How is a sanatorium-resort card for a child issued? Mapping algorithm. Sanatorium-resort card - how to apply at the clinic

The status of a military member provides a number of benefits in the field of social security. One of these privileges is the opportunity to Spa treatment in specialized medical institutions under the jurisdiction of the Ministry of Defense of the Russian Federation. This right extends not only to the soldier himself, but also to members of his family (close relatives, including children). With the onset of summer, the number of people wishing to spend a vacation and improve their health, send children to health resorts for recovery increases. For the first time faced with the need to draw up documents for a sanatorium vacation, a child does not always know necessary information about how a card is issued for a child, which medical institution you should contact, what documents you need to have on hand so that the registration procedure does not take much time.

Features of sanatorium-and-spa services for military personnel

The creation of specialized medical institutions for military personnel has a long history. The first military sanatoriums for the disabled, veterans and pensioners in the Soviet period began to be created immediately after the 1917 revolution, when a civil war was going on in the country. The devastation and hunger that prevailed at that time in the country undermined the health of military personnel no less than participation in hostilities. Their families also suffered no less. Through the efforts People's Commissar in military affairs, L. Trotsky created not only a combat-ready Red Army, but also a system of benefits that allocated military personnel to a special caste. By the end time civil war the families of the commanding staff already enjoyed significant benefits compared to for the most part civilian population. In the People's Commissariat for Military and Naval Affairs, a special Sanitary Directorate was created, which was in charge of, among other things, sanatorium-and-spa treatment for military personnel and their families. The system of specialized military sanatoriums that developed almost 100 years ago, despite all the vicissitudes and transformations of the state, has survived to this day. At present, the access of military family members to sanatorium-resort organization is carried out on the basis of the Order of the Ministry of Defense of the Russian Federation dated March 15, 2011 No. 333 “Procedure for sanatorium and resort provision in the Armed Forces Russian Federation».

This order defines the categories of citizens who are provided with vouchers to specialized sanatoriums of the ministry, the amount of benefits for free or partially paid rest, commercial services that citizens (including children) who are not members of military families can use.

Grounds for issuing a health resort card for a child

Before proceeding with the issuance of a card for a child you need to get a ticket to a military sanatorium . It should be remembered that the right to free ticket only children of military personnel serving under the contract, officers and military pensioners use it. Family members of conscripts and civilian personnel do not enjoy such benefits. They can get a ticket to a military sanatorium only by decision of the Central Committee of the Trade Union of Civil Servants of the Ministry of Defense of the Russian Federation within the quotas established by an intersectoral agreement.

Persons entitled to receive a voucher for a family member (child) must submit an application to the appropriate sanatorium no later than 60 days before the planned arrival of the child for sanatorium treatment. The application is being considered within 30 days. This application must be accompanied by a certificate of form No. 070 / y, approved by order of the Ministry of Medical and social development November 22, 2004 No. 256. (Changes and additions dated December 15, 2014 No. 834n).

What is the card for?

A voucher to a sanatorium is the main document giving the right to stay in a health-improving institution for the period specified in it and to provide medical health-improving services. But it does not define the scope of these services. The order of sanatorium treatment is not specified, the list wellness procedures, duration of treatment.

All clarifying details, as well as determining the possibility of sanatorium treatment of a child due to his health, are contained in the sanatorium-resort card, in the form 076 / y, issued for children. The certificate is issued so that the doctors of the sanatorium and service staff had objective information about the state of health little patient. About what methods of treatment used in the sanatorium can be dangerous or harmful to his health.

Where is a card issued for a child

Until recently, members of the families of servicemen and military pensioners were served in polyclinics of military districts. A consistent series of reorganization of the activities of the RF Ministry of Defense has led to a significant reduction in their number. Many family members were transferred to civilian medical facilities. Children of servicemen are served almost everywhere in district children's polyclinics, with the exception of remote garrisons where there are no corresponding civilian polyclinics.

To issue a card for a child, parents must contact the clinic at the place of residence, in which the child is under the supervision of a pediatrician. It takes about one week to complete this document in a civilian clinic. This is due to the need for laboratory research, and in necessary cases– consultations with narrow specialists in whom the child is observed (under treatment).

If the card is issued for a child aged 4 to 6 years, then he must go to the sanatorium with an accompanying person. It is also necessary to issue a similar sanatorium card for him, only in form 072 / y (adult).

