Investigation of the medical, social and organizational aspects of providing emergency medical care in Kharkiv region
Background. According to data of the World Health Organization, about 20 % of people in the world die because of the lack of qualified medical care at the pre-hospital stage, which determines the increasing role of emergency medical care (EMC) in the health care system. That is why provision of affordable, timely and effective medical care services in Ukraine in life-threatening condition is one of the most important tasks in the health care system. According to the Law of Ukraine “On Emergency Medical Care”, the work of the MHI “Center of Emergency Care and Disaster Medicine” of the Kharkiv region in 2013–2017 was aimed at improvement of EMC service indicators and its quality. The purpose of our research was to analyze the dynamics of the main indicators of the EMC service in the Kharkiv region and the development of directions for the improvement of the EMC system. Materials and methods. The analysis of the reporting documentation of Center of Emergency Care and Disaster Medicine of the Kharkiv region for 2013–2017 has been conducted. During the research, retrospective, statistical and mathematical methods of analysis have been used. Results. Today, the ambulance service of the Kharkiv region has an acute shortage of staff. Thus, according to the results of the study, it has been found that the number of physicians in 2017 was 66.2 % (against 57.8 % in 2013), nurses — 84.7 % (86.0 % in 2013), emergency medical technicians — 73.7 % (82.5 % in 2013), emergency services driver — 71.0 % (85.1 % in 2013). Over the past 5 years, the average number of emergency medical care visits per day has increased by 44.8 %. At the same time, the highest rate of calls was determined for the physician medical emergency team — 16.9 calls, the lowest — for the psychiatric medical emergency team (7.7 calls). In the structure of the causes of the emergency calls, episodes of sudden illness (79.3 %) and accidents, injuries and poisonings (10.4 %) dominated during the analyzed period. At the same time, the rate of timely arrival of first aid teams to calls in cities was 97.8 % of the total number of emergency calls, in rural areas — 98.1 %. Conclusions. Considering the results of the research, the authors have identified the main problems when providing emergency medical care and proposed the main directions of its improvement that in case of successful realization will allow to satisfy the needs of the population and to use properly all types of resources of the health care system.
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