[The organizational principles for the formation of a territorial medical support system for the Armed Forces].
The author of this article, Surgeon General of the Russian Armed Forces, colonel-general, MD, describes the basic principles of territorial system of medical support (TSMS) of the Army and Navy. The essence of TSMS is to realize a structural unification of medical assets, and, thus, obtain a decentralized, but autonomous command in the zones of responsibility in order to assure the most effective medical support of troops (forces) within a certain territory in peaceful time, as well as during mobilization deployment, and in the initial period of war. Medical and diagnostical procedures in the zone of responsibility will be performed by a base (zonal) military hospital (BMH) as a largest medical establishment on the given territory (capacity 400 beds and more). BMH will provide not only secondary (qualified) medical care, but also some (basic) types of tertiary (specialized) medical care. In case of disaster relief the emergency medical care will be provided at the level of a military district using the assets of a special medical detachment formed by a district military hospital. In case of disaster BMH (zone of responsibility) will form the emergency medical care teams, the other military hospitals or polyclinics will form medico-nursing teams. The system of sanitary-epidemiologic supervision, as well as sanitary-hygienic and counter-epidemic measures is formed on the basis of rational distribution of zones of responsibility between sanitary-epidemiological establishments independently of their different ministerial subordination. The basic scheme of direction over medical supply in TSMS can remain unchanged (planning and centralization), but a part of supply functions must be given to BMH in the zone of responsibility.(ABSTRACT TRUNCATED AT 250 WORDS)
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D003695:Delivery of Health Care / Q000458:organization & administration; D003954:Diagnostic Services / Q000458:organization & administration; D004632:Emergency Medical Services / Q000458:organization & administration; D006772:Hospitals, Military / Q000458:organization & administration; D008887:Military Medicine / Q000458:organization & administration*; D012041:Regional Medical Programs / Q000458:organization & administration*; D012426:Russia