Health and social aspects of injuries and ways of improving the health care system
Introdution. Due to high mortality and disability among victims of injuries, which pose a serious medical and social problems, as a leading factor in premature deaths. Aim. Determine type, nature and severity of injury, to identify preventive measures in order to reduce incidence of injuries among society. Methods. We analysed dynamics of injuries during last four years (2010 - 2013).According to annual reports, statistical materials and medical records of outpatient clinics and hospital for most common types of damage, taking into account sex-age, medical and social aspects in the emergency trauma department, NMC RT Results. The greatest number of cases occur in trauma of domestic nature - 1010 (42.95%), street - 670 (28.5%) injuries. Intensity and severity of clinical manifestations, combined organ damage was observed at a traffic 520 (22.1%) and industrial injury. Reduce the effectiveness of provision of health care, ending complications (1.9%),were marked as inadequate treatment of patients from rural areas. Most of patients with various groups of injuries addressed hospital during first 3-6 hours. However, in 12.2% cases of hospitalized appliance trauma in 12-24 hours, and 20.4% over 24 hours. Patients were transported by ambulance (70.2%), in transport of immobilization, there was a passing transport delivery in 11.5% of cases, and in 19.3% patients were treated independently and were hospitalized for emergency indications Severe consequences in case of injuries resulting disability occurred polytrauma: combination with brain, thoracoabdominal injuries with fractures of pelvis and extremities -64%, multiple fractures of the spine -8.1%. Conclusion Events injury prevention should cover following areas: medical and organizational, administrative, information and campaigning. Development of legislative acts of special courses organization of providing self and mutual resuscitation to doctors of clinics and hospitals. Employees of health care institutions need to improve the quality of trauma care, introducing modern methods of treatment.