[Medical care for expedition watch men in the oil industry]

Shortcomings in the organization of medical care for watch keepers lead to the imperfection in the selection of professionals, narrowing of specialized care volume under conditions of watch, differences in the pattern and frequency of applications for medical care, limitation in the access to medical care for the workers of the basic industries, misrepresentation of the essence of the follow-up method, morbidity assessment by applications for medical care and temporary disability. The detected differences require the development of a basically new organizational model for the provision of medical care to persons engaged in expeditionary-watch labour including mobile medical facilities (physician's ambulatory office, sanatorium department with a unit of psychophysiological relief) subordination of public health institutions to the single management cycle, introduction of a document such as "Healthbook of a watch-keeper", reorientation of northern health units to a certain volume of follow-up measures for securing continuity of observation during watch, inter-watch (home) periods, carrying out of medical examinations before and after the flights.