Clinical examination is a periodic free medical examination aimed at preventing and identifying the most common diseases in the population. According to the Ministry of Health of the Russian Federation, in Russia, the main causes of high mortality are cardiovascular diseases, diabetes, bronchopulmonary pathologies and oncology.

On January 1, 2013, the law “On approval of the procedure for conducting clinical examination of certain groups of the adult population” came into force. The law defines the rules for passing medical examinations.

How often do you need to undergo medical examination? Every person over the age of 21 can undergo a medical examination in the clinic where he is served (at the place of residence, at the place of work or study) once every three years. You must be attached to the selected clinic, have a valid compulsory medical insurance policy and passport.

Categories of citizens

Children, WWII veterans, disabled people, students and working citizens can undergo medical examinations every year. The last two categories can be screened in medical institutions at the place of work / study.

However, both a working and a non-working citizen has the right to undergo medical examination according to on their own in the clinic at the place of residence / registration.

A working citizen has the right to take the required amount of time off, and the employer does not have the right to refuse him. According to the law "On the basics of protecting the health of citizens in Russian Federation»The employer is obliged to provide the necessary conditions for the employee to visit medical institutions, regardless of the schedule or workload.

Where to begin

To get started, you need to contact the clinic's registry or make an appointment with your GP. If you are of the right age to undergo medical examination this year, they will tell you when and where to come at a certain time. Until the age of 39, the procedure for clinical examination is somewhat simplified if pathologies are not identified. In general, the examination takes about 3-5 hours; you will have to come to the hospital a couple of times.

Clinical examination takes place in 2 stages:

1. Questioning, primary examination by the therapist, fluorography, delivery of basic tests.
2. Detection of diseases and subsequent full examination.

In addition, everyone has the right to a reduced preventive examination every 2 years.

If any disease or suspicion of it is detected, then the patient undergoes a full medical examination and is sent for treatment.

During the prophylactic medical examination, a person may refuse to undergo certain procedures and examinations, if this does not contradict part 9 of article 20 of the Federal Law "On the basics of protecting the health of citizens in the Russian Federation" dated November 21, 2011. But then the patient assumes all responsibility.

Purposes of medical examination

In the course of medical examination, doctors identify the most common diseases in our country and a predisposition to them. According to statistics, more than 75% of the population suffers from these diseases. Therefore, it is so important to diagnose the disease in time and prescribe prompt treatment or carry out appropriate prevention.

What diseases and pathological conditions lend themselves to early diagnosis?

• Cardiovascular diseases (hypertension, stroke, ischemia, myocardial infarction, cerebrovascular diseases);
• blood cholesterol levels;
• anemia;
• malignant tumors;
• diabetes;
• gastritis, gastrointestinal ulcers;
• bad habits (nicotine, alcohol, drugs);
• hypodynamia (low physical activity);
• overweight, obesity;
• glaucoma;
• pulmonary pathologies (tuberculosis, neoplasms).

What analyzes and research does the clinical examination involve?

It all depends on age and general health. It may turn out that you are a completely healthy person, leading a healthy lifestyle. During the initial examination and questioning, the therapist will evaluate your general state and either send him for further examination, or let him go home.

In general, the clinical examination includes the following tests and examinations:

• Filling out a questionnaire (a survey aimed at identifying hereditary and acquired diseases).
• Measurement of height, weight, calculation of body mass index.
• Measurement blood pressure.
• General or biochemical blood test (by referral).
• General analysis urine.
• Fecal occult blood test (for those over 45).
• Electrocardiography.
• Chest fluorography.
• Examination by a paramedic and gynecologist, taking smears (for women).
• Ultrasound of the abdominal organs.
• Analysis for the level of prostate-specific antigen - PSA (for men over 50).
• Measurement of intraocular pressure (for those over 39 years old).
• Neurological examination (for people over 50).
• Examination and consultation of a therapist, recommendations.

Everything goes as usual

Below we will tell you how to undergo a medical examination in a polyclinic at your place of residence, how long it takes, how the procedures are carried out.

On the first day of your visit to a therapist, you are given a questionnaire with 45 questions. Try to answer them honestly, so you can help the doctor make the right examination plan. Then the therapist conducts an initial examination, measures weight, height, pressure and issues a referral for fluorography and general blood and urine tests. If you have recently done an X-ray of the lungs (1-2 times a year is acceptable), then this item can be omitted.

As a rule, for those who undergo prophylactic medical examination, they organize examinations and tests without queues. Therefore, these procedures will not take much time. Women are examined by a gynecologist, men - by a paramedic. Those who have completed these basic procedures can go home.

