What is dispensary. What is a medical examination Visiting a therapist and general tests

Content

People who consider themselves healthy are not always so. Diseases that can be dealt with at an early stage are determined in an advanced form, it is difficult, and sometimes impossible, to cure them. Clinical examination - a preventive medical examination of the population - helps in the timely diagnosis of serious pathologies. What features does this service have in 2019, what does it include? To maintain health, it is useful to know the types of examinations, tests, the procedure for passing.

What is dispensary

The Ministry of Health of the Russian Federation, having studied the incidence statistics for the country, in 2013 decided on a planned medical examination of the entire population. Clinical examination is a free service provided by polyclinics, an easy way to find out the state of your health. Medical checkup:

  • is carried out voluntarily;
  • covers all groups of adults, starting from the age of 21, children from the moment of birth;
  • carried out at the place of residence;
  • requires the presentation of a compulsory medical insurance policy - compulsory medical insurance, a passport.

In order to undergo a medical examination in 2018 at the polyclinic, it is necessary to find out which year of birth patients should take part in it. There is a special schedule of scheduled inspections. For each age group, it is stipulated which procedures are included in the survey. The task of dispensary medical examination of adults is the timely detection of diseases in patients that affect mortality, and the beginning of their treatment. These include:

  • diseases of the heart, blood vessels, lungs;
  • oncological pathologies;
  • chronic non-communicable diseases;
  • diseases of the endocrine system;
  • diabetes.

No less important in 2018 is the dispensary examination of the child, which is carried out according to its own schedule, starting with those born in 2001. A list of specialists to be visited has been agreed. Children undergo a medical examination in a polyclinic, kindergarten:

  • up to a year– monthly;
  • from 1 to 2 years- quarterly;
  • two to three- semiannually;
  • 6-7, 10, 14-15, 16-17 years old- annually.

Schedule by year of birth

Free medical examination of the population helps the patient save significant amounts on medical research. The state allocates huge funds so that Russian citizens can undergo early diagnosis of dangerous diseases. To make the load on medical institutions even, a special schedule for medical examinations has been proposed. To determine the duration of the visit to the clinic, you can:

  • clarify the schedule on the website of any medical institution providing such a service;
  • divide your age by 3, if the result is without a trace, you should do an examination.

In 2018, adult patients and children born during the period, including the start and end dates, must undergo a dispensary examination:

Period, years

Year of birth

adults

from 1919 to 1937

1922, 1925, 1928, 1931,1934

from 1940 to 1958

1943, 1946, 1949, 1952, 1955

from 1961 to 1979

1964, 1967, 1970, 1973, 1976

from 1982 to 2000

1985, 1988, 1994, 1997

from 2001 to 2017

from 2001 to 2004, inclusive

Objectives of the

Timely diagnosis helps to facilitate the treatment process, prolong the patient's life. The task of conducting a dispensary medical examination in 2018 throughout the country is to identify the state of health of the population. As a result of surveys, the health system:

  • has information about the spread of diseases;
  • identifies risk factors leading to chronic pathologies;
  • adjusts the methods that are included in the plans for regular surveys of the population.

The goals of dispensary medical examinations in adults:

  • early diagnosis of chronic diseases - the causes of threats to life, disability, premature death;
  • in-depth examination by specialists of a narrow profile;
  • determination of preventive measures;
  • appointment of treatment, rehabilitation procedures;
  • consultation of patients at risk;
  • dispensary registration;
  • increasing life expectancy, improving its quality.

Clinical examination focuses on diseases that often lead to serious consequences. Regular examinations help maintain and maintain the health of the citizens of the country. The list of pathologies that are studied during a medical examination includes:

  • diseases of the nervous, cardiovascular system;
  • diabetes;
  • glaucoma;
  • pulmonary insufficiency;
  • malignant neoplasms;
  • chronic diseases of non-infectious etiology;
  • diseases of the endocrine system.

The tasks of the dispensary medical examination in 2018 in children are different. The objectives of the event include:

  • strengthening, maintaining health;
  • improvement of mental, physical development;
  • organization of social adaptation;
  • ensuring hormonal development;
  • detection of pathologies at an early stage;
  • timely treatment;
  • preventive measures to exclude complications, progression of the disease, the onset of disability.

