Improving the organization of medical care in the «traumatology and orthopedics» profile in military districts and the Northern fleet

Abstract

It justifies the introduction of measures to improve the organization of medical care in the «traumatology and orthopedics» profile for servicemen, citizens dismissed from military service, members of their families and civilian personnel of the Armed Forces of the Russian Federation in military districts and the Northern Fleet. The structure of the main classes of diseases of the musculoskeletal system, about which the indicated contingent was admitted to the military medical organizations for the period 2012–2017, is analyzed. The total number of treated patients of all privileged contingents for 6 years increased by 7%, and the military personnel – by 5,4%. The proportion of injuries of trauma and orthopedic patients treated permanently decreased. In the structure of injuries of the musculoskeletal system, injuries of the lower leg and knee joint are most common. In the structure of surgical interventions, the share of trauma and orthopedic operations in the Armed Forces of the Russian Federation is about 55–58% annually. The procedure for providing specialized trauma and orthopedic care to this category of patients in military districts and the Northern Fleet has been studied. In the Western and Central military districts, conditions have arisen under which in the first specialized medical care in the «traumatology and orthopedics» profile is provided to military personnel mainly in the clinic of military traumatology and orthopedics of the Military medical academy named after S.M. Kirov, while in the Central Military District similar assistance is provided to specialized victims mainly in the trauma wards of military medical organizations of district subordination. A set of organizational and treatment-diagnostic measures has been developed, aimed at optimizing the organization of medical care in the «traumatology and orthopedics» profile for citizens enjoying the right to receive it in the military medical organizations of the Ministry of Defense of the Russian Federation.

Keywords

military medical organization / military districts / Northern fleet / medical aid / musculoskeletal system / traumatology and orthopedics / Center of traumatology and orthopedics / flows of the «movement of patients of a traumatologic- orthopedic profile»

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RIGHTS & PERMISSIONS

Chuprina A.P., Khominets V.V., Savchenko I.F., Brizhan L.K., Kudyashev A.L., Fedotov A.O.