Publication date: 03.07.2024
Procedure for providing medical care to servicemen of the National Guard
Provision of medical care to the servicemen of the National Guard of Ukraine (NGU) is an important aspect of maintaining the combat capability and health of the personnel. Military service involves a high level of physical and psychological stress, which requires proper medical support. In this article, we will look at the legal framework for providing medical care to servicemen of the NGU, the procedure for organising medical support, types of medical care and challenges faced by the medical support system.
Legal framework
TheConstitution of Ukraine: The fundamental law of the state that guarantees the right of citizens to healthcare, medical care and medical insurance. Article 49 of the Constitution of Ukraine stipulates that everyone has the right to healthcare and medical assistance, including military personnel.
TheLaw of Ukraine "On the National Guard of Ukraine": Defines the legal status, tasks and powers of the NGU, including the medical support of servicemen.
Law of Ukraine "On Healthcare": Establishes the basis of legal regulation of healthcare in Ukraine, defines the rights and obligations of citizens and state bodies in the field of healthcare.
Resolution of the Cabinet of Ministers of Ukraine "On Approval of the Regulation on Medical Care of Servicemen of the Armed Forces of Ukraine and Other Military Formations": Establishes the procedure for medical support of servicemen, including the NGU, organisation of medical service, types of medical care and other aspects.
Orders of the Ministry of Internal Affairs of Ukraine and the Ministry of Health of Ukraine: Regulate the medical support of servicemen of the NGU, including the procedure for medical examinations, medical care, sanatorium treatment and rehabilitation.
Organisation of medical support
Medical units of the NGU: The NGU has medical units responsible for organising and providing medical care to servicemen. They include medical companies, medical battalions, military hospitals and other medical institutions.
Medical examinations and prevention: Regular medical examinations of servicemen are mandatory to assess their health status and detect diseases at early stages. Preventive measures include vaccinations, sanitary and hygienic measures, and education on healthy lifestyles.
Treatment and rehabilitation: Servicemen and women are provided with medical care in case of illness, injury or trauma. This includes inpatient and outpatient treatment, surgical interventions, rehabilitation programmes, and sanatorium and resort treatment.
Evacuation and medical evacuation: In case of injury or illness of servicemen in the combat zone or during exercises, they are evacuated to medical facilities to provide the necessary medical care.
Psychological support: Psychological support for military personnel is an important component of medical care. This includes individual and group consultations with psychologists, psychotherapeutic assistance, stress reduction and rehabilitation programmes after combat.
Types of medical care
Primary medical care: Includes preventive examinations, diagnostics, treatment of common diseases, and first aid in case of injury or trauma.
Secondary medical care: Provided in specialised medical institutions of the NGU and includes more complex diagnostic and treatment measures, surgical interventions, and hospitalisation.
Tertiary medical care: Includes highly specialised medical care in military hospitals or civilian medical facilities with appropriate capabilities and equipment.
Rehabilitation and restorative treatment: Includes physiotherapy, exercise therapy, psychological rehabilitation, and sanatorium and spa treatment to restore health after injury or illness.
Challenges in medical care
Insufficient funding: Insufficient funding can limit the ability to provide medical care, including the purchase of necessary equipment, medicines, and modern medical services.
Staffing issues: The lack of a sufficient number of qualified medical personnel within the NGU may make it difficult to provide quality medical care.
Psychological problems: Military service is associated with a high level of stress and psychological strain, which may require additional resources to provide psychological support and rehabilitation.
Logistical challenges: Evacuating wounded and sick servicemen and women from combat zones or remote areas can be difficult due to insufficient infrastructure or difficult weather conditions.
Recommendations for improving medical care
Increase thelevel of funding: Ensure adequate funding for the NGU's medical provision, including the purchase of modern medical equipment, medicines and decent working conditions for medical staff.
Improve thequalifications of medical staff: Organise regular training courses for NGU medical staff, participate in international experience exchange programmes, and introduce the latest diagnostic and treatment methods.
Development of psychological support: Developing psychological support and rehabilitation programmes, including individual and group counselling, psychotherapy, and stress reduction programmes.
Improving medical evacuation logistics: Ensure adequate logistical support for the evacuation of wounded and sick servicemen and women, including vehicles, medical helicopters and evacuation equipment.
Cooperation with civilian medical facilities: Ensuring cooperation with civilian medical facilities to provide highly specialised medical care to military personnel, especially in cases where assistance is required that cannot be provided by military medical facilities.
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