Changes in the program of universal medical examination in 2018

The Ministry of Health of the Russian Federation, on the basis of statistical data, regularly adjusts the activities included in the list of necessary examinations during preventive dispensary medical examinations. Due to the lack of the required equipment in medical institutions, low information content, in 2018 the following were excluded:

  • general blood analysis;
  • ultrasound procedure;
  • Analysis of urine.

As a result of high mortality from cardiovascular pathologies, cancer diseases, during the medical examination in 2018, the range of examinations was expanded, which includes with a frequency of once every two years:

Stages

A preventive medical examination begins with a visit to a general practitioner who collects an anamnesis and conducts a patient survey. A person receives a route sheet, where all the examinations that need to be passed are marked. The patient is given a form of a health passport, which is filled in by specialists of a narrow profile. The list of doctors who need to be visited, taking into account the age of the subject and the state of health, includes:

  • endocrinologist;
  • cardiologist;
  • dentist;
  • ophthalmologist;
  • gynecologist;
  • mammologist;
  • urologist;
  • neuropathologist.

The therapist receives the conclusions of narrow specialists, the results of tests, examinations. According to the results of the first stage of preventive medical examination:

  • evaluates the patient's condition;
  • gives preventive advice;
  • sets the health group;
  • makes suggestions for treatment;
  • issues a passport when examinations are successfully completed.

Preventive medical examination proceeds to the second stage if the patient has:

  • increased intraocular pressure;
  • deviations in blood counts;
  • ECG changes;
  • pathology of the nervous system;
  • the likelihood of developing neoplasms;
  • deviations of the functions of the organs of the genitourinary system of men and women;
  • the risk of developing a heart attack, vascular pathologies.

Additional clinical examination includes an in-depth examination of patients by narrow specialists using special hardware techniques, laboratory tests. At the second stage, consultations of doctors are prescribed:

  • oncologist;
  • proctologist;
  • surgeon
  • coloproctologist;
  • otorhinolaryngologist;
  • ophthalmologist;
  • neurologist;
  • gynecologist;
  • urologist;
  • mammologist.

What examinations are included in the medical examination 2018

The medical examination begins with a visit to the therapist, who, together with the patient, fills out a questionnaire. He determines which doctors undergo medical examinations in accordance with age, makes notes in the route map about the necessary examinations. The doctor, through a survey, identifies risk factors for the development of chronic diseases:

  • the presence of a hereditary predisposition;
  • physical activity;
  • diet;
  • use of alcohol, drugs;
  • smoking;
  • the presence of symptoms of pathologies.

The dispensary medical examination 2018 includes examinations and procedures that are mandatory for all, taking into account the age of the patient:

  • blood test for sugar, cholesterol;
  • electrocardiogram;
  • fluorographic examination of the lungs;
  • smear of the cervical mucosa for women;
  • mammography of the mammary glands;
  • analysis of feces for occult blood;
  • examination by a gynecologist;
  • appointment with a neurologist;
  • determination of intraocular pressure.

Visiting a therapist and general tests

To undergo a medical examination in a polyclinic, the patient first goes to a general practitioner. The therapist invites him to fill out a special questionnaire, which fixes the factors that provoke the development of chronic ailments, predisposition to them. At the initial examination:

  • blood pressure is measured;
  • body weight, height are determined;
  • referrals for mandatory tests and examinations are given.

According to the results of the first stage of medical examination, the therapist:

  • summarizes the results of the medical examination;
  • sets the patient's health group;
  • gives recommendations on preventive measures;
  • if necessary, sends for an in-depth examination by narrow specialists - an oncologist, urologist, surgeon;
  • appoints therapeutic measures;
  • fills in the statistical form and the patient's health passport.

Referral to a neurologist

A visit to this specialist during medical examination is necessary after 51 years. The therapist may send the patient for an examination by a neurologist if indicated. The mandatory consultation includes checking:

  • memory, thinking by solving problems, memorizing pictures;
  • spatial sensations - performing actions with closed eyes;
  • sensitivity by tingling;
  • facial expressions;
  • eye movements;
  • turning the head;
  • coordination of movements with closed, open eyes.