After a few days, the test results are ready, you must once again visit the therapist, who will make a conclusion and give recommendations on the prevention of diseases.

If suddenly there are any irregularities in the work of organs, then additional examinations will be required. That's all. Now you can be sure of your health. Two or three days are worth our peace of mind, isn't it?

Preparation for testing

Of course, you need to prepare for analyzes and some examinations in order not to get incorrect results. ABOUT complete rules you can always ask your GP for preparation. In general, the rules are as follows:

1. For urine and feces analyzes, you need to purchase special containers at the pharmacy and sign them.
2. A blood test is taken on an empty stomach. On the day of your test, do not have breakfast, do not exercise, and do not be nervous.
3. Do not eat beets, carrots, legumes at least one day before the urine test: these vegetables can give the urine an unnatural color and increase protein.
4. For urine analysis, the middle of the morning portion is collected after thorough hygiene of the genitals.
5. During your period, you should not have urinalysis or smears taken.
6. Before visiting a gynecologist and urologist, you should refrain from sexual activity for several days.
7. Try to get the urine to the laboratory within 1.5 hours of collection. The urine container should be kept at room temperature. Make sure that no cooling occurs, this affects the appearance of sediment.
8. Before taking a stool test, you should not eat apples, bell peppers, white beans, spinach, cucumbers, horseradish, cauliflower for three days. These fruits and vegetables are high in iron, which can lead to inaccurate research results.
9. If you have already taken any tests this year, then take the papers with you to show the doctor.

Do not miss the passage of medical examination. A free medical examination will help identify diseases on initial stage development or prevent their occurrence.

Dispensary examination is a mandatory periodic examination of human health, which includes examination, collection and research of analyzes, carrying out procedures in order to quickly identify dangerous diseases (the symptoms of which often do not appear in the early stages) and prevent their development.

It includes a system of generally accepted preventive and therapeutic actionsheld on the territory of a hospital, private clinic or other medical institution. It is important to understand what it includes, what set of tests you need to go through in order not to face serious problems of the body in the future, such as, for example, cancer, tuberculosis, heart disease.

Clinical examination of adults and children

Clinical examination (what is included in it and how it is carried out - will be discussed later) is an organized medical activity, which is based on monitoring the patient's health, determining the presence of certain diseases and chronic adverse processes in the early stages of development, their study and elimination.

If a disease is detected, the causes of the disease are eliminated, specialized health-improving, medical, sanitary and hygienic, and social measures aimed at curing are carried out.

The essence of the clinical examination is the passage of a routine examination to identify and prevent the development of diseases, as well as dangerous vices developmentbody systems. The goal is to minimize the possibility of developing dangerous diseases to the stage when the treatment becomes ineffective.

The study is consistent with the regulatory papers, regulated primarily by the decrees of the Ministry of Health. According to them, the required volume of visits to the doctor and examination in the hospital, the time frame for passing all the necessary tests, the duration of a person's stay for examination are determined.

There are differences in the clinical examination of adults and children. Adults undergo the procedure as needed, every three years. This is not the case for babies and children.

From birth to one year, the baby undergoes medical examination twice. It is carried out under the supervision of a local pediatrician. Children need to undergo medical examination once a year until they reach the age of five, carrying out planned preventive procedures.

Types of dispensary examination

Dispensary examination is planned and additional. Scheduled medical examination is carried out for children and adults on time and is repeated regularly. For children under one year old - at least twice for the entire period, up to five years - every year.

An adult undergoes a planned medical examination in accordance with the requirements established at the workplace or in the organization in which he works. When the results of the examination and analyzes reveal the presence dangerous diseases, about which the patient was previously unknown, it is necessary to undergo additional medical examination.

It is also needed by people who, during a routine examination, found deviations from the norm in the work of their organs, as this can provoke the sudden onset of new diseases. For example, the development of Basedow's disease against the background of incorrect work thyroid gland.

Dispensary examination includes the following categories:

• Scheduled inspection healthy people, carried out in order to provide information about the state of human health at the place of work and residence.
• Compulsory clinical examination of newborns and children under one year of age, as well as scheduled medical examination once a year for children under five years of age.
• For patients with chronic diseases.
• Clinical examination of people suffering from acute complications after the transferred therapeutic diseases.

How the examination is carried out. Stages

Dispensary examination, what is included in it, are serious and complex processes.

