S.I. Shlyafer
Federal Research Institute for Health Organization and Informatics of Ministry of Health and Social Development of the Russian Federation, Moscow

Summary. Indicators of operation of the emergency healthcare in the Russian Federation for the period of the years 1990-2010 were studied for the assessment of this service problems and prospects of development.

Emergency healthcare is rendered along the standards of healthcare, it consists in free-of-charge services to the citizens when any of the situation involving their hanging conditions, occurred accidents, trauma, poisoning, etc. necessitates urgent medical interference at pre-hospitalization or inpatient stages. These services are considered as cost-consuming ones with the mean cost of such a call estimated as 1,280.9 rubles in 2009 and 1,354.6 rubles in 2010.

Two last decades evidenced a certain growth of the relative number of visits from emergency crew: from 323.9 visits upon one thousand people of population to 332.2. The relative number of admitted to hospital through this procedure increased from 52.4 subjects upon one thousand people of population to 71.8. As a result, by the end of aforementioned period, emergency crew delivered subjects has amounted to one third of the total pool of people admitted to hospital in Russia. This phenomenon could be accounted for by the loosening of prevention measures from the part of outpatient facilities which made for expansion of latent chronic conditions in the population fraught with unanticipated attack.

In 2010 an inpatient stage of rendering emergency care was put under special regulation which implied, first of all, the obligatory attachment of emergency care department to every inpatient facility. This organizational scheme is currently under testing in quite a several regions of the Russian Federation.

Improving primary healthcare is an important trend in National Top-Priority Project “Health”. It was under this project that the emergency care service was becoming equipped with novel medical vehicles and the payments to medical and paramedical staff of this service were specified since the year 2006.

The aim of this work is to analyze operation of emergency health care in the Russian Federation during the years 1990-2010.

Keywords. Emergency healthcare, the number of persons who received emergency healthcare, medical staff of the emergency healthcare, emergency healthcare teams, emergency ambulance.