In some cases, documents can be issued in a commercial (paid) clinic that has the appropriate license and laboratories for laboratory research. This saves a lot of time, but has a downside. Full course surveys required to issue a card is quite costly.

The content of the health resort card

The map includes 2 parts. The first one is filled in by the pediatrician and contains information for the doctors of the health institution, the second one is a tear-off coupon, which is filled in by the employees of the sanatorium at the end of the course of treatment in the sanatorium and returned to the pediatrician who sent the child to the sanatorium. It is filed into the patient's outpatient card.

Map design algorithm

To pass a set of examinations required for issuing a card to a medical institution (polyclinic), you must provide the original permit to the sanatorium. The voucher number is entered in column P26 in the first part of the health resort card.

Insurance medical policy. Its details are also entered into the card (clause 7).

If you have on hand (when applying for a card in a commercial medical institution), a vaccination certificate filled in and certified by the doctor of the clinic containing information on the dates of vaccinations against:

Poliomyelitis;
rubella;
parotitis;
diphtheria;
Tetanus;
Corey;
Other vaccinations carried out.

If the child attends preschool or school, this information is filled in by the paramedic / nurse of the kindergarten or school.

When applying for a health resort card in a polyclinic, it is not required to provide information about previous diseases. But if it is issued in a commercial medical institution, then a certified by the head physician is required. district polyclinic extract from outpatient card child (form 122).

Special instructions from the attending pediatrician on contraindications for spa treatment or use certain types wellness procedures.

For disabled children, a certificate of disability and a SNILS number are provided in accordance with clauses 9 and 10.

Analyzes and laboratory studies

During the period of registration of the document, the child must pass the following tests:

General blood analysis;
Analysis of feces or peranal scraping for eggs of worms;
General urine analysis;

The test results are only valid for 10 days. Therefore, they should not be submitted beforehand. Considering that the action of the health resort card itself is also limited to 10 days. It should be issued no earlier than a week before departure to the place of rest. The result of the analyzes is entered in part 1 of the map.

For which diseases the card is not issued

Not all children can undergo sanatorium rehabilitation at the request of their parents. The doctor may refuse to issue it if the child suffers from:

Any diseases in the acute stage;
epileptic seizures;
mental illness;
contagious skin diseases, pediculosis or helminthic invasion- until complete recovery and re-testing;

Had direct contact, before going to the sanatorium, with patients:

measles;
rubella;
chickenpox;
Epidemic mumps (mumps);
Viral hepatitis.

The card is not issued to children living in areas where quarantine has been declared due to especially dangerous infectious diseases: plague, typified cholera or typhoid fever, anthrax, tularemia.

Challenging the refusal to issue a health resort card

Sometimes doctors, not wanting to take risks, refuse to issue a card to a child on the basis that he has a chronic disease in remission. If the parents do not agree with the conclusion of the district pediatrician, they can appeal his decision and demand the appointment of a medical commission. The conclusions of the commission should contain an updated diagnosis. Additionally, it is indicated in which area the child can undergo sanatorium treatment, the season in which it will be safe, which methods of sanatorium treatment should be excluded, and the recommended diet.

According to Order No. 256 of November 22, 2004 “On the procedure for medical selection and referral of patients to sanatorium-resort treatment”, section II - “On the procedure for medical selection and referral of children to sanatorium-resort treatment”, the need to refer a child to sanatorium-resort treatment is determined by the attending doctor and head of the department of a medical institution, and children eligible for state social assistance as a set social services, the attending physician and the VC of the medical institution at the place of residence with the obligatory execution of a certificate for obtaining a ticket for the child (to be provided at the place of demand) and a sanatorium card for children in the form No. resort card for kids).

You can issue a resort card for a child for children aged 4 to 17, taking into account indications and contraindications for the implementation of sanatorium treatment, the profile of the sanatorium, its climatic and natural features.

Referral of children to sanatorium treatment is carried out in the same manner as for adult patients.

When sending a child to a sanatorium-resort treatment, the following documents must be presented:

Sanatorium ticket;
health resort card for children (form 076/y-04);
compulsory policy health insurance (compulsory medical insurance policy);
analysis of feces for enterobiasis;
the conclusion of a dermatologist about the absence of contagious skin diseases;
a certificate from a pediatrician or an epidemiologist about the absence of contacts of the child with infectious patients at the place of residence, in kindergarten or school in the last 21 days.

