Ways to improve the organization of a three-level system of trauma centers on the example of the Chelyabinsk region
As shown by the results of the analysis of the activities of the existing regional trauma centers, their formation did not take into account the need to increase the state assignment by optimizing the trauma, orthopedic and surgical hospital funds. This is due, primarily, to the fact that the primary idea of organizing trauma centers was to provide specialized, including high-tech medical care to victims of accidents. New trends in injuries and modern models of organization of medical care require the formation of a system of trauma centers for all victims with multiple, combined and shock injuries. In this regard, there is a serious question about the need for substantive calculation of state tasks of medical organizations in modern conditions, taking into account the approval of routing schemes and a significant increase in the flow of patients from municipalities within the coverage of trauma centers. The calculations presented in the work on the formation and optimization of bed funds should be used first of all, as well as planning the location of trauma centers with effective attachment of service areas taking into account the climatogeographic and economic features of the region, the number of residents of municipalities and the capacity of medical organizations on the basis of which trauma centers.