How to get a medical examination at a local clinic. How to get a free medical examination at a clinic at your place of residence or at your place of work or study? About mandatory medical examination

A number of dangerous diseases early stage is asymptomatic. If diagnosed early, many of these diseases can be cured.

If you are over 21 years old and your age is divisible by three, contact your clinic and undergo a free examination.

Main goals of medical examination:

Early detection of chronic non-communicable diseases, which are the main cause of disability and premature mortality of the population Russian Federation(hereinafter referred to as chronic non-communicable diseases), which include:

- diseases of the circulatory system and, first of all, ischemic disease heart and cerebrovascular diseases;
— malignant neoplasms;
— diabetes;
— chronic diseases lungs.

These diseases cause more than 75% of all mortality in our country. In addition, medical examination is aimed at identifying and correcting the main risk factors for the development of these diseases, which include:

- increased blood pressure;
- increased cholesterol levels in the blood;
- increased blood glucose levels;
- smoking tobacco;
- harmful consumption of alcohol;
- poor nutrition;
- low physical activity;
- overweight or obesity.

An important feature of medical examination is not only early detection chronic non-communicable diseases and risk factors for their development, but also conducting brief preventive counseling for all citizens with these risk factors, as well as for individuals with high and very high total cardiovascular risk, individual in-depth and group (patient school) preventive counseling. Such active preventive interventions can quickly and significantly reduce the likelihood of developing dangerous chronic non-infectious diseases in each individual person, and in people already suffering from such diseases, significantly reduce the severity of the disease and the incidence of complications.

Where and when can you get a medical examination?

Citizens undergo medical examination in medical organization at the place of residence, work, study or choice of the citizen, where they receive primary health care (in a clinic, in a center (department) of general medical practice(family medicine), in a doctor’s clinic, medical unit, etc.). Your local doctor (paramedic) or local nurse or a receptionist will tell you in detail where, when and how you can undergo medical examination, and agree with you on the approximate date (period) of undergoing medical examination.

How long does it take to undergo a medical examination?

The examination of the first stage of medical examination, as a rule, requires two visits. The first visit takes approximately 3 to 6 hours (the scope of the examination varies significantly depending on your age). The second visit is usually carried out 1-6 days later (depending on the length of time required to obtain research results) to the local doctor for a final examination and summing up the results of the medical examination.

If, based on the results of the first stage of medical examination, you are suspected of having a chronic non-infectious disease or a high and very high total cardiovascular risk, the local doctor informs you about this and refers you to the second stage of medical examination, the duration of which depends on the amount of additional examination you need.

How to get a medical examination for a working person

According to Article 24 Federal Law of the Russian Federation dated November 21, 2011 No. 323-FZ “On the fundamentals of protecting the health of citizens in the Russian Federation”, employers are obliged to provide conditions for employees to undergo medical examinations and medical examination, as well as freely release workers to undergo them.

What preparation is needed to undergo medical examination:

— To undergo the first stage of clinical examination, it is advisable to come to a medical organization (clinic) in the morning, on an empty stomach, before performing any physical activity, including morning physical exercises.
— Take with you a morning portion of urine in a volume of 100-150 ml. Before collecting urine, be sure to thoroughly clean the genitals. To collect urine and feces, it is preferable to use industrially produced special containers (small containers) for biosamples, which can be purchased at a pharmacy. To perform a urine test, you need to collect a medium portion of urine (start urinating, and then after 2-3 seconds insert a container for collecting the test). Considering the fact that some foods (beets, carrots) can color urine, they should not be consumed within 24 hours before collecting the material. Also, citizens who take diuretics should, if possible, stop taking them, since these drugs change specific gravity, acidity and amount of urine excreted. A relative limitation is the menstrual period in women. It is advisable that the urine sample be submitted to the laboratory within 1.5 hours after its collection. Transportation of urine should be carried out only at above-zero temperatures, otherwise precipitated salts can be interpreted as a manifestation renal pathology, or completely complicate the research process. In this case, the analysis will have to be repeated.
— Persons aged 45 years and older for stool examination occult blood necessary to avoid false positive results for 3 days before medical examination, do not eat meat foods, as well as other products that contain a significant amount of iron (apples, green onions, sweet bell peppers, white beans, spinach), as well as vegetables containing many enzymes such as catalase and peroxidase (cucumbers, horseradish, cauliflower), avoid taking iron-containing medicines, including hematogen, stop taking ascorbic acid, acetylsalicylic acid(aspirin) and other non-steroidal anti-inflammatory drugs (such as voltaren, diclofenac, etc.), stop using any laxatives and enemas. When performing a stool analysis using the immunochemical method, there are no restrictions on food intake (check the research method used with your local nurse or in office 53 medical prevention). Avoid excessively diluting the stool sample with water from the toilet bowl. This may cause incorrect results.
— You must place a sticker with your last name and initials on the container with urine and feces.
— Women need to remember that smears from the cervix are not taken during menstruation, when carrying out any treatment for infectious and inflammatory diseases of the pelvic organs, which in order to reduce the likelihood of getting false results smear analysis, it is necessary to exclude sexual contacts for 2 days before medical examination, to discontinue any vaginal medications, spermicides, tampons and douching.
— Men over the age of 50 must remember that it is better to refrain from undergoing medical examination for 7-10 days after any mechanical impact on the prostate gland (rectal examination, prostate massage, enemas, riding a horse or bicycle, sexual intercourse, treatment rectal suppositories etc.) since they can distort the result of a study of prostate-specific antigen in the blood (tumor marker of cancer prostate gland).
— If you took part in the current or previous year medical research take documents confirming this and show them to medical workers before starting the medical examination.
— The scope of preparation for passing the second stage of clinical examination will be explained to you by your local doctor (paramedic).