They are broken down into several stages:

• The first stage is a general check and identification of diseases that are of non-infectious origin. These are malfunctions of cardio-vascular system, the presence of diabetes, glaucoma, malignant tumors. The period is an initial examination, a survey, measurement of the biological parameters of the patient's body, determination of the level of good and bad cholesterol in the blood, a study for the presence of an increased glucose level. It also includes determining whether the patient has used narcotic or psychotropic substances in the near future without prescription.
• Clinical examination (what is included in it and what tests need to be passed - will be indicated below) takes into account the prevailing clinical picture, and, based on this, the next stage is assigned. It is called a stage laboratory research... All the necessary tests are carried out here to establish an accurate diagnosis, a health card is filled out. When diseases are detected, treatment, patient recovery, preventive measures and restoration of immunity follow.
• If, after passing through all the previous steps, any deviations from the normal state of health are revealed, the patient should be assigned an additional stage of treatment. Here, specialists are consulted in narrow areas - those that are necessary for a particular patient. The patient can be offered to use such services: consultation of gynecologists, venereologists, ophthalmologists, surgeons and neurologists, as well as additional research and analyzes. All collected data must be recorded in the history and health card.

Further, the attending physician will talk about all the subtleties and features of examination and delivery of certain tests. To undergo medical examination, children must be constantly supervised by a district pediatrician. Without his permission, medical staff are not allowed to take any action on a small patient.

What doctors are adults and children undergoing for clinical examination

For a complete study, you will need to spend at least a week, regularly visiting the hospital.

For medical examination, adults undergo the following doctors:

1. Doctors at the site.
2. Obstetrician, venereologist or gynecologist.
3. Urologist.
4. Surgeon or traumatologist.
5. Neuropathologist.
6. Ophthalmologist.

The list of healthcare professionals that a child will have to meet is slightly different from that of an adult.

Children will have to visit such doctors:

1. District doctor.
2. Child psychologist.
3. Traumatologist.
4. Ophthalmologist.
5. Dentist.

What tests are passed during medical examination

Primary medical examination is a set of physical health examinations, as well as laboratory tests. The Patient Bypass Sheet should include full list necessary examinations that need to be passed to determine an accurate diagnosis. The list is developed individually, taking into account age features person and his medical history.

Dispensary examination and what is included in it has a number of standard examinations that everyone must undergo:

In some cases, the question may arise, does a woman need another visit to a gynecologist if she has passed all the necessary tests earlier? Additional studies may be required only if complications are detected at the stage of collecting scrapings.

How to prepare for the procedure

The complex dispensary examination process requires some preparation at home.

Exist general requirementsthat everyone needs to do:

• It is best to undergo medical examination in the morning.
• Before starting the procedure, you should not eat breakfast or do any physical activity. Morning exercises are also better off on this day. In the morning, both adults and children, it is necessary to collect a portion of urine and feces for analysis. Their volume should be at least 10 ml and not more than 100 ml. The collection is made in specialized containers, which you can buy at the pharmacy. It is not recommended to take a diuretic before performing this procedure, as this may affect the test results.
• If the patient has recently undergone a medical examination, it is necessary to take all documents confirming this fact with you to the hospital.
• To transfer the analyzes to a medical institution, it is imperative to stick tags with your name on the jars.

Dispensary examination should take into account age and gender aspects.

There are features of what is included in it at the stage of laboratory examination, regarding women and men of the age:

• Women need to take into account the fact that the collection of tests and smears from internal genital organs cannot be performed during menstrual cycle... You should not go to procedures after treatment of inflammatory infectious diseases genitals. This is due to the presence of residues of the active drug in the blood and on the walls of the vagina, which may affect the results of the study.
• If a man over the age of 45 has undergone mechanical treatment in the last 7 days urinary tract and glands, it is necessary to postpone the medical examination procedure for at least 3 days.

How long will it take to complete the inspection

To overcome the first stage of the medical examination, a person needs 2 visits to the doctor. Initial inspection and taking analyzes takes up to 6 hours of free time on average. The volume of tests performed directly depends on the age of the patient. The older he is, the more tests need to be collected. The second visit must be made after 5 days.

During this time, results will come. The patient needs to visit the local doctor to obtain an opinion, summarize the results of the dispensary examination and conduct a general examination.

If tests show a high risk of developing cardiovascular diseases, diseases nervous system or the rapid development of ailments of a non-infectious nature and exacerbation of chronic diseases, the local doctor is obliged to inform the patient about this.