Before sending a child to a spa treatment, the attending physician organizes a complete clinical and laboratory examination, depending on the nature of the disease, as well as sanitation chronic foci infections, antihelminthic or antigiardia treatment. In the absence of contraindications for the implementation of sanatorium treatment for the child, a medical certificate of form No. If parents or authorized adults are sent to the sanatorium for children as accompanying persons together with the children, then when determining the profile health resort organization(RMS) should take into account not only the child's illness, but also the absence of contraindications ( negative impact natural and climatic factors) for sanatorium treatment for persons accompanying the child.

At the end of the sanatorium-resort treatment, the child is issued a return coupon of the sanatorium-resort card for presentation to the medical institution that issued the sanatorium-resort card, as well as a sanatorium book with data on the treatment performed in the North Kazakhstan region, its results and effectiveness, and other medical advice. This documentation is issued to parents or other persons accompanying the child.

Such a standard set medical events helps to choose the right COD profile, protect the child’s health from the impact of contraindicated natural and climatic factors of the COEX system, exclude the appointment of the child with the wrong resort pediatrics ( improper treatment in North Kazakhstan) and limit the threat of the spread of infections and epidemics carried by people arriving in North Kazakhstan from different regions of our country, near and far abroad.

Sanatorium-resort card for children (form 076 / y-04) - should reflect objective information about the state of health of the child, about the data of analyzes and the results of any previous treatment (outpatient, inpatient), about the data of laboratory, functional, radiological and other studies, as well as all indications and contraindications for the implementation of sanatorium treatment.

Short list medical contraindications, excluding the referral of children to sanatorium-and-spa treatment, includes:

1. All diseases in the acute period.

2. Transferred infectious diseases before the end of the isolation period.

3. Bacillus carrying diphtheria and intestinal infectious diseases.

4. Somatic diseases requiring inpatient treatment.

6. Amyloidosis of internal organs.

7. Seizures and their equivalents, mental retardation(except for specialized sanatoriums for children with cerebral palsy), pathological development individuals with severe behavioral disorders and social adaptation.

8. Presence in children concomitant diseases contraindicated for this resort or sanatorium.

9. Patients requiring individual constant care.

10. Malignant neoplasms, pernicious anemia, leukemia (except for specialized sanatoriums).

11. Mental illness.

12. Tuberculosis of the lungs and other organs (special instructions apply).

Sanatorium-resort treatment of children is one of the stages of pediatric care, which provides for continuity and continuity of treatment for different stages pediatric service - polyclinic, hospital, sanatorium. Considering latest achievements clinical and resort pediatrics, as well as modern ideas about mechanisms therapeutic effect physical and resort factors on the children's body, currently the list of indications and contraindications for the implementation of sanatorium-resort treatment of children, taking into account their age features greatly expanded.

Children's balneology uses the achievements of experimental and clinical balneology of adults and takes into account age, anatomical, physiological, functional and other features child's body. The issues of sanatorium treatment of children are becoming increasingly important due to the increase in the frequency allergic diseases, functional changes in the nervous and cardio - vascular systems, as well as the adverse effects of long-term drug therapy(at chronic diseases) on the child's body.

Several modes of sanatorium treatment and rehabilitation of children have been developed:

Sanatorium-resort treatment and rehabilitation of groups of children in school break;
rehabilitation treatment children with training in specially organized year-round schools (more often in basic subjects);
sanatorium treatment of preschoolers in groups without parents with a stay in a kindergarten;
family rehabilitation on trips "Mother and Child"; kursovka treatment on an outpatient basis.

To organize a holiday for the child, associated with quality treatment or with the process of healing the body, it is enough just to purchase a ticket to the sanatorium for the child. In the Russian Federation, there are this moment, both children's sanatoriums of a specialized nature, and children's sanatorium-resort institutions that operate within the framework of other institutions (for example, children's camps, hospitals or sanatoriums for adults). The trip of a child to a sanatorium and the organization of appropriate rest and treatment of a child is an event that requires preliminary preparation. Moreover, this preparation is a concern not only and, one might say, not even, how much of a child, how much of his parents.

We will dwell in more detail on one of the components of the preliminary preparation for a child's trip to a sanatorium and resort institution, namely, on documents. The main document required for registration for a child who will soon be sent to a sanatorium is a sanatorium card. Immediately, we note specifically that the health resort card for children differs from the health resort card for adults. These are different medical certificates, different forms, despite the fact that general purpose these documents are basically the same. A health resort card for children is a medical certificate 076/y, and a health resort card for adults is a completely independent medical certificate 072/y.

