MEDIUM-TERM AND LONG-TERM PLANNING OF MEDICAL SUPPORT FOR TROOPS (FORCES) AND AFFECTED POPULATION AT ELIMINATION OF MEDICAL AND SANITARY CONSEQUENCES OF EMERGENCY SITUATIONS
https://doi.org/10.25016/2541-7487-2019-0-4-12-23
Abstract
Relevance. Currently, the solution to the problem of medical support for troops (forces) and the population during the liquidation of the health consequences of emergencies by forces and means of the medical service of the Armed Forces of the Russian Federation does not lose its relevance.
Intention. The system-morphological method to create a multidimensional morphological matrix with the corresponding morphological features and develop solutions to the problem of medical support in responding to the health consequences of emergencies.
Methodology. The methodology of system-morphological analysis is presented, which allows creating alternative solutions. Variants of medical support for troops (forces) and the population were developed during the liquidation of the health consequences of emergency situations of a natural, technogenic and social nature: “Departmental”, “Interdepartmental”, “International”. In relation to each option, 9 indicators (criteria) are proposed: normative legal regulation; system controllability; complexity of organizing the system; resource (material) cost; staffing; the adequacy of medical care; efficiency; experience and innovation; autonomy of action. To achieve the goal of the study, the original MPRIORITY 1.0 dialog system (MY PRIORITY) was used which implements a method for analyzing hierarchies through repetitions (iterations).
Results and Discussion. The results characterize each of the considered alternative options with an appropriate weight priority, and their preference is determined. During the first iteration, priorities were identified for a system of indicators and criteria that are characteristic for achieving a result with an emphasis on normative legal regulation of activities with its organizational structure and management system. In the second one, the priorities for the system of indicators and criteria were changed with a focus on the organization of medical care with the existing system of material and technical support, medical supply, as well as the proper level of training of medical personnel.
Conclusion Proposals have been developed for the medical service of the Armed Forces of the Russian Federation, in particular for the Service for Disaster Medicine of the Ministry of Defense of Russia, on the organization of a medical support system for troops (forces) and the population during mitigation of the health consequences of emergencies.
About the Authors
G. V. DmitrievRussian Federation
PhD. Med. Sci., Deputy Head
R. N. Lemeshkin
Russian Federation
Dr. Med. Sci., Prof. of Department
I. F. Savchenko
Russian Federation
Dr. Med. Sci. Prof.
A. V. Stepanov
Russian Federation
Head of the branch
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Review
For citations:
Dmitriev G.V., Lemeshkin R.N., Savchenko I.F., Stepanov A.V. MEDIUM-TERM AND LONG-TERM PLANNING OF MEDICAL SUPPORT FOR TROOPS (FORCES) AND AFFECTED POPULATION AT ELIMINATION OF MEDICAL AND SANITARY CONSEQUENCES OF EMERGENCY SITUATIONS. Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations. 2019;(4):12-23. (In Russ.) https://doi.org/10.25016/2541-7487-2019-0-4-12-23