Опубликовать статью

Информационное партнерство

Инфоресурсы

Контакты

«

Vol. 26, Art. 21 (pp. 517-528)    |    2025       

»

Emergency medical care for hard-to-reach and remote areas

Chekulaeva O.A. 1, Barsukova I.M. 2,3

1Moscow Regional Emergency Medical Service Station, Moscow Region, Russia
2St. Petersburg Research Institute of Ambulance named after I.I. Janelidze, St. Petersburg, Russia
3The First St. Petersburg State Medical University named after Academician I.P. Pavlova, St. Petersburg, Russia

Brief summary

Accessibility and quality of medical care are the main principles of health protection in the Russian Federation, however, for the implementation of mobile forms of work in remote and hard-to-reach areas of the country, the availability and condition of specialized transport is important. Objective. The aim of the study: to study the performance indicators of medical organizations using all-terrain ambulances and air ambulances in the Russian Federation. Materials and methods. The data of industry statistical observation - form No. 40 (2010-2013) and federal statistical observation - form No. 30 (2014-2024) for the Russian Federation were used; statistical and analytical research methods, MS Office Excel 2016 spreadsheets were applied. Results. Emergency medical care in remote and hard-to-reach areas requires special conditions for its provision, including specialized vehicles and air ambulances. There was an increase in the number of all-terrain vehicles by 380.7% (2.5 thousand units), and the share of these vehicles in the ambulance fleet also increased (from 3.3% to 14.5%). The service life of a vehicle is an important indicator of its reliability and ability to solve assigned tasks. Despite the efforts made, the share of all-terrain ambulances with a service life of more than 5 years has increased significantly and amounted to 47.4% in 2024, they are characterized by significant wear and tear and require replacement. The rate of fleet renewal is inferior to the rate of its aging. More than 15.5 thousand patient evacuations using air ambulances are observed annually, more than half of them are funded by the regional budget, 93.4% of patients are hospitalized within 24 hours of calling for emergency medical care. Approximately 500 patients (3.1%, 2024) are evacuated annually via scheduled flights, their number almost doubling (by 90.4%) during the observation period. Conclusion. Organizing emergency medical care in remote and hard-to-reach areas is a serious task that requires significant financial costs and balanced organizational decisions. The development of telemedicine services and remote consultation centers can, to some extent, bring medical care closer to the population of these regions.


Key words

emergency medical care, ambulance, ambulance transport, ambulance ambulance, air ambulance.

Reference list

1. Bagnenko S.F., Petrikov S.S., Minnyllin I.P. i dr. Skoraya medicinskaya pomosh: nacionalnoe rykovodstvo. Moskva: GEOTAR-Media. 2025. 1032 s. doi 10.33029/9704-8269-8-EMC-2025-1-1032.


2. Osnovi organizacii skoroi medicinskoi pomoshi na dogospitalnom i gospitalnom etapah: ychebnoe posobie. Sankt-Peterbyrg: SPb NII SP im. I.I. Djanelidze: ychebnoe posobie, 2023. ISBN 978-5-6047956-7-5.


3. Skoraya medicinskaya pomosh Rossii: Informacionnie i analiticheskie materiali (2010-2022 gg.). Sankt-Peterbyrg: PrintLait, 2024. ISBN 978-5-6047956-9-9.


4. Epifanov V.G., Barsykova I.M. Ydovletvorennost naseleniya rabotoi viezdnih brigad skoroi medicinskoi pomoshi. MEDLAIN.RY Biomedicinskii jyrnal. 2025;26(16):407-417.


5. Badmaeva E.R., Karpov A.B., Antipov S.A. Ocenka sostoyaniya zdorovya personala ydalennogo promishlennogo obekta po rezyltatam periodicheskih medicinskih osmotrov. Sootvetstvie trebovaniyam segodnyashnego dnya. Sovremennie problemi zdravoohraneniya i medicinskoi statistiki. 2021;4:312-324. doi 10.24412/2312-2935-2021-4-312-324.


6. Logynov K.V., Antipov S.A., Lepetinskii I.S. I dr. Promishlennoe zdravoohranenie v rossiiskoi Arktike - tendencii i opit poslednih desyatiletii. Morskaya medicina. 2022;8(3):118-126. doi 10.22328/2413-5747-2022-8-3-118-126.


7. Baranova N.N., Goncharov S.F. Sovremennoe sostoyanie problemi organizacii i provedeniya medicinskoi evakyacii postradavshih v chrezvichainih sityaciyah. Medicina katastrof. 2020;4:57-65. doi 10.33266/2070-1004-2020-4-57-65.


8. Chekylaeva O.A., Barsykova I.M., Mahnovskii A. I. Dinamika distancionno-diagnosticheskih kabinetov (centrov) v Rossiiskoi Federacii. Skoraya medicinskaya pomosh. 2025;26(3):4-9. doi 10.24884/2072-6716-2025-26-3-4-9.


9. Ivashenko V.V., Popova E.A., Onishenko A.N. Nekotorie problemi avtomobilnogo sanitarnogo transporta. Psihosomaticheskie i integrativnie issledovaniya. 2023;9(4):401. EDN UALDLI.


10. Reza A.V. Mejregionalnaya medicinskaya evakyaciya bolnih i postradavshih v chrezvichainih sityaciyah: sostoyanie problemi. Medicina katastrof. 2025;1:65-70. doi 10.33266/2070-1004-2025-1-65-70.


11. Telkov V. V., Kyzin V. I., Danilenko V.L. i dr. Problemi ocenki effektivnosti deyatelnosti medicinskih organizacii. Sovremennaya nayka: aktyalnie problemi teorii i praktiki. Seriya: Ekonomika i pravo. 2018;10:44-46. EDN YNRRIL.


12. Plavynov N.F., Filimonov V.S., Klukin M.P. Avtomobili skoroi medicinskoi pomoshi: iz istorii v sovremennost. Medicinskii alfavit. 2024;23:37-43. doi 10.33667/2078-5631-2024-23-37-43.

Журнал основан 16 ноября 2000г.
Выдано Министерством РФ по делам печати, телерадиовещания и средств массовых коммуникаций

(c) Перепечатка материалов сайта Medline.Ru возможна только с письменного разрешения редакции