Type Of Medical Care Research Articles

Medical disasters or disastrous medicine? Dutch medical care in the Dutch East Indies/Indonesia (1870–1949) – three examples

ABSTRACT The author argues that medical care in the Dutch East Indies, should be re-evaluated from successful to disastrous. The author first defines a medical disaster as one in which medical care has fallen short due to its own shortcomings– or even intentionally. This contrasts with a disaster for humankind, in which also many are to be regretted, but for which healthcare is not to blame, because of, for instance, a lack of resources, manpower or knowledge. The author then looks at three different types of medical care: Red Cross aid; the public health policy to eradicate leprosy; and the military medical aid given to the Indonesian population (1946–1949). In all these colonial interests were a priority, if not the driving force. Medical humanitarianism came second at best. This produced outcomes that should be called medically disastrous. Partly this is not new: medical historians have identified colonial medicine as a tool of empire before. But what it nevertheless had achieved, defined as the medical ‘good’, was seldom questioned, cutting off medical acts and their results from their context. The question must be asked if it isn’t it time to call Dutch medical care in Indonesia disastrous in itself?

Approaches to developing mechanisms for medical care centralization at the interterritorial level

Background. As new high-tech methods of treatment and diagnostics are introduced into the basic compulsory health insurance program, the focus on creating separate regional healthcare systems is becoming less effective. The creation of the necessary infrastructure requires disproportionately large investments, while the needs of the population in most regions do not provide adequate loading of newly created facilities. A promising solution to these problems is the centralization of delivering certain types of medical care (MC) on the basis of interregional medical centers.Objective: development of approaches to identifying medical interventions that are appropriate to provide in specialized interregional centers.Material and methods. The criteria for selection of medical interventions including MC profiles and diagnosis-related groups (DRGs) of diseases, which potentially require centralization were developed. On the basis of statistical analysis, data on specialized MC provided in inpatient settings by “Pediatric surgery” and “Traumatology and orthopedics” profiles were analyzed to identify regions with low and high levels of hospitalizations in order to determine the need for centralization or the creation of interregional centers.Results. The analysis enabled to identify the territorial subjects of the Russian Federation (RF) where the issue of MC centralization would be relevant to increase its availability to the insured population in the territory of certain subject. Besides, the study identified regions, in which the number of hospitalizations significantly exceeded the average indicators in the RF. It is advisable to create interregional MC centers on the basis of such subjects.Conclusion. The presented analysis of individual profiles and DRGs across the territorial subjects of the RF showed the objective differences in the extent of provided MC. The proposed methodology for determining DRGs and identifying subjects of the RF that have a surplus or deficit in the provision of MC can form the basis for approaches to identifying “MC centralization points”.

Совершенствование правового регулирования использования лекарственных препаратов при оказании первой помощи: проблемные и дискуссионные вопросы

Summary. Investigation purpose – based on the analysis of the range of medicines approved for medical use in the Russian Federation and their practical application in certain types of medical care, identify groups and a list of medicines for their possible use in providing first aid to victims by certain categories of first aid participants, as well as related problems requiring legislative regulation. Material and methods of the investigation. Research materials – normative legal acts reflecting the provision of first aid and medical, including emergency and primary health care, emergency and urgent care, namely: 5 federal laws; 4 Decrees of the President of the Russian Federation; 3 administrative documents of the Government of the Russian Federation; 26 administrative documents of the Ministry of Health of the Russian Federation; 1 administrative document of the Department of Health Moscow; 31 instructions for the use of medicines for medical use. Research methods: analytical, logical and information modeling. Investigation results and their analysis. Groups and a list of medicines that can be used in providing first aid to victims are proposed for consideration and discussion. Problematic issues requiring legislative regulation in the use of medicines at the stage of first aid have been identified. Groups and a list of medicines for first aid to victims are offered for consultations and discussions with representatives of scientific institutions of the medical community and government agencies that determine health policy in the Russian Federation in order to develop management decisions aimed at achieving a high level of preservation of human life and health in emergency situations.

