ROLE AND PLACE OF MARITIME MEDICINE IN RUSSIAN HEALTHCARESERVICE

• Published in: Marine Medicine
• Main Authors: I. G. Mosyagin, E. V. Kazakevich, I. M. Boyko, И. Г. Мосягин, Е. В. Казакевич, И. М. Бойко
• Format: Article in Journal/Newspaper
• Language: Russian; English
• Published: Baltic Medical Educational Center 2019
• Subjects: морской медицинский центр; physician on shipboard; Healthcare Service; medical specialty; maritime doctrine; subject of maritime activities; maritime medical center; судовая медицина; судовой врач; здравоохранение; медицинская специальность; морская доктрина; субъект морской деятельности; Arkhangelsk
• Online Access: https://seamed.bmoc-spb.ru/jour/article/view/277; https://doi.org/10.22328/2413-5747-2019-5-1-17-27

Problematic issues of the organization of maritime medicine in Russia werecovered in the article. It was noted that today there is no specialty «maritime medicine» in the Order of the Ministry of Health of the Russian Federation of October 7, 2015 No. 700n «About the nomenclature of professions of the specialists having higher medical and pharmaceutical education». Authors gave definition of maritime medicine as field of the medicine intended for preservation and health promotionof subjects of maritime activities. It was pointed that the most important sphere of responsibility of maritime medicine is scientific justification and challenges implementation of life prolongation, health promotion and maintenance of the population of seaside territorial subjects of the Russian Federation. It was noted that the state system of seamenhealth protection in Russiawas consistently dismantled from 90th years of the 20th century. The arisen vacuum in questions of statutory regulation of maritime medicine can lead to losses of quality of professional selection of seamen, deterioration of fleet personnelhealth and safety concern of navigation. In article it was paid special attention to harmonization of fundamental principlesof health service support system of seamen with requirements of the International Labor Organization Convention of 2006 No. 186 «About work in maritime industry», ratified by Russian Federation in 2012. In Russia there are no mechanisms (licensing or accreditations) regulating activity of medical commissions of fleet personnel. Authors pay attention to outstanding issues in the field of medical training of fleetpersonnel for healthcare delivery on the ships, which do not have the physician onboard. Authors stressed the need of creation of maritime medical centers based on the medical centers (clinics) of Federal Medical Biological Agency of the Russian Federation located in the large ports (Vladivostok, St. Petersburg, Novorossiysk, Arkhangelsk, Astrakhan) which met both international and national safety ...