MEDICAL SORTING IN THE HOSPITAL OF EMERGENCY MEDICAL SERVICE: THE ENTERING STREAM ON THE OBSTETRICS AND GYNECOLOGY PROFILE

Relevance. Among the purposes and target indicators of the implemented National projects by the end of 2024 it should be noted increase in the expected duration of healthy life, increase in total coefficient of birth rate up to 1.7 on one woman which achievement is impossible without ensuring female health.

The purpose: the analysis of a flow of the patients of an obstetric and gynecologic profile coming to a versatile hospital of emergency medical service (2015–2019).

Methodology. Data of the versatile 800-bed hospital incorporating 60 beds for patients of an obstetric and gynecologic profile served as materials of a research. Statistical and analytical methods of a research are used.

Results. The analysis of the entering stream (36.4 thousand in 5 years) with the diagnosis on the “obstetrics and gynecology” profile (the diagnosis of the direction) showed that most of them —  50.6% (р<0.01) were directed by the medical organizations of emergency medical service, 36.3% —  the medical organizations of polyclinic link, 3.2% —  the medical organizations of stationary type, and 9.8% —  independently asked for medical care. 77.6% of patients arrived from 9:00 till 21:00, including 32.9% —  from 9:00 till 12:00; the condition of 94.3% is regarded as satisfactory (р<0.01), only 71.5% of patients came to specialized offices according to a direction profile. The average time of stay of patients in office was about 2 hours (121.2±117.0 min.).

Conclusion. Development of stationary offices of emergency medical service gives the chance of sorting of the arriving patients according to weight of a state and needs in specialized medical and diagnostic actions. The diagnosis only of 71.5% of the arriving patients corresponds to a direction profile. The share of patients (for 50.2%), capable to ask independently for medical care grows. Every fifth patient who is almost arriving in the emergency order receives adequate (necessary and sufficient) the volume of medical care in office of emergency medical service. 

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