Problems of organizing of medical care at remote industrial sites in the Russia

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The article describes the main problems of managing medical care for industrial enterprises’ staff, including remote industrial sites (RIS), and the options for health care for this category of the employed population. The search for publications was conducted on all available bibliographic and abstract databases (The Russian Science Citation Index, Scopus, Web of Science, CyberLeninka, eLibrary, PubMed) containing the Russian publications.

The data of industrial injuries and the country’s working population’s occupational morbidity in recent years are given. As a result, the authors point out the need to transition to risk management in the workplace. The disadvantages of the assessment system of the health status of employees during routine medical examinations are identified. The main problems of creating a medical support system for RIS workers were analyzed, and the relevance of creating a remote industrial healthcare system in the Russian Federation is substantiated. The paper presents the existing disadvantages in the current legislative framework. In particular, it is established that today in Russia, there is no standard for the provision of medical care for RIS workers, no algorithm for the actions of medical staff, no sanitary rules for managing health posts at RIS. The characteristics of the problems in medical evacuation and the ways of their solution are presented. The necessity of the introduction of telemedicine technologies and conditions for ensuring this process nationwide is substantiated. The spectrum of factors negatively affecting the health of RIS workers is characterized. The need to take these factors into account when creating a health care system for this category of the working population is substantiated.

Sobre autores

Andrey Karpov

Institute of Remote Health Care; Siberian State Medical University

Autor responsável pela correspondência
Email: noemail@neicon.ru
ORCID ID: 0000-0001-7858-4235
Rússia

Erzhena Badmaeva

Siberian State Medical University

Email: bat81@mail.ru
ORCID ID: 0000-0002-1891-1123

MD, a graduate student of the Department of Organization of Health Care and Public Health of Federal State Budgetary Educational Establishment of Higher Education, Siberian State Medical University. Tomsk, 634050, Russian Federation.

e-mail: bat81@mail.ru

Rússia

Andjey Skobelsky

Center of corporate medicine

Email: noemail@neicon.ru
ORCID ID: 0000-0001-5934-4041
Rússia

Sergey Antipov

Center of corporate medicine

Email: noemail@neicon.ru
ORCID ID: 0000-0002-6767-0602
Rússia

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Declaração de direitos autorais © Karpov A.B., Badmaeva E.R., Skobelsky A.V., Antipov S.A., 2021

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