Results of inpatient and outpatient emergency care in the Russian Federation

Relevance. Annually, every third Russian citizen seeks emergency medical care. There are 2 types of emergency medical care, outpatient and inpatient one.

Intention. Assess outpatient vs inpatient medical services in the Russian Federation in 2014-2018.

Methods. Results of outpatient vs inpatient emergency medical care were analyzed based on data of Federal Statistical Monitoring.

Results and Discussion. In terms of emergency outpatient services in Russia in 2014-2018, emergency stations (departments) decreased by 14.3 %, incl. independent departments - by 25.6 %, due to their consolidation and centralization; ambulance calls decreased from 312.2 to 299.5 per 1000 people (by 4.1 %) and reached a regulatory limit as approved by State Guarantee of Free Medical Care to the Citizens of the Russian Federation; ambulance calls for trauma and poisoning decreased by 11.6 %, for sudden diseases and states - by 5.2 %; the number of patients cared by ambulance decreased from 313.6 to 300.9 per 1000 persons (by 4.0 %); ambulance calls for road accidents decreased by 24.9 %, the number of injured in road accidents decreased by 26.8 %, incl. fatalities by 34.2 %. The bed occupancy in emergency departments over 5 years improved. However, only 29 emergency inpatient departments exist, thus necessitating additional facilities in 56 regions of the Russian Federation.

Conclusion. For further improvement of emergency, including specialized, medical care the Ministry of Health of the Russian Federation suggested the regional centers of emergency care and disaster medicine. They will be responsible for medical evacuation in the whole region. Besides, intermunicipal and regional centers for emergency specialized medical care will improve quality and accessibility of the health care.

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