“Mobile Polyclinic” for remote settlements

Вопрос практики - How do we expand regular health assessments to remote settlements?
During 30 working days more than 6 thousand people were received in mobile units. On average, 80-100 patients are examined ev
Russia
Implementation country
Primary Health Care
Implementation period: 5 months
Подготовительный этап
от 5 мес.
During 30 working days more than 6 thousand people were received in mobile units. On average, 80-100 patients are examined every day

Practice description

Tasks:

  • Проведение комплексной диспансеризации жителей удаленных населенных пунктов Республики Татарстан

The program for providing first aid and specialized healthcare to:

  1. Based on healthcare statistics analysis for various areas of the Republic, we developed the project roadmap and mobile facilities’ operation schedule up to the end of 2019.
  2. We purchased 4 mobile facilities on КАМАZ 65225 (6×6) platform, each with a heat-insulated trailer with a front desk and 6 isolated room for patients’ appointments. The mobile facilities are equipped with modern portable diagnostic and lab equipment and computers connected to the unified national information system «E-health care RT». The facilities are equipped with chemical toilets for staff and patients, inflatable tent for those waiting for their appointment, generator and climate compartments.  
    On top of that 4 escort minivans were purchased to deliver healthcare workers to the mobile facility’s location. All mobile facilities were distributed to district service areas around the Republic.
  3. The managers of healthcare institutions that have the mobile units on the books, choose the staff of the mobile units considering health and demographic features of the area, sex and age distribution, and the demand for various types of healthcare services. All healthcare workers were trained in non-infectious diseases detection among the rural population. At the paramedic level — in providing first aid, at the general practitioners’ level — in providing care and effective routing in the context of a three-level healthcare system. Additionally, a mentorship program and workplace training workshops along with educational meetings with district administration representatives were scheduled.
  4. The IMC rates for the mobile medical facilities were approved.
  5. The district newspapers published the articles concerning the mobile healthcare facilities’ function. Through mass media the rural residents were informed about the option to get specialized healthcare at their locations.

Practice result

As of December 30, 2020:

  • Mobile complexes carried out visits to 24 municipal districts of the republic.

  • During the first month of operation, more than 6 thousand people were examined by mobile complexes. On average, 80-100 patients are examined per day.

  • A total of 26,865 people were examined.

  • 1,324 people (4.9% of those examined) were sent for planned hospitalization.

  • Additional examination was recommended to 12146 patients (45.2%), 9151 additional examinations were conducted, of which 8912 patients were prescribed treatment.

  • For the first time, diseases were detected in 2316 patients (8.6% of those examined).

Implementation cost: From 100 million to 500 million ₽

Implementation stages

5 monthes

Подготовительный этап

Срок: 5. Комментарий: