Improving the ambulance system by introducing unified control center technology in daily life and in emergency situations

Abstract

Introduction. Ensuring the availability and quality of emergency medical care, including specialized emergency medical care, is a key area for improving the healthcare system in the Russian Federation.
The purpose of this study is to evaluate the medical and statistical indicators of the effectiveness of unified emergency medical care centers in everyday operations and during emergencies in the constituent entities of the Russian Federation.
Materials and methods. Тhe timeliness of medical evacuation of patients, the profile of hospitalization, interaction with outpatient clinics, and other indicators of the emergency medical care system were studied using statistical observation forms in 84 constituent entities of the Russian Federation.
Results. The study revealed a positive impact of the creation of a single emergency medical care center on the following indicators: the proportion of patients with acute coronary syndrome with ST-segment elevation who received thrombolytic therapy outside medical organizations when indicated; the proportion of patients with acute conditions who were transported by emergency medical teams to primary vascular departments and regional vascular centers; timely medical evacuation of patients who required medical care in higher-level medical organizations; transfer of urgent calls to outpatient departments; and response time to emergency and urgent calls.
Conclusion. The conducted study demonstrates that the creation of unified emergency medical care centers in the constituent entities of the Russian Federation has a significant positive impact on key medical and statistical indicators in everyday activities and during emergencies.