[Dispensary-diagnostic department in the system of emergency surgical care]

3-year experience of dispensary-diagnostic department (DDD) working at the Center of emergency surgical care is analyzed. DDD activity consists of 2 types: dispensary-diagnostic and curative-prophylactic. Department has 5 beds where patients with indeterminate diagnosis are hospitalized (2737 patients over 3 years). Diagnostic beds permit to make diagnosis and select patients with parallel therapeutic procedures. 503 patients were discharged from DDD over 3 years. 534 patients were transferred to surgery department, 97 patients--in internal medicine department. 2% patients required 1-3 hours for final diagnosis, 17%--3-6 hours, 29%--12-24 hours, and only 4%--over twenty-four hours. In 1998--30% patients didn't require hospital treatment, in 1999--38.5%, in 2000--48.5%. A significant cost-effect was achieved.