Medical care in emergency and urgent forms in emergency situations: analysis of professional competences of doctors of non-staff mobile medical formations of civil defense

Purpose of the study. Conduct an assessment and comparative analysis of the professional competencies of performing medical manipulations in the provision of medical care in emergency and urgent forms of surgical doctors of city polyclinics of the Moscow Department of Health, included in the composition of non-staff mobile medical formations of civil defense, and surgical doctors of emergency hospital complexes of the city of Moscow. Materials and methods. The study was conducted on the basis of a study of the subjective opinion of doctors about their professional competencies in performing medical procedures of medical care in emergency and urgent forms in accordance with the list of procedures developed by the authors of the study. Data collection was carried out using an anonymous questionnaire survey method, using questionnaires specially developed by the authors. The sample size of outpatient clinic doctors was 169 people, and emergency medical complex doctors —  62 people. Statistical processing of primary materials was carried out according to algorithms developed by the authors of the study. Results. An analysis of the opinions of doctors from city polyclinics showed that 61,5±1,0% of respondents possess professional competencies according to the established list, while the share of doctors from emergency medical complexes was 83,9±1,2%, which is significantly higher by 1,4 times. A comparative analysis of the opinions of doctors showed that the proportion of doctors in emergency medical centers who have the skills to perform medical procedures is statistically higher than the proportion of specialist doctors in city polyclinics for the entire range of procedures, with a reliable difference of 1,2–2,7 times. Conclusion. Doctors of emergency medical complexes have an undeniable advantage in having the necessary professional competencies for the successful provision of primary medical and sanitary care in emergency and urgent forms during the elimination of medical and sanitary consequences of a large- scale emergency situation in peacetime and wartime. The results of the study can serve as a scientific basis for changing the type of medical organization —  the creator of a mobile medical formation for an emergency stationary complex in the city of Moscow.

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