SPECIAL FEATURES OF PROVIDING MEDICAL CARE IN RTA WITH REGARD TO AREAS OF RESPONSIBILITY OF VORONEZH REGIONAL MEDICAL FACILITIES

Abstract

The problem of transport accidents has been actual for a long period of time. According to SRTSI (State Road Traffic Safety Inspection) data for 12 months of 2012, 3917 traffic accidents were registered on theterritoryofVoronezhregion, in which 614 people died and 4714 people were injured. During 2012, there were also registered 387 traffic accidents with children, in which 17 children under 16 years died and 411 got traumas. On theVoronezhregion territory, four Level 1 traumatologic centres provide specialized medical care; 9 Level 2 centres and 24 Level 3 centres which are central district hospitals. According to the results of FRIHOI of MoH of the RF study, in 2008 the time period from receiving the call by an ambulance department till emergency team arrival at the place of RTA in 9 % of cases was 30 minutes but no less than 21 minutes. In 3 % of cases, this time period was reported to exceed 50 minutes. According to the analysis, time period from transportation beginning till admission to the medical facility was 21-30 minutes in 10 % of cases. In 4 % of cases, it was reported to be more than 40 minutes. Medical care commonly starts in more than 60 minutes in case of transportation from federal roads outside populated areas. Conducted studies show that health outcomes in RTA victims can be improved via adjustment of medical facilities responsibility zones depending on their facilities, staffing, mode of operation, as well as nature of traumas.