Dynamics of Volumetric Indicators of Emergency Hospitals during the Pandemic of the New Coronavirus Infection Covid-19

Abstract

Summary. The aim of the study is to investigate the dynamics of volumetric indicators of emergency medical care inpatient work during the Covid-19 pandemic and the factors determining it. Materials and research methods. The material of the study was the data on the work of two multidisciplinary hospitals working in the mode of emergency (24/7/365) and having fundamental structural and functional features associated with the presence of beds for patients with a new coronavirus infection. The methods of the study are regulatory, statistical and analytical. Results of the study and their analysis. The results of the study showed that during COVID-19 pandemic there was a decrease in the volume performance of emergency hospitals. The factors causing differences in the organization of work of hospitals were identified. Among them: re-profiling of hospitals to receive infectious patients — deployment of beds for patients with COVID-19; redistribution of patient flows and changes in routing schemes for medical evacuation of patients; assignment of additional volumes of specialized medical care for non-infectious patients to unreprofiled multidisciplinary hospitals. It is concluded that emergency medical aid beds of the emergency hospitals in 2020-2021 performed the functions of a mobile general-purpose bed fund, allowing to sort and separate the flows of incoming patients and to ensure sanitary and epidemiological safety and quarantine measures.