To clarify the diagnosis, the neurologist may prescribe additional hardware and laboratory tests:

  • encephalography– determination of brain activity;
  • electroneuromyography– study of peripheral nerves;
  • x-ray– examination of the skull, brain;
  • computed tomography– detailed acquaintance with small defects;
  • dopplerography- determination of the blood flow velocity in the cerebral vessels;
  • magnetic resonance imaging– study of the work of the cerebral cortex;
  • blood test for proteins, hormones– detection of infectious lesions of the nervous system.

Gynecologist and mammologist for women

Reproductive health issues are a priority, so women should visit a gynecologist every year. During the medical examination, a survey and examination of patients is carried out, a smear is taken, palpation of the mammary glands is performed to identify pathologies. The doctor for the detection of diseases of the female genital organs finds out:

  • the beginning of the menstrual cycle;
  • its duration, the nature of the course;
  • the beginning of sexual activity;
  • use of oral contraceptives;
  • regularity of sexual intercourse;
  • the presence of pregnancies, childbirth, abortions.

Breast cancer is widespread in women, but with early diagnosis it is successfully treated, therefore, the clinical examination includes a mammological examination - an x-ray of the mammary glands. If changes are detected, a woman is sent for a consultation with a mammologist, who diagnoses diseases of the mammary glands, sends her for treatment or surgery. The doctor reveals:

  • benign, malignant neoplasms;
  • hereditary pathologies;
  • hormonal disorders that provoke ailments;
  • inflammatory processes in the chest - mastitis.

ECG for men over 36 years old

The rhythms of modern life, constant stress, bad ecology and bad habits have led to an increase in the number of young men who have problems with the work of the heart and blood vessels. The Ministry of Health of the Russian Federation decided to conduct an ECG as part of the medical examination in 2018. The results of the examination are deciphered by the doctor. The check includes the definition in men after 36 years of age:

  • rhythm regularity;
  • heart size;
  • blood supply;
  • heart rate;
  • the presence and nature of the teeth, their polarity, size, height.

Conducting an ECG during a medical examination helps to assess the state of the cardiovascular system and make a decision on an in-depth examination, treatment appointment. The technique helps to identify in young men:

  • myocardial infarction;
  • ischemic heart disease;
  • tachycardia;
  • bradycardia;
  • heart aneurysm;
  • ventricular hypertrophy;
  • extrasystole;
  • myocarditis;
  • pericarditis;
  • myocardial dystrophy;
  • thromboembolism of the pulmonary artery.

Features of complex diagnostics depending on age

In addition to mandatory studies, during the medical examination in 2018, special measures are prescribed that are necessary for patients at risk. The information was collected on the basis of statistical information about the state of health of the population of the country. Given the age, it is additionally included in the medical examination of an adult:

When undergoing medical examination, doctors prescribe additional diagnostic procedures, taking into account the age of the patient:

Type of study

Identification of the disease

Age, years

Feces for occult blood

colon cancer

abdominal ultrasound

Gastritis, stones, neoplasms

Determination of the level of prostate-specific antigen

Prostate cancer

Visiting a neurologist

Brain damage

Examination by a mammologist

Neoplasms in the mammary gland

Cardiac pathologies

men after 36

women - from 45

What tests are taken during the medical examination in 2018

To identify diseases during a dispensary medical examination, mandatory laboratory tests are carried out. The list includes a blood test, which helps to identify the development of inflammatory processes, chronic diseases. With its help determine the content:

  • total cholesterol;
  • glucose;
  • alanine aminotransaminase;
  • creatinine level;
  • total bilirubin;
  • aspartate aminotransaminase.

Conducting laboratory tests helps to identify dangerous diseases with high accuracy at the onset of development, to take measures to restore the patient's health. During the medical examination 2018, the list of mandatory tests includes:

  • feces for occult blood - excludes the appearance of malignant neoplasms of the rectum;
  • cytological examination of a smear from the cervix in all women under 70 years of age - early diagnosis of cancerous tumors.