A voucher to a children's sanatorium-resort institution is possible on the basis of a benefit provided for a child or for one of his parents or guardians, it is also possible to purchase a voucher on a general basis with full or partial (trade union) payment for the cost of sanatorium-resort treatment and rehabilitation child. Regardless of how the voucher to the sanatorium for children was obtained, the availability of a medical certificate to the sanatorium for children remains mandatory. And this does not mean any medical certificates, but specifically a sanatorium card for children - a medical certificate 076 / y. This document, it must be said, directly relates to the process of sanatorium treatment of a child, and the process of summarizing its results, and assessing the child's health, as well as a number of other aspects.

The health resort card is an official document, and form 076 / y is a specific example of filling out and processing this document for a child. Medical certificates in our country traditionally have legal force and value only if they are correctly filled out, that is, they correspond to the declared official model.

Medical certificate 076 / y, as already mentioned, should already be ready by the time the child checks into the sanatorium. Parents should ensure that this document is prepared in advance. Form 076 / y must be ready no earlier than ten days before arrival. This is dictated by the fact that the official period of validity of a medical certificate to a sanatorium for children is exactly ten days from the date of issue. It would be ideal to ensure the preparation of a medical certificate to the sanatorium for children about a week before the immediate start of the sanatorium treatment.

Registration of a child's sanatorium card can be done, in fact, in any medical institution. However, it is best to do this in the district children's clinic. In this case, the health resort card will be issued free of charge. Another thing is that sometimes the citizens of our country prefer more comfortable conditions medical care than those that are usually offered in public health care facilities. This pushes parents to apply to private commercial clinics in order to obtain a child's health resort card. Finally, the registration of a child's sanatorium card can also be done in a sanatorium. True, this is practiced, it is worth emphasizing, not always.

Next we are in in general terms we denote the purpose that medical certificates of form 076 / y have. So, why is a medical certificate specifically used in practice for children's sanatorium? The child's health resort card is the main and, by and large, the only evidence that he has no contraindications to staying in a health resort, combined with a source for displaying detailed data on the child's health and recommendations for organizing a child's health resort treatment (or health improvement program). ).

Undoubtedly, one of the main types of data reflected in the medical certificate form 076 / y is an indication of the main diagnosis of the child. It is characteristic that the official registration of a child's sanatorium card does not imply a mandatory indication of the diagnosis in verbal form. This does not mean that you can not indicate the main diagnosis at all, especially if it is clearly established. This only means that the diagnosis within the medical certificate form 076 / y can be indicated in the form of a special code. Numerical and alphabetic codes of childhood diseases in our country are approved at the federal level. Thus, if the child's parents wish, the diagnosis can not be demonstrated clearly and clearly - by writing it in words. You can simply write down code that a non-specialist will simply not understand.

A medical certificate for a children's sanatorium, a sanatorium card for children of the form 076 / y, traditionally consists of two parts. One of them directly reflects all the information data mentioned above. The other part, called a tear-off coupon, has a slightly different purpose. The tear-off coupon should become, as expected, a reflection of the rationale and course of the child's sanatorium treatment. This part of the medical certificate to a sanatorium for children is called a tear-off coupon in the sense that it really should be further (at the end of the child's sanatorium treatment) separated from the main form and attached to the child's outpatient card. Plus, it is important that the medical certificate to the sanatorium for children can be examined at any time by the child's parents, doctors and other interested parties.

A medical certificate for a children's sanatorium is issued by a pediatrician after the child a comprehensive medical examination. This survey is quite versatile. However, its main goal is to find out if the child has any contraindications. Contraindications to sanatorium treatment for a child can be various diseases(for example, acute infections, inflammation, tuberculosis, heart disease, AIDS and HIV, as well as some others), certain conditions ( rehabilitation period special type, prosthetics, etc.), injuries. There may be other contraindications. In particular, contraindications may affect the child's stay in a certain sanatorium, in a certain area, etc. Often, a contraindication to the sanatorium treatment of a child on a general basis is a developmental delay, an illness suffered in childhood, psychological inferiority, etc.