After that, an additional stage of medical examination is assigned, at which narrowly focused information on the disease is collected, treatment is prescribed, and the timing of medical and preventive procedures is determined. This period can last from 2 weeks to 3 months.

Patient birth years in 2018 and 2019

Clinical examination, according to the law, is a public process. Every person in the country must be notified that this year he needs to undergo a routine check-up with a doctor. It is also necessary to provide patients complete list information about what a clinical examination is and what is included in it. However, this is not always the case.

Mandatory for clinical examination is the age, the number of which is divided by three. In this case, the month of birth and the day are not important. The minimum threshold for a routine check-up is 20 years, the maximum is not set.

In 2018, free medical examination is provided to all citizens of the country who were born from 1919 to 1997 inclusive, with a step of 3 years. For 2019, the queue starts in 1927 and ends in 1998. The step is similar.

Who can get free medical examination

Here is a list of them:

1. People with disabilities, as well as participants in the Second World War.
2. Widowers and widows of deceased invalids, or war veterans who did not marry after the death of their other half.
3. People who survived the blockade of Leningrad.
4. Former prisoners of ghettos, concentration camps, who were recognized as disabled after staying in these places and being injured there.

If the privileged category of the patient corresponds to the above list, then he has the right to undergo an annual medical examination according to the established schedule of the hospital, starting at 9 and ending at 18 hours on working days of the medical institution for which he was assigned. Some hospitals set aside specialized hours for medical examination.

If these are not observed, specialized preventive buildings should be located on the territory of the medical institution, to which the patient has the right to receive a referral for a routine examination.

What examinations can be taken for free

If the clinical examination is planned, then all procedures and examinations carried out on the territory of a medical institution should be free of charge. Hospital workers do not have the right to demand additional payment for services provided to the patient during the period of medical examination.

When this condition is violated, a person has the right to apply to the head of the polyclinic with a requirement to undergo an examination free of charge. If this does not help, you should contact the insurance agent specified in the patient's policy directly. In this case, the public insurance officer acts as a lawyer and protector of the person.

Obligations of the employer in relation to the passing of medical examinations by employees

The employer has a number of obligations to his subordinates, stipulated by Article 212 of the Code of the Russian Federation "on labor protection".

It includes the following provisions:

The order on the temporary suspension of an employee from his position due to the lack of confirmation of the passage of a dispensary medical examination is carried out according to model number 420 of the region in which this or that enterprise is located.

Suspension orders include items such as:

1. The name of the company.
2. Document's name.
3. The serial number of the document and its coordination with the article number.
4. The name of the city and region of the location of the enterprise.
5. The essence of the order.
6. Position and surname of the person to be removed from the place of work.
7. The timing of the employee's suspension.
8. The reason for the suspension;
9. Conditions for returning to the workplace.

It is very important to take into account the fact that, according to Article 24 of the Code of the Russian Federation, the employer is obliged to provide its employees with all the necessary conditions for a timely medical examination, and is also obliged to freely release its employees to undergo medical examination.

If an employee receives a reprimand, he is forced to write a report or explanatory note about his absence from the workplace on the day of the examination, then he has the right to appeal to the legislative authorities with a complaint about the employer's unfair attitude to his duties.

Medical examination is the first step towards a healthy human existence.

Clinical examination has many advantages.

It is important to understand that there are a huge number of diseases, the early stages of which do not manifest themselves in symptoms. Their timely diagnosis helps to quickly eliminate the disease without significant consequences for the human body.

You need to remember how often you need to undergo medical examination, what is included in it, and how important it is in the modern world.

Article design: Lozinsky Oleg

Medical examination video

What is medical examination and what is it for:

› ‹

Clinical examination of the population

Since 2013, compulsory medical examination has been introduced in Russia. Clinical examination this is a set of measures, including a medical examination by doctors of several specialties using necessary methods examinations, determining groups of health status, conducting preventive counseling and, if necessary, therapeutic and recreational activities and dynamic monitoring of the health status of identified patients on a free basis within the framework of the compulsory health insurance program.

Clinical examination intended for early detection of chronic noncommunicable diseases, which are the main cause of disability and premature mortality of the population of Russia.

For the adult population, it takes place every three years.

Clinical examination, what years are suitable for it, you ask yourself a question? This is very easy to define.

Clinical examination the adult population is carried out from the age of 18, and for the age, which is a multiple of three years. That is, prophylactic medical examination is carried out for people who have turned 18, 21, 24, 27, 30, 33, 36, 39, 42, 45, 48, 51, 54, 57, 60, 63, 66, 69, 72, 75, 78, 81, 84, 87, 90, 93, 96, 99 years old.