How is the health group determined by the results of screening

After conducting examinations during the 2018 medical examination, doctors assign patients. This is a symbol that is necessary for the subsequent analysis of the human condition, the appointment of therapeutic, preventive procedures. Adults are divided into three groups. The first one is characterized by:

  • absence of chronic diseases;
  • maintaining a healthy lifestyle;
  • rare ailments, colds;
  • slight fluctuations in blood pressure.

The second group of health, as a rule, includes middle-aged patients, pensioners, who are characterized by:

  • chronic diseases without complications;
  • bad habits - smoking, drinking alcohol;
  • improperly organized nutrition;
  • limited physical activity;
  • tendency to develop diabetes mellitus, pathologies of the heart, blood vessels.

According to the results of the medical examination in 2018, the third health group includes patients:

  • requiring constant supervision of specialists;
  • having pathologies that worsen the quality of life;
  • suffering from serious illnesses;
  • having a disability group with partial or complete disability;
  • facing recurrent exacerbations of chronic diseases.

During the medical examination of children in 2018, 5 health groups are distinguished, depending on the general condition of the patient, the presence of chronic ailments:

  • first– absence of problems with physical, mental health, normal functioning of all organs;
  • second- there are no chronic diseases, there is a decrease in immunity, functional disorders, overweight, developmental delay, underweight, visual impairment.

The following health groups include children with more severe problems:

  • third- chronic pathologies in remission, growth retardation, body weight deviations, psychological development lag;
  • fourth- exacerbation of chronic ailments, the consequences of trauma operations, the presence of restrictions in study;
  • fifth- severe illnesses with frequent attacks, complications, physical developmental defects, organ dysfunctions, disability.

Health passport with examination results

When a patient undergoes a medical examination in 2018, in addition to an outpatient card, a route sheet, he has one more document in his hands. Health passport - the conclusion of all specialists on the results of examinations. It, along with the medical record, is filled in by each doctor whose patient has been examined. The document includes:

  • personal data;
  • CHI insurance policy number;
  • belonging to a health group;
  • recommendations of narrow specialists.

After passing the medical examination, the health passport is handed over to the patient until the next medical examination. The therapist enters into the document:

  • blood pressure indicators;
  • heart rate;
  • test results;
  • anthropometric data - height, weight;
  • recommendations on lifestyle, disease prevention;
  • appointment of additional treatment.

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Clinical examination 2018, which is included in the survey of the population in the new year

The dispensary complex of events is carried out for citizens aged 21 years and over. This procedure must be carried out every 3 years in order to be sure of the favorable state of one's health and in case of detection of any diseases, immediately take appropriate measures. About what years of birth fall on the medical examination in 2018-2019, read in this article.

Who is expected to be examined in 2018-2019?

Clinical examination is regulated by the Federal Law of November 21, 2011 No. 323-FZ. At the same time, it is carried out voluntarily and free of charge on the basis of the CHI policy. The main task is to identify pathological, acute and chronic diseases, as well as to prevent their development and prevention.

To fulfill their obligations to protect the health of the population and the full coverage of Russian citizens, medical organizations draw up plans for clinical examination, guided by regulatory legal acts. The years of birth of citizens who must undergo a set of medical measures in 2018 and 2019 are presented in the table below.

Table - Years subject to medical examination in 2018-2019

2018
2019
1916, 1919, 1922, 1925, 1928, 1931, 1934, 1937, 1940, 1943, 1946, 1949, 1952, 1955, 1958, 1961, 1964, 1967, 1970, 1973, 1976, 1979, 1982, 1985, 1988, 1991, 1994, 1997
1917, 1920, 1923, 1926, 1929, 1932, 1935, 1938, 1941, 1944, 1947, 1950, 1953, 1956, 1959, 1962, 1965, 1968, 1971, 1974, 1977, 1980, 1983, 1986, 1989, 1992, 1995, 1998

The establishment of age thresholds for medical examinations is due to the fact that, according to statistics and the results of medical practice, it is at a certain age that the risk of a particular disease appears. The procedure under consideration is just designed to identify such a disease at an early stage.

