Magomedova S A, Edinarova I E
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2010 May-Jun(3):19-21.
The analysis is presented relating the organization of emergency medical care in the Republic of Dagestan. The analysis of official statistic data revealed that from 2005 and until the present time there is a sustained increase of resourcing to this form of service by the population both in the republic in general and in urban areas. The increase of appealability among urban population is significantly higher than in the republic. This characteristic trait can be explained by the fact that the rural areas of the Republic continue to significantly log behind in the provision with main types of medical services. According the official statistic data, in 2005 the difference in appealability between urban and rural areas consisted 133, in 2006 ? 128, in 2007 ? 115, in 2008 ? 102 per 1000 of population. In the structure of emergency calls from rural and urban population the cases of sudden diseases. The portion of emergency calls by chronic patients has a clear tendency to decrease both among rural and urban population. The mentioned trends need the adjustment of organization of emergency medical care in rural areas, including intensive development of material technical and manpower of rural substations of emergency medical care. It is timely to consider the issue of development in the Republic of Dagestan the twenty-four-hour integrated consultative control board of emergency medical care to advice by phone the medical emergency teams, the personnel of district hospitals and feldsher obsteritian stations and general practitioners.
本文对达吉斯坦共和国的紧急医疗服务组织情况进行了分析。对官方统计数据的分析表明，自2005年至今，该共和国全体居民以及城市居民对这种服务形式的资源投入持续增加。城市居民的求助率增长明显高于共和国整体水平。这一特征可以解释为，该共和国农村地区在主要医疗服务提供方面仍显著落后。根据官方统计数据，2005年城乡求助率差异为每千人口133例，2006年为128例，2007年为115例，2008年为102例。在城乡居民的紧急呼叫结构中，突发疾病情况居多。慢性病患者的紧急呼叫比例在农村和城市居民中均呈明显下降趋势。上述趋势需要对农村地区的紧急医疗服务组织进行调整，包括大力发展农村紧急医疗分站的物质技术和人力。现在是时候考虑在达吉斯坦共和国建立24小时紧急医疗综合咨询控制委员会的问题了，以便通过电话为医疗急救团队、地区医院工作人员、助产士站人员和全科医生提供建议。
