Which doctors are included in the examination. What you need to know about the physical examination in the clinic The main goals of medical examination

Sobesednik.ru found out how often and for what purposes a medical examination should be carried out.

When is it necessary?

The ideal schedule is once a year, although some specialists should be visited more often - every 6 months: for example, this concerns the examination of the dentist and gynecologist. At the moment, there is a statutory procedure for the medical examination of the adult population under the CHI policy. You can get a free medical examination every 3 years - at the age of 21, 24, 27, 30, 33, 36, 39, 42, 45, 48, 51, 54, 57, 60, 63, 66, 69, 72, 75, 78 , 81, 84, 87, 90, 93, 96, 99 years old. In other years (once every 2 years) you can undergo a preventive examination at the clinic.

Who needs?

Actually, everyone. In fact, regular (and conscientious!) physical examinations are the only way to detect some kind of problem in the body before it “shoots” itself and loads you with trouble. In terms of health, the principle “the sooner the better” works, and it is always easier, cheaper and more preferable to prevent a disease than to treat it later. For the purpose of early detection, regular medical examinations, screenings or medical examinations are carried out.

How is it necessary?

Naturally, there will be no point in medical examination if it is done for show, and the dialogue with the doctor will be based on the principle: “Is something bothering you?” - "Not". "Well, that's fine, here's a tip for you." This situation discredits the very idea of ​​a scheduled medical examination, but, unfortunately, it has often met before, and now. The meaning of medical examination is not to miss diseases that at first do not reveal themselves in any way, and when it goes far, unfortunately, they are not completely treated - these are cardiovascular diseases (ischemic heart disease, hypertension, etc.). ), various types of cancer, tuberculosis, diabetes mellitus, pathologies of the spine and joints. So, within the framework of a medical examination, at least there should be an examination itself, as well as a certain set of analyzes and studies, without which the picture will not be complete.

What do you need?

By law, for most adults, a free medical examination is carried out once every 3 years. Here's what the survey plan looks like now:

Questioning (questionnaire), examination by a therapist

Measurement of height, weight, calculation of body mass index

Pressure measurement

Determination of cholesterol and glucose levels in the blood (express method)

ECG (at the first medical examination, then - for men over 35 and women over 45)

Midwife examination, cervical smear (for women)

Fluorography

Mammography (for women over 39)

Determination of cardiovascular risk

Blood chemistry

Fecal occult blood test (after 45 years)

PSA test (men over 50)

Ultrasound of the abdominal organs (after 39 years once every 6 years)

Measurement of intraocular pressure (after 39 years)

Examination by a neurologist (after 51 years once every 6 years)

Nevertheless, a personal plan may look different - from the timing to the volume of clinical examination. Here, the wishes of the doctors you are seeing can be taken into account (for example, a gynecologist wants to see you at least once every 6 months, a mammologist and a urologist - annually, etc.), and your individual diagnoses and risks. For example, for early detection of bowel cancer after 50 years, it is recommended to do a colonoscopy every 5 years, even without special indications, however, this study is not included in the general medical examination plan and is done only as directed by a doctor. Above is only a general scheme of the survey at the expense of the state.

Blood and urine will not be tested

The simplest analysis, to which a person will be 100% sent for almost any complaint, is UAC, a complete blood count. The same goes for a general urine test. Many generally do them on their own, without waiting for a doctor's referral, and come to the first appointment already with the results. Nevertheless, from 2018, these two studies will no longer be included in the mandatory medical examination plan: the new procedure proposed by the Ministry of Health excluded them from screening as “non-informative”. The agency clarified that neither a blood test nor a urine test will be performed by default on asymptomatic citizens - those who do not have any complaints. Only the level of sugar and cholesterol will be examined using the express method, that is, right at the reception.

point-blank question

Can they be forced to work?

No. In recent years, employers have begun to send employees for screenings, but even in this case, the principle of voluntariness works. By law, if the work does not imply mandatory regular medical examinations, the authorities can only offer to undergo medical examination, providing such an opportunity - for example, by entering into an agreement with a certain medical institution. This case is again purely voluntary, and the results of medical examination, if the employee has passed it, are a medical secret.

The clinic does not have the right specialist. What to do?

If you need advice from a specific specialist, whether as part of a medical examination or not, temporarily or indefinitely, you should be referred to another medical facility where one is available.

I have DMS. Is it possible to pass a full medical examination with such insurance?