What is included in the procedure?

It is best to start passing the required examinations at the beginning of the year, that is, from January, because, according to statistics, the largest number of citizens come to polyclinics for this purpose towards the end of the year, which creates queues and does not guarantee a fast pace of passing all the necessary specialists. The procedure takes place in stages: first, the general state of health is determined, and then a deeper observation is carried out (if diseases are detected at the first stage).

To undergo an examination, a citizen should go to the hospital at the place of permanent residence. After that, you need to fill out a special form containing basic information about the state of health and lifestyle. Based on the information received, an initial examination will be scheduled. In case of detection of pathological and acute conditions - additional. The primary examination includes a number of medical studies aimed at identifying general health indicators:

  • Blood composition (general, for HIV infection, biochemical);
  • Identification of pathologies of urine and feces;
  • Electrocardiogram;
  • Fluorography;
  • Gynecological examination (for women).

At a more mature age, in addition to the above, additional studies are carried out. This is due to the fact that the risks of a certain group of diseases are much higher at a specified age threshold. Thus, citizens after 39 years of age will have to undergo the following examinations:

  • Fecal analysis (for the presence of blood);
  • Urological examination (for men);
  • Mammological examination (for women);
  • Ultrasound of the digestive organs;
  • Examination of vision (definition of violations, the presence of farsightedness or myopia, if necessary - the selection of glasses or contact lenses);
  • An examination aimed at identifying circulatory disorders.

The results of the examinations are entered into the patient's medical outpatient book and analyzed by the responsible doctor (therapist, paramedic), who, as a result, can prescribe some preventive measures or write out a referral for an in-depth examination, refer to a narrow specialist.

Clinical examination, sometimes called screening, is a whole range of diagnostic measures and examinations that allow you to identify pathologies at an early stage and, thereby, protect against complications and, often, early death.

In 2015, the Russian Ministry of Health issued Decree No. 36an, according to which the general population got the opportunity to undergo medical examination absolutely free of charge once every 3 years on a voluntary basis. The exact list of doctors and diagnostic procedures is listed in the supplement to the order, no "liberties" on the part of polyclinics are allowed. In other words, they cannot refuse to do the prescribed procedures for free in polyclinics.

Those people who wish to undergo medical examination in 2018 should know which years of birth are involved in it. This procedure is available to anyone over the age of 21, whether they work or not. The next inpatient examination is possible only after 3 years, after receiving an extract.

To understand if your year of birth is suitable for medical examination in 2018, mentally divide the age by 3, if there is no balance, then you are suitable. The only condition is the age of 21 years.

So, these are citizens born in 1916, 1919, 1922, 1925, 1928, 1931, 1934, 1937, 1940, 1943, 1946, 1949, 1952, 1955, 1958, 1961, 1964, 1967, 1970, 1970, 1970, 1970, 1970, 1970 , 1982, 1985, 1988, 1991, 1994, 1997.

You can download from our website about the approval of the procedure for conducting medical examinations for certain groups of the adult population.

The rules for medical examination for children are completely different than for adults. By order of the Ministry of Health of the Russian Federation No. 1346n of 2012, clinical examination is mandatory for all children and must be carried out annually. When a child reaches the age of 1, 3, 6, 7, 10, 14, 15, 16, 17 years, the medical examination is in-depth.

Children of the following years of birth will undergo in-depth medical examination: 2001, 2002, 2003, 2004, 2008, 2011, 2012, 2015, 2017.

In addition, the same law regulates scheduled examinations of the child by a doctor, which must be monthly until the age of one, once every 3 months up to 2 years, and once every six months up to 3 years.

Why do you need dispensary

Let us turn to the statistics on the causes of mortality in Russia, which speak very eloquently:

Clinical examination helps to detect many dangerous diseases in the initial stages and prevent the occurrence of others. These include:

  • oncological diseases;
  • vascular and heart diseases;
  • diabetes;
  • lung diseases.

These diseases are the cause of death in more than 70% of cases. In addition, clinical examination helps to identify factors that indicate these diseases, which means that they can be prevented in time. This can extend the patient's life by ten years.

