The system of organizing the provision of medical care to victims in traffic accidents on federal highways in regions of Russia with low population density

Abstract

Relevance. Road traffic injuries are one of the leading non-natural causes of death in the world. The principles of organizing the provision of medical care to victims of road traffic accidents (RTA) should be adapted to the resource capabilities of regional health care systems, as well as the distribution of the resident population across the territory.Intention: To develop and substantiate the principles of a system for organizing the provision of medical care to RTA victims on federal highways in Russian regions with a low average population density.Methodology. The results of our own, domestic and foreign scientific research were reviewed, along with regulatory legal documents on the organization of medical care for RTA victims in various conditions. Articles published in 1990–2021 were selected for analysis. Information sources were searched for using specialized scientific search engines (eLibrary, PubMed, Scopus) with the keywords: “traffic accident”, “traffic injury”, “polytrauma”, “federal highway”, “injured”, “hospital period “. System analysis was used to determine the shortcomings of the existing system of providing medical care to victims of road accidents that occurred on federal highways in the territories of Russian subjects with a low population density. Organizational experiments were used to substantiate and develop measures, the implementation of which will improve the efficiency of providing first aid and medical care to victims of road accidents on federal highways in Russian regions with a low population density.Results and Discussion. A system for organizing the provision of medical care to victims of road accidents on federal highways in the regions of the Russian Federation with a low density of the population in the pre-hospital and hospital periods has been developed and justified; it consists of 4 principles and their organizational measures.Conclusion. The implementation of the model and the principles of the developed system proposed by the author will reduce negative health consequences associated with road traffic injuries on federal highways in Russian regions with low population density.