What document does a citizen receive based on the results of medical examination?

Each citizen who has undergone medical examination is issued a Health Passport, which contains the main conclusions (conclusions, recommendations) based on the results of the examination.

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 in our country, or to identify them at an early stage of development, when their treatment is most effective

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

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

Categories of citizens

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

However, both working and unemployed citizen has the right to undergo medical examination according to at will at the clinic at your place of residence/registration.

A working citizen has the right to take the required number of days off, and the employer does not have the right to refuse him. According to the law “On the fundamentals of protecting the health of citizens in the Russian Federation”, the employer is obliged to ensure the necessary conditions for employee visit medical institutions regardless of schedule or workload.

Where to begin

First, you need to contact the clinic’s reception desk or make an appointment with your local physician. If you are old enough to undergo medical examination this year, then you will be told when and where to go at a certain time. Up to 39 years of age, the medical examination procedure is somewhat simplified if no pathologies are identified. In general, the examination takes about 3–5 hours, and you will have to come to the hospital a couple of times.

Clinical examination takes place in 2 stages:

1. Questioning, initial examination therapist, fluorography, basic tests.
2. Identification of diseases and subsequent full examination.

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

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

During the 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 Fundamentals of Protecting the Health of Citizens in the Russian Federation” dated November 21, 2011. But then the patient takes full responsibility.

Medical examination goals

During the medical examination, doctors identify the most common diseases in our country and 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 speedy treatment or carry out appropriate prevention.

What diseases and pathological conditions Are they amenable 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);
• physical inactivity (low physical activity);
• overweight, obesity;
• glaucoma;
• pulmonary pathologies (tuberculosis, neoplasms).

What tests and studies does clinical examination involve?

It all depends on age and general health. It may turn out that you are quite healthy man, presenter healthy image life. During the initial examination and questionnaire, the therapist will evaluate your general state and will either refer you for further examination or send you home.

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

• Filling out a questionnaire (a survey aimed at identifying hereditary and acquired diseases).
• Measuring height, weight, calculating body mass index.
• Blood pressure measurement.
• General or biochemical blood test (as directed).
• General urine analysis.
• Fecal occult blood test (for those over 45 years old).
• Electrocardiography.
• Fluorography of the chest organs.
• 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 years old).
• Measurement intraocular pressure(those over 39 years old).
• Examination by a neurologist (for people over 50 years old).
• Examination and consultation with a therapist, recommendations.

Everything goes as usual

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

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

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

After a few days, the test results are ready, you should visit your therapist again, who will make a conclusion and give recommendations regarding disease prevention.

If suddenly there are any disturbances in the functioning of the organs, then additional examinations will be required. That's all. Now you can be confident in your health. Two or three days are worth our peace of mind, right?

Preparing for tests

Of course, you need to prepare for tests and some examinations so as not to get incorrect results. You can always ask your local therapist for complete preparation rules. But in general the rules are:

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

Don't skip the medical examination. A free medical examination will help identify diseases on initial stage development or prevent their occurrence.