Moreover, many of the diseases appear long before old age, and initially there are no special symptoms or they are not paid attention to.

Most of the deviations at the initial stage helps to detect medical examination, and if it is carried out, as expected, once every 3 years, then the risk of early mortality is greatly reduced. For those who will undergo medical examination in 2018, the next time a comprehensive examination will take place only in 2021.

First of all, we are talking about such pathologies:

  • oncological diseases;
  • vascular and heart diseases;
  • diabetes;
  • lung diseases.

These diseases are the cause of death in more than 70% of cases. In addition, clinical examination helps to identify factors that indicate these diseases, which means that they can be prevented in time. This can extend the patient's life by decades.

It is worth noting that the procedure is carried out not only to detect diseases in the early stages, but also to receive a full preventive consultation for people who have risk factors or a genetic predisposition to heart disease. The risks include the following:

  • increased blood pressure;
  • the level of sugar or cholesterol in the blood is exceeded;
  • lack of physical activity;
  • the prevalence of unhealthy foods;
  • bad habits (smoking, alcoholism);
  • any degree of obesity.

Doctors not only must, but are also obliged to carry out explanatory work as part of medical examinations about the perniciousness of bad habits, the need to monitor blood pressure, lead an as active lifestyle as possible, etc.

Where and when is the medical examination in 2018?

The procedure is carried out in hospitals at the place of registration, no matter whether it is permanent or temporary. If you have a CHI policy, then all examinations and consultations will be free. The direction is issued in the presence of a passport and a policy. After the initial examination, if necessary, you will be assigned more detailed and complex studies, which will also be carried out at the expense of the state.

If you are working, then you don't have to worry. According to the legislation of the Russian Federation, the employer does not have the right to interfere with medical examination, and on the contrary, is obliged to provide the necessary conditions for its passage.

How does it go and how long does it take?

Comprehensive diagnostics consists of several stages, moreover, the second is not always necessary, it all depends on the health group to which you will be assigned after the initial examination.

  • During the first stage, a person is diagnosed with the presence of a disease and risk factors for their development. Also, tests are given for the use of narcotic or psychotropic drugs without a prescription. At this stage, you will have to make several visits to the clinic. The first one will take about 4-5 hours. The second time you will need to come in order to get the results of the tests. The doctor will study them and summarize: if they indicate the presence of a disease, then you will be sent to the second stage.
  • During the second stage, additional examinations are carried out to accurately determine the diagnosis. Consultations will be held with narrow specialists and, according to indications, other laboratory tests.

List of required procedures:

  1. Questioning the patient;
  2. Collection of anthropometric data (weight, height, etc.);
  3. Measurement of blood pressure;
  4. measurement of intraocular pressure (over 39 years);
  5. Cholesterol control;
  6. Rapid blood glucose test;
  7. Determination of relative (up to 39 years old) or absolute (over 40 years old) cardiovascular risk;
  8. electrocardiography;
  9. Fluorography;
  10. Mammography;
  11. Inspection of the uterus for women and taking a smear;
  12. Clinical blood test;
  13. Blood chemistry;
  14. General urine analysis;
  15. Analysis of feces;
  16. Ultrasound of the abdominal cavity and pelvic organs;
  17. Therapist's review.

After passing through all stages, citizens are divided into 3 health groups: Group I, or relatively healthy; Health group II, where people have a high risk of developing heart and vascular diseases; group III includes patients.

After determining the health group, the citizen is given a Health Passport, which will indicate the conclusion and general recommendations according to the studies. In 2018, any person who has a compulsory medical insurance policy can undergo a medical examination.

What to prepare with you?

On the appointed day, go to the selected clinic. Before this, you can not eat and do physical exercises. Take a jar of morning urine (about 150 ml) with you, hoping to pass it for examination within an hour and a half. If you are over 45, also prepare a stool test to check for occult blood. Men from 50 years of age undergo an examination of the prostate gland, so at least 7 days refrain from any impact on it. Please bring test results that are less than a year old. Everything that you will need to go through in stage 2 is assigned individually.

