74 (In Russ.). doi: 10.35576/article_5d135f4a728e49.79827942.
  10. Isayeva I.V., Kostyuk I.I., Baranova N.N. Implementation of the Strategy for the Development of Air Ambulance Service in the Omsk Region. Meditsina Katastrof = Disaster Medicine. 2023;1:66-69 (In Russ.). doi: 10.33266/2070-1004-2023-1-66-69.
  11. Popov V.P., Rogozhina L.P., Medvedeva Ye.V., Kashevarova L.R. Experience of the Unified Center for Dispatching, Monitoring and Medical Evacuation as Part of the Territorial Center for Disaster Medicine of the Sverdlovsk Region. Meditsina Katastrof = Disaster Medicine. 2022;4: 17-20 (In Russ.). doi: 10.33266/2070-1004-2022-4-17-20.
  12. Bystrov M.V. Analysis of Organizational Models of Functioning of the Disaster Medicine Service of the Ministry of Health of the Russian Federation at the Regional Level. Meditsina Katastrof = Disaster Medicine. 2021;4:5-10 (In Russ.). doi: 10.33266/2070-1004-2021-4-5-10.
  13. Goncharov S.F., Bystrov M.V. Improving the Organizational Model for Providing Emergency Medical Care at the Regional Level. Meditsina Katastrof = Disaster Medicine. 2019;2:5–10 (In Russ.). doi: 10.33266/2070-1004-2019-2-5-10.
  14. Baranova N.N. Meditsinskaya Evakuatsiya Postradavshikh v Chrezvychaynykh Situatsiyakh = Medical Evacuation of Victims in Emergency Situations. Doctor’s Thesis (Med.). St. Petersburg Publ., 2022. 617 p. (In Russ.).
  15. Baranova N.N., Goncharov S.F. Medical Evacuation during Emergency Response: Routing, Quality Criteria. Skoraya Meditsinskaya Pomoshch’ = Emergency Medical Care. 2019;20;4:4-13 (In Russ.). doi: 10.24884/2072-6716-2019-20-4-4-13.
  16. Baranova N.N., Baryshev S.B., Goncharov S.F., Isayeva I.V., Titov I.G., Chubayko V.G. Problems of Organizing and Conducting Medical Evacuation in Emergency Situations with a Large Number of Victims. Meditsina Katastrof = Disaster Medicine. 2020;2:52–61 (In Russ.). doi: 10.33266/2070-1004-2020-2-52-61

 

The material was received 13.03.25; the article after peer review procedure 19.05.25; the Editorial Board accepted the article for publication 16.06.25