Schedule a medical examination

Schedule a medical examination (preventive medical examination)

1. You can undergo medical examination:

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

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Where can I get a medical examination (preventive medical examination)

1. At the clinic to which you are assigned (weekdays from 8:00 to 20:00, on weekends according to the clinic’s schedule;

2. In the “Healthy Moscow” pavilions in the capital’s parks (daily from 8:00 to 22:00).

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What examinations can be taken at the Healthy Moscow pavilion?

Questionnaire (survey) in electronic form;

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

Calculation of body mass index;

Blood pressure measurement in peripheral arteries;

Electrocardiography at rest;

Measuring intraocular pressure;

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

Determination of fasting blood glucose level using the express method;

Advanced blood test;

Determination of prostate-specific antigen (PSA) in the blood of men aged 45,50, 55, 60, 64 years;

Examination of feces for occult blood using the immunochemical method

Fluorography*

Determination of relative/absolute cardiovascular risk

Examination and brief individual preventive consultation with a general practitioner;

Mobile fluorographs work on weekends according to a special schedule.

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

Mammography;

Midwife examination;

Cytological examination of the cervical smear;

• - esophagogastroduodenoscopy

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Get a preventive medical examination

Preventive medical examination – this is a complex medical examinations, carried out for the purpose of early (timely) identification of conditions, diseases and risk factors for their development, as well as for the purpose of determining health groups and developing recommendations for patients.

Preventive medical examination includes:

survey of citizens aged 18 years and older;

calculation based on anthropometry (measurement of height, body weight, waist circumference) 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 total cholesterol levels in the blood for citizens aged 18 years and older;

determination of fasting blood glucose levels for citizens aged 18 years and older;

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

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

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

electrocardiography at rest during the first preventive medical examination, then at the age of 35 years and older;

measurement of intraocular pressure during the first preventive medical examination, then at the age of 40 years 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 diseases including inspection skin, mucous lips and oral cavity, palpation thyroid gland, lymph nodes, a paramedic at a paramedic health center or a paramedic-obstetric station, a general practitioner or a medical prevention doctor at a medical prevention department (office) or a health center.

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Complete the first stage of medical examination

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

The first stage of medical examination includes:

1. Preventive medical examination:

2. Screening for early detection of cancer:

Examination of feces for occult blood (once every 2 years from 40 to 64 years of age, once a year from 65 to 75 years of age;

Esophagogastroduodenoscopy at 45 years old;

For women:

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

Taking a smear from the cervix, cytological examination cervical smear once every 3 years between the ages of 18 and 64;

Mammography (once every 2 years between the ages of 40 and 75)

For men:

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

3. Brief preventive consultation;

4. General blood test (from 40 years and older);

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If necessary, you will be referred to the second stage of medical examination for the purpose of additional examination

The second stage of medical examination is carried out for the purpose of additional examination and clarification of the diagnosis of the disease (condition) if there are indications based on the results of the first stage and includes:

examination (consultation) by a neurologist;

duplex scanning 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 years with an increase in the level of prostate-specific antigen in the blood more than 4 ng/ml);

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

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

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

X-ray of the lungs, computed tomography lungs (for citizens in case of suspected malignant lung tumors as prescribed by a general practitioner);

spirometry;

examination (consultation) by an otolaryngologist (for citizens aged 65 years and older);

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

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

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

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

Health group I – practically healthy and having risk factors with low or moderate total cardiovascular risk. A brief preventative consultation is provided.

Health group II – patients with risk factors for high or very high total cardiovascular risk. In-depth preventive counseling is provided: individual or group (“Patient School”). Dispensary observation in the Health Center or medical prevention department/office is indicated.

Health group III – patients with diseases both detected for the first time during clinical examination and previously established. Dispensary observation by medical specialists is indicated.

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

This frequency of examinations is sufficient to identify most serious illnesses at an early stage of development.

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

You can undergo medical examination:

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

annually at age 40 and older

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

Clinical 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 assigned, then this can be done at a time convenient for you during the organization’s opening hours if you have a passport and compulsory medical insurance policy. To do this, you need to present your passport and compulsory medical insurance policy at the reception and fill out an application. It will take 7–10 days to complete the documents.

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

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

In the Healthy Moscow pavilions, you can undergo examinations as part of a medical examination (preventive medical examination) for no more than 40–60 minutes.

Based on the results of the medical examination (preventive medical examination), the therapist of the department (office) of medical prevention or the Healthy Moscow pavilion 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.

