[Efficient use of the hospital bed capacity].

The development of rather precise methods for determining the efficiency of health service activity as well as the measures directed to maintain and to strengthen the population health is extremely difficult but very important task. However till now the problems of using the medical resources more effectively, the choice of well-founded criteria and indices, the ways with the help of which they are obtained and the methods of their assessment are studied not enough. The systemic analysis of efficiency of using the RF AF medical service hospital bed fund conducted in the State Institute for physicians' advanced training showed that its evaluation should be based on the analysis of three main parameters: the provision and need of the treated contingents for the hospital beds.

[Resource-saving technologies in increasing the effectiveness of using the hospital bed fund].

To substantiate the resource-saving technologies of more effective use of the hospital fund acceptable for the military health service the expert method was used. During the investigation the chiefs of military hospitals and their deputies in the field of medical work who in 1998-2000 studied in the State Institute for Physicians' Advanced Training filled in the special cards of expert evaluation. The investigation has shown the following main directions of more effective use of the hospital bed fund in the stationary treatment-and-prophylactic institutions: the integration of polyclinic and hospital links; the development of hospital-substituting technologies; the use of internal reserves in the stationary treatment-and-prophylactic institutions; the organization of work of the stationary treatment-and-prophylactic institutions of the different structures and departments in a single system of logistical support.

[Social and hygienic characteristic of servicemen of peace making forces in a zone of Georgian and Abkhazian armed conflict].

To improve the social-and-hygienic status of the staff in the zone of Gergian-and-Abkhazian armed conflict the following measures are suggested. To send the servicemen to the zone of armed conflict only according to the contract for the period not more than 6 months with 10-day leave granted in 3 months; to conduct the careful professional and moral-and-psychological selection. Before the mission to sign the additional contract with the servicemen explaining the service conditions in peacemaking forces.

[Medical support of peace keeping forces in the Georgian-Abkhazian armed conflict zone].

Since 1994 in the settlement of Georgian-and-Abkhazian armed conflict together with wide spectrum of means of political, diplomatic and economical character the Russian peace-making forces effectively use the operation for peace support. Taking into account the number of peace-making forces, the problems the solve and conditions of activity the staff of military medical service was presented by the head of medical service of united headquarters for peace support; by the medical platoons of battalions strengthened by physician, sanitary and medical equipment, additional medical things; by the medical station with infirmary (15 permanent beds); by the reanimation mobile group; by the emergency medical service group. The quality of medical support and successful solution of peace-making problems depend first of all on the management effectiveness, quality of medical specialist selection, discipline and professional training.

[Medical support of the personnel of check and observation posts in the zone of Georgian-Abkhazian conflict].

During the operations for peace support by collective forces it is necessary to deploy check (CP) and observation (OP) posts usually at a distance of dozens kilometers from each other and from the battalion base camp. Depending on CP and OP dislocation place, problems they should solve the number of servicemen in the posts can vary from 12 to 50. For rendering medical care the company base post has the permanent medical instructor of the company and in the other CPs and Ops--supernumerary medical instructors of the posts from the number of the trained servicemen.

[Evaluation of the provision and needs of the medical service of the Russian Federation for hospital beds].

Taking into account the average statistical data of the last years the need of treated contingents for hospital beds constitutes 9.7%. Increase in accessibility of hospital treatment for the military pensioners and members of families as well as improvement of management of military hospital affairs will increase the index up to 9.

[Medical consequences of earthquakes and organization of their liquidation (Communication II)].

The main factor determining the size of sanitary losses (SL) and the share of injuries with different degree of severity is intensity of earthquake. At the same time dependence of SL structure on the types of populated area (including the peculiarities of their building) and the character of population allocation at the moment of earthquake is rather small. It allows to substantiate the common medical-and-evacuation indices of the casualties for the given intensity of earthquake.

[The evaluation of the grounds for the hospitalization of surgical patients].

An analysis of in-patients' flow in the surgery sections of main military clinical hospitals shows that according to the experts' assessment, 89.3% patients were accommodated according to the profile of their illness. 5% patients needed accommodation in other sections (not surgical) and 5.

[The periods of actual bed occupancy per year and the length of stay of surgical patients in the hospital].

Taking into account the lack of science-reasonable data about average number of days of bed capacity in year and average number of days of various patient treatment in the hospital, the attempt is undertaken to substantiate these parameters in reference to DM of RF central military medicine institutions. In result of lead research it was established, that average terms of bed capacity in central military hospitals during the last 5 years were 310 days. Average patient terms of treatment differ essentially depending on age and contingent, that is necessary to take into account to define hospital bed requirement norms.