REMEDIUMREMEDIUM1561-59362658-3534Joint-Stock Company Chicot165410.32687/1561-5936-2023-27-3-200-206Original ArticleExperience in reorganizing the emergency medical and emergency services of the Moscow regionKustovEvgeny V.kustov0202@mail.ruSuslonovaNina V.ckprz@mail.ruGaraninaIrina A.i.garanina2012@yandex.ruMinistry of Health of the Moscow Region, Krasnogorsk, RussiaAdministration of the Governor of the Moscow region, Krasnogorsk, RussiaM. F. Vladimirsky Moscow Regional Research Clinical Institute, Moscow, Russia15122023320020614102025Copyright © 2023,2023Emergency medical care (SMP) is an independent type of medical care. The improvement of the NSR organization system is especially relevant in a large industrial region of the Russian Federation (RF), since the NSR service accounts for a significant share of the load of the entire healthcare system. The authors conducted an analysis of the provision of emergency medical services in the Moscow region in dynamics, which allowed to identify structural and organizational features, problem areas, and to develop principles and technologies of innovative development of emergency and emergency medical care in the region of the Russian Federation.emergency medical careemergency medical teamsanalysis of the provision of emergency and emergency medical careproject to optimize the servicepatient satisfactionскорая медицинская помощьбригады скорой медицинской помощианализ оказания скорой и неотложной медицинской помощипроект по оптимизации службыудовлетворённость пациентов[Bagnenko S. F., Miroshnichenko A. G., Alimov R. R., Shlyafer S. I. Assessment of the state of emergency medical care in various conditions is carried out in the Russian Federation. Anesthesiology and resuscitation. 2021;(2):124—130. (In Russ.) DOI: 10.17116/anaesthesiology2021021124][Bagnenko S. F. Modernization of the ambulance service in the Russian Federation. handbook of a general practitioner. 2010;(7):5—15. (In Russ.)][Miroshnichenko A. G., Barsukova I. M. Time of reforms of emergency medical care. Bulletin of the Bashkir State University Medical University. 2012; 1(1): 26—31. (In Russ.)][Nesterov O. L. Actual issues of improving the provision of emergency medical care. Chief physician. 2014;(11):58—66. (In Russ.)][Gorbunov V. I., Vozzhennikova G. V., Artemenko Yu. I., Kamardin S. V. Organization of emergency and emergency medical care to the population (literary review). Emergency physician. 2017;(10):49—75. (In Russ.)][Nikitina E. I. Directions of improving the efficiency of the work of ambulance and emergency care. Emergency physician. 2019;(6):61—65. (In Russ.)][Miroshnichenko A. G. Relation of some articles of the law «On the basics of public health protection in the Russian Federation « to the present and future provision of emergency medical care. Emergency medical care. 2012;13(1):3—11. (In Russ.)][Bagdasaryan A. S., Vertkin A. L., Gerashchenko E. V., Kamalyan Zh.A. Optimization of the ambulance dispatching service within the framework of the modernization of healthcare of the Russian Federation. Emergency physician. 2011;(10):3—7. (In Russ.)][Kolesnikov A. V., Shichanin V. V., Breusov A. V. Analysis of the main performance indicators and medical and organizational aspects of the functioning of the ambulance service in a large industrial region. Bulletin of the RUDN. Series: Medicine. 2016;(3):106—113. (In Russ.)][Fialko V. A. Modernization of the ambulance service of the Russian Federation: controversial issues. Emergency physician. 2010;(7):10—17. (In Russ.)][Fatykhov A. M. Ways of improving the organization and management of emergency medical care in the context of healthcare modernization (on the example of the city of Kazan): Abstract. diss. … Cand. Med. Sci. Moscow, 2015. (In Russ.)][Suslonova N. V. A three-level system of assistance will be built in the Moscow region. Medical target projects. 2013;(15):56—58. (In Russ.)][Bagnenko S. F., Miroshnichenko A. G., Alimov R. R., Shlyafer S. I. Assessment of the state of emergency medical care in various conditions is carried out in the Russian Federation. Anesthesiology and resuscitation. 2021;(2):124—130. (In Russ.) DOI: 10.17116/anaesthesiology2021021124][Borovinsky S. V. Optimization of the work of the ambulance service in a city with a million population. Bulletin of Chelyabinsk State University. 2012;(3, Issue 7):125—129. (In Russ.)][Rudenko M. V., Kruglova L. P. Provision of emergency and emergency medical care in the Moscow region. Emergency medical care. 2002;3(2):40—41. (In Russ.)][Barsukova I. M. Prospects for creating a quality management system in the ambulance service. Emergency medical care. N. V. Sklifosovsky Journal. 2015;(2):42—47. (In Russ.)]