Mobile medical unit as a rational model of modern mobile medical formation operating in the metropolis in emergency situations

Abstract

Purpose of the study. Substantiation of organizational principles of development of the health system of the population of the megalopolis in emergency situations. The article analyzes the stages of creation, testing and practical implementation of the modern organizational and staff structure of mobile medical formation and its functioning to meet the needs of the peaceful population of Moscow in Moscow pre-hospital period (2013-2017).Materials and methods. A survey of 112 respondents from 57 industry-specific metropolitan organizations and enterprises of the state healthcare system was conducted on the main indicators of the activities of institutions involved in the formation of a mobile medical unit. The result of this questionnaire was an assessment of the personnel potential of outpatient polyclinic establishments-shapers of mobile medical units, as well as the provision of full-time property and material resources of organizations and enterprises of the Moscow City Health Department involved in their formation. 24 research exercises were conducted on the formation and use of mobile medical teams to eliminate the health consequences of emergencies.Results. The article considers the issues of resource support of organizations and enterprises of the state healthcare system of Moscow. The calculation of the internal reserves of outpatient clinics of the Moscow Department of Health has been prepared, reflecting the personnel potential of the medical organizations that form the units. Research exercises have been carried out on the formation of mobile medical units, the issuance of medical equipment and sanitary equipment for them from medical warehouses, as well as the functioning of the units of mobile medical units during the mass arrival of people of various profiles.Conclusion. The study showed that the organizational foundations in the field of medical support for the population in emergencies make it possible to ensure the formation of a mobile medical unit with labor and material resources with the maximum use of internal reserves of regional health care. The proposed model of the organizational structure of a modern medical formation is an alternative to the bulky and inactive first aid unit that has existed for more than 40 years.