Emergency stationary complexes (flagship centers) — a new system for managing emergency and specialized medical care. Experience of the flagship center of the O.M. Filatov Hospital in Moscow
- 作者: Vechorko V.I.1,2, Zimin A.A.1,2, Obukhova E.V.1, Osmanov O.A.1,2, Vechorko E.V.3
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隶属关系:
- Pirogov Russian National Research Medical University
- Filatov City Clinical Hospital No. 15 of the Moscow Department of Healthcare
- I.M. Sechenov First Moscow State Medical University (Sechenov University)
- 期: 卷 68, 编号 6 (2024)
- 页面: 459-463
- 栏目: HEALTH CARE ORGANIZATION
- ##submission.dateSubmitted##: 14.01.2025
- URL: https://hum-ecol.ru/0044-197X/article/view/646176
- DOI: https://doi.org/10.47470/0044-197X-2024-68-6-459-463
- EDN: https://elibrary.ru/optqqk
- ID: 646176
如何引用文章
详细
Introduction. In light of modern challenges, the demands on one of the most complex and labour — intensive areas of medicine — emergency care — are constantly growing. around the world emergency hospitals are faced with an increasing flow of patients, overcrowded departments, and a shortage of material and human resources.
The purpose of the work was to study the current state of providing emergency and specialized medical care and to provide a preliminary assessment of the effectiveness of the medical care system reform through the example of the emergency hospital complex of the O.M. Filatov Municipal Clinical Hospital No. 15 of the Moscow Health Department.
Materials and methods. The work used an analysis of domestic and foreign literature.
There was studied the real experience of leading emergency centers (Germany, USA, Great Britain, etc.).
Results. An analysis of the world experience of emergency centers showed the vast majority of hospitals, in general, to experience similar problems: a growing volume of patient admissions and, accordingly, a high workload of the hospital, high financial costs, a shortage of qualified personnel. For an objective analysis of the hospital load, it is necessary to take into account not only the number of hospitalizations, but also the ratio between the severity of cases, the capacity of the hospital departments and the hospital resources.
Research limitations. The approach to providing medical care described in the article is new to Russian healthcare, and therefore it is not possible to conduct a comparative analysis with its use in other regions of the Russian Federation.
Conclusion. Thus, emergency inpatient complexes allow providing to patients with varying degrees of the severity specialized medical care at a modern level, to carry out rapid and accurate diagnostics, improve patient routing, as a result of which material and time resources are saved and the quality and availability of medical care is increased.
Compliance with ethical standards. the study does not require the submission of a conclusion of the biomedical ethics committee or other documents.
Contribution of the authors:
Vechorko V.I., Zimin A.A., Obukhova E.V., Osmanov O.A., Vechorko E.V. — concept and design of the study, collection and processing of material, writing the text, compiling the list of references, editing, approval of the final version of the article, responsibility for the integrity of all parts of the article.
Acknowledgment. The study had no financial support.
Conflict of interest. The authors declare no conflict of interest.
Received: September 12, 2024 / Accepted: October 3, 2024 / Published: December 28, 2024
作者简介
Valery Vechorko
Pirogov Russian National Research Medical University; Filatov City Clinical Hospital No. 15 of the Moscow Department of Healthcare
Email: vvechorko@yandex.ru
ORCID iD: 0000-0003-4860-9256
PhD (Medicine), Associate Professor, acting Head of the Department of Emergency and Urgent Medical Care, Faculty of Continuing Professional Education, N.I. Pirogov Russian National Research Medical University, Moscow, 117513, Russian Federation; Chief Physician of Filatov City Clinical Hospital No. 15, Moscow, 111539, Russian Federation
e-mail: vvechorko@yandex.ru
Aleksey Zimin
Pirogov Russian National Research Medical University; Filatov City Clinical Hospital No. 15 of the Moscow Department of Healthcare
Email: zimin.alexej82@gmail.com
ORCID iD: 0000-0002-9226-2870
PhD (Medicine), Assistant of the Department of Emergency and Urgent Medical Care, Faculty of Continuing Professional Education, N.I. Pirogov Russian National Research Medical University, Moscow, 117513, Russian Federation; neurologist of the of Filatov City Clinical Hospital No. 15 of the Moscow Department of Healthcare, Moscow, 111539, Russian Federation
e-mail: zimin.alexej82@gmail.com
Elena Obukhova
Pirogov Russian National Research Medical University
Email: obukhova_ev@mail.ru
ORCID iD: 0009-0008-6777-7275
PhD (Medicine), Associate Professor of the Department of Emergency and Urgent Medical Care, Faculty of Continuing Professional Education, N.I. Pirogov Russian National Research Medical University, Moscow, 117513, Russian Federation
e-mail: obukhova_ev@mail.ru
Osman Osmanov
Pirogov Russian National Research Medical University; Filatov City Clinical Hospital No. 15 of the Moscow Department of Healthcare
Email: oosmanov@yandex.ru
ORCID iD: 0000-0002-7920-5513
Assistant of the Department of Emergency and Urgent Medical Care, Faculty of Continuing Professional Education, N.I. Pirogov Russian National Research Medical University, Moscow, 117513, Russian Federation; Deputy Chief Physician for Emergency Care of the O.M. Filatov Municipal Clinical Hospital No.15, Moscow, 111539, Russian Federation
e-mail: oosmanov@yandex.ru
Ekaterina Vechorko
I.M. Sechenov First Moscow State Medical University (Sechenov University)
编辑信件的主要联系方式.
Email: e.vechorko@yandex.ru
ORCID iD: 0009-0004-4012-4638
6th year student of the Medical Faculty, Sechenov the First Moscow State Medical University, Moscow, 119048, Russian Federation
e-mail: e.vechorko@yandex.ru
参考
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