The exception for undergoing medical examination applies only to those for whom medical examination is carried out annually. In this case, prophylactic medical examination is carried out in the amount provided for citizens of the next age category.

• Invalids of the Great Patriotic War;
• Persons awarded with the sign "Inhabitant of the besieged Leningrad", recognized as disabled due to common disease, labor injury and other reasons (except for persons whose disability occurred as a result of their illegal actions);

How to get a medical examination?

To undergo medical examination, you must contact the polyclinic at the place of residence or attachment. Contact the registry for information. They will tell you where, when and how you can undergo medical examination, and agree on an approximate date with you.

Clinical examination is carried out in two stages.

To undergo the examination of the first stage of clinical examination, as a rule, two visits to the clinic are required.

The first visit is an examination (the scope of the examination depends on your age).

The second visit usually takes place within a week (the period depends on the time it takes to obtain the test results). The visit takes place to the local doctor for a final examination and summing up the results of the first stage of clinical examination.

If, according to the results of the first stage of clinical examination, you have a suspicion of the presence of a chronic non-infectious disease or a high and total cardiovascular risk, the district doctor informs you about this and directs you to the second stage of medical examination.

The duration of the second stage depends on the amount of additional examination you need.

A list of specialists, laboratory and diagnostic procedures is determined depending on age and gender.

What is needed to undergo a medical examination?

To undergo medical examination, you must have a compulsory medical insurance policy and a passport. In the event that in the current or previous year you have already undergone any medical examinations, you must have documents confirming this with you. These documents must be presented to medical workers before starting a medical examination.

This is important to know!

Here are some important points to know before undergoing medical examination:

Clinical examination conducts only with the voluntary consent of the citizen, which is drawn up in accordance with the regulations of the Ministry of Health of the Russian Federation;

You have the right to refuse to undergo medical examination either entirely or from certain stages of medical examinations and manipulations;

Clinical examination - this is absolutely voluntary. You cannot in any way be forced to undergo a medical examination against your will. The only thing that needs to be borne in mind is that for the most part, the clinical examination is necessary for you yourself, because the examination will reveal diseases that are asymptomatic in the first stages and do not manifest themselves in any way. Identifying such a disease on early stage is a prerequisite for a hasty treatment;

Regulations

The rules and procedure for undergoing medical examination are primarily governed by the following documents:

Federal Law No. 323-FZ of November 21, 2011 "On the Basics of Health Protection of Citizens in the Russian Federation";

Order of the Ministry of Health of the Russian Federation of 03.12.2012 No. 1006n "On approval of the procedure for conducting medical examination of certain groups of the adult population";

Clinical examination of the adult population
(brief information for citizens about medical examination and the procedure for its passage)
Regular medical examination will allow you to significantly reduce the likelihood of developing the most dangerous diseases, which are the main cause of disability and mortality of the population of our country, or to identify diseases at an early stage of development, when their treatment is most effective.

What is medical examination?

Clinical examination is a regular medical examination healthy population, which is carried out for early detection and timely treatment various diseases.

The main goals of clinical examination
Early detection of chronic non-infectious diseases that are the main cause of disability and premature mortality of the population of the Russian Federation (hereinafter referred to as chronic non-infectious diseases), which include: diseases of the circulatory system, and primarily ischemic disease; heart and cerebrovascular diseases; malignant neoplasms; diabetes; chronic diseases lungs. These diseases account for more than 75% of the total mortality of the population of our country.

In addition, clinical examination is aimed at identifying and correcting the main risk factors for the development these diseases, which include:
. elevated level blood pressure;
... increased blood cholesterol levels;
... elevated blood glucose levels;
... smoking tobacco;
... harmful alcohol consumption;
... poor nutrition;
... low physical activity;
... overweight or obesity.

How often is medical examination carried out?
Clinical examination of the adult population is carried out 1 time in 3 years. The first clinical examination is carried out to a citizen at the age of 21, the subsequent ones - with a three-year interval throughout his life. Disabled people and veterans of the Great Patriotic War, the spouses of the dead (deceased) disabled people and participants in the Second World War, regardless of age, undergo medical examination annually.

Where to undergo medical examination?
Citizens are undergoing medical examination in medical institution at the place of residence, work, study or the choice of a citizen, in which they receive primary health care (in a polyclinic, in the center (department) of general medical practice (family medicine), in a medical outpatient clinic, medical unit, etc.).
What documents should the patient bring with him?
Every citizen heading for medical examination must have a passport and medical insurance policy of the compulsory medical insurance.