References

1. 1. Bagnenko S.F. Osnovnyye polozheniya kontseptsii razvitiya skoroy meditsinskoy pomoshchi v Rossiyskoy Federatsii [The basic grounds for the conception of development of emergency medical service in the Russian Federation]. Skoraya meditsinskaya pomoshch 2009;(2):50-54.
2. 2. Iz doklada o realizatsii Programmy gosudarstvennykh garantiy okazaniya grazhdanam Rossiyskoy Federatsii besplatnoy meditsinskoy pomoshchi v 2010 godu [From the Report on implementation of the Program on State Guarantees to Deliver Free Medical Care to the Citizens of the Russian Federation in 2010]. Menedzher zdravookhraneniya 2011;(8):79-88.
3. 3. Kalininskaya A.A., Shlyafer S.I., Dzugayev A.K. Obyem i kharakter raboty skoroy meditsinskoy pomoshchi v Rossiyskoy Federatsii i puti eye reorganizatsii [The volume and specific features of operation of emergency medical service in the Russian Federation and the ways for its reorganization]. Zdravookhraneniye Rossiyskoy Federatsii 2005;(4):38-42.
4. 4. Postanovleniye Pravitelstva Rossiyskoy Federatsii ¹ 1111 ot 29 dekabrya 2009 g. «O poryadke predostavleniya v 2010 godu subsidiy iz federalnogo byudzheta byudzhetam subyektov Rossiyskoy Federatsii na osushchestvleniye denezhnykh vyplat meditsinskomu personalu feldshersko-akusherskikh punktov, vracham, feldsheram i meditsinskim sestram uchrezhdeniy i podrazdeleniy skoroy meditsinskoy pomoshchi munitsipalnoy sistemy zdravookhraneniya, a pri ikh otsutstvii na territorii munitsipalnogo obrazovaniya - uchrezhdeniy i podrazdeleniy skoroy meditsinskoy pomoshchi subyektov Rossiyskoy Federatsii» [“On the order of granting in 2010 from the federal budget to budgets of subjects of the Russian federation on monetary payments to medical personnel in feldsher and obstetric centers, doctors, doctor’s assistants, and nurses in emergency care facilities of municipal public health system, and at their absence in the municipal territory – to medical personnel of emergency care facilities of subjects of the Russian Federation”, the Regulation of the Government of the Russian Federation ¹ 1111, 2009, December 29]. Zdravookhraneniye 2010;(3):92-93.
5. 5. Postanovleniye Pravitelstva Rossiyskoy Federatsii ¹ 356 ot 9 iyunya 2006 g. «O poryadke predostavleniya v 2006 g. subsidiy iz federalnogo byudzheta byudzhetam subyektov Rossiyskoy Federatsii na denezhnyye vyplaty meditsinskomu personalu vracham, feldsheram i meditsinskim sestram skoroy meditsinskoy pomoshchi» [“On the order of granting in 2006 from the federal budget to budgets of subjects of the Russian federation on monetary payments to medical personnel, doctors, doctor’s assistants, and nurses at emergency care facilities”, the Regulation of the Government of the Russian Federation ¹ 356 of 2006, June 9]. [Internet]. 2006 [cited 2012 Jan 11]. Available from: http://www.consultant.ru
6. 6. Postanovleniye Pravitelstva Rossiyskoy Federatsii ot 04.10.2010 g. ¹ 782 «O programme gosudarstvennykh garantiy okazaniya grazhdanam Rossiyskoy Federatsii besplatnoy meditsinskoy pomoshchi na 2011 god» [“On the Program on State Guarantees to Deliver Free Medical Care to the Citizens of the RF in 2011”, the Regulation of the Government of the Russian Federation of 04.10.2010 ¹782]. Zdravookhraneniye 2010;(12):123-135.
7. 7. Prikaz Minzdravsotsrazvitiya Rossii ot 01.11.2004 g. ¹ 179 «Ob utverzhdenii poryadka okazaniya skoroy meditsinskoy pomoshchi» [“On approving the order of delivering emergency medical care”, the Regulation of the Ministry of Health and Social Development of the RF of 01.11.2004 ¹ 179]. Zdravookhraneniye 2005;(2):63-68.
8. 8. Prikaz Minzdravsotsrazvitiya Rossii ot 02.08.2010 g. ¹ 586n «O vnesenii izmeneniy v Poryadok okazaniya skoroy meditsinskoy pomoshchi, utverzhdennyy prikazom Ministerstva zdravookhraneniya i sotsialnogo razvitiya Rossiyskoy Federatsii ot 01.11.2004 ¹ 179» [“On introducing changes in the Order of delivering emergency care approved by the Regulation of the Ministry of Health and Social Development of the RF of 01.11.2004 ¹ 179”, the Regulation of Ministry of Health and Social Development of the RF of 02.08.2010 ¹ 586í]. Zdravookhraneniye 2011;(1):92-109.
9. 9. Prikaz Ministerstva zdravookhraneniya i sotsialnogo razvitiya Rossiyskoy Federatsii ¹ 942 ot 2 dekabrya 2009 g. «Ob utverzhdenii statisticheskogo instrumentariya stantsii (otdeleniya) bolnitsy skoroy meditsinskoy pomoshchi» [“On approving the static instruments of emergency care facilities (departments)”, the Regulation of the Ministry of Health and Social Development of the Russian Federation ¹ 942 of 2009, December 2] [Internet]. 2009 [cited 2010 Jan 11]. Available from: http://www.consultant.ru
10. 10. Prikaz Ministerstva zdravookhraneniya i sotsialnogo razvitiya Rossiyskoy Federatsii ¹ 752 ot 1 dekabrya 2005 g. «Ob osnashchenii sanitarnogo avtotransporta» [“On equipment of health care transport”, the Regulation of the Ministry of Health and Social Development of the Russian Federation ¹ 752 of 2005, December 1]. [Internet]. 2005 [cited 2009 Sep 24]. Available from: http://www.consultant.ru
11. 11. Rasshirennoye zasedaniye kollegii Minzdravsotsrazvitiya Rossii «Ob itogakh raboty Ministerstva zdravookhraneniya i sotsialnogo razvitiya Rossiyskoy Federatsii v 2009 godu i zadachakh na 2010 god» [“On results of operation of the Ministry of Health and Social Development of the Russian Federation in 2009 and targets for 2010”, the enlarged meeting of the collegium of the MoH&SD of the RF]. [Internet]. 2009 [cited 2010 Jun 28]. Available from: http://www.minzdravsoc.ru/events/184
12. 12. Starodubov V.I., Kalininskaya A.A., Shlyafer S.I. Pervichnaya meditsinskaya pomoshch: sostoyaniye i perspektivy razvitiya [Primary medical care: a current state and developmental prospects]. Moscow: Meditsina; 2007. 264 p.
13. 13. Federalnyy zakon Rossiyskoy Federatsii ¹ 258-FZ ot 29.12.2006 g. «O vnesenii izmeneniy v otdelnyye zakonodatelnyye akty v svyazi s sovershenstvovaniyem razgranicheniya polnomochiy» [“On changes in some legislation acts caused by improving separation of jurisdiction”, the Federal Legislation of the Russian Federation ¹ 258-ÔÇ of 29.12.2006]. [Internet]. 2011 [cited 2011 Sep 24]. Available from: http://www.consultant.ru
14. 14. Federalnyy zakon Rossiyskoy Federatsii ¹ 323-FZ ot 21.11.2011 g. «Ob osnovakh okhrany zdorovya grazhdan v Rossiyskoy Federatsii» [“On the basis of health promotion for the citizens of the Russian Federation”, the Federal Legislation of the Russian Federation ¹ 323-ÔÇ of 21.11.2011]. Rossiyskaya gazeta 23.11.2011. ¹263 (5639). P. 18-23.

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