Robotic surgery in the aspect of liver transplantation

Introduction. Almost 60 years have passed since the first liver transplant performed by Thomas Starzl. During this time, medical technologies have gradually improved, which has made it possible to use more and more new methods and approaches in this type of medical care. One of the new techniques of recent decades is robotic surgery, which is gradually being introduced into medical practice, including in the field of transplant medicine.Objective. The purpose of writing this review was to summarize knowledge and describe the current status of development of robotic surgery in the aspect of liver transplantation, namely: liver resection in donors, as well as graft implantation in the recipient.Material and methods. The review includes foreign and domestic publications on minimally invasive donor liver surgery. Publications on the topic of robotic liver resection in the aspect of liver transplantation were also processed.Conclusion. Robotic surgery using advanced robotic systems represents the next step in the development of minimally invasive technologies in liver transplantation. Robotic systems provide more precise and dexterous control of instruments, allowing surgeons to perform complex procedures with greater precision and less risk to patients. However, the robotic approach is still very limited in geographical distribution and requires much more experience than laparoscopy. The upcoming introduction of new robotic systems that support haptic feedback or cavitronic ultrasonic surgical aspirators will further promote a widespread adoption of robotic liver resection in liver donors and liver recipients.

The accessibility of oncologic medical care in the Russian Federation in context of radiotherapy: The last years analysis

The accessibility of medical care plays important role in ensuring basic human needs and means unimpeded access to all services in national health care system. It is conditioned by: balance of necessary volumes of medical care of population, national medical and financial resources, availability and qualification of medical personnel, rendering of necessary types of medical care in territories, possibility of patient free choice of physician in charge and medical organization, available transport possibilities, level of public education on health promotion and diseases prevention. The availability of radiotherapy, as an integral part of oncological care, is determined by possibility of its timely delivery to all patients and is conditioned by total number of oncological centers equipped with radiotherapy equipment and qualified specialists. In this regard, availability of radiotherapy treatment is gradually introduced into priority state programs of health care modernization. The timely delivery of radiotherapy associated with increasing of numbers of oncology centers, improvement of their equipment and medical personnel staffing is crucial part of development strategy of state oncological care programs.

A Proposal to Extend Universal Insurance to Dental Care in Australia

AbstractThe debate over universal dental insurance in Australia has persisted since the mid‐1970s, as dental care was excluded from Medibank (the predecessor of Medicare) for political and economic reasons. Importantly, dental care expenses are often more predictable than other types of medical care, making insurance design more challenging. We provide an overview of proposals for public dental insurance in Australia, arguing that income‐contingent loans to fund higher dental costs may provide a mechanism for expanding insurance while limiting government expenditure. Finally, we argue that a randomised controlled experiment could offer insights into the effectiveness and sustainability of various insurance models for dental care.

Features of organizing the provision of emergency medical care on-site in the city of Saint Petersburg

Special attention is paid to the development of primary health care and emergency medical care in our country, since timely prevention of the development of diseases and early provision of medical care to citizens is a priority task facing the domestic healthcare system. National projects and programs in healthcare are aimed at improving the provision of medical care, preventing diseases and promoting a healthy lifestyle. Providing emergency medical care is undoubtedly associated with all types of medical care and is an effective factor. Timely provision of emergency medical care contributes to a favorable outcome for each patient. That is why the need to analyze the experience of organizing the provision of emergency medical care on-site in a medical organization providing primary health care is of utmost importance. The purpose of the study is to analyze the organization of emergency medical care on-site in the city of St. Petersburg and identify its features. The research materials included analyzed orders of the Russian Ministry of Health, orders of the Health Committee of the city of St. Petersburg, open literary sources, medical documentation of the emergency department of a medical organization providing primary health care. As a result of the analysis and based on the data obtained, proposals were developed to improve the organization of emergency medical care on-site in the city of St. Petersburg, taking into account the existing shortcomings.

