[Structure and organization of emergency medical care in Tuzla Canton and possibilities of interdisciplinary cooperative projects].
Aim of this paper is to provide substantial and organizational help to emergency medical service as a part of primary health care and other health care levels in the interdisciplinary cooperation. Projects of interdisciplinary cooperation, that could be implemented within BiH as pilot projects are proposed in this paper as well. Legal regulations, that serve as a base for the organisation and a scope of emergency medicine work served as a draft for elaboration. Legal base is found in the Constitution of Bosnia and Herzegovina and Federation of Bosnia and Herzegovina, Law on health care, Articles 3, 16, 20 and 59 in particular. We point out item 7 concerning temporarily standards and norms of health care. This item should be considered seriously by experts in this field and Public Health as well, and elaborate its revision and new proposals. The Law on the records in the health care regulates monitoring of the work of this service. 2 OB form should be reviewed in a way that gives us good quality monitoring, more significant data which will enable us to take better attitude toward the organization and work framework. The same should be done with individual data to facilitate a work concerning emergency medical procedures. There are 14 emergency medicine units in Tuzla Canton: 51 doctors are employed (37 general practitioners and 14 specialists). They provide emergency medical care for 537.000 inhabitants together with 114 other health workers with secondary and advanced education. In 1999, there were 216.162 check-ups by doctors, 2700 home visits and 29.705 patients were referred to specialists and laboratories for further treatment. Other health workers provided 584.432 services and 3.889 home visits These data will be especially discussed from the inhabitants' point of view concerning their needs, quality of services and record keeping forms for emergency medical service. The following projects are proposed for the future interdisciplinary co-operation in emergency medical care providing: Education of inhabitants (especially certain population) for mutual help, self-help and first aid. Research about inhabitants' needs and demands concerning emergency medical care. Framework of emergency medicine organisation, required resources and having higher levels of medical care as a support. Prevention of emergencies through health promotion. Doctrinarian attitude toward the emergency medical service work, stage by stage treatment and a role of comfortable transport. Emergency situations in a mass disasters and ways of organization and scope of emergency medical service work and others in the interdisciplinary and intersectional co-operation. Proposed projects are the result of our present knowledge about the medical service organisation in our country. The aim is to meet the needs of the population concerning emergency medical services in the interdisciplinary co-operation in the health care system through realisation of these projects.
Salihefendić
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Kantonalni zavod za javno zdravstvo, Tuzla.
Beslagić
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Z
D017522:Bosnia and Herzegovina; D004632:Emergency Medical Services / Q000458:organization & administration* / Q000592:standards; D006801:Humans; D007400:Interprofessional Relations; D011320:Primary Health Care / Q000458:organization & administration