If the type of policy does not limit the number of visits to specific doctors (this sometimes happens) - for example, no more than 10 visits to a therapist per year, 5 visits to the ENT, 2 appointments with an ophthalmologist, etc. - it is quite possible to take advantage of this opportunity. The absence of restrictions in this case allows you to make a medical examination more detailed, clarify the nuances and, as a result, possibly get more complete information about what is happening to your health than with a regular scheduled medical examination as part of the CHI.

Is it possible to skip a year or more?

When, to what extent and whether to undergo medical examination at all is your own business. Even if it seems to be necessary by age, it's still up to you to decide. Medical officials are calling for medical examinations to be made mandatory for everyone, and refuseniks to be “turned off” from some free medical services, but so far this is just an idea that is contrary to current legislation.

By the way

What is a medical check?

Check-up is another name for a routine medical examination, which is used in Western healthcare and, more recently, in domestic commercial medical centers. As a rule, a check-up is completed in one day - the program is designed so that the patient does not have to go to the doctors for weeks and months. The intensity of the program can be different - the simplest ones take 3-4 hours and include an examination of 4-5 specialists (gynecologist, ophthalmologist, urologist, therapist, dentist), 1-2 ultrasounds (usually gynecological and abdominal), several tests (for example , CBC, pap test for women, and Pap test to rule out cervical cancer) and a few other tests. A large check-in program can take a couple of days and even include options such as a full-body MRI. The price also depends on saturation.

A number of people regularly have to undergo medical periodic examinations. Often they are associated with queues and wasting time. Remember, at the SkoroMed clinic at the Belorusskaya metro station (Moscow), preventive examinations of workers in various fields are carried out without a queue. At the same time, they are affordable, and the regulations correspond to it.

It is important to remember that according to the current legislation of the Russian Federation, periodic medical examinations are mandatory for most employees, including some office firms. And managers should conduct regular medical examinations at their enterprise, not only in order to avoid liability and fines, but also to increase the efficiency of employees, which is necessary for the successful prosperity of the business.


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The professional examination of employees is a special medical examination that allows to determine the suitability and ability of a person to engage in certain professional activities. Passing it allows you to identify diseases that can affect the work of an employee, and helps to significantly increase the labor potential of the enterprise.

Who needs to be screened

Professional examinations are mandatory for workers in hazardous and hazardous industries. Employees must also undergo such medical examinations:

  • engaged in construction;
  • managers of automobile, railway and water transport (passenger, freight);
  • providing communal services;
  • health workers working in medical and preventive and medical institutions, pharmacies;
  • workers at food industry enterprises, in catering and trade establishments;
  • serving in private security;
  • working in educational institutions (studios, kindergartens, schools, sports clubs);
  • workers in water treatment plants;
  • engaged in the maintenance of electric power facilities.

In addition, professional athletes, employees under the age of 18, employees in the office who spend more than half of their working time at the computer, as well as representatives of some other specialties, must undergo a mandatory medical examination.

Types of medical examinations

  • Preliminary inspection. It is carried out during employment at an enterprise in order to determine the suitability of the applicant for work in a particular area for health reasons. Such a mandatory prophylactic examination is carried out once and is often also called primary. Allows you to select future employees for medical reasons.
  • Periodic inspection. Such examinations are carried out once a year, six months or at other intervals. The purpose of the annual professional examination is to monitor the health of employees, identify diseases, determine the impact of harmful factors and form risk groups for possible occupational diseases.
  • Extraordinary inspection. Such a medical examination does not have a frequency and is not mandatory. It can be carried out at the initiative of the employee (in the presence of complaints) or the employer (in the event of a deterioration in the health of the employee). It is also carried out on the recommendation of a medical organization.

What does a screening include

The composition of the mandatory professional examination may include a different amount of research. It is determined on the basis of the type of activity, as well as the harmful factors that the worker has to deal with in production. As a rule, standard medical examinations of employees include fluorography, cardiogram, general clinical tests of urine and blood, as well as examination by such specialist doctors:

  • ophthalmologist,
  • neuropathologist,
  • surgeon,
  • therapist,
  • otolaryngologist,
  • gynecologist (for women).

At the request of the employer, the list of studies within the framework of the professional examination of employees can be expanded by additional tests and examinations by other medical specialists.