When a medical certificate is issued for a children's sanatorium, the child is not only examined by doctors, but also blood, urine, and feces are analyzed. With this document, the health insurance policy of the child is usually submitted to the sanatorium, a vaccination card (more precisely and more specifically, a certificate preventive vaccinations), a copy of his birth certificate and, in fact, the voucher itself. Therefore, the parents of the child will have to think about all these documents in advance.

Let us also pay attention separately to the fact that a children's health resort card can be used not only for its intended purpose, but also indirectly. So, in particular, this document can be submitted as a replacement for a medical certificate for children's camp. At the same time, it should be remembered that health resort card child is valid for only three months, counting from the date of issue of the certificate. The preparation of a resort card is unlikely to take more than a few days (maximum one or one and a half working weeks). In addition, if the child's parents wish and some of their efforts, it is quite possible to limit one or two days.

The doctor who is directly related to the issuance of a medical certificate form 076 / y is, of course, a children's district pediatrician. It is at the district police officer in the district children's clinic at the place of residence of the child that it is easiest to prepare the document we are considering. In this case, everything will take place in the official standard way, according to the tradition adopted in our country and in accordance with the rules currently in force under Russian law. However, no one limits anyone in the ability to choose other options.

Is your child going to a nursing home? This means that he will have not only a fun and unforgettable vacation, but also an amendment and strengthening of health within the framework of sanatorium-resort conditions.

But to get permits a number of important procedures should be performed, namely, the child will need to pass the necessary tests.

In the sanatorium-resort card of the child must be indicated following results analyzes:

General blood analysis;

General clinical analysis urine;

Analysis of feces for eggworm;

Scraping for enterobiasis;

You can take all the above tests at the Central Research Institute CMD at any time. convenient time, without queues and long waits for results. The analyzes will be ready the next day and, if desired, sent to the e-mail you specified.

A general or, in other words, a clinical blood test is the basis of all tests. Based on its results, it is possible to assess the work of the body as a whole, as well as to diagnose some inflammatory processes. A traditional blood test reveals the number and concentration of leukocytes and erythrocytes in the blood, determines the level of hemoglobin in the blood, ESR, and much more. At the request of the doctor, the study can indicate only the necessary indicators, or be fully expanded, indicating all blood parameters.

A general urine test helps to qualitatively assess the function of the kidneys and urinary system of the child. The transparency of urine, its smell, color and other organoleptic data may indicate certain health problems: are there inflammatory processes in the child’s body that do not yet manifest themselves, are there problems with the endocrine and cardiovascular systems etc.

Scraping for enterobiasis is the “easiest” study for children, as it does not require preparation and does not cause discomfort. This disease is caused by pinworms. Scraping for analysis is carried out using a simple cotton swab, which is moistened in saline or with a special adhesive tape.

The health resort card is, first of all, a document about the health of your child. Failure to comply with the requirements specified in it will create an additional risk, and this is unacceptable, both in relation to the child and the people around him.

Trust medical research professionals!

On the site www.cmd-online.ru you will find a lot of information you are interested in about all the analyzes required for processing children's documents to a health institution, performed at the Central Research Institute CMD.

Despite the growing popularity of foreign holidays, there are still patriots who prefer to relax in Russian sanatoriums. However, getting to such a resort is not as easy as we would like. To begin with, you will have to buy a ticket and take a medical opinion from your therapist.

What is a health resort card

Alas, avoid going to the clinic will not work. The sanatorium card is a special medical certificate established sample necessary for a holiday at the resort. Without it, your ticket will be invalid, it is required regardless of the specialization of the institution. Even if the sanatorium is a general health resort, you will have to undergo an examination and get a document from a specialist who observes you.

The therapist will prescribe recommendations, contraindications, if any, fill out all the necessary paperwork. It remains only to check the correctness of filling, collect things and wait for the right hour. After the spa stay, you will receive an exchange card filled in by the health facility, which will need to be returned to the clinic for attachment.

Sanatorium-resort card - how to apply at the clinic

You can pass a medical examination in any district clinic, not necessarily at the place of residence, and not in a specialized hospital, as a sanitary minimum. To issue a spa card, you need to visit a therapist, explain what kind of form you need. The doctor will conduct an examination, write out referrals depending on the diagnosis for everything necessary examinations, and after passing a small commission, he will fill out the documents. Pregnant women may additionally require a maternity card and other documents about the course of pregnancy.