You can learn more about the conditions for passing and the terms of medical examination at the reception of the hospital where you plan to have the examination, from the local therapist or by calling the hotline.

If you want to undergo a medical examination in 2018, then first look at what years of birth can do this in a given period of time. Such a comprehensive diagnosis will help improve the quality of life, so do not put it off until later, remember - health is above all.

Clinical examination is a free medical service for citizens aged 18 years and older, in order to identify diseases in the early stages or risk factors that are the main causes of disability and premature death of the Russian population.

Clinical examination has been introduced in Russia since 2013 as part of the compulsory medical insurance program.

Medical examination, which is carried out every three years, can be done at the district clinic at the place of registration upon presentation of a passport and a compulsory medical insurance policy.

Medical examination in 2018 will be able to pass the citizens of Russia born in the following years: 1928, 1931, 1934, 1937, 1940, 1943, 1946, 1949, 1952, 1955, 1958, 1961, 1964, 1967, 1970, 1973, 1976, 1976 1982, 1985, 1988, 1991, 1997.

Clinical examination does not apply to persons included in special categories that are subject to medical supervision annually - children, invalids of the Great Patriotic War, military personnel and others.

© photo: Sputnik / Evgeny Samarin

How to get

To undergo a medical examination, you must contact the registry of the district clinic for information. You will be told where, when and how you can take the examination and agree on an approximate date with you.

The examination is carried out in two stages. The first stage includes two visits to the polyclinic: the first is an examination, the volume of which depends on age, and the second is to the local doctor during the week for the final examination and summarizing the first stage of medical examination.

If, according to the results of the first stage, at least a suspicion of the presence of a chronic non-communicable disease or a high cardiovascular risk is revealed, the district doctor directs the person undergoing the examination to the second stage of medical examination.

In particular, the patient is assigned an additional examination - depending on age and gender, a list of specialists, laboratory and diagnostic procedures is determined.

Before starting the medical examination, the local doctor needs to show the results of the medical examination if you underwent them in the current or last year.

© photo: Sputnik / Alexander Kriazhev

Who can get through

Medical examination is universal and does not depend on whether a person works or not, or studies in an educational institution.

Clinical examination is a voluntary event, which is issued in accordance with the regulations of the Ministry of Health of the Russian Federation.

A citizen has the right to refuse to undergo medical examination either entirely or from certain stages of medical examinations, you just need to remember that medical examination allows you to identify diseases that are asymptomatic in the first stages and start treatment on time.

Employed persons can visit a medical institution during working hours, the employer cannot prevent them from doing this, nor can they regard their absence from the workplace as a violation of labor discipline. A similar rule applies to full-time students.

© photo: Sputnik / Alexey Malgavko

Surveys

The set of activities that are carried out within the framework of the program differs depending on gender and age. Any patient who applies for a free medical examination in 2018 will be able to undergo an examination and get advice from several specialists: a gynecologist, urologist, cardiologist, ophthalmologist, endocrinologist and dentist.

All age groups donate blood for sugar and cholesterol, urinalysis and do an electrocardiogram.

Clinical examination, in addition to a set of studies common for all age groups of patients, includes in-depth studies designed for early detection of the most likely chronic non-communicable diseases for a given age and gender.

So, starting from the age of 39, citizens undergo ultrasound examination (ultrasound) of the abdominal cavity and small pelvis once every six years, and women once every three years - mammography.

Also, after 39 years, intraocular pressure is checked to exclude glaucoma, and after 48 years, fecal occult blood of the gastrointestinal tract is analyzed, which helps to identify early cases of oncology. In addition, each patient fills out a special questionnaire to identify hereditary diseases and risk factors for the development of chronic non-communicable diseases. More detailed information can be found.

Based on the results of the research, a citizen is assigned a health group. After that, people who need to undergo an additional examination are sent to the second stage, which includes laboratory and instrumental examinations, consultations of narrow specialists.

Doctors believe that the medical examination program in terms of examinations is much wider instrumentally and laboratory and allows you to identify not only diseases in the early stages, but also risk factors for their development.

Material prepared on the basis of open sources

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