TOPICAL ISSUES OF ANESTHESIOLOGY AND INTENSIVE CARE
https://doi.org/10.21292/2078-5658-2019-16-1-5-12
Abstract
In no way questioning the achievements of the Russian anesthesiology and intensive care, the author pays special attention to certain topical issues. From his point of view, these issues point out at the fact that anesthesiology and intensive care system is falling behind healthcare reforming. The author expresses his concerns about the current situation, especially about the growing gap between high requirements to the quality of care provided by anesthesiologists and emergency physicians and constraints interfering with it due to various reasons. The author suggests striving for the division of anesthesiology and intensive care into the relevant levels, elaboration of clear requirements to primary (basic) training of graduates from medical residences and expresses some other opinions. Considering the novelty of his proposals, the author invites to discuss them in the publications of this journal and during the 2nd Congress on Topical Issues of Critical Care Medicine (May 11-14, 2019).
About the Author
Yu. S. Polushin
Pavlov First Saint Petersburg State Medical University
Russian Federation
Russian Federation
Academician of RAS, Doctor of Medical Sciences, Professor, Head of Research Clinical Center of Anesthesiology and Intensive Care, Head of Anesthesiology and Intensive Care Department, Vice Rector for Research,
6-8, Lva Tolstogo St., St. Petersburg, 197022
References
1. Levit A.L. Organizatsiya raboty reanimatsionno-anesteziologicheskoy sluzhby krupnogo promyshlennogo regiona v sovremennykh usloviyakh. Diss. dokt. med. nauk. [Organization of the intensive care service in a large industrial area under current conditions. Doct. Diss.]. Moscow, 2004, 262 p.
2. On amending the provisions on clinical recommendations of Chapter 40 of Federal Law On Mandatory Medical Insurance in the Russian Federation and On Basics of Health Care for Citizens of the Russian Federation. Approved by the Federation Council on December 21, 2018, 15 p. (In Russ.)
3. On the Approval of Procedure for Medical Care Provision for Adult Population in the Field of Anesthesiology and Intensive Care. Edict no. 919n by the Russian Ministry of Health as of November 15, 2012 (including amendments as of September 14, 2018). (In Russ.)
4. Letter no. 11-7/10/2-7543 by the Russian Ministry of Health and Federal Fund of Mandatory Medical Insurance no. 14525/26-1/i as of 11/21/2018 On Guidelines on the Ways of Medical Care Reimbursement by Mandatory Medical Insurance Funds. (In Russ.)
5. Polushin Yu.S., ed. Anasteziologicheskaya i reanimotologicheskaya pomosch' ranennym na voyne. [Anaesthesiologic and critical care for the wounded during the war]. St. Peterburg, ELBI-SPb Publ., 2003, 287 p.
6. Polushin Yu.S.. ed. Rukovodstvo po anesteziologii i reanimatologii. [Guidelines on anesthesia and critical care]. St. Petersburg, ELBI-SPb Publ., 2004, pp. 671-693.
7. Polushin Yu.S., Stazharov V.V., Shlyk I.V. et al. Approaches to reimbursement for medical care within anesthesiology and critical care profile during transfer to a new system of health care funding. Vestnik Anesteziologii I Reanimatologii, 2017, vol. 14, no. 4, pp. 6-11. (In Russ.)
8. Resolution of the Board of the Russian Federation of Anesthesiologists and Reanimatologists as of May 12, 2017. (In Russ.) Available at: http://www.far.org.ru/files/pravlenie_12052017.pdf
9. Sistema okazaniya reanimatsionnoy pomoschi stanet trekhstupenchatoy. Intervyu glavnogo vneshtatnogo anesteziologa-reanimatologa MZ RF prof. I. V. Molchanova. [The provision of intensive care will include three stages. The interview Prof. I.V. Molchanov, Chief Expert Anesthesiologist and Reanimatologist of the Russian Ministry of Health]. Available at: http://umedp.ru/news/sistema_okazaniya_reanimatsionnoy_pomoshchi_stanet_trekhstupenchatoy.html
10. Teplov V.M., Polushin Yu.S., Povzun А.S. et al. In-patient emergency department and its role in the optimization of operation in intensive care departments of a multi-specialty hospital. Vestnik Anesteziologii I Reanimatologii, 2017, vol. 14, no. 3, pp. 5-8. (In Russ.)
11. Shanin Yu.N., Volkov Yu.N., Kostyuchenko А.L. et al. Posleoperatsionnaya intensivnaya terapiya. [Post-operative intensive care]. Leningrad, Meditsina Publ., 1978, 224 p.
12. Shapovalov K.G. The Professional standard of the Anesthesiologist and Emergency Physician – certain comments about its introduction to practice. Vestnik Anesteziologii I Reanimatologii, 2018, vol. 15, no. 6, pp. 6-9. (In Russ.)
Review
For citations:
Polushin Yu.S. TOPICAL ISSUES OF ANESTHESIOLOGY AND INTENSIVE CARE. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2019;16(1):5-12. (In Russ.) https://doi.org/10.21292/2078-5658-2019-16-1-5-12
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