THE BASIC DIRECTIONS OF RATIONALIZATION OF
PROCESS OF RENDERING OF THE PRE-HOSPITAL HELP TO THE VICTIM
Ass. prof. Dubitskiy
A.A.
Medical university
Astana, Kazakhstan
The research urgency is caused by increase in indicators of a traumatism
practically in all regions of Republic Kazakhstan, and as consequence, long
terms of time invalidity and social and economic losses [1].
The major link of perfection of rendering of the medical-diagnostic help
to victims is optimization of interaction of subjects of medical activity at
pre-hospital and hospital stages with integration of modern information
technology and the account of real structure of medical institutions [2].
Research objective is working out of the basic directions of
rationalization of process of rendering of the pre-hospital help by the victim
and increase of efficiency of treatment on an example of branch of fast and
urgent medical aid of Republican center of science of urgent medical aid.
The analysis of character, structure and dynamics of a traumatism of the
served population on age categories and professional groups of the working is
carried out. The structure of the treatment-and-prophylactic organizations rendering
the pre-hospital advisory and medical-diagnostic help on which basis
specialized "passports" of medical institutions - subjects of
rendering of emergency medical aid are generated is analyses.
As a part of the automated control system of the first help with use of
modern geo information technology the imitating models of decision-making
directed on search optimum «diagnostic routes» taking into account so-called «a
regional context» are developed territorial features of the
treatment-and-prophylactic organizations, their technical equipment, features
of a transport infrastructure, complete sets groups of experts, etc.
Among the basic subsystems it is necessary to allocate:
1. The scheme of regions and an arrangement of the
treatment-and-prophylactic organizations with instructions of specialized
branches and their technical equipment.
2. A directory of group of experts of the medical-diagnostic
organizations.
3. A telephone database with operating mode instructions.
4. The electronic formalized card-scheme of the victim.
5. An information directory on the basic nosological units.
6. The program server providing functioning of automated system in a
mode of real time with possibility of remote access.
The decision of the specified problems will allow to render adequate
medical aid at the given stage, to reduce time intervals at stages «the first
contact» the doctor-victim – to reveal profile the patient, to provide rational
«diagnostics route» with use of available resources, to provide continuity in treatment,
to establish true severity level of the victim.
Thus, stage-by-stage introduction of the developed models will provide
rationalization of managerial process by quality of medical aid to the victims
focused on optimization of interaction of subjects of medical activity and
increase of efficiency of treatment of victims in a real regional context.
The literature:
1. Dubitskiy À.À. About ways of reforming of service of
the first help. Ì, First aid - ¹ 3.
-2010. - With. 42-50.
2. Nechaev E.A., Brjusov P. G, Erjuhin I.A. Qualif and the specialized
traumatologic help in modern system of medical-evacuation maintenance of
wounded men. V.-medical Magazine.
– 2003. - ¹1. – With.
17-21.