|
Медико-биологический
информационный портал
|
 |
для специалистов |
|
|
|
Vol. 26, Art. 22 (pp. 529-541) | 2025
Analysis of the provision of emergency care for the population of a large city
Glushkov S.O.1, Barsukova I.M.2,3
1Saint Petersburg «City Polyclinic No. 106», Department of Emergency Medical Care, Saint Petersburg, St. Petersburg, 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
Introduction. The issue of providing the population with emergency medical teams has always been relevant. The lack of approved standards exacerbates this problem. Objective. The aim of the study: to analyze the provision of the population with emergency medical care using one of the districts of St. Petersburg as an example. Materials and methods. The materials of the electronic journal of ambulance calls of the emergency medical care department of the city polyclinic of St. Petersburg (form No. 109/u «Journal of recording calls for emergency medical care»), 2023, were used. Statistical and analytical methods were used. Results. According to the existing standards, out of 23 teams designed for the assigned population, in fact, 10 work, fulfilling the standard of "20-minute drive". Data on the presence of seasonal and daily fluctuations in the load on ambulance and urgent care teams were obtained. Taking into account the existing load, the recommended (estimated) number of ambulance teams during the daytime was 12.0 ± 0.85 units, at night - 9.0 ± 0.85 units. (on average daily - 10.3 ± 1.7 units). For emergency teams, the average flow value for day and night shifts was 0.72 and 0.26 calls per 1 hour, respectively; with the existing call flow, even 1 team can work effectively (taking into account the existing standards), provided that the call service time is reduced. Conclusion. The workload of emergency medical care and urgent care teams should be considered acceptable. Sorting of calls into urgent and urgent was effective in 87.4%. In winter months, the number of teams can be increased by 20%, and in summer - decreased by 20%. Given the structure of calls to the emergency medical care department, the share of calls transferred to emergency care teams can be significantly increased (up to 25.0%). Key words emergency medical care, emergency teams, urgent care, emergency teams (The article in PDF format. For preview need Adobe Acrobat Reader)  Open article in new window
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. Jerebcov A.N., Peshkova (Belogorceva) H.V., Averina K.N. i dr. Kommentarii k Federalnomy zakony ot 21 noyabrya 2011 g. N 323-FZ «Ob osnovah ohrani zdorovya grajdan v Rossiiskoi Federacii». SPS KonsyltantPlus. 2022. Data obrasheniya 07.05.2025. 3. Vishnyakov N. I., Okylov M. V., Barsykova I. M. Vrachebnie kadri Rossii. Neotlojnaya hiryrgiya im. I.I. Djanelidze. 2024;4(17):109- 113. doi 10.54866/27129632_2024_4_109. 4. Skoraya medicinskaya pomosh Rossii: Informacionnie i analiticheskie materiali (2010-2022 gg.). Sankt-Peterbyrg: PrintLait, 2024. ISBN 978-5-6047956-9-9. 5. 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. 6. Manykovskii V. A., Barsykova I. M. Sovremennie osnovi organizacii skoroi medicinskoi pomoshi v Rossiiskoi Federacii. Sankt- Peterbyrgskii naychno-issledovatelskii instityt skoroi pomoshi imeni I.I. Djanelidze: 90 let na slyjbe Otechestvy: sbornik statei. Sankt-Peterbyrg: Rysskii uvelir, 2022. S. 214-228. 7. Bagnenko S.F., Miroshnichenko A.G., Minnyllin I.P. i dr. Organizaciya okazaniya skoroi medicinskoi pomoshi vne medicinskoi organizacii: metodicheskie rekomendacii. Moskva: GEOTAR-Media, 2015. 56 s. ISBN 978-5-9704-3421-5. 8. Ginodman E.N. Vopros-otvet. V kakom poryadke okazivautsya ekstrennaya i neotlojnaya medicinskaya pomosh? // SPS KonsyltantPlus. 2025. Data obrasheniya 01.09.2025. 9. Belyaeva V. A. Sezonnaya i sytochnaya dinamika obrashaemosti naseleniya g. Vladikavkaza s gipertonicheskimi krizami za skoroi medicinskoi pomoshu. Medicinskii almanah. 2017;2(47):23-26. 10. Meshkov M.A., Minylin I.B. Prakticheskie rekomendacii Roszdravnadzora dlya organizacii, okazivaushih skoryu medicinskyu pomosh. Opit Nacionalnogo instityta kachestva. Menedjment kachestva v medicine. 2022;4:23-29. 11. Komarov B.D. Osnovi organizacii skoroi medicinskoi pomoshi (dogospitalnii etap). Moskva: Medicina, 1979. 216 s. |
|||||||||
Articles
| Размещение рекламы | |
|
| |
 |