Some Issues of Optimizing Management Activities in Organizing Provision of Medical Care to Victims of Terrorist Acts
Authors:   State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency, Moscow, Russian Federation, Goncharov S.F. ,   Russian Medical Academy of Continuous Professional Education, the Ministry of Health of the Russian Federation, Moscow, Russian Federation, Bobiy B.V. ,   State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency, Moscow, Russian Federation,   Russian Medical Academy of Continuous Professional Education, the Ministry of Health of the Russian Federation, Moscow, Russian Federation, Titov I.G. ,   State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency, Moscow, Russian Federation, Samoylova M.S. ,   National Research Nuclear University MEPhI (Moscow Engineering Physics Institute), Moscow, Russian Federation, Akin’shin A.V. ,   State Research Center – Burnasyan Federal Medical Biophysical Center of Federal Medical Biological Agency, Moscow, Russian Federation
Published: June 2021

The purpose of the study is to develop and to substantiate proposals for optimizing management activities for organizing the provision of medical care and medical evacuation of victims of terrorist attacks with the use of explosive devices and conventional weapons. Materials and research methods. Research materials: normative and methodological documents regulating the procedure for management activities in the medical provision of the population affected in emergency situations; data of expert assessment maps on the research topic; scientific works and publications devoted to topical issues of management activities in the framework of the issue under study. In the course of the study, the following scientific methods were used: methods of content analysis and expert assessment, statistical method, method of logical and information modeling, analytical method. Research results and their analysis. The results of the study showed that one of the organizational issues in the system of countering terrorism and of organizing the elimination of medical and sanitary consequences of terrorist attacks is the presence of a coordinating management body, on which it is advisable to assign the appropriate functions to coordinate the activities of medical forces and means. In the course of the study, the rank value of each medical brigade and medical unit participating in the elimination of medical and sanitary consequences of terrorist attacks was determined; quality of methodological support for predicting medical and sanitary consequences of terrorist attacks and for planning the organization of medical assistance to victims of terrorist attacks has been studied; main methodological approaches that should be taken into account when planning the organization of medical care and medical evacuation of victims of terrorist attacks in each constituent entity of the Russian Federation were formulated; a list of most effective measures has been identified, which make it possible to increase the readiness of health authorities, medical units and organizations to work to save lives and to preserve the health of victims of terrorist attacks, etc.