Salihefendić N, Beslagić Z
Kantonalni zavod za javno zdravstvo, Tuzla.
Med Arh. 2000;54(4):213-5.
Aim of this paper is to provide substantial and organizational help to emergency medical service as a part of primary health care and other health care levels in the interdisciplinary cooperation. Projects of interdisciplinary cooperation, that could be implemented within BiH as pilot projects are proposed in this paper as well. Legal regulations, that serve as a base for the organisation and a scope of emergency medicine work served as a draft for elaboration. Legal base is found in the Constitution of Bosnia and Herzegovina and Federation of Bosnia and Herzegovina, Law on health care, Articles 3, 16, 20 and 59 in particular. We point out item 7 concerning temporarily standards and norms of health care. This item should be considered seriously by experts in this field and Public Health as well, and elaborate its revision and new proposals. The Law on the records in the health care regulates monitoring of the work of this service. 2 OB form should be reviewed in a way that gives us good quality monitoring, more significant data which will enable us to take better attitude toward the organization and work framework. The same should be done with individual data to facilitate a work concerning emergency medical procedures. There are 14 emergency medicine units in Tuzla Canton: 51 doctors are employed (37 general practitioners and 14 specialists). They provide emergency medical care for 537.000 inhabitants together with 114 other health workers with secondary and advanced education. In 1999, there were 216.162 check-ups by doctors, 2700 home visits and 29.705 patients were referred to specialists and laboratories for further treatment. Other health workers provided 584.432 services and 3.889 home visits These data will be especially discussed from the inhabitants' point of view concerning their needs, quality of services and record keeping forms for emergency medical service. The following projects are proposed for the future interdisciplinary co-operation in emergency medical care providing: Education of inhabitants (especially certain population) for mutual help, self-help and first aid. Research about inhabitants' needs and demands concerning emergency medical care. Framework of emergency medicine organisation, required resources and having higher levels of medical care as a support. Prevention of emergencies through health promotion. Doctrinarian attitude toward the emergency medical service work, stage by stage treatment and a role of comfortable transport. Emergency situations in a mass disasters and ways of organization and scope of emergency medical service work and others in the interdisciplinary and intersectional co-operation. Proposed projects are the result of our present knowledge about the medical service organisation in our country. The aim is to meet the needs of the population concerning emergency medical services in the interdisciplinary co-operation in the health care system through realisation of these projects.
本文旨在为作为初级卫生保健及其他卫生保健层面一部分的紧急医疗服务在跨学科合作中提供实质性和组织性帮助。本文还提出了可在波黑作为试点项目实施的跨学科合作项目。作为紧急医疗工作组织基础和范围的法律法规作为详细阐述的草案。法律依据见于《波斯尼亚和黑塞哥维那宪法》以及《波斯尼亚和黑塞哥维那联邦宪法》、《卫生保健法》，特别是第3条、第16条、第20条和第59条。我们指出关于临时卫生保健标准和规范的第7项。该领域的专家以及公共卫生领域也应认真考虑此项，并对其修订和新提案进行详细阐述。《卫生保健记录法》对该服务的工作进行监督。应审查2 OB表格，以提供高质量的监督、更重要的数据，使我们能够更好地对待组织和工作框架。对于个人数据也应如此，以方便有关紧急医疗程序的工作。图兹拉州有14个紧急医疗单位：雇佣了51名医生（37名全科医生和14名专科医生）。他们与114名其他具有中等和高等教育水平的卫生工作者一起为53.7万居民提供紧急医疗服务。1999年，医生进行了216,162次检查，进行了2700次家访，29,705名患者被转介给专科医生和实验室进行进一步治疗。其他卫生工作者提供了584,432次服务和3889次家访。这些数据将特别从居民对紧急医疗服务的需求、服务质量和记录表格的角度进行讨论。为未来紧急医疗护理提供方面的跨学科合作提出了以下项目：对居民（特别是特定人群）进行互助、自助和急救教育。研究居民对紧急医疗护理的需求和要求。紧急医疗组织框架、所需资源以及以更高层面的医疗护理作为支持。通过促进健康预防紧急情况。对紧急医疗服务工作采取教条主义态度、分阶段治疗以及舒适运输的作用。大规模灾难中的紧急情况以及紧急医疗服务工作的组织方式和范围以及跨学科和交叉合作中的其他方面。提出的项目是我们目前对我国医疗服务组织了解的结果。目的是通过实施这些项目，在卫生保健系统的跨学科合作中满足民众对紧急医疗服务的需求。