Uncontrolled organ donation after out-of-hospital cardiac arrest. Literature review

Organ transplantation is the best therapy for terminal and irreversible organ failure. The global development of organ transplantation as a type of medical care is inextricably linked to the establishment of neurological criteria for declaring human death (brain death). In the early evolutionary period of transplantation, organs were used, mainly kidneys, obtained from donors whose death was ascertained in accordance with the generally accepted criteria of cessation of blood circulation and respiration. As this type of organ donation developed, numerous terms were used in the world literature to designate it, such as ‘asystolic donors’, ‘non-heart beating donors’, ‘donors after cardiac death’, etc. In Russia, there is an established practice of dealing with donors after cardiac death (DCD), but the active development of Russian transplantology in the last 20 years is primarily associated with brain-dead organ donation. However, countries with the most active and advanced organ donation practices have in recent years been successfully dealing with donors who have suffered sudden out-of-hospital cardiac arrest (OHCA). Previously, this type of donation was considered inaccessible due to the unacceptable warm ischemia time and consequently severe damage to donor organs. Due to the development of new technologies in emergency medical care, it became possible to transport a patient with clinical death that occurred in an outof-hospital setting, to the hospital, while providing cardiopulmonary resuscitation by means of automatic chest compression and artificial ventilation. The article presents historical aspects of donation after cardiac death, and the most actualized definitions and practices of dealing with such donors.

Factors associated with delay or avoidance of medical care during the COVID-19 pandemic in Armenia: results from a nationwide survey

BackgroundThe coronavirus disease 2019 (COVID-19) pandemic has disrupted healthcare systems throughout the world. Many patients faced delays and cancellation of care due to scaled back services, mobility restrictions, and concerns related to the risk of infection. The present study aimed to assess the prevalence of and risk factors associated with the avoidance or delay of medical care due to COVID-19 in Armenia.MethodsWe conducted a cross-sectional telephone survey of 3,483 adults across Armenia. We used stratified two-stage cluster sampling to select the participants from different age groups proportionate to their size in the population. Logistic regression analysis assessed the association of risk factors with avoidance/delay of routine, urgent/emergency, and any medical care.ResultsThe mean age of the sample was 49.5 (SD = 14.8), ranging from 18 to 90. About 9.9% of the respondents avoided/delayed any type of medical care; whereas 5.5% avoided/delayed urgent/emergency care and 6.6% routine care. In the adjusted analysis, female gender and higher monthly expenditures were associated with avoidance/delay of routine medical care. Factors associated with delay/avoidance of urgent/emergency care included female gender and higher perceived threat of COVID-19. Younger age, female gender, higher perceived threat and not being vaccinated against COVID-19 were associated with avoidance/delay of any medical care in the adjusted analysis.ConclusionSince avoiding or delaying care might increase morbidity and mortality associated with conditions not related to COVID-19, identifying population groups that are more likely to avoid care is important. Targeting such groups with educational interventions focusing on the risks of using versus not using medical care in times of pandemic might be crucial. Ensuring the provision of in-home healthcare services for high-risk groups might help to address important medical care needs during the pandemic.

Digital assistants in real clinical practice on the example of treating a patient with type 1 diabetes

Achieving compensation of carbohydrate metabolism indicators is a priority in the treatment of patients with diabetes mellitus. However, repeated measurements of glucose levels, especially in patients with type 1 diabetes mellitus (T1D), lead to rapid burnout and increased anxiety of the patient. Digital assistants help to increase the patient's commitment to treatment, compliance with the schedule of daily measurements of blood glucose, timely correction of therapy and optimization of various types of medical care (traditional visits, telemedicine consultations, online consultations). Based on clinical research data, it is currently known that the use of digital assistants contributes to achieving a stable clinical result of treatment, reducing the number of hospitalizations for diabetes decompensation, and reducing patient anxiety about their disease. This article presents a clinical case of managing a patient with T1D who used a glucometer with the ability to maintain an electronic self-monitoring diary, followed by telemedicine consultation with an endocrinologist based on data from structured reports generated in the glucometer application. The results obtained demonstrate the advantages of using individual digital assistants in the daily life of patients with diabetes