What you need for a spa card

Going to the clinic, do not forget to bring personal documents (passport and medical insurance policy). For a spa card, you need to take them to get a coupon for a visit to the doctor. If you are going to undergo a commission on the territory of the sanatorium, check in advance whether it is possible to obtain the necessary certificate so as not to waste precious time solving issues and looking for specialists in last moment. Not all sanatoriums conduct surveys on their territory, so it’s better to find out everything in advance so that you don’t “sit in a puddle” later.

Form of sanatorium-resort card

When all important examinations passed, and the results of the tests are received, you will have to visit your doctor again. Based on the data received, he will personally fill in the form of the sanatorium-resort card form 072 / y-04. You can take an example of filling out the form in any medical institution or download on the site. It is important to correctly make a sanatorium card, which indicates all the information about the patient, the sanatorium where the patient is sent:

details of the institution responsible for issuing the document;
Full name, position, specialty of the doctor to whom the form is issued;
Full name, date of birth, profession, place of work of the patient;
OMS and SNILS number;
place of residence;
outpatient card number;
data on the presence or absence of disability and the need for accompaniment;
benefit notes;
doctor's recommendations.

Information from reverse side(return coupon) is filled out directly by the institution where you received treatment. The certificate must necessarily be signed by the doctor, members of the commission and a “live” round seal, without them your form will be invalid, and the money spent on buying a ticket will be thrown away. It is unlikely that such a prospect will suit you.

Analyzes for a health resort card for an adult

To get a conclusion, you will have to strain a little and walk through the offices, because a sanatorium-and-spa book cannot be issued without an examination. In addition to the usual bypass, it is necessary to pass tests for a sanatorium card, but do not forget that the validity of the tests is short, do not delay a visit to a therapist. You will need to do:

Analysis of urine;
sugar analysis;
general blood analysis;
cardiogram;
fluorography;
visit some narrow specialists;
request a certificate from the gynecologist in the antenatal clinic.

Many are not attracted by the prospect of going to hospitals, cursing in queues and waiting half a day for the necessary papers. In this case, you can contact private clinics and undergo examinations with paid doctors. This method is faster and safer, but, alas, more expensive. Here it is necessary to choose according to the possibilities. In any case, the results of the studies must be collected and provided to the therapist for a conclusion.

Health resort card for children

In order to general strengthening health, children are often sent to sanatoriums. A voucher for a child can be issued on the recommendation of a local therapist in the presence of chronic diseases. The main thing is that the disease should not be in acute stage at the time of the trip, and the diagnosis was accurate. If a minor who is registered goes on vacation, then a sanatorium-and-spa card for children is filled in by a specific specialist.

The list of studies required to obtain a conclusion for children is similar to what you read above for adults. True, sometimes scrapings are additionally prescribed for enterobiasis and related types of research. AT rare cases doctor may prescribe special examination based on the diagnosis. For girls, a certificate from a gynecologist may be required.

Comments recording Sanatorium-resort card for children (form 076/у-04) disabled

A sanatorium card for children is necessary so that their health in the sanatorium improves, and does not deteriorate! The sanatorium-resort card for children reflects all indications and contraindications for treatment in sanatorium-resort conditions. In order for the spa treatment to benefit the health of the child, it must take into account all the indications and contraindications. This allows you to evaluate a special document - a health resort card for children (form 076 / y-04).

According to Order No. 256 of November 22, 2004 "On the procedure for medical selection and referral of patients to sanatorium-resort treatment", section II - "On the procedure for medical selection and referral of children to sanatorium-resort treatment", the need to refer a child to sanatorium-resort treatment is determined by the attending doctor and head of the department of a medical institution, and children entitled to receive state social assistance in the form of a set of social services, by the attending physician and VC of a medical institution at the place of residence with the obligatory execution of a certificate for obtaining a ticket for a child (for provision at the place requirements) and a sanatorium card for children in the form No. 076 / y-04 (hereinafter referred to as the sanatorium card for children).

Health resort card for children (Form 076/y-04) filled in for children aged 4 to 17 years, taking into account indications and contraindications for the implementation of sanatorium treatment, the profile of the sanatorium, its climatic and natural features.

Referral of children to sanatorium treatment is carried out in the same manner as for adult patients.

When sending a child to a sanatorium-resort treatment, the following documents must be presented:

sanatorium ticket;
health resort card for children (form 076/y-04);
compulsory medical insurance policy (compulsory health insurance policy);
analysis of feces for enterobiasis;
the conclusion of a dermatologist about the absence of contagious skin diseases;
a certificate from a pediatrician or epidemiologist about the absence of contact between the child and infectious patients at the place of residence, in kindergarten or school for the last 21 days.

