title: [The ways to improve the efficiency of surgical care service].
abstract: OBJECTIVE
  To examine the work of surgical service in the Central Federal District and to define the main directions to improve the efficacy of surgical care in case of acute abdominal diseases.
  
  
  METHODS
  The results of surgical service of the Central Federal District for the period 2011-2014 in treatment of 2.5 millions patients were analyzed.
  
  
  RESULTS
  Parameters in elective and emergency surgery persuasively prove stable work of surgical service of the Central Federal District for recent years. Obtained results were compared with the indicators of emergency surgical care in Moscow for objective assessment. It was revealed 2-4-fold decrease of overall and postoperative mortality in Moscow.
  
  
  CONCLUSIONS
  Conditions for all-day diagnostic and medical assistance for emergency abdominal diseases should be created to improve the effectiveness of surgical service of the Central Federal District.
authors.affiliation: Chair of Surgery with Course of Endosurgery, acad. I.P. Pavlov Ryazan State Medical University.
authors.forename: V P
authors.initials: VP
authors.lastname: Sazhin
authors.affiliation: Russian Society of Surgeons.
authors.forename: A V
authors.initials: AV
authors.lastname: Fedorov
authors.affiliation: A.V. Vishnevsky Institute of Surgery.
authors.forename: G A
authors.initials: GA
authors.lastname: Krivtsov
mesh_terms: D017558:Elective Surgical Procedures / Q000592:standards*; D004632:Emergency Medical Services / Q000592:standards*; D004638:Emergency Treatment / Q000592:standards*; D006801:Humans; D009031:Moscow; D012189:Retrospective Studies; D013503:Surgery Department, Hospital / Q000639:trends*