ORGANIZATION OF MEDICAL ASSISTANCE TO PERSONNEL OF REMOTE INDUSTRIAL SITES
Authors:   Association «Institute of Remote Health Care», Tomsk, Russia, Karpov A. , Badmaeva E. ,   Siberian State Medical University, Tomsk, Russia, Antipov S. ,   Center of corporate medicine, Tomsk, Russia
Published: December 2021

Abstract. Introduction. The organization of medical care for employees of remote industrial enterprises (remote healthcare) is an extremely important task and an urgent problem in the healthcare system as a whole. The correct organization and evidence-based approaches in the remote healthcare system will save the labor force, which forms the basis of the economic development of any country. Purpose: to evaluate the system of organizing medical care for employees of remote industrial facilities based on the analysis of the results of periodic medical examinations and medical evacuations. Research methods. The analysis of the results of periodic medical examination of a large mining enterprise in the period 2018-2021 was carried out. , and also analyzed the results of medical evacuations from industrial facilities in the period 2018-2020. (154 objects from 14 regions of the country). Taking into account the fact that the bulk of workers in remote industrial facilities are men employed in the main profile of the enterprise, women were excluded from the analysis. Results. According to the results of medical examinations, 18.6% were recognized as completely healthy in 2018, 6.6% in 2019, and 12.6% of workers in remote industrial facilities in 2021. The rest had one or another pathology. The structure of workers' diseases revealed during medical examinations was analyzed in accordance with ICD-10. In the structure of the morbidity of workers at remote industrial facilities, the first three places in descending order of rank are occupied by diseases of the digestive system, diseases of the eyes and adnexa, diseases of the nervous system (in 2018 -38.2%, 35.3%, 22%; in 2019 - 53.1%, 45.3%, 19.5%; in 2021 - 44%, 34.1% 15.8%, respectively). In addition, in 2021, the prevalence of risk factors in men and women was analyzed, the contribution of each of the factors was revealed (physical - 26.5%, smoking - 26%, alcohol - 11.1%). The number of medical evacuations was: 2,390 planned (61.5%) and 1,493 emergency (38.4%). In the structure of all evacuations of personnel of remote industrial facilities, BSK was in the lead, followed by injuries and poisoning, diseases of the digestive system and diseases of the respiratory system. The main reason for emergency evacuations was injuries and poisoning, 2nd and 3rd places were taken by BSK and diseases of the digestive system, respectively. In the group of workers under 39 years of age, the first three positions were occupied by injuries and poisoning, diseases of the digestive system and BSC, and in the group of older age intervals, BSC significantly prevailed, the second place was taken by injuries and poisoning, and the third - diseases of the digestive system. Conclusion. The results of the study and data analysis made it possible to identify the key components (human, informational, financial, educational, material resources) of remote health care and confirmed the importance and necessity of developing a unified concept of maintaining the health of personnel at industrial facilities located in hard-to-reach areas.