CURRENT PROBLEMS OF INTEGRATION WORK OF THE DUSHANBE AMBULANCE SERVICE WITH CITY HEALTH CENTERS, NURSING CARE HOSPITAL AND OTHER PROFILE SERVICES

Objective: Examining issues of continuity of the ambulance service (AS) with primary health care, Nursing Care Hospital and other profile services. Methods: An analysis of the activities of the AS station, Nursing Care Hospital, city health centers, large hospitals were carried out. The materials of the Traffic Police Department of Dushanbe were used in the victims of road accidents, as well as the existing normative legal acts and regulating the activities of the Ambulance Medical Care. Results: The need for medical social assistance (hospital stage) increased 4 times. Number of AS calls in the working hours health centers increased by 45.3%. The number of patients, who died in an accident before the arrival of AS, due to the lost "golden hour", was 13.9%. Conclusion: Rational use of the possibilities of the Nursing Care Hospital, Health Centers, the extension of the bed fund for medico-social care, and the adoption of a number of integrated measures a legislatively and organized nature, including measures at reducing fragmentation of health care can significantly reduce the load on the ambulance.