REMEDIUMREMEDIUM1561-59362658-3534Joint-Stock Company Chicot179610.32687/1561-5936-2025-29-3-272-276Original ArticleNew organizational solutions in the system of emergency (including emergency) medical careDashkovaAlexandra Leonidovnamisss.dashkova@yandex.ruTimoshevskiiAlexander AnatolyevichTimoshevskijAA@zdrav.mos.ruScientific Research Institute of Healthcare Organization and Medical Management of the Moscow Department of Healthcare, Moscow, Russia15122025327227617102025Copyright © 2025,2025The article discusses current areas of improvement of the ambulance and emergency medical care system in a modern megalopolis. The analysis of existing problems is presented, and the need for the introduction of new organizational models, including the use of digital technologies, principles of service integration and logistics optimization, is substantiated. Approaches to improving the accessibility and effectiveness of prehospital care are proposed.emergency medical care, emergency care, organizational solutions, megapolis, digitalization, routing, telemedicineскорая медицинская помощь, неотложная помощь, организационные решения, мегаполис, цифровизация, маршрутизация, телемедицина1.Miroshnichenko A. G., Minnullin I. P., Barsukova I. M., Alimov R. R. The system of quality control and management of medical care at the ambulance station. // Materials of the All-Russian scientific and practical conference «Improving medical care for patients with neurotrauma and victims of road accidents» in conjunction with the All-Russian Scientific and practical conference «Emergency Medical Care — 2011». St. Petersburg I. I. Dzhanelidze Research Institute of Emergency Medicine. 2011. pp. 137—138. (In Russ.).2.Brynza N. S., Salmanov Yu. M., Suldin A. M. Organization of emergency medical care for patients of the ambulance service. Science and innovation are modern concepts. Collection of scientific articles based on the results of the International Scientific Forum. 2019. pp. 58—62. (In Russ.).3.Borisova M. V., Sharafutdinova N. H., Saitova Z. R. and others. About the reasons that make it difficult to provide emergency medical care, according to emergency medical personnel. Social aspects of public health. 2025;71(1):3. (In Russ.).4.Parkhomchuk D. S. Prospects of training medical personnel for emergency medical care. Bulletin of the ambulance service. 2022;3(1):66—75 (In Russ.).5.Smirnov K. A., Imangulov A. M., Shapoval A. A. The effectiveness of Sistema-112 when receiving and transmitting a call to an ambulance station. National projects are a priority for the development of regional healthcare: Proceedings of the 54th Interregional Scientific and Practical Medical Conference. Ulyanovsk: IP Petrova L. V.; 2019. pp. 545—547. (In Russ.).6.Indicators of accessibility and quality of medical care, ensuring public satisfaction with medical care in various countries of the world. Expert review. E. I. Aksenova, O. V. Besschetnova. Moscow: GBU «NIIOZMM DZM»; 2021. (In Russ.).