Arctic model of medical care for children the Sakha Republic

Lead Author Tatiana, Burtseva
Institution Contact Federal State Budgetary Institution «Yakut science centre of complex medical problems» Federal Agency of Scientific Organizations, 677000, Russia, Yakutsk, Sergelaxskoe shosse, 4
Co-Authors Galina G. Dranaeva, Yakut science centre of complex medical problems. Vasily I. Orel, Saint-Petersburg state pediatric medical university. Vyacheslav G. Chasnyk, Saint-Petersburg state pediatric medical university.
Theme Theme 4: Building Long-term Human Capacity
Session Name 4.4 Circumpolar Health and Well-Being
Presentation Type Poster
Abstract text The main reasons for the lack of effectiveness of the health system in the Russian regions of the Far North are in particular climatic conditions, transport infrastructure, low population density and the associated low levels of security medical personnel. The existing legal regulation providing resources for health of the population does not consider the population density of the RF subjects and leads to a decrease in the availability of specialized and high-tech health care for the population of these regions.
Due to climatic and geographical factors historically established way of life in the regions of the Far North requires a large number of sparsely populated villages, located at a considerable distance from both the administrative and from medical centers. Currently, the transport infrastructure is poorly developed, and the trends of its improvement in our country do not give reason to expect a significant improvement in transport provision in the coming decades.
This contributes to a very specific system of livelihood. As part of the organization of medical services, it is - the presence of small-size medical institutions to provide access to health care, the high demand of the population in emergency care, including specialized and sanitary-aviation aid in the organization of on-site form of providing both primary and specialized medical care high hospitalization rate of the population.
Analysis of resource and staffing of pediatric service of the Republic of Sakha (Yakutia) has identified a nationwide trend: reducing the number of beds, satisfactory material and technical base, a low level of improvement of health facilities, lack of qualified personnel, especially in the regions of the republic.
One of the real approaches to solving the problem of us sees the revision of the concept of medical care in the areas of the Arctic zone, aimed at improving accessibility, appropriateness and effectiveness of medical services. The basic principles of our proposed model of the Arctic include the introduction of automated systems of preventive examinations and the use of mobile medical units for routine inspections of the child population.
At the heart of the Arctic models pediatric services following points should be based on:
1. The widespread adoption of mobile medical units of work,
2. The widespread adoption of networked information support (creation of resuscitative and counseling centers, tele-consultation, medical reports)
3. The training of health workers to work in areas with low population density,
4. The introduction of automated systems of preventive examinations of children and adolescents.
To address the issues of increasing access to health care to the population of the republic is necessary to introduce the concept of the Arctic health care model, providing differentiation in terms of regulations and financing, taking into account regional peculiarities. Require the development of federal regulations governing the concept of small-size health care institutions to the Far North and the Arctic regions, with the establishment of regular number of standards, institutions and financial capacities, the establishment of mobile medical units, improved on-site medical care.