Klaipėdos universitetas

In this article an emergency medical assistance and the inter hospital transfer problems are analysed in context of the restructurization of health care institutions and services, also of regionalization and centralization policy in Lithuania. Though the increased accessibility of health care services and improvement of the quality, also reduction of social exclusion and unevenness of provision of health care services are declared as the main objectives (purpose) of restructurization, however increased number of inter hospital transfers and crowding of the Emergency Departments indicate the possible negative tendencies. One of the substantial (fundamental) requirement of the inter hospital transfers is the continuous emergency care during transportation. The article provides a unified concept of second transportation between hospitals. The survey results contain the points of specialists and executives of emergency medical assistance on the current management situation of inter hospital patient flow and the ways how the management of patient flow can be improved. The study was made using questionnaire survey, the questions were divided into separate groups by the objectives of this study. Reasoned conclusions and the scheme of the emergency medical care patients flow are developed with reference to the results of this study.

The article analyzes the mechanisms of institutionalization of the collective memory of regional identity, as its significant dimension, and assesses discursive strategies used by different politicians. The author discloses the principal elements of the regional identity in the Soviet period and analyzes the practices of collective memory and historical consciousness in the period of 1945 to 1990. The relationship of the history policies of the Soviet period and the contemporary political processes is demonstrated.