What medical specialists provide for an examination as part of an additional medical examination?
Clinical examination of citizens provides for examination by the following specialists: therapist, ophthalmologist, neurologist, surgeon, obstetrician-gynecologist (for women).

What laboratory and functional studies are carried out as part of a clinical examination?
- Clinical blood test. Biochemical analysis blood: total protein; cholesterol, serum low density lipoproteins, serum triglycerides, creatinine, uric acid, bilirubin, amylase, - blood sugar
- clinical analysis of urine.
- specific tumor marker CA-125 (for women after 45 years).
- specific tumor marker PSA (for men after 45 years).
- electrocardiography
- fluorography
- mammography (for women over 40)
- cytological examination of a smear from the cervical canal

How can a working person undergo medical examination?
According to Article 24 of the Federal Law of the Russian Federation of November 21, 2011 No. 323-FZ "On the Fundamentals of Health Protection of Citizens in the Russian Federation" employers are obliged to provide conditions for employees to undergo medical examinations and prophylactic medical examinations, as well as to release employees for their passage without hindrance.

What preparation is needed to undergo medical examination:
... For the first stage of clinical examination, it is advisable to come to
a medical organization (clinic) in the morning, on an empty stomach, before
implementation of any physical activity, including morning physical
charging.
... Take with you a morning portion of urine in the amount of 100-150 ml.
... Persons aged 45 years and older for the study of feces for occult blood
necessary to avoid false positives within 3 days before
medical examination does not eat meat food, as well as other products, in which
includes a significant amount of iron, as well as vegetables containing many enzymes such as catalase and peroxidase (cucumbers, horseradish, cauliflower), exclude the intake of iron-containing drugs, cancel
reception ascorbic acid, acetylsalicylic acid (aspirin) and others
non-steroidal anti-inflammatory drugs (such as voltaren, diclofenac and
etc.), stop using any laxatives and enemas.
... Women need to remember that the collection of smears from the cervix is \u200b\u200bnot carried out during
the time of menstruation, during one or another treatment, infectious
inflammatory diseases of the pelvic organs, which to reduce the likelihood
of obtaining false results of smear analysis, it is necessary to exclude genital
contacts within 2 days before medical examination, cancel any vaginal
drugs, spermicides, tampons and douches.
... Men over the age of 50 need to remember that it is better to abstain
from undergoing medical examination within 7-10 days after any impact on
the prostate gland of a mechanical nature, as they can distort the result of the study of the prostate-specific antigen in the blood (tumor marker of prostate cancer).
... The scope of preparation for the second stage of clinical examination will explain to you
local doctor (paramedic).

How does the clinical examination end? What happens if a patient is found to have health abnormalities?
According to the results of medical examination and additional medical examinations, health groups are formed.

Group I - practically healthy citizens who do not need dispensary supervision;

Group II - citizens with a risk of developing the disease who need to be preventive measures... For them, the total cardiovascular risk is assessed, recommendations for the prevention of diseases are given;

III group - citizens in need of additional examination in outpatient to clarify (establish) the diagnosis in the case of a newly diagnosed chronic disease or in the presence of an existing chronic disease, as well as those requiring treatment on an outpatient basis (acute respiratory infections, influenza and others acute diseases, after the treatment of which recovery occurs);

Group IV - citizens who need additional examination and treatment in a hospital setting of diseases revealed during additional medical examination, who are sent for planned hospitalization;

Group V - citizens with newly diagnosed diseases or observed for chronic disease and having indications for the provision of high-tech medical care.

Citizens assigned to groups I and II of health status are recommended to visit health centers for further recommendations from specialist doctors on healthy way life.
Citizens assigned to the III, IV, V groups of health status, depending on the identified diseases, is compiled individual program treatment, if necessary, they are established dispensary observation at the place of residence.

What document does a citizen receive based on the results of medical examination?
At the end of the prophylactic medical examination, the therapist issues, at the request of the patient, a "Health Passport", which includes a group of health status, conclusions (recommendations) of specialist doctors, test results and a general conclusion of a therapist with recommendations for preventive measures and treatment.
In the future, the "Health Passport" will be kept by the patient, as a reminder of the need to perform the recommended health improvement or treatment-and-prophylactic measures.
"Health passport" will be an assistant for the patient in any life situations (change of place of work or place of residence, departure on a business trip or on vacation to other regions of our country, loss medical records, registration of the opinion of the MSEC, etc.)