Before sending a child to a spa treatment, the attending physician organizes a complete clinical and laboratory examination depending on the nature of the disease, as well as the rehabilitation of chronic foci of infection, antihelminthic or antigiardia treatment. In the absence of contraindications for the implementation of sanatorium treatment for the child, a medical certificate of form No. If parents or authorized adults are sent to a sanatorium for children as accompanying persons together with children, then when determining the profile of a sanatorium-resort organization (SKO), not only the child’s illness should be taken into account, but also the absence of contraindications (negative impact of natural and climatic factors) for sanatorium - spa treatment for persons accompanying the child.

At the end of the sanatorium-resort treatment, the child is issued a return coupon of the sanatorium-resort card for presentation to the medical institution that issued the sanatorium-resort card, as well as a sanatorium book with data on the treatment performed in the North Kazakhstan region, its results and effectiveness, and other medical recommendations. This documentation is issued to parents or other persons accompanying the child.

Such standard kit medical measures helps to choose the right profile of the North Kazakhstan region, protect the child’s health from the impact of contraindicated natural and climatic factors of the North Kazakhstan region, exclude the appointment of the child with the wrong resort pediatrics (wrong treatment in the North Kazakhstan region) and limit the threat of the spread of infections and epidemics carried by people arriving in the North Kazakhstan region from different regions of our countries, near and far abroad.

Sanatorium and resort card for children (form 076 / y-04)- should reflect objective information about the state of health of the child, about the data of analyzes and the results of any previous treatment (outpatient, inpatient), about the data of laboratory, functional, radiological and other studies, as well as all indications and contraindications for the implementation of sanatorium treatment.

A short list of medical contraindications, excluding the referral of children to sanatorium-and-spa treatment, includes:

1. All diseases in the acute period.

2. Transferred infectious diseases before the end of the period of isolation.

3. Bacillus carrying diphtheria and intestinal infectious diseases.

4. Somatic diseases requiring treatment in a hospital.

6. Amyloidosis of internal organs.

7. Convulsive seizures and their equivalents, mental retardation (except for specialized sanatoriums for children with cerebral palsy), pathological personality development with severe behavioral disorders and social adaptation.

8. The presence of concomitant diseases in children that are contraindicated for this resort or sanatorium.

9. Patients requiring individual constant care.

10. Malignant neoplasms, pernicious anemia, leukemia (except for specialized sanatoriums).

11. Mental illness.

12. Tuberculosis of the lungs and other organs (special instructions apply).

Sanatorium-resort treatment of children is one of the stages of pediatric care, which provides for the continuity and continuity of treatment at different stages of the pediatric service - a polyclinic, a hospital, a sanatorium. Taking into account the latest achievements of clinical and resort pediatrics, as well as modern ideas about the mechanisms of the therapeutic effect of physical and resort factors on the child's body, at present, the list of indications and contraindications for the implementation of sanatorium treatment of children, taking into account their age characteristics, has been significantly expanded.

Children's balneology uses the achievements of experimental and clinical balneology of adults and takes into account the age, anatomical, physiological, functional and other characteristics of the child's body. The issues of sanatorium treatment of children are becoming increasingly important due to the increase in the frequency of allergic diseases, functional changes in the nervous and cardiovascular systems, as well as the adverse effects of long-term drug therapy (for chronic diseases) on the child's body.

Several modes of sanatorium treatment and rehabilitation of children have been developed:

sanatorium treatment and rehabilitation of groups of children during school holidays;
rehabilitation treatment of children with training in specially organized year-round schools (more often in basic subjects);
sanatorium treatment of preschoolers in groups without parents with a stay in a kindergarten;
family rehabilitation on trips "Mother and Child"; kursovka treatment on an outpatient basis.

To organize a vacation for a child, associated with high-quality treatment or with the process of healing the body, it is enough just to purchase a ticket to a sanatorium for the child. In the Russian Federation, there are currently both children's sanatoriums of a specialized nature, and children's sanatorium-resort institutions that operate within the framework of other institutions (for example, children's camps, hospitals or sanatoriums for adults). The trip of a child to a sanatorium and the organization of appropriate rest and treatment of a child is an event that requires preliminary preparation. Moreover, this preparation is a concern not only and, one might say, not even, how much of a child, how much of his parents.

