Analysis of the daily load of ambulance teams in the Russian Federation

Abstract

Introduction. The work of emergency medical care specialists is one of the most difficult among medical professions, which is associated with the impact of a number of unfavorable (harmful and dangerous) factors. The purpose of the study: to study the labor intensity of emergency medical care personnel: the daily workload of emergency medical care teams in the Russian Federation for the period 2010–2023. Materials and methods. The materials of federal state statistics were used —  form No. 30 for the Russian Federation, 2010–2023. Normative, legal, statistical and analytical methods were used. Research results. The average daily workload of emergency medical teams is 10.6±1.9 patients (calls) per day, it is significantly higher in general- purpose teams (medical teams providing assistance to the child population (11.5±6.2 patients) and paramedic teams (11.0±1.8 patients)), among specialized teams —  pediatric (10.2±3.0 patients) and cardiology (9.2±2.3 patients) teams, the rest have a significantly lower daily workload (6.2–6.4 patients). At the same time, the workload is uneven. A tendency towards a decrease in the workload was noted for all types of teams, according to general indicators —  by 1/4 (–24.9%); in general- purpose medical teams (–46.5%), including when providing medical care to the child population (–80.7%); a reliable decrease in the daily workload of all types of specialized teams (by 29.6–50.2%) was noted. Conclusion. Currently, there are no approved standards for the number of ambulance teams; these issues are decided by the regions themselves, based on the needs for organizing a regional health care system, taking into account demographic and medical- social indicators, climatic, geographical and infrastructural conditions, as well as financial, economic, logistical and human resources.