SELECTED ASPECTS OF THE CURRENT STATE OF HEALTH OF THE MALE POPULATION OF UKRAINE

The aim of the study. To investigate certain aspects of the state of health of the male population of Ukraine in the period 2014-2021; justify the value of a separate analysis of men's health; to determine the need for personalized accounting of the health status of persons who took part in military operations, in particular men.
 Materials and methods. The research materials were official statistical data from the reports of the State Statistics Service, the Center for Medical Statistics of the Central Health Service of the Ministry of Health of Ukraine for 2014–2021, the National Cancer Registry of Ukraine, the Institute of Health Metrics and Evaluation (IHME, USA) on the global burden of diseases, data individual sociological studies. The female population of Ukraine served as a comparison group.
 Results. The dynamics of the state of health of the male population by individual indicators (mortality, average life expectancy, morbidity, disease burden) in recent years compared to the female population were analyzed. It was established that the health of the male population has negative trends and is inferior to the vast majority of the relevant indicators of the health of the female population. In addition, the severe consequences of military operations, men's lack of attention to their own health, particularly reproductive health, and an unhealthy lifestyle significantly worsen the health of the male population. An in-depth study of the health of the male population is needed to understand its specific needs in health care services, to develop prevention, treatment and rehabilitation programs.
 Conclusions. Against the background of the deterioration of the health of the male population, especially during the war, it is necessary to provide him with all kinds of support, to improve the quality and availability of various types of medical care, to introduce personalized records of the health of combatants (military and civilians), as well as children of war.

End-of-life care discussions with healthcare providers and dying experiences: A latent class analysis using the health and retirement study

BackgroundThe impact of provider-patient end-of-life care conversations on the dying experience as a multi-dimensional concept among non-White population is understudied. The study examines whether such discussions are effective at improving end-of-life experiences among U.S. older adults with diverse backgrounds. MethodsThe analytic sample featured 9,733 older adults who died between 2002 and 2019 in the Health and Retirement Study. Latent class analysis was used with sixteen end-of-life indicators, including service utilization of seven aggressive and supportive care, symptom management, and quality of care. Multinomial logistic regression was conducted to estimate the effects of provider-patient end-of-life discussions on the predicted membership. ResultsThree types of end-of-life experiences were identified. People in “minimum service user with good death” (44.54 %) were least likely to use any type of medical care, either aggressive or comforting, and had best end-of-life symptom management and quality of care. Intensive care users (20.70 %) are characterized by very high use of aggressive treatments and low use of supportive care. “Extensive service user with uncomfortable death” (34.76 %) had high likelihoods of using both aggressive and comforting care and had the worst dying experience. Older adults who discussed their end-of-life wishes with providers were 49 % and 51 % more likely to be an intensive care user and extensive service user with uncomfortable death, respectively, rather than a minimum service user with good death. ConclusionDiscussing end-of-life care wishes with providers is associated with worse end-of-life experiences. Efforts are needed to facilitate early initiation and effectiveness of the provider-patient end-of-life care conversation.

Involuntary and patient-initiated delays in medical care during the COVID-19 pandemic.

This paper uses data from a new, nationally representative survey to study delays in non-COVID-related medical care among US adults during the COVID-19 pandemic. We expand on prior research by taking a comprehensive look at the many reasons patients may have experienced delays in medical care and by studying the longer-run implications of these delays for patients' self-reported health, use of telemedicine, feelings of regret, and likelihood of delaying care again in the future. Classifying delays in care broadly as involuntary (those due to availability or "supply-side" constraints) or patient-initiated (those due to patient concerns or "demand-side" constraints), we document important differences across demographic groups in the propensity to delay care for these reasons. In contrast to most prior work on this topic, our analyses can disentangle differences in the likelihood of delaying care from differences in pre-pandemic care-seeking behavior. We also demonstrate that the types of medical care that were delayed during the pandemic differed based on whether the delay was involuntary or patient-initiated, as did the duration of the delays and their associations with self-reported health, telemedicine use, and feelings of regret.