Order of the Ministry of Health and Social Development of Russia No. 302n, as amended on December 5, 2014, contains the procedure for conducting mandatory preliminary and periodic professional examinations (examinations), as well as a list of harmful and / or dangerous production factors and work in which they must be carried out. It also contains information about medical contraindications for admission to work.

What you need to pass a medical examination

To pass the primary or periodic annual medical examination, you must have the following documents:

  • passport or other identity document;
  • referral to undergo a medical examination from the enterprise;
  • outpatient card;
  • an extract with the results of previous examinations;
  • conclusion of a psychiatric commission (not always necessary).

The cost of a medical examination

Prices for medical examinations of employees are calculated based on the provisions of Order N302n of the Ministry of Health and Social Development of the Russian Federation, issued on 04/12/2011, and take into account various factors. The total cost of the service for your business will depend on the number of employees surveyed. Also, when calculating it, the composition of laboratory tests and the number of medical specialists involved in the framework of periodic medical examinations will be taken into account.

Responsibility for the lack of professional examination of employees

All enterprises are regularly checked by the Rospotrebnadzor inspectorate for violations of labor laws. If employees are found who have not passed the mandatory periodic medical examination, the organization can be fined up to 50 thousand rubles and even suspend its activities for up to 90 days. Also, the head of the company may be held liable, for which a fine of 1-5 thousand rubles is provided, and in some cases, removal from office for a period of 1 to 3 years.

Benefits of conducting medical examinations at the Skoromed clinic

  • Complex solution. In our center, your employees can undergo any type of examination: mandatory primary and periodic, as well as extraordinary. The service will include a full list of necessary laboratory tests and examination by key specialists.
  • Quality service. Medical examinations are carried out by qualified doctors who have additionally been certified in the field of determining occupational pathologies. Our service is not just a formality, but a real diagnosis of diseases of the company's employees.
  • Convenient service. Our center takes care of the full organization of the medical examination process. Professional examinations of employees are carried out in the most comfortable conditions. It is also possible for us to leave the medical board to the customer's facility.
  • The accuracy of the results. Our company guarantees prompt examination by doctors, quick laboratory tests and the reliability of the results. Upon completion of the procedure, we issue a correctly executed final act with recommendations from specialists.
  • Individual approach. When cooperating with enterprises, we always take into account their specifics. Periodic medical examinations include only necessary studies. Thanks to this, the accuracy of the results is achieved and the cost of the service is reduced.

In this article, we will consider what a medical examination is, who needs it, for what purposes, at whose expense it is carried out, how often it needs to be passed, which is mandatory.

What is a pre-survey?

Prophylactic examination is the passage of a medical commission depending on the place of requirement or for health prevention.

Who needs a background check?

The majority of the officially working population know firsthand what a medical examination is. when hiring, in most cases, the employer asks the employee for a medical book with access to work. Not always and not everyone likes it, but this is a necessity that cannot be avoided, and for health it will not be superfluous to check whether everything is in order with the body.

In the Russian Federation, there is a project "Health", which is aimed at maintaining the health of the working population. The most important measure for maintaining health is the regular examination of people at the time of employment and further regular examinations.

Goals of the medical examination

Of all the reasons for a medical examination, the main ones are a few:

. Definition of prof. suitability of employees before performing the assigned work tasks;

Ensuring labor safety;

Identification of persons with occupational diseases or suspicion of such diseases, prevention and timely identification of the initial signs of occupational diseases;

Detection of any diseases unrelated to work, but in which a deterioration in a person’s condition is possible;

Sanitary and hygienic measures designed to identify and eliminate the causes of occupational diseases;

Regular monitoring of the health of workers in hazardous production;

Timely preventive maintenance and rehabilitation of employees to preserve their health;

Avoidance of accidents in the workplace.

Employees are required to undergo a medical examination at work:

. in hazardous production;

in hazardous production;

Guards;

Railway workers;

Drivers;

Social workers;

Workers of children's and preschool institutions.

Conducting medical examinations is stipulated by law, and persons who have not passed the examination are not allowed to work. The employer is responsible for passing the medical examination. Usually, the employer enters into an agreement with one of the professional examination clinics, and all employees are examined in one place. Reviews fall into two categories:

. preliminary;

Periodic.

Preliminary examination - this is when applying for a job, to determine suitability. Periodic inspection is to detect and prevent diseases obtained at work, and not only.

Who pays for the screening?