Who controls the medical examination?
Control over the organization of medical examination on the territory of the Republic of Tatarstan is carried out by the Ministry of Health of the Republic of Tatarstan, TFOMS of the Republic of Tatarstan and medical insurance organizations.

Plan a dispensary

Schedule a prophylactic medical examination (preventive medical examination)

1. You can undergo medical examination:

2. You can undergo preventive medical examination at the age of 19, 20, 22, 23, 25, 26, 28, 29, 31, 32, 34, 35, 37 and 38 years old.

Instruction added to favorites

Where can I undergo medical examination (preventive medical examination)

1. In the clinic to which you are attached (weekdays from 8:00 to 20:00, on weekends according to the clinic's schedule;

2. In the pavilions "Healthy Moscow" in the parks of the capital (daily from 8:00 to 22:00).

Instruction added to favorites

What examinations can be taken in the pavilion "Healthy Moscow"

Questionnaire (survey) in electronic form;

Anthropometry (measurement of height, body weight, waist circumference);

Body mass index calculation;

Blood pressure measurement on peripheral arteries;

Resting electrocardiography;

Measurement of intraocular pressure;

Determination of the level of total cholesterol in the blood by the express method;

Determination of fasting blood glucose by the express method;

Advanced blood count;

Determination of prostate-specific antigen (PSA) in the blood of men aged 45.50, 55, 60, 64 years;

Study of feces for occult blood by immunochemical method

Fluorography*

Determination of relative / absolute cardiovascular risk

Examination and conduct of a short individual preventive consultation with a general practitioner;

Mobile fluorographs work on weekends on a special schedule.

In the polyclinic at the place of attachment, in accordance with gender and age, the following examinations are carried out:

Mammography;

Midwife examination;

Cytological examination of the cervical smear;

• - esophagogastroduodenoscopy

Instruction added to favorites

Get a preventive medical examination

Preventive medical examination -this is a complex of medical examinations carried out in order to early (timely) detection of conditions, diseases and risk factors for their development, as well as in order to determine health groups and develop recommendations for patients.

A preventive medical examination includes:

questioning of citizens aged 18 and over;

calculation based on anthropometry (measurement of height, body weight, waist circumference) of body mass index, for citizens aged 18 years and older;

measurement of blood pressure in peripheral arteries for citizens aged 18 years and older;

study of the level of total cholesterol in blood for citizens aged 18 years and older;

fasting blood glucose determination for citizens aged 18 and over;

determination of the relative cardiovascular risk in citizens aged 18 to 39 years inclusive;

determination of the absolute cardiovascular risk in citizens aged 40 to 64, inclusive;

fluorography of the lungs or X-ray of the lungs for citizens aged 18 years and older once every 2 years;

resting electrocardiography during the first routine medical examination, then at the age of 35 and older;

measurement of intraocular pressure during the first preventive medical examination, then at the age of 40 and older;

examination by a paramedic (midwife) or obstetrician-gynecologist of women aged 18 to 39 years;

reception (examination) based on the results of a preventive medical examination, including examination to identify visual and other localizations oncological diseasesincluding inspection skin, mucous lips and oral cavity, palpation of the thyroid gland, lymph nodes, a paramedic of a paramedic health center or a paramedic-obstetric station, a general practitioner or a doctor for medical prevention of a department (office) of medical prevention or a health center.

Instruction added to favorites

Complete the first stage of clinical examination

First step medical examination is carried out in order to identify signs of chronic non-communicable diseases in citizens, risk factors for their development, as well as to determine indications for additional examinations and examinations by specialist doctors to clarify the diagnosis of the disease (condition) at the second stage.

The first stage of clinical examination includes:

1. Preventive medical examination:

2. Screening for early detection of oncological diseases:

Fecal occult blood test (once every 2 years at the age of 40 to 64 years, once a year at the age of 65 to 75 years;

Esophagogastroduodenoscopy at 45;

For women:

Examination by a paramedic (midwife) (from 18 to 39 years old);

Taking a smear from the cervix, cytological examination of a smear from the cervix 1 time in 3 years at the age from 18 to 64 years;

Mammography (once every 2 years from the age of 40 to 75)

For men:

• Determination of prostate-specific antigen in the blood of men aged 45, 50, 55, 60 and 64;

3. Brief preventive counseling;

4. Complete blood count (40 years and older);

Instruction added to favorites

If necessary, you will be sent to the second stage of clinical examination for the purpose of additional examination

