The role of centralization of the emergency medical service in the regions of the Russian Federation in ensuring medical evacuation of patients with acute cardiovascular diseases to specialized medical organizations

Purpose. To justify the need for centralization of the emergency medical service of the regions of the Russian Federation in order to ensure medical evacuation of patients with acute cardiovascular diseases from the place of emergency medical call directly to specialized medical organizations.

Tasks. To study the level of centralization of the emergency medical care service in the constituent entities of the Russian Federation; to analyze the implementation of medical evacuation of patients with acute cardiovascular diseases to primary vascular departments and regional vascular centers in groups of constituent entities of the Russian Federation with different levels of centralization of the emergency medical care service.

Materials and methods. The study was conducted using a statistical method for analyzing data from Form № 30 «Information on the Medical Organization» of the constituent entities of the Russian Federation for 2023.

Results. In 2023, in the constituent entities of the Russian Federation with a centralized emergency medical care service, the proportion of patients with acute cardiovascular diseases (acute cerebrovascular diseases and myocardial infarction) delivered by mobile emergency medical care teams from the place of emergency medical care call to primary vascular departments and regional vascular centers, from the total number of these patients who received emergency medical care outside a medical organization, turned out to be higher compared to the value of this indicator in the regions of the Russian Federation with a decentralized emergency medical care service.

Conclusion. Centralization of the emergency medical care service in the constituent entities of the Russian Federation, which provides for the unification of all emergency medical care stations (departments) into one independent medical organization in the constituent entity of the Russian Federation, ensures the implementation of medical evacuation of patients with acute cardiovascular diseases to specialized medical organizations (primary vascular departments and regional vascular centers).

1. Kulikova I. D., Moskvina S. S. Transformation of the ambulance service during the COVID-19 pandemic: correlation and thematic analysis. Russian Medical Journal, 2022, Vol. 28, No. 3, рр. 193–199 (In Russ.). doi: https://doi.org/10.17816/medjrf108938.