Анализ финансирования государственной и территориальной программ по оказанию бесплатной медицинской помощи

The article analyzes and compares the financing of expenditures of various types of medical care within the framework of the “Program of state guarantees of free provision of medical care to citizens for 2022 and for the planning period of 2023 and 2024” and the “Territorial program of state guarantees of free provision of medical care to citizens in the Rostov region” for the same periods. Some types of costs for the implementation of state programs in the field of healthcare are considered, due to the implementation of the national project “Healthcare” in the Rostov region and shortcomings in the healthcare system of this region. The growth rates of expenditures of the federal and regional budgets of the Rostov region, as well as the health insurance fund for financing various types of medical care have been determined. The most significant problems in the region that hinder the implementation of state programs included in the national project “Healthcare” have been identified. The budget for healthcare in the region according to regional experts, is not getting bigger, which is an incentive to search for other financing models, in particular, the perspective of the experience of the Rostov region in the field of organization of medical management is noted. In recent years, the municipal authorities have made a decision and transferred all municipal medical institutions to the ownership of the regional government, explaining this by the need to centralize management. The transition of municipal medical institutions to the category of state ones will simplify the routing of patients, make medical care more qualitative and affordable, and also provide an opportunity for more efficient use of all types of resources directed to the field of health care in the region. The results obtained can serve as a basis for adjusting the health policy of the Rostov region.

Features of a Systematic Approach to the Prevention of Healthcare-Associated Infections in the Russian Federation and abroad

Relevance. Health care-associated infections (HAIs) are one of the global problems of modern healthcare with a negative trend in the growth of this pathology throughout the world, which is due to a complex of reasons, among which the resistance of pathogens of hospital infections to antimicrobials is important, as well as gaps in organization of epidemiological surveillance due to a number of objective and subjective factors (complication of technologies and expansion of the practice of invasive medical interventions, turnover and shortage of personnel in medical institutions, etc.).The purpose of the work is to study the experience of organizing measures for the prevention of HCAI from the standpoint of a systematic approach in Russia and in foreign countries that have the best practices in this area. The purpose of the work is to study the experience of organizing measures for the prevention of HCAI from the standpoint of a systematic approach in Russia and in foreign countries that have the best practices in this area.The results are based on the study of the basic principles of the system approach, its tools, functional organization and universalization, the use of a comprehensive analysis in relation to different areas of medical activity and types of medical care, the sequence of development and implementation of new methods in Russian and foreign experience in the implementation of epidemiological surveillance for HCAI. Problems in the field of organization and practical implementation of preventive measures to prevent the occurrence of HCAI have been identified, and urgent tasks for improving the epidemiological safety of medical activity have been identified.Conclusion. Differences were noted in approaches to the prevention of HAIs in Russia and abroad, concerning the resource provision of molecular biological monitoring of HAI pathogens, as well as the features of teamwork, targeted communication in medical teams and in explanatory work, as well as the implementation of training programs for relatives to care for patients with HAI. Measures are proposed to increase the commitment of medical personnel and collectives in general, other employees of medical organizations to epidemiologically safe skills in their professional activities, to develop patient education programs for personal prevention of HCAI.

The Practice of Shared Decision-Making Among Physiotherapists and Patients with Musculoskeletal Conditions.