We will dwell in more detail on one of the components of the preliminary preparation for a child's trip to a sanatorium and resort institution, namely, on documents. The main document required for registration for a child who is going to a sanatorium in the near future is a sanatorium card. Immediately, we note specifically that the health resort card for children differs from the health resort card for adults. These are different medical certificates, different forms, despite the fact that the general purpose of these documents is basically the same. A health resort card for children is a medical certificate 076/y, and a health resort card for adults is a completely independent medical certificate 072/y.

Registration of a child's sanatorium card can be done, in fact, in any medical institution. However, it is best to do this in the district children's clinic. In this case, the health resort card will be issued free of charge. Another thing is that sometimes the citizens of our country prefer more comfortable conditions for medical care than those that are usually offered in public medical institutions. This pushes parents to apply to private commercial clinics in order to obtain a child's health resort card. Finally, the registration of a child's sanatorium card can also be done in a sanatorium. True, this is practiced, it is worth emphasizing, not always.

Next, we will outline in general terms the purpose that medical certificates of form 076 / y have. So, why is a medical certificate for a children's sanatorium specifically used in practice? The child's health resort card is the main and, by and large, the only evidence that he has no contraindications to staying in a health resort, combined with a source for displaying detailed data on the child's health and recommendations for organizing a child's health resort treatment (or health improvement program). ).

A medical certificate for a children's sanatorium is issued by a pediatrician after baby will pass comprehensive medical examination. This survey is quite versatile. However, its main goal is to find out if the child has any contraindications. Contraindications to spa treatment for a child can be various diseases (for example, acute infections, inflammation, tuberculosis, heart disease, AIDS and HIV, as well as some others), certain conditions (a special type of rehabilitation period, prosthetics, etc.) , injury. There may be other contraindications. In particular, contraindications may affect the child's stay in a certain sanatorium, in a certain area, etc. Often, a contraindication to the sanatorium treatment of a child on a general basis is a developmental delay, an illness suffered in childhood, psychological inferiority, etc.

When a medical certificate is issued for a children's sanatorium, the child is not only examined by doctors, but also blood, urine, and feces are analyzed. With this document, the health insurance policy of the child, a vaccination card (more precisely and more specifically, a certificate of preventive vaccinations), a copy of his birth certificate and, in fact, the voucher itself, are usually submitted to the sanatorium. Therefore, the parents of the child will have to think about all these documents in advance.

Let us also pay attention separately to the fact that a children's health resort card can be used not only for its intended purpose, but also indirectly. So, in particular, this document can be submitted as a replacement for a medical certificate for a children's camp. At the same time, it is worth remembering that the child's sanatorium card is valid only for three months, counting from the date of issue of the certificate. The preparation of a resort card is unlikely to take more than a few days (maximum one or one and a half working weeks). In addition, if the child's parents wish and some of their efforts, it is quite possible to limit one or two days.

Very often features medical examination child in the framework of preparing a children's health resort card for him are determined by the type of health resort institution the child is sent to. The profile of the sanatorium, the proposed treatment program for the child, the duration of the sanatorium treatment, as well as many other factors play a role. However, one can also speak with confidence about a kind of average minimum, which concerns the medical examination of absolutely all children when applying for a sanatorium-and-spa card form 076 / y.

This, as we have already said, is a consultation of a pediatrician. This holding general analysis blood, as well as a urine test, a fecal test for worms and enterobiasis, an electrocardiogram of a child, plus this is also the conclusion of a dermatologist. The pediatrician analyzes, among other things, the data recorded in the child's outpatient medical record. It turns out that the analysis of the contents of an outpatient medical record from a polyclinic or from a first-aid post when educational institution, which the child constantly goes to, is also one of the components of the child's medical examination for the purpose of issuing a health resort card.

In some cases, before going to a sanatorium, a child is required to undergo an additional or routine vaccination. Parents now, in contrast to the Soviet era, differently perceive this kind of requirements on the part of employees of sanatorium-and-spa institutions. The positions of both sides are, by and large, clear. However, in general it can be argued that less problems available in organizational terms for those children who have fully completed the necessary planned and additional vaccinations when preparing the resort card.

The value of the medical certificate form 076 / y is very, very large, if we do not forget that the sanatorium card for children is, first of all, a document about health, and about the health of the child. Negligent attitude to this document creates an additional risk for the child, which is completely unacceptable in our society!