Analysis of key activity indicators and medico-organizational aspects of improving the ambulance service in a large industrial region

The authors analyzed the status and the main activity indicators of the ambulance service in a large industrial region. Established that, taking into account the annual growth of emergency medical aid appealability (every third resident of the Moscow region annually addresses due to emergency and urgent conditions and every fifth - is hospitalized for emergency indications), the significance of emergency medical services can be regaded as an important factor of national security. However, there are problems, the most important of which are high unusual load on the prehospital stage related to the provision of assistance to chronic patients, insufficiently effective organizational structure of the service, personnel deficiency, and the lack of an operational system for monitoring the activities. All this leads to low level of such activity indicators as time of arrival of crews on call, a high proportion of unsuccessful calls, increasing of calls for urgent reasons. Сonsidering this, the authors have developed and proposed main directions of its improvement and development, target indicators of activity were defined that in case of successful realization will allow to satisfy the needs of the population and the rational use of all types of resources of health care system.

emergency medical care, activity indicators, emergency and urgent calls, availability to the population