Establishing a Department of Concomitant Injuries at a Major District Hospital

Abstract

This study is aimed at substantiating and analyzing approaches to a rational organization of trauma care in the context of reforms in the Russian health care system. Aim. This study aims to provide a scientific substantiation of the preferred organizational model for establishing complex trauma care departments adapted to a major district hospital. Tasks. This study analyzes foreign and Russian managerial approaches to trauma care in relation to concomitant injuries, identifies their strengths and weaknesses, and provides a scientific substantiation of the preferred organizational model for establishing complex trauma care departments, adapted to a major district hospital. Methods. This study uses general methods of scientific cognition (analysis, synthesis, and comparison), as well as comparative and system analyses to establish managerial approaches to providing trauma care, focusing on increasing medical, social, and economic efficiency. Results. Specific features of foreign trauma care are determined. Russian practices of treating patients with concomitant injuries are critically analyzed. The impact of reorganization centers on the increasing effectiveness of trauma care is also analyzed. An organizational model for establishing complex trauma care departments, adapted to a major district hospital, is proposed. A quantitative and qualitative assessment of the parameters of this model is performed. Conclusion. The organization of health care, including trauma care, is developing in a number of directions, higher complexity being one of them. In modern conditions, trauma care requires not only medical but also social and economic components to improve organizational efficiency. The proposed organizational model for establishing complex trauma care departments at a major district hospital can be implemented.