All activities related to the passage of medical examinations are undertaken by the employer, this is prescribed by the law of the Russian Federation. If the employee was not allowed to work by the medical examination doctor, the employer must not allow him to the workplace.

Frequency of checkups

The frequency of medical examinations is prescribed by law and is carried out once every two years, and those under 21 years of age annually. Inspections can also be extraordinary at the request of workers or during an epidemic.

People working in hazardous and hazardous industries undergo a medical examination in special medical examination centers by specialists called medical examination doctors. What is included in the mandatory tests during a medical examination?

. general blood analysis;

General urine analysis;

Fluorography.

A blood test reveals the presence of inflammatory processes in the body, anemia, and various blood diseases. If any deviations are detected, a person may be more quickly fatigued, which leads to a decrease in working capacity. Urinalysis reveals diseases of the kidneys and urinary system. An EKG checks the heart for various abnormalities.

Professionals that are required:

. therapist;

Surgeon;

Gynecologist;

Neurologist.

The surgeon will determine the size of the liver and spleen and other abdominal organs, and also checks for varicose veins. In men, this also includes the prostate. A neurologist checks for abnormalities associated with the nervous system. A gynecologist is a must for women. The therapist measures the pressure and identifies signs of hypertension, and also puts a conclusion and admission to work after passing through all the specialists and passing all the tests.

Any doctor will say that the disease is easier to prevent, and if it was not possible to do this, then you should try to start treatment at the earliest stage, preventing it from moving into a severe stage or chronic form. In order to prevent diseases and epidemics at work, the employer should pay great attention to the health of employees and regularly organize medical examinations.

Preventive medical examination, types

Medical examination of employees is a medical examination necessary to determine whether a person is fit to engage in a certain professional activity or not. Employers are interested in conducting preventive examinations of employees, because this allows them to detect at the initial stages those diseases that can seriously affect the entire operation of the enterprise. Inspections are also widely used to ensure high-quality labor potential of the enterprise, thereby increasing work efficiency. Medical examinations are divided into:

preliminary, which, in fact, are the selection of employees for medical reasons before going to work. They determine fitness for the job by the state of their health;

Periodic, necessary to identify the first signs of occupational diseases in working employees, the occurrence of which is associated with the presence of harmful factors;

Extraordinary, which are carried out if an accident has occurred at the enterprise or a mass disease has spread.

Who needs to undergo a medical examination?

Employees whose activities are associated with harmful or dangerous factors in the process of performing their work duties must undergo a mandatory medical examination. The employer is obliged to inform the employee before hiring about the presence of harmful factors in the workplace. The list of harmful or dangerous factors and works for which mandatory medical examinations are required is approved by law. In addition to employees involved in hazardous and hazardous production, medical examinations are also mandatory for employees who:

are engaged in construction production;
drive vehicles;
serve in private security;
are engaged in maintenance of electric power facilities;
work on the railway transport;
are employees of public catering, food industry and trade enterprises;
work in children's institutions (schools, studios, sports sections, kindergartens), universities, medical, treatment and preventive institutions, pharmacies;
are engaged in public services;
work in water treatment plants.

In addition, workers under the age of 18, professional athletes and office workers who spend more than half of their working time at the computer must undergo medical examinations.

What is included in the screening?

The volume of studies included in the mandatory medical examination directly depends on the presence of many factors that the employee faces. The medical examination includes the appointment of specialist doctors, fluorography, general clinical blood and urine tests, and a cardiogram. If there is a decision of the employer, then it is possible to expand the scope of the physical examination by adding studies that are most important for workers in a certain area (blood chemistry, thyroid hormones, tumor markers, etc.). A preventive appointment with a specialist doctor consists in taking an anamnesis, conducting an examination in order to identify the main violations and health problems in your profile. The list of medical specialists usually consists of:

therapist,
ophthalmologist,
otolaryngologist,
neuropathologist,
surgeon,
gynecologist for female employees.

If a pathology is detected during medical examination of employees the doctor gives recommendations and referral for further examination. This may be an ECG, ultrasound, Holter monitoring, additional tests, depending on the specialization of the doctor and the identified pathology. If you need to clarify the diagnosis, determine what additional examinations and treatment are needed, then a full consultation with a doctor is already necessary.

Fluorography is necessary to detect such a dangerous and serious disease as tuberculosis, which in the early stages has no symptoms, but is already dangerous for others who are in close contact with the sick person, because tuberculosis spreads easily. In addition, this examination makes it possible to detect lung tumors.

