State Medical Service

The State Medical Service (Arvorian: Государственная медицинская служба), more commonly known as Gosmed, is the national healthcare organisation of Arvor (ADR). It is one of six major non-ministerial agencies within the government of the ADR and is one of the largest healthcare services in the world.

Overview

Founded in 7570 from the merger of the previously independent regional healthcare agencies, Gosmed's purpose is "to ensure that all citizens have access to, and receive, the compassionate, dedicated care they require to ensure a high quality of living and a life as free of illness and infirmity as possible." Its headquarters is located in the Ustinova Building in the Levoberezhny district of the capital city of Cherenovsk.

Structure

Gosmed is co-ordinated centrally from its headquarters in Cherenovsk. From there, operations are divided between four regional offices of twelve oblasts each - north, north central, south central, and south. Each of these regional offices manages operations of the Gosmed branch in each oblast under its direction. Oversight and regulation of Gosmed operations is the responsibility of the Ministry of Health and Safety.

Each Gosmed medical centre is divided into five units, each of which addresses specific concerns and needs - general treatment, emergency treatment, surgical services, psychiatric services, and rehabilitative services. Each unit co-ordinates extensively with the others, and all have access to the to the national medical information network, a secure nationwide medical database that maintains all citizens' patient records.

Services

All citizens of the ADR have a general doctor which serves as their main point of contact with the national healthcare system. Every general doctor, or group of general doctors working together, are based out of local clinics and polyclinics found in every municipality. For all regular medical needs, general preventive care, and consultation, citizens need only arrange an appointment with their general doctor. Citizens consult with them first before seeking the services of a specialist, and if the determination is made that such is necessary, the doctor contacts the local medical centre and arranges an appointment. Wait time for appointments is typically one to four weeks.

If a citizen requires surgery, the specialist arranges a consultation with the surgical services unit, where the patient, specialist, and surgeon meet to discuss the situation before making any further arrangements. Preliminary preparation includes the necessary pre-surgery check and any necessary scans or tests, such as x-rays, MRIs, or blood draws. Wait time for surgery is typically two to five weeks.

At any Gosmed facility, as mentioned previously, services are divided between five units. Each addresses specific concerns and provides specific services. In some instances, services overlap as required. As of 7690 RH, the ADR maintains approximately 14.07 hospital beds per 1,000 population and 21.5 critical care beds per 100,000 population.

• General Treatment - Provides all general and preventive care services. These units also house the specialist departments, medical imaging department, and social services department.
• Emergency Treatment - Provides all accident & emergency and critical care services. This part of the medical centre also houses the infection control department.
• Surgical Services - Also called a surgical centre, providing all inpatient and outpatient surgical services. Also houses the anesthetics, preoperative and postoperative departments.
• Psychiatric Services - Provides psychiatric services to patients on an ongoing or as needed basis. This includes adult counseling, crisis stabilisation, extended care services, juvenile counseling, and substance abuse counseling.
• Rehabilitative Services - Provides therapeutic services. This includes speech, physical, and cognitive therapy as well as drug recovery and occupational therapy.

See also

• Healthcare in Arvor