Health group II – having risk factors with high or very high total cardiovascular risk. The doctor gives detailed recommendations on how to reduce cardiovascular risk, and can also refer you to the “Patient School”. These are group consultations and training in disease control methods for patients with a common problem. For example, such schools operate in a number of clinics for people suffering from diabetes.

Health group III – patients with diseases both detected for the first time during clinical examination and previously established. Dispensary observation by medical specialists is indicated.

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

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

III health group - for dispensary observation by relevant medical specialists.

Purpose of medical examination: early detection of chronic non-communicable diseases, which are the main cause of disability and premature mortality of the population of the Russian Federation (hereinafter referred to as chronic non-communicable diseases), which include:

diseases of the circulatory system and, first of all, coronary heart disease and cerebrovascular diseases

malignant neoplasms

diabetes

chronic lung diseases and others

These diseases are about 70% in the structure of the causes of all mortality in our country. In addition, clinical examination is aimed at identifying and correcting the main risk factors for the development of these diseases:

Increased level blood pressure

Increased blood cholesterol levels

Elevated blood glucose levels

Smoking tobacco

Harmful consumption of alcohol

Poor nutrition

Low physical activity

Overweight or obesity

Consumption narcotic drugs and psychotropic substances without a doctor’s prescription

An important feature of clinical examination is not only the early identification of chronic non-communicable diseases and risk factors for their development, but also the provision of brief preventive counseling to citizens with these risk factors, as well as for citizens with identified risk factors for the development of chronic non-communicable diseases, individual in-depth preventive counseling or group preventive counseling (patient school) in the department (office) of medical prevention or health center.

Such active preventive interventions will quickly and significantly reduce the likelihood of developing dangerous chronic non-infectious diseases in each individual person, and in people already suffering from such diseases, significantly reduce the severity of treatment of the disease and the incidence of complications.

Where and when can I get a medical examination?

Citizens undergo medical examination in a medical organization where they receive primary health care: in a clinic, in a center (department) of general medical practice (family medicine), in a medical outpatient clinic, or a medical unit.

Your local doctor (paramedic) or local nurse or an employee of the prevention department (office) of a medical organization will tell you in detail where, when and how you can undergo medical examination, and will agree with you on the approximate date and period of medical examination.

Most activities within the framework of medical examination are carried out once every 3 years; after 40 years, medical examination is carried out annually.

How long does it take to complete a medical examination?

To undergo the examination of the first stage of medical examination (screening), as a rule, two visits are required. The first visit takes approximately 3 to 6 hours, and the scope of the examination varies significantly depending on your age.

The second visit is to the local doctor for a final examination and summing up the results of the medical examination. Typically, the interval between visits is from 1 to 6 days and depends on the length of time required to obtain research results.

If, based on the results of the first stage of medical examination, you need additional examination, individual in-depth preventive counseling or group preventive counseling (patient school), the local doctor (therapist) informs you about this and refers you to the second stage of medical examination, the duration of which depends on the amount of additional examination you need .

How to get a medical examination?

List of examinations by medical specialists (paramedic or midwife), studies and other medical events carried out as part of medical examination depending on the age and gender of the citizen (scope of medical examination) is determined by the Procedure for carrying out medical examination of certain groups of the adult population, approved by order of the Ministry of Health of Russia No. 124n dated March 13, 2019. Please note that when undergoing medical examination, the year of birth of citizens is taken into account, not the date or month!

For example: a citizen whose date of birth was 07/04/1989 applied to the clinic to undergo a medical examination. He can undergo a medical examination in the period from 01/01/2019 to 12/31/2019. This means that it is possible to undergo medical examination on any convenient dates according to the operating hours of the medical organization throughout the entire calendar year, including until he reaches the age specified by the order.

According to the Order of the Ministry of Health of Russia dated March 13, 2019 N 124n “On approval of the procedure for conducting preventive medical examination and medical examination of certain groups of the adult population” Bodies executive power subjects of the Russian Federation in the field of health care ensure the organization of preventive medical examinations and medical examinations for citizens, including in the evenings and Saturdays, and also provide citizens with the opportunity to remotely make appointments (examinations, consultations) medical workers, research and other medical interventions carried out as part of preventive medical examinations and medical examinations.

It is better to take care of your health when it is not bothering you. Russians have the opportunity to do this for free once every three years - general medical examination in clinics. But only half of the population uses it. The rest are sure that all this is for show, and waiting in queues will be tormented. We tell you how to get the most out of the examination and where to save time.