A general blood test makes it possible to identify many problems and changes in the body, because the blood immediately reacts to all diseases and reflects a complete picture of diseases. With the help of this analysis, it is possible to detect the presence of infections, viral or bacterial, as well as inflammatory processes. Most of the major clinics and medical centers involved in medical examinations use modern automated blood analyzers that ensure the high quality of the tests. Blood for analysis is taken from a vein using safe vacuum syringe systems.

Urinalysis reveals diseases of the kidneys and urinary system, in addition, this study helps to determine the presence of liver disease, endocrine system and suggest the presence of diabetes. This analysis is also performed using an automatic analyzer.

An electrocardiogram will give the doctor a picture of the state of the heart muscle, will identify various complications that gave the heart a sore throat, jumps in blood pressure, help detect incipient ischemia, which means a lack of oxygen for the heart, and even prevent the development of such an insidious and dangerous disease as myocardial infarction.

Preliminary medical examinations are required when hiring, and periodic ones throughout the entire working life of the employee, once every two years, and if the employee is not yet 21 years old, then a medical examination is mandatory for him annually. After all the results are summarized, they draw up an act of the medical board, which is introduced to the employee, and the document is usually stored in the personnel department of the enterprise.

Employer's responsibility

The Labor Inspectorate regularly conducts scheduled inspections of enterprises to identify violations of labor laws, and also checks complaints from employees. If it is revealed that the organization employs employees who have not passed the required medical examination, then the inspection has the right to fine either the organization in the amount of 30-50 thousand rubles, or the head or other official in the amount of 1 to 5 thousand. An individual entrepreneur can also be fined for the same amount. In addition, the activities of the violating organization may also be suspended for up to 90 days. In case of repeated violation, an official may be disqualified for a period of one to three years.

Modern business has increased requirements for the health of employees. In order for people to work with maximum efficiency, it is important that employees are healthy in order to increase productivity and quality of work. For employees, this is a huge advantage: they can take care of their health and detect diseases in a timely manner. It is also good for employers who employ employees who are able to perform work in a timely, good and high-quality manner.

Conducting a preventive medical examination is aimed at early detection of certain chronic non-communicable diseases (conditions) that are the main cause of disability and premature death of the population of the Russian Federation (hereinafter referred to as chronic non-communicable diseases), risk factors for their development (high blood pressure, dyslipidemia, elevated blood glucose levels). blood, tobacco smoking, harmful alcohol consumption, unhealthy diet, physical inactivity, overweight or obesity), as well as the use of narcotic drugs and psychotropic substances without a doctor's prescription.

3. Preventive medical examination is carried out once every 2 years.

In the year of the medical examination, a preventive medical examination is not carried out.

Employees engaged in work with harmful and (or) hazardous production factors, and employees engaged in certain types of work, who, in accordance with the legislation of the Russian Federation, undergo mandatory periodic medical examinations, are not subject to preventive medical examinations.

4. Preventive medical examination of the adult population is carried out by medical organizations (other organizations engaged in medical activities) (hereinafter referred to as the medical organization), regardless of the organizational and legal form, participating in the implementation of the program of state guarantees of free provision of medical care to citizens and the territorial program of state guarantees of free provision of citizens medical care in terms of providing primary health care, with a license to carry out medical activities, providing for work (services) on "preventive medical examinations", "therapy", "radiology", "clinical laboratory diagnostics" ("laboratory diagnostics") .

If the medical organization carrying out preventive medical examination does not have a license for medical activities for certain types of work (services) necessary to conduct a preventive medical examination in full, the medical organization concludes an agreement with another medical organization that has a license for the required types of work ( services), on the involvement of relevant medical workers in the conduct of preventive medical examinations.

5. A citizen undergoes a preventive medical examination in a medical organization in which he receives primary health care.

6. A preventive medical examination is carried out with the informed voluntary consent of a citizen or his legal representative (in relation to a person recognized as legally incompetent, if such a person is unable to give consent to medical intervention due to his condition), given in the form and in the manner which are approved by the Ministry of Health of the Russian Federation.

A citizen has the right to refuse to conduct a preventive medical examination in general or from certain types of medical interventions included in a preventive medical examination, in the manner and in the form approved by the Ministry of Health of the Russian Federation.

7. The head of a medical organization organizes preventive medical examinations of the population receiving medical care in a medical organization.

