REFORM OF EMERGENCY MEDICAL CARE IN UKRAINE IN THE CONTEXT OF PEACETIME AND WARTIME EMERGENCIES
DOI:
https://doi.org/10.11603/1681-2786.2024.2.14781Keywords:
emergency medical care, premedical care, educational programs, clinical patient routesAbstract
Purpose: to analyze the implementation of the emergency medical care reform in Ukraine in the context of peacetime and wartime emergencies.
Materials and Methods. Materials: regulatory documents on reforming the EMC system in Ukraine, measures for their implementation on the example of the activities of the I. Horbachevsky Ternopil National Medical University. Methods: bibliosemantic, content analysis, structural and logical analysis.
Results. The main task of the emergency medical care reform in Ukraine was to reduce mortality and disability of the population as a result of emergency medical conditions and to strengthen the trust of Ukrainian citizens in the stateʼs ability to provide inexpensive, timely and high-quality medical care in case of sudden deterioration of health due to illness or injury. To increase the speed of response to emergencies, the Ministry of Health of Ukraine developed and approved three-level premedical care programs and procedures for providing premedical care in case of emergencies, which were updated and supplemented with the beginning of the war. To improve the pre-hospital categorization of calls, an Operational Dispatch Service was established in each territorial emergency medical care Center. Using telecommunication networks, program, technical and other means, the Operational Dispatch Service provides 24-hour information support for the provision of emergency medical care in the daily routine, during the elimination of the consequences of an extraordinary situation and during a special time period. New professions have been introduced since 2018 to redefine the distribution of staff responsibilities in the emergency medical care system and to change in the training and verification of specialists' qualifications: paramedic and emergency medical technician, changes were made to the composition of emergency medical care teams, and new clinical routes for patients in an emergency at the pre-hospital stage, including in situations with an increased threat, were approved. In 2023, a transitional educational program of qualification improvement for doctors and paramedics was introduced from emergency medicine “Emergency Medicine” lasting 166 hours. The necessary educational materials have been developed, in the creation of which I. Horbachevsky Ternopil National Medical University specialists took an active part.
Conclusions. In recent years, thanks to the reform, emergency medical care in Ukraine has made significant progress, which allows successfully solving the challenges of peacetime and wartime. I. Horbachevsky Ternopil National Medical University employees have made a significant contribution to this process.
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