However, the existing system ...

However, the current system of organization of emergency medical care, focused on providing patients with the maximum amount of aid prehospital not provide the necessary efficiency, being to the same high cost. The analysis shows that in many cases the ambulance service is unusual for it performs the function, replacing the responsibilities of outpatient services to home care and transportation of patients. A significant number of trips ambulance crews to the victims at the scene running out of time. Extremely inefficient use specialized medical team, idle most of the time, or performing non-core challenges. The situation is compounded in ever-increasing fiscal deficit problems equipping service sanitary transport, modern communications, providing medicines and medical equipment. There was a rough strain of the ambulance. Brigade perform non-core functions: ECG monitoring, injections, including cancer patients, by a physician clinics, treatment of patients with acute colds, exacerbation of chronic diseases. At the same time load local doctors to help patients at home is generally the city poor. The aim of the study was a comparative study of the results of implementing the coordination and monitoring service (CDS). Materials and methods. For comparative evaluation of the activities of the emergency medical services (emergency medical service), we used the following parameters: callback hospitalized patients in the hospital, while staying ambulance crews (SMP) in the waiting room. Comparative analysis was carried out between 1999-2000, 2001, 2002 and 2003. In evaluating the performance of first aid figures for the period 1999-2000, 2001 and 2002. characterized the work of the SMP at the Samarkand branch of the Republican scientific center for emergency medical services (SFRNTSEMP) to create a CDS, and in 2003 the period of the new service, CDS. Results of the study. During 4 years of operation of the SMP showed a trend to reduce the overall number of calls from the population of the city of Samarkand and the Samarkand region. If the total number of calls over the period 1999-2000. the average take of 100%, then in 2001 by teams of SMP have been served 90% of calls in 2001 - 86% and in 2003 already 79%. Such a reduction, especially with the very low value in 2003 is explained not only by the natural migration of the population of Samarkand and low uptake in the "03", but also the creation of CDS-based SFRNTSEMP, whose main objectives is to receive, analyze, and differentiation of all calls, screening incorrect false calls, calls to chronically ill and so on. Frequently observed in MPS repeated calls that are due to a lack in health care services for the patient, ie not meeting the standards in the delivery of primary health care, calls for the chronically ill, when you call the teams on a linear cardiac teams to ECG and so on.