Periodically taking tests and undergoing a minimum of research is the normal behavior of a person who cares about his he alth. Therefore, the concept of medical examination has recently returned to Russia - a system of measures aimed at protecting the he alth of the population, preventing new cases of diseases, reducing the incidence of complications, mortality and improving the quality of life.
Is it necessary to undergo medical examination? Screening is carried out indefinitely in all cities of the country with the voluntary consent of a citizen. This is not an obligation, but a right that every citizen of the Russian Federation can use. Do I need to undergo medical examination or is it a waste of time?
What is medical examination
Since 2013, within the framework of the He alth project, medical examination of citizens has been introduced in Russia. This is a set of studies and analyzes that allows you to evaluatethe state of human he alth and identify various diseases in the early stages. Medical examination is different from the usual visit to the therapist. Traditionally, citizens go to doctors with specific complaints, and this is a preventive medical examination.
Is it necessary to undergo medical examination? Citizens are not required to be screened. This is a right, not a duty. Clinical examination (like any other medical intervention) is carried out exclusively with the voluntary and informed consent of the patient. A person has the right to refuse certain procedures or examinations at will, and all doctor's prescriptions are advisory in nature.
weight or obesity, malnutrition.
Why medical examination is needed
Many countries around the world are developing special programs for a comprehensive examination of the he alth status of citizens. In Russia, medical examinations are carried out for various groups of the population with the aim of early detection of diseases and the main risk factors for their development. In the long term, this will improve the he alth of the nation and reduce mortality from serious diseases. For each individual patient, a preventive examination is a chance to detect dangerous deviations at an early stage.stages while still responding well to treatment.
Is it mandatory to undergo medical examination at work? Screening is the right of every citizen of the Russian Federation. There are no sanctions at the legislative level for not passing a medical examination, but it is better to do it for your own good. From the first medical examination, patients had different reviews. Someone says that this is “for show”, while others are grateful that they managed to discover hidden he alth problems and start treatment on time. Today, after all, even oncology, detected in the early stages, is successfully treated.
Is it mandatory to undergo medical examination
In 2013, almost all children and more than 87 million adults underwent medical examinations. Many did it "because they have to." So they said at work, in the district clinic, in an educational institution. Is it obligatory to undergo a medical examination in a polyclinic? No one can force a person to undergo medical examinations. Medical examination of the population is carried out exclusively voluntarily and by informed consent. There are no pen alties or fines for not passing a medical examination for Russians, except for the most important thing - the possible failure to detect a dangerous pathology at an early stage, while the treatment is still effective enough. You can skip medical examination, but is it worth it?
Who can get medical examination
Today, screening is carried out among citizens of the Russian Federation. Free clinical examination is available to every citizen insured in the compulsory medical system. insurance(OMS). This applies to all tests, diagnostic examinations and consultations of narrow specialists. Doctors recommend undergoing a preventive medical examination every three years, starting at the age of twenty-one. That is, this year, every person whose age is divided by three (21, 24, 27, 30, 33, 36, 39, 42, and so on) can undergo a medical examination. It is recommended to undergo the procedure until the age of 90. For certain categories of the population, an annual medical examination is recommended. These individuals need more regular follow-up than the rest of the population.
Dispanserization of children: terms and specialists
Is it necessary for a child to undergo medical examination? This is a planned event, which involves a comprehensive examination of the child's he alth, it is desirable to carry out annually. Parents have the right to refuse a physical examination or certain procedures, but you should not do this. The basic recommendations of the Ministry of He alth concern only the minimum, but for children it is better to form a medical examination program on your own (of course, based on the recommendations of a pediatrician).
The first examination is carried out already in one month. It is necessary to undergo an ultrasound, pass tests, visit an ophthalmologist, an orthopedist and a neurologist. A less extensive program expects the child and parents at three months. The next medical examination is 6 months. Babies are tested by an ENT specialist, a cardiologist, a pediatrician, a neuropathologist, an ophthalmologist. After a year, consultations with a dentist, endocrinologist and surgeon are needed.
Before entering the kindergarten and school, it is additionally recommended to visit a psychologist and a speech therapist,orthodontist and immunologist. At 9-12 years old, an in-depth medical examination is needed. In addition to the specialists listed above, you need to make an appointment with a gastroenterologist, dermatologist and urologist. From one to two years, medical examination of children is recommended once a quarter, from two to three - once every 6 months, then at three years, five-six, six-seven, eight, ten, eleven-twelve, fourteen-fifteen, fifteen-sixteen and at seventeen.