Shared decision-making (SDM) may be interpreted as a set of core values rather than as a consensus definition. This study aimed to explore how SDM between patients and physiotherapists may lead to patient satisfaction. A cross-sectional study was conducted to examine the relationship between SDM and patient satisfaction. The study targeted physiotherapists and patients with musculoskeletal pain or disorders. A structured questionnaire (the nine-item Shared Decision-Making Questionnaire) was developed to show the extent to which patients felt involved in the process by scoring nine items from 0 to 5 on a six-point scale. t-tests were performed to estimate differences in SDM perceptions between patients and physiotherapists, and regression analyses were performed to estimate the best predictors of SDM. The questionnaire was completed by a total of 106 patients and nine physiotherapists. The demographic information of the samples was presented with frequency analysis. This study's findings demonstrate no variations in the final SDM perceptions between patients and physiotherapists, but when SDM was contrasted step-by-step (as items), many variances were discovered. These distinctions reinforce the notion that regardless of the end outcome, the process of reaching a consensus has a distinct profile depending on the type of medical care. Therapists emphasize the first steps, possibly because there is sufficient evidence to make a therapeutic decision. However, patients highlight the final steps, perhaps because the moment for a decision based on the consultation's nature is approaching. This study demonstrates that SDM is a complex process that must be examined in multiple stages. However, in physiotherapy contexts, this process exhibits extremely different patterns, reflecting a significantly different perspective of the decision-making process.

Incidence and costs of hypoglycemia in insulin-treated diabetes in Switzerland: A health-economic analysis

AimsWe assess the incidence and economic burden of severe and non-severe hypoglycemia in insulin-treated diabetes type 1 and 2 patients in Switzerland. MethodsWe developed a health economic model to assess the incidence of hypoglycemia, the subsequent medical costs, and the production losses in insulin-treated diabetes patients. The model distinguishes between severity of hypoglycemia, type of diabetes, and type of medical care. We used survey data, health statistics, and health care utilization data extracted from primary studies. ResultsThe number of hypoglycemic events in 2017 was estimated at 1.3 million in type 1 diabetes patients and at 0.7 million in insulin-treated type 2 diabetes patients. The subsequent medical costs amount to 38 million Swiss Francs (CHF), 61 % of which occur in type 2 diabetes. Outpatient visits dominate costs in both types of diabetes. Total production losses due to hypoglycemia amount to CHF 11 million. Almost 80 % of medical costs and 39 % of production losses are due to non-severe hypoglycemia. ConclusionsHypoglycemia leads to substantial socio-economic burden in Switzerland. Greater attention to non-severe hypoglycemic events and to severe hypoglycemia in type 2 diabetes could have a major impact on reducing this burden.

Changes in the availability of medical care to patients with chronic non-infectious diseases during the COVID-19 pandemic: A literature review

The coronavirus pandemic has caused adjustments to be made to the organization of medical care for the population worldwide. The reorganization of medical institutions to provide emergency, outpatient, and inpatient medical care to infected patients required huge financial and personnel costs and caused a kind of bias towards reducing the medical services provided to patients with chronic non-infectious diseases, which in turn determine the main levels of morbidity, premature mortality, and disability of the population. The availability of medical care to patients with chronic non-infectious diseases has decreased in all the countries that were impacted by COVID-19. This situation has not gone unnoticed by the medical community and as a result, various ways to overcome this problem have been proposed. The proposed article presents an analytical review of various types of Russian and foreign medical sources including articles, orders, statements, interviews, and surveys devoted to the problem of addressing the availability of various types of medical care. The review presents the most obvious and widespread problems in public health during the pandemic. It also analyzes the methods used in various countries, including Russia, to overcome the decline in the availability of medical care. The wide range of problems described that arose in domestic and foreign healthcare during the COVID-19 pandemic, and the variety of ways to solve them, allow us to conclude that this study is relevant. A literary review of articles (reviews, original research, interview data, and telephone surveys) published from March 2020 to March 2022 was conducted on the impact of the COVID-19 pandemic on the availability of medical care for somatic patients in the Russian Federation and several foreign countries. The methods of bibliographic, informational and semantic search for sources in Google Scholar, PubMed and Scopus databases were used. A system analysis of the sources was performed.