OLGA MOKSHINA

Clinical examination - preventive examination in state clinic. She has two goals:

Determine what diseases may develop in the future due to hereditary predisposition and poor lifestyle;

Reveal dangerous diseases at an early stage.

Here are five steps for those who want to check their health but don't know where to start.

1. Find out when

On one's own. All residents of Russia from 18 to 39 years old who are insured in the compulsory medical insurance system can undergo medical examination once every three years. From the age of 40, in accordance with the new order, it can be taken annually. You go for a medical examination the year you turn 21, 24, 27, 30, 33, 36, 39, and then every year thereafter. Disabled people and WWII veterans, regardless of age, undergo medical examination once a year.

Advice

To avoid confusion, the Internet advises dividing your age by three: if it turns out without a trace, you can go. This is not entirely correct. If you have a birthday at the end of the year, it’s so easy to miss your medical examination. You need to look at the year of birth, not at full age. For example:

I can undergo medical examination from January 1 to December 31, 2017. No need to wait for your birthday.

From the doctor. It happens that clinics call patients and invite them to a medical examination. This happened to me. This is because, according to the law, the local therapist is responsible for medical examination. And he is obliged to ensure that all patients assigned to his site are examined.

From an insurance company. Sometimes you can find out that it’s time to go to the clinic from a thoughtful SMS from the insurance company servicing your compulsory medical insurance policy.

If you are not “age-appropriate” for medical examination, there is an alternative - a preventive examination. It includes fewer procedures and can be done once every two years.

2. Call the clinic

Officially, the order of the medical examination is regulated by the order of the Russian Ministry of Health and the recommendations of the State Research Center for Preventive Medicine. In fact, they do not have clear requirements, and the head physician decides on the spot how exactly to carry out the medical examination. In order not to waste extra time and nerves at the clinic, check in advance on the website or by phone:

Do I need to sign up for a medical examination?

In which line to wait for reception - general or special;

Is it possible to undergo medical examination on weekends or on evening time(this is provided for by the Decree of the Government of the Russian Federation of April 12, 2019);

Where to get directions;

How to prepare for tests.

On the website of Moscow Polyclinic No. 9 they are proactive and indicate all important information. But it's not like that everywhere

If the order does not suit you, you can change the clinic. You have the right to do this once a year.

3. Collect documents

- Passport.

- Compulsory medical insurance policy.

- Questionnaire. Questions about health status, bad habits, diseases suffered by relatives. It is given out at the clinic.

Advice

If you want to spend less time in the clinic or need to think about the questions, download the application form and fill it out at home.

Answer honestly, otherwise doctors will not be able to help you, and the examination will become meaningless

- Direction. In city clinics, referrals are usually received from a local doctor or a prevention clinic. In villages where there is no doctor, see a paramedic. Accurate information should be on the clinic’s website and at the reception.

- Informed voluntary consent for medical intervention. It is issued on site before the examination begins. By law, you have the right to refuse some or all screenings.

In the consent you will be asked to indicate your full name, registration address and number mobile phone

4. Walk through the offices

Clinical examination is carried out in two stages. At the first stage, you will fill out the questionnaire (or proudly hand it in), undergo the required examinations and consult with a doctor. You will be referred to the second one if the doctor suspects some kind of disease and needs to clarify the diagnosis.

But the number of stages is not always equal to the number of visits. Some clinics conduct medical examinations in two visits. For the first time, the patient signs a consent form, fills out a questionnaire, takes tests and undergoes examinations. The second time he is seen by a doctor. But it also happens differently: I went to the clinic three times.

40 minutes

The first time I sat in line for 20 minutes in the prevention room. In her 20s, she signed a consent to undergo a medical examination, filled out a questionnaire, and received referrals for examination. They measured my height, weight, arterial pressure, body mass index was calculated.

180 minutes

The second time I gave urine and blood, went for an electrocardiogram - all together it took an hour. I sat in line to see the gynecologist for almost two hours. The appointment took 10–15 minutes.

20 minutes

The third time I sat in line for 10 minutes to see the therapist, and the same amount at the doctor’s. I was not prescribed any additional examinations. In total, I spent four hours of pure time on medical examination.

Analyzes and examinations

Everyone is measured:

Height, weight, waist circumference;

Arterial pressure;

Body mass index;

Intraocular pressure (once, at the first adult medical examination);

Total cardiovascular risk - probability severe complications and death due to heart and vascular diseases in the next ten years.