Where to apply for medical examination
Screening is carried out at the clinic at the place of attachment. You can go through a medical examination at the He alth Center, the family medicine department, the medical unit, and so on. It is important that an employee who decides to undergo a medical examination can easily take time off from work (this is provided for by law). Is it obligatory to undergo a medical examination in a polyclinic? You can contact a private medical center, but all tests and examinations in this case will be paid.
Is it obligatory to undergo medical examination at the place of registration? Yes, but for this you need to attach to any convenient clinic. It is written on the CHI policy that it is valid throughout the Russian Federation, so they cannot refuse to accept the patient. You can attach yourself not at the place of registration, but at the place of residence through an application addressed to the head physician. They have no right to refuse. But you will need to unsubscribe from the clinic at the place of registration.
What is included in the medical examination
The first stage of medical examination can be completed without an appointment in the medical officeprevention. The doctor will tell you about the procedure for screening, depending on the age and gender of the patient, and will also offer to sign an informed consent. The first stage is performed in order to identify chronic diseases, risk factors and determine indications for additional examinations to clarify the diagnosis in the future.
Prophylactic examination on the first day includes interviewing and questioning the patient, measuring height and weight, waist, calculating BMI, measuring blood pressure. Express methods will allow you to determine the level of cholesterol and glucose in the blood, but may offer to undergo a routine analysis. By the way, during medical examinations, tests are taken without a queue, so you won’t have to wait long. At the first stage, they also do FLG of the lungs, an ECG (for men from thirty-six years old and women from forty-five years old), measurement of intraocular pressure (from 60 years old), an analysis of feces for occult blood (it is recommended to take it once every two years from 49 to 73 years).
After receiving the results of the tests, the general practitioner will conduct an examination (reception), including determining the diagnosis, he alth group and the need for further dispensary observation. Brief counseling on prevention is also provided. The patient will receive recommendations on physical activity, he althy eating, determination of medical indications for examinations as part of the second stage of medical examination.
Additionally, women need to be examined by a gynecologist and take a smear from the cervix (from 30 to 60 years old), do a mammogram (from 39 years old). mena study on the level of PSA in the blood is recommended from forty-five years to fifty-one years. According to the results of the tests, in addition or by age, the patient will be sent to the second stage of medical examination. Studies are being carried out to clarify the diagnosis.
Second stage of clinical examination
At the second stage, spirometry, examination by a neurologist, duplex scanning of arteries (for women from fifty-four years old, for men from forty-five years old), colonoscopy (if oncology is suspected), examination by a surgeon or coloproctologist, ophthalmologist (from 60 years), an otorhinolaryngologist (from 75 years old), a urologist (for men from forty-five years old with an elevated PSA content). Based on the results of the second stage of medical examination, a therapist is consulted to clarify the diagnosis and determine the group for follow-up. From the age of 72, according to indications, or from the age of 75, additional preventive counseling is also provided for everyone.
How long will the examinations take
The first stage of clinical examination in Moscow polyclinics can be completed in an average of 90 minutes. For the entire screening, you will only have to come to the hospital a few times to take tests and undergo special examinations, as well as talk with doctors. Each visit may take two to three hours, but in general the patient will not lose much time.
If you do not pass medical examination on time
Is it necessary to undergo medical examination? What happens if you don't show up for an inspection? There will be absolutely no sanctions for this. Is it necessary to passmedical examination by years? No need to wait three years to get a he alth check. Scheduled examinations can be done as part of a preventive examination annually at the He alth Centers. If necessary, the patient will be referred to a polyclinic for additional examinations or recommendations from specialists.
What happens after medical examination
According to the results of the screening, the therapist will determine the patient's he alth group. Practically he althy people with risk factors belong to the first group. Citizens are advised on the prevention of diseases and a he althy lifestyle. The second group is people who have a high or very high risk of developing dangerous diseases. The doctor will give recommendations to reduce the risk, may refer to the "School of the patient". Patients with the third he alth group are shown dispensary observation by narrow specialists.
Should I undergo medical examination? It is desirable for those who care about their he alth. A physical examination allows you to identify cancer in the early stages, problems with the heart and blood vessels, and serious risk factors. Doctors agree that medical examination is important and should not be abandoned. So is it necessary to undergo a medical examination? It is a right of every citizen and definitely worth taking advantage of.