A general practitioner (a district general practitioner, a general practitioner of a workshop medical section, a general practitioner (family doctor)) (hereinafter referred to as a general practitioner) organizes preventive medical examinations of the population of a therapeutic, including a workshop, section (a section of a general practitioner (family doctor)), serviced territory (hereinafter referred to as the site).

The paramedic of the feldsher's health center or the feldsher's obstetric station organizes preventive medical examinations of the population of the feldsher's section if he is assigned certain functions of the attending physician to directly provide medical care to the patient during the period of observation and treatment, including the conduct of a preventive medical examination, in order established by order of the Ministry of Health and Social Development of the Russian Federation of March 23, 2012 N 252n "On approval of the procedure for assigning a paramedic, a midwife to the head of a medical organization when organizing the provision of primary health care and emergency medical care of certain functions of the attending physician for the direct provision medical care to the patient during the period of observation and treatment, including the prescription and use of drugs, including narcotic drugs and psychotropic drugs" (registered Tried by the Ministry of Justice of the Russian Federation on April 28, 2012, registration N 23971).

8. The main tasks of the general practitioner during preventive medical examinations are:

1) involvement of the population of the site in the passage of a preventive medical examination, informing about its goals and objectives, the scope of the examination and the work schedule of the departments of the medical organization involved in the conduct of preventive medical examinations, the necessary preparatory measures, as well as increasing the motivation of citizens to undergo a preventive medical examination, including by conducting explanatory conversations at the level of a family, an organized team;

2) conducting a final medical examination of a citizen, establishing a diagnosis of a disease (condition), determining a group of a state of health, a group for dispensary observation (by a general practitioner or a doctor (paramedic) of the medical prevention office), prescribing the necessary treatment, if there are medical indications, referral to additional diagnostic studies that are not included in the scope of a preventive medical examination, or to receive specialized, including high-tech, medical care, for sanatorium treatment;

3) conducting brief preventive counseling, referral of citizens with identified risk factors for the development of chronic non-communicable diseases to the department (office) of medical prevention or a health center to provide medical care to correct these risk factors;

4) participation in the preparation (maintenance) of accounting and reporting medical documentation, including a health passport, the form of which is approved by the Ministry of Health of the Russian Federation (hereinafter referred to as the health passport);

5) summing up the results of preventive medical examinations.

9. The main tasks of the department (office) of medical prevention of a medical organization, including those that are part of the health center, when conducting preventive medical examinations are:

1) participation in informing the population receiving medical care in a medical organization about preventive medical examinations, their goals and objectives, as well as in conducting explanatory work and motivating citizens to undergo preventive medical examinations;

2) instructing citizens who arrived for a preventive medical examination on the procedure for passing it, the volume and sequence of the examination;

3) performing pre-hospital medical examinations (survey (questionnaire) in order to identify chronic non-communicable diseases, risk factors for their development, consumption of narcotic drugs and psychotropic substances without a doctor's prescription, anthropometry, calculation of body mass index, measurement of blood pressure, determination of total cholesterol and blood glucose by express method);

4) determination of risk factors for chronic non-communicable diseases based on the diagnostic criteria provided for in the Appendix to this Procedure;

5) formation of a set of documents, including filling out the registration form "Route card for clinical examination (preventive medical examination)", approved by the Ministry of Health of the Russian Federation (hereinafter referred to as the route card), based on the results of studies conducted as part of a preventive medical examination, to refer the patient to the final examination therapist;

6) registration of citizens who have undergone a preventive medical examination.

7) explaining to a citizen with a high risk of developing a life-threatening disease (condition) or its complication, as well as to persons living together with him, the rules of action in case of their development, including the timely call of an ambulance team;

8) filling out the passport part and, in agreement with the general practitioner, other sections of the health passport.

10. Preventive medical examination includes:

1) a survey (questionnaire) in order to identify chronic non-communicable diseases, risk factors for their development, consumption of narcotic drugs and psychotropic substances without a doctor's prescription;

2) anthropometry (measurement of standing height, body weight, waist circumference), calculation of body mass index;

3) measurement of blood pressure;

4) determination of the level of total cholesterol in the blood by the express method (laboratory method is allowed);

5) examination of the level of glucose in the blood by the express method (laboratory method is allowed);

6) determination of the total cardiovascular risk (for citizens under the age of 65);

8) mammography (for women aged 39 and older);

9) a clinical blood test (the minimum scope of the study includes: determining the concentration of hemoglobin in erythrocytes, the number of leukocytes and the erythrocyte sedimentation rate);

10) examination of feces for occult blood (for citizens aged 45 years and older);

11) reception (examination) of a general practitioner, including the determination of a group of health status, a dispensary observation group (by a general practitioner or a doctor (paramedic) of the medical prevention office), brief preventive counseling, if there are medical indications, referral of citizens to receive a specialized, including high-tech, medical care, sanatorium treatment.

