• Tue. Sep 27th, 2022

The emergency medical services system needs improvement

ByMadeleine J. Pierce

May 6, 2022

UZBEKISTAN, May 5 – On May 5, President Shavkat Mirziyoyev chaired a videoconference dedicated to improving the activities of emergency medical services.

These Health Links play an important role in preserving a person’s health and life for a period that allows for the most effective first aid. Over the past five years, much has been done to improve the material support and human resources of these services.

In particular, 2,224 new ambulances were purchased, and the number of modern ambulances increased from 24 to 435. Even more ambulance service stations and teams were organized.

At the same time, the amount of funds allocated for drugs per appeal increased 16 times, and the assortment of drugs increased from 20 to 45.

The main attention was given to strengthening the system of local emergency services. 21 interdistrict centers for combined trauma and acute vascular diseases have been established in the regions. As a result, residents of districts and cities began to approach regional centers less.

For example, in the past, patients seriously injured in traffic accidents at the Kamchik Pass were taken to emergency centers in Tashkent and Namangan, located 100 kilometers from the accident site. Today, the centers organized in the town of Angren and the district of Pap contribute to solve this problem.

However, some issues need to be resolved. They were also mentioned during the Head of State’s open dialogue with workers in the sphere on March 18.

Last year, more than 50,000 complaints were received about the late arrival of ambulances.

One of the reasons for this is the lack of unified service management. In particular, the issues of employment in the ambulance system, provision of medicines, transport, fuel and coordination of the work of drivers fall within the competence of different agencies. Due to such confusion in management, the provision of emergency medical care is limited to the territory of the district. The ambulance station, although it borders the nearby area, does not accept calls from there.

Many ambulances have no navigation system, 10,000 streets still have no name and about 500,000 houses are not numbered.

Emergency patient assistance is not provided at the nearest medical facility, but only at a few pre-assigned hospitals. This order was called at the meeting the main problem of the sphere.

In this regard, a separate program has been developed to improve the emergency medical care system.

The tasks for the practical implementation of the program were defined during the meeting.

In particular, from July 1 this year, the Republican Emergency Medical Center “103” and its regional branches with a single management vertical will be created. Accordingly, emergency medical care, based on the experience of Tashkent, will no longer be provided in one district, but in the whole region.

District dispatch services for receiving calls will be eliminated and unified call centers will appear in the regions. In addition to the operators, a separate medical and consulting team will work in the call center.

Private clinics with an ambulance service can also connect to regional call centers.

This practice will first be introduced in the Syrdarya region through the Health Insurance Fund and then, in stages, in all regions.

It was noted that in 2022-2025, all obsolete ambulances will be replaced by modern vehicles, which will reduce the arrival time of ambulance teams by 3 times.

To date, there are 2,695 ambulance teams. There are not enough doctors in 500 of them, and in general more than 6,000 doctors work part-time in the sphere.

According to international experience, not in all cases doctors are required to make a call. In this respect, a sorting system will be put in place according to the complexity, relevance and type of calls.

The ambulance team now includes a doctor, a paramedic and a driver. As foreign experience shows, a paramedic at the same time serves as a driver.

Thus, from the start of the school year, young people in ambulance training will also learn to drive. To do this, driving schools will be assigned to medical faculties.

At the same time, a system will be created to reward paramedics based on the evaluation of their work by patients. At the end of each quarter, team members whose work is highly valued by patients will be rewarded 50% of their salary.

The number of calls per thousand people in the country is 352. This is 6-7 times more than in developed countries. Due to the lack of basic medical services in the villages and mahallas, people turn to the ambulance service.

In this regard, instructions were given on the establishment of medical centers in the mahallas.

Particular attention was paid to the training and retraining of emergency medical personnel. To this end, the Republican Center for Emergency Medical Training and Practice under the Ministry of Health will be transferred to the Republican Center for Emergency Medicine and reorganized into the Advanced Worker Training School. Specialists from countries with a developed emergency system, such as Turkey, Korea and France, will be involved.

The need to expand coverage of emergency medical care at the district level was noted.

To do this, first of all, in all district and city hospitals, scheduled and emergency departments that duplicate each other in the areas of therapy, pediatrics and surgery will be unified. They will have 24 hour emergency receptions.

“If we put these tasks in order, we will bring medicine even closer to the people, we will take another step towards exalting honor and human dignity,” Shavkat Mirziyoyev said.

At the meeting, the hokim of regions, districts and cities were instructed to adopt and organize the implementation of their regional programs for the development of emergency medical care.

Source: OuzA