The second stage of clinical examination is carried out for the purpose of additional examination and clarification of the diagnosis of the disease (condition) in the presence of indications based on the results of the first stage and includes:

examination (consultation) by a neurologist;

duplex scanning of brachycephalic arteries (for men aged 45 to 72 years inclusive and women aged 54 to 72 years);

examination (consultation) by a surgeon or urologist (for men aged 45, 50, 55, 60 and 64 with an increase in the level of prostate-specific antigen in the blood of more than 4 ng / ml);

examination (consultation) by a surgeon or a coloproctologist, including sigmoidoscopy (for citizens aged 40 to 75, inclusive);

colonoscopy (for citizens in case of suspicion of malignant neoplasms of the large intestine, as prescribed by a surgeon or coloproctologist);

esophagogastroduodenoscopy (for citizens in case of suspicion of malignant neoplasms of the esophagus, stomach and duodenum as prescribed by a therapist);

x-ray of the lungs, computed tomography lungs (for citizens in case of suspicion of malignant lung neoplasms as prescribed by a therapist);

spirometry;

examination (consultation) by an otorhinolaryngologist (for citizens aged 65 and over);

examination (consultation) by an obstetrician-gynecologist (for women aged 18 years and older with identified pathological changes;

examination (consultation) by an ophthalmologist (for citizens aged 40 and over);

conducting individual or group (schools for patients) in-depth preventive counseling in the department (office) of medical prevention (health center) for citizens aged 65 and over;

Instruction added to favorites

Based on the results of medical examination (preventive medical examination), find out your health group and get doctor's recommendations

Health group I - practically healthy and having risk factors with low or moderate total cardiovascular risk. Brief preventive counseling is provided.

Health group II - patients with risk factors for high or very high total cardiovascular risk. In-depth preventive counseling is carried out: individual or group ("Patient's School"). Dispensary observation in the Health Center or the department / office of medical prevention is shown.

Health group III - patients with diseases both detected for the first time during clinical examination, and previously established. Dispensary observation by specialist doctors is shown.

Instruction added to favorites

Get a free medical examination or preventive medical examination next year according to gender and age

This frequency of surveys is sufficient to identify most serious diseases at an early stage of development.

Clinical examination (preventive medical examination) is available to every citizen of the Russian Federation who is insured in the compulsory health insurance system (with a compulsory medical insurance policy). This applies to all examinations, as well as consultations of narrow specialists.

You can undergo medical examination:

1 time in three years at the age from 18 to 39 years inclusive (at the age of 18, 21, 24, 27, 30, 33, 36, 39);

annually aged 40 and over

2. You can undergo preventive medical examination at the age of 19, 20, 22, 23, 25, 26, 28, 29, 31, 32, 34, 35, 37 and 38 years old.

Dispensary examination (preventive medical examination) is carried out in the department or office of medical prevention in the clinic at the place of attachment. If you are not yet attached, then this can be done at a convenient time for you during the opening hours of the organization with a passport and an OMS policy. To do this, you need to present your passport, OMS policy and fill out an application at the registry. It will take 7-10 days for paperwork.

You can also undergo medical examination (preventive medical examination) in the pavilions "Healthy Moscow" in the parks of the capital "

At present, in Moscow polyclinics, the first stage of medical examination or preventive examination takes on average 90 minutes. The duration of the examination depends on the number of examinations that need to be completed (according to gender and age).

In the pavilions "Healthy Moscow" you can undergo research within the framework of clinical examination (preventive medical examination) for no more than 40-60 minutes.

Based on the results of medical examination (preventive medical examination), the therapist of the department (office) of medical prevention or the pavilion "Healthy Moscow" will determine your health group and issue individual recommendations.

Health group I - practically healthy and having risk factors with low or moderate total cardiovascular risk. Brief preventive counseling is provided on improving lifestyle and disease prevention.

II health group - having risk factors with high or very high total cardiovascular risk. The doctor gives detailed recommendations to reduce cardiovascular risk, and can also refer to the "Patient's School". This is group consultation and training in disease control for patients who are united by one problem. For example, such schools operate in a number of polyclinics for persons with diabetes.

Health group III - patients with diseases both detected for the first time during clinical examination and previously established. Dispensary observation by specialist doctors is shown.

The essence of clinical examination (preventive medical examination) is not just to identify diseases or a high risk of their development, but to send the patient for observation:

II health group - to the department of medical prevention or the Health Center;

III health group - for dispensary observation of the relevant medical specialists.