Target indicators for the development of emergency medical care provided in inpatient conditions

Purpose: develop target indicators for modernizing the work of hospital departments admitting patients for emergency medical reasons. Tasks: analyze the reasons behind the need to modernize the work of hospital departments admitting patients for emergency medical reasons; study the experience of creating and operating inpatient emergency departments in the Russian Federation; justify the need for state support for modernizing the work of hospital departments admitting patients for emergency medical reasons, and target performance indicators for its implementation. Materials and methods: to conduct the study, statistical methods were used in order to study the work of the emergency medical service, materials from the analysis of regulatory legal acts regulating the provision of emergency medical care in inpatient conditions, and state programs of the Russian Federation for the development of emergency medical care. Results: in the Russian Federation, the increase in the number of patients admitted to hospitals for emergency medical reasons necessitates the modernization of these hospitals. This modernization should be carried out in the direction of creating inpatient emergency departments in large multidisciplinary hospitals and in the direction of organizing the provision of emergency medical care in inpatient conditions in smaller hospitals. Objective reasons were identified why the reorganization of hospital admissions departments with the creation of inpatient emergency departments on their basis was carried out only in certain constituent entities of the Russian Federation, and not in the majority of constituent entities of the Russian Federation. To modernize the work of hospital units that admit patients for emergency medical reasons, government support is needed to finance the construction (reconstruction) and equipment of such units. In order to assess the effectiveness of this modernization, it is advisable to use the developed target indicators. Conclusion: modernization of the work of hospital departments admitting patients for emergency medical reasons, and the developed target indicators for its assessment, will improve the availability and quality of emergency medical care in inpatient conditions.

1. Bagnenko S.F., Miroshnichenko A.G., Minnullin I.P., Teplov V.M., Alimov R.R. Evolution of the emergency medical care system in the Russian Federation: monograph. St. Petersburg: RIC PSPbSMU, 2023. 284 p. (In Russ.). ISBN 978-5-88999-867-9.

2. Letter of the Ministry of Health of Russia dated February 19, 2024 No. 31–2/200 “On methodological recommendations on payment methods medical care at the expense of compulsory health insurance» [Electronic resource] (In Russ.). https://www.ffoms.gov.ru/upload/iblock/c2b/na15lw5jg3ovicdh0rhy21r4c0q2ruir.pdf (дата обращения 09.03.2024).

3. Plenary session of the Future Technologies Forum [Electronic resource] (In Russ.). http://www.kremlin.ru/events/president/news/73454 (дата обращения 09.03.2024)