Everyone is given directions:

For fluorography of the lungs;

A blood test for sugar and, up to 85 years of age, for cholesterol;

ECG (at the first medical examination in an adult’s life once, from the age of 35 - at each medical examination).

Since 2018, clinical examination no longer includes a general urine test, as well as clinical, detailed clinical and biochemical tests blood.

In addition, all studies and tests available for certain indications from a doctor are listed in paragraph 18 of the order of the Ministry of Health.

Write your year of birth in the box

If you have done any research during last year, directions may not be given. This usually happens with fluorography, which in some clinics is mandatory once a year. The decision is made by the health worker when he writes the referral.

Example

I am 30 years old. During the medical examination, they measured my height, weight, waist circumference, blood pressure, and calculated my body mass index. I've passed urine for general analysis, blood - for sugar, cholesterol and clinical trial , was examined by a gynecologist. I was charged electrocardiogram, since I came to a medical examination for the first time in my life. They didn’t give me a referral for fluorography - I had it at the clinic less than a year ago.

Since 2018, general urine and blood tests have been canceled.
ECG is prescribed for patients over 35 years of age

Therapist

At the end of the first stage, the doctor will report the test results and tell you which health group you are assigned to.

First health group. You do not have chronic diseases and there are few risk factors for their development in the future. In this case, the doctor will limit himself to a brief preventive consultation of no more than ten minutes. The purpose of the consultation is to inform the patient about how to change his lifestyle. For example, a doctor will tell a sweet tooth about the basics of proper nutrition.

Second health group. You do not have chronic diseases, but there is a high probability that they will appear in the near future. The doctor will conduct an extended preventive consultation. Duration - up to 45 minutes. The purpose of the consultation is to motivate a person to change their lifestyle. For example, a doctor will tell a smoking patient about the advantages of quitting cigarettes, give a reminder, and suggest a way to quit smoking.

Third health group. You are at high risk of developing cardiovascular diseases or have chronic illnesses. The therapist will conduct an extensive preventive consultation and tell you which doctor you need to see and how often.

If the doctor suspects any disease, you will be given a referral for additional examinations. After them, you will return to the therapist again.

5. Resolve difficulties

The clinic does not give directions for some examinations

Why. The clinic does not have a license for some types of medical care, the necessary equipment has broken down or the doctor has quit.

What to do. You must be given a referral to another clinic where you can undergo medical examination. If they don’t, write a complaint to the chief doctor. In the document, state all the circumstances and demand either a referral for research or a written refusal.

Make the complaint in two copies. At the chief physician's office, one copy will be returned to you with a signature, seal and reference number, and the second copy will be kept for yourself. That's it, now chief physician must respond to you by mail within 30 days. In practice, they respond earlier, since the regional Ministry of Health obliges chief doctors to promptly resolve conflicts with patients. Most likely, they will call you and ask you to come for a referral.

If a written refusal was received from the chief physician or he did not respond, contact the regional Ministry of Health. The complaint can be sent electronically through the ministry’s website, by Russian Post with a notification, or brought and registered in person. In any case, you are required to respond by mail within 30 days.

The link opens a Google document. To save the sample to your computer, select File → Download as → in the status bar Microsoft Word. Insert your own data instead of the template ones. If it is customary for your organization to write all statements by hand, rewrite them. If the management is satisfied with the version typed on the computer, print it out. You can check with the HR department. In both cases, sign the application

The doctor was formal and did not tell you about your state of health

Why. The doctor wants to submit a report and forget about medical examination until next year.

What to do. Talk to your doctor first. Perhaps he did his best, but you misunderstood each other. If he brushes you off again, write a complaint to the chief doctor. The procedure is the same as in the case of direction.

Recipe

1. Medical examination is carried out in the year when you turn 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. Before or after your birthday - it doesn’t matter.

2. For examination, go to the clinic to which you are attached. Call there in advance and find out the procedure for medical examination.

3. Take your compulsory medical insurance policy, passport and completed health questionnaire with you. The application form can be downloaded above.

4. If the clinic does not give you a referral for the required examination, complain to the chief doctor.

5. The employer is obliged to release you for medical examination without reducing wages. If he is not aware, refer to Article 185 of the Labor Code.

Experts: chief physician of Samara regional center medical prevention Alexander Muravets, lawyer at the RBL law office Afina Lesnichenko.