COVID-19 Data Analysis with a Multi-Objective Evolutionary Algorithm for Causal Association Rule Mining

Association rule mining plays a crucial role in the medical area in discovering interesting relationships among the attributes of a data set. Traditional association rule mining algorithms such as Apriori, FP growth, or Eclat require considerable computational resources and generate large volumes of rules. Moreover, these techniques depend on user-defined thresholds which can inadvertently cause the algorithm to omit some interesting rules. In order to solve such challenges, we propose an evolutionary multi-objective algorithm based on NSGA-II to guide the mining process in a data set composed of 15.5 million records with official data describing the COVID-19 pandemic in Mexico. We tested different scenarios optimizing classical and causal estimation measures in four waves, defined as the periods of time where the number of people with COVID-19 increased. The proposed contributions generate, recombine, and evaluate patterns, focusing on recovering promising high-quality rules with actionable cause–effect relationships among the attributes to identify which groups are more susceptible to disease or what combinations of conditions are necessary to receive certain types of medical care.

ПРОБЛЕМЫ ВЫРАЖЕННОСТИ СИНДРОМА ЭМОЦИОНАЛЬНОГО ВЫГОРАНИЯ У ВРАЧЕЙ АНЕСТЕЗИОЛОГОВ-РЕАНИМАТОЛОГОВ

Significance. Emotional burnout is a common phenomenon among representatives of medical professions. The majority of patients in medical institutions are people with special needs due to suffering, worries about their health and life, and reduced adaptive capabilities. Medical care providers are faced with a double burden related to both ensuring a high-quality performance of their professional duties, and maintaining a stable emotional status of their patients. A high risk of developing emotional burnout is characteristic of medical specialists who provide emergency care in conditions of time shortage and high responsibility for human life and health. Anesthesiologists and resuscitators are among the most at risk of emotional burnout The purpose of the study: to analyze the level and specific features of emotional burnout syndrome in anesthesiologists-resuscitators. Material and methods. 160 anesthesiologists and resuscitators took part in the study. The study consisted of two stages: analysis of the level of emotional burnout according to the Maslach Burnout Inventory (C. Maslach, S. Jackson, adapted by N.E. Vodopyanova), and a survey based on a specially designed questionnaire to identify enabling factors of emotional burnout syndrome. Results. 17.5% of the surveyed anesthesiologists and resuscitators are characterized by a high level of emotional burnout. A moderate level of emotional burnout was detected in more than 50% of the surveyed doctors of this specialty. 14.4% of the respondents constantly experience emotional symptoms of professional burnout. 46.9% of the respondents are dissatisfied with their work. 46.9% are convinced that the job of anesthesiologist and resuscitator is depreciated by patients, administration and colleagues. 20.6% noted a desire to change their specialty, 18.8% have the intention to quit this medical profession, 21.9% want to move to other medical institutions, engage in private medical practice. Emotional burnout among anesthesiologists-resuscitators can lead to the increased risk of medical errors and negatively affect the safety of patients. Negative emotional status of anesthesiologists negatively affects both effectiveness of the individual professional activity and reduces effectiveness of the teamwork in general in care provision. Development of the emotional burnout symptoms in the work of an anesthesiologist-resuscitator is greatly influenced by the type of medical care, work experience and type of organization the specialist is employed in. Conclusion. Anesthesiologists and resuscitators belong to one of the most vulnerable categories of medical specialties, they are characterized by the risk of emotional burnout syndrome associated with both general factors typical of helping professions and specific ones, due to peculiarities of professional activity. Increasing performance effectiveness of the anesthesiologist-resuscitator determines the need to improve measures aimed at preventing burnout. Scope of application. The study results can be used by heads of health authorities, chief physicians of health care facilities, heads of personnel services of medical profile in order to improve efficiency of work organization in the field of anesthesiology and resuscitation