11. If a citizen has the results of the studies specified in paragraph 10 of this Procedure, which were carried out within 12 months preceding the month of the preventive medical examination, the decision on the need for re-examination as part of the preventive medical examination is made individually, taking into account all the available results of the examination and the condition citizen's health.

12. If a citizen, during a preventive medical examination, has medical indications for conducting research and examinations by medical specialists that are not included in the scope of the preventive medical examination in accordance with this Procedure, they are assigned and performed to the citizen, taking into account the provisions of the procedures for providing medical care according to the profile of the identified or the alleged disease (condition) and standards of medical care approved by the Ministry of Health of the Russian Federation.

13. The results of the examination by the general practitioner and the studies carried out during the preventive medical examination are entered into the route card, which is filed into the accounting form N 025 / y-04 "Medical card of the outpatient", approved by order of the Ministry of Health and Social Development of the Russian Federation dated November 22 2004 N 255 (registered by the Ministry of Justice of the Russian Federation on December 14, 2004, registration N 6188) (hereinafter referred to as the outpatient medical card).

14. On the basis of information about the passage of a preventive medical examination by a citizen, a medical worker of the department (office) of medical prevention fills out a "Card for the registration of medical examinations (preventive medical examinations)" in the form approved by the Ministry of Health of the Russian Federation.

Information about the preventive medical examination and its results are entered by the general practitioner in the health passport, which is issued to the citizen.

15. The following criteria are used to determine, based on the results of a preventive medical examination, a group of the state of health of a citizen and plan the tactics of his medical supervision:

I group of health status- citizens who do not have chronic non-communicable diseases, do not have risk factors for the development of such diseases or have these risk factors with low or medium total cardiovascular risk and who do not need dispensary observation for other diseases (conditions).

Such citizens are provided with brief preventive counseling, correction of risk factors for the development of chronic non-communicable diseases by a general practitioner, a medical worker of the department (office) of medical prevention or a health center.

II group of health status- citizens who have not been diagnosed with chronic non-communicable diseases, have risk factors for the development of such diseases with a high or very high total cardiovascular risk and who do not need dispensary observation for other diseases (conditions).

Such citizens undergo correction of risk factors for the development of chronic non-communicable diseases in the department (office) of medical prevention or a health center, if there are medical indications, the general practitioner prescribes drugs for medical use in order to pharmacologically correct these risk factors. These citizens are subject to dispensary observation by a doctor (paramedic) of the department (office) of medical prevention.

III group of health status- citizens with diseases (conditions) requiring the establishment of dispensary observation or the provision of specialized, including high-tech, medical care, as well as citizens suspected of having these diseases (conditions) who need additional examination ***.

Such citizens are subject to dispensary observation by a general practitioner, medical specialists with medical, rehabilitation and preventive measures. Citizens with risk factors for the development of chronic non-communicable diseases are corrected in the department (office) of medical prevention or a health center.

16. The medical organization keeps records of citizens who have undergone a preventive medical examination, with the registration of studies performed during the preventive medical examination, and studies performed earlier outside the framework of the preventive medical examination (within 12 months preceding the month of the preventive medical examination) and taken into account during a preventive medical examination, as well as refusals of citizens to undergo individual studies.

17. A preventive medical examination is considered completed if at least 85% of the scope of the examination established for a given age and gender of a citizen is completed (taking into account studies performed earlier outside the framework of a preventive medical examination (within 12 months preceding the month of the preventive medical examination) and refusals of a citizen from passing individual studies).

______________________________

* Federal Law of November 21, 2011 N 323-FZ "On the basics of protecting the health of citizens in the Russian Federation".

** Fluorography of the lungs is not performed if a citizen underwent radiography (fluoroscopy) or computed tomography of the chest organs during the previous calendar year or the year of the preventive medical examination.

*** Based on the results of an additional examination, the citizen's health status group may be changed.

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