The program of medical examination of the population. Clinical examination of the adult population (brief information for citizens about medical examination and the procedure for passing it)

Feeling well does not always mean that a person is completely healthy. Preventive examinations help to identify in advance diseases that lead to disability or death. Treatment will be as effective as possible because the process is always easier to stop before it goes too far. Not everyone can afford to pay for specialist consultations, but you can use the State Medical Examination Program.

Is it possible to pass a medical examination for free

Free preventive medical examinations have been introduced in the Russian Federation since 2013. According to the results of the examination, the doctors determined that most of the visitors to the medical centers did not know about their diseases. To take advantage of the opportunity to check the state of health, you need to know the rules by which the population is served.

State Medical Examination Program

The order of the Ministry of Health "On approval of the medical examination" indicates which categories of the adult population have the right to be regularly examined free of charge. The state program is designed to identify groups of diseases that account for up to ¾ of all deaths in the Russian Federation. More often, cardiovascular, pulmonary, oncological diseases and diabetes mellitus are fatal.

According to the order of the Ministry of Health, clinical examination of the population is carried out throughout the territory of the Russian Federation. For adults from 21 years of age, a free examination is possible once every three years. There is an abbreviated examination program; this service can be used once every two years. For certain categories of the population, clinical examination is carried out more often - annually.

Clinical examination 2018

People who can get a complete medical examination free of charge under the Federal Program must be born between 1928 and 1997. At the same time, the age of a person who can undergo medical examination in a polyclinic is strictly regulated. If the time of the examination is missed, you should expect the next date on which the examination of people of a particular age is scheduled.

What years of birth fall under the prophylactic medical examination in 2018

Since not all citizens of the Russian Federation will be able to undergo a free medical examination in 2018, it is worth finding out which years of birth are included in the current list. People born in 1928, 1931, 1934 and so on up to 1997 can count on a free professional examination. In this case, the social status of the patient does not matter - an employee, a student, a housewife.

What is included in the survey

The patient examination program is prepared individually - age, the presence of chronic diseases and gender matter. Each visitor receives a "route sheet" in his hands, which indicates a plan for bypassing specialists. The stages of medical examination are as follows:

• Therapist. The specialist conducts primary screening - interviews the patient, measures height, weight, blood pressure. The therapist performs a number of rapid tests for cholesterol and blood sugar free of charge. Further, the doctor gives a referral for general and biochemical blood tests, general urine analysis.
• Since 2018, a new examination is being introduced - a blood test for HIV infection.
• Women go to the gynecologist. The examination includes an oncological examination - the doctor takes a swab from the cervix for cytology to detect cancer at an early stage.
• Men go to the urologist. The doctor will detect prostatitis, prostate cancer and other diseases of this type.
• All age groups receive a referral for electrocardiography, fluorographic scanning of the chest organs for early detection of heart disease and broncho-pulmonary diseases. Based on the research results, the patient is referred for a consultation with a cardiologist, pulmonologist.
• An eye examination, consultation with an endocrinologist, and a dentist is prescribed.

People who are 39 years old at the time of the prophylactic examination are prescribed additional studies. Their list also depends on gender:

• Ultrasound of the abdominal cavity and small pelvis is performed every 6 years.
• An ultrasound of the mammary glands for women is planned every three years until the age of 50, then - after a year.
• Glaucoma is diagnosed by measuring eye pressure.
• From the age of 45, the risk of developing colon cancer increases, so a fecal occult blood test is performed.
• From the age of 51, the patient is sent for examination to a neurologist, and men donate blood for the detection of an antigen indicating prostate cancer.

The goal of the program is to identify signs of chronic non-infectious diseases, to diagnose the development of oncology. Based on the results of the first stage of the examination, the therapist gives a referral for tests or consultations of narrow specialists. A medical passport of the patient is created, in which all information about the state of his health is entered. After all consultations and analyzes, the therapist assigns the ward one of three health groups, on the basis of which procedures, exercise therapy or treatment are prescribed.

Where to go

The institutions where you can undergo a complete examination of the body are strictly regulated. You should contact the clinic to which the patient is attached, according to his place of registration. You can get information about who the GP is and the doctor's appointment time at the reception. In addition, information about the rules of medical examination is posted on information boards in the clinic.

How to get through

To get a full body exam for free, you should start by visiting your local therapist. The doctor prepares a route map and informs about where and when you can take tests and get advice from narrow specialists. All examinations are carried out during working hours, therefore, employed citizens should contact the management of their enterprise (place of work) in order to get a day off or a day off during a visit to the clinic. According to the Labor Code, this day should be counted as a working day.

Is it possible to undergo medical examination in another city

A full examination of the body in a state clinic is carried out only if the patient is attached to it. In order to undergo medical examination in another medical institution (in your own or another city), you must fill out the "application for attachment" form and submit documents to the registry together with your passport and medical policy. After the administration prepares the necessary documentation for the patient, you can undergo medical examination at the new address.

Clinical examination of children

There is a procedure for undergoing medical examination by minors, approved by the Ministry of Health of the Russian Federation. These are three categories of medical examinations:

• Prophylactic. This is a comprehensive examination of children 1, 3, 7, 10, 14, 15, 16, 17 years old. The examination includes consultations with a pediatrician, ophthalmologist, ENT, endocrinologist, surgeon, orthopedist, dentist, neurologist. Blood tests (general and biochemistry), urine tests, feces analysis for worm eggs, coprogram are performed, scraping is taken for enterobiasis. Sometimes the pediatrician prescribes additional examinations
• Preliminary. This examination is carried out before the child enters an institution - a kindergarten, school, technical school, university.
• Periodic. Inspections are carried out annually and are organized in kindergartens and schools. The scope of research is different for each age.

All types of examinations are carried out in the children's clinic, but sometimes specialists come to the school and carry out a physical examination on the spot. Before the prophylactic medical examination, the child's parents must sign a consent form. If it is decided to refuse examination of the child, the medical institution must be notified of this. Children from 15 years of age can personally consent to a medical examination by filling out a form.

Medical examination of pensioners

In the program of medical examination of the population, there is no separate article regulating the examination of pensioners. This category can undergo free medical examination in a polyclinic on a general basis. The groups of citizens who can undergo a medical examination annually, regardless of age, have been identified:

• disabled participants of hostilities, World War II;
• WWII veterans who were disabled as a result of hostilities, general illness or injury;
• persons who were prisoners of concentration camps during the Second World War.

Health Examination Center

In 2009, the state program "Healthy Russia" began its work. As part of this project, “Health Centers” have been launched throughout the country. Each region has its own departments of such a center, which are located in city polyclinics or hospitals. The goal of the program is to draw public attention to disease prevention. Health Centers provide the following services.

The purpose of the medical examination: early detection of chronic non-communicable diseases that 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, ischemic 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 of the population of our country. In addition, clinical examination is aimed at identifying and correcting the main risk factors for the development of these diseases:

Increased blood pressure

Elevated blood cholesterol

Elevated blood glucose

Smoking tobacco

Harmful alcohol consumption

Poor nutrition

Low physical activity

Being overweight or obese

Consumption of narcotic drugs and psychotropic substances without a doctor's prescription

An important feature of prophylactic medical examination is not only the early detection of chronic non-communicable diseases and risk factors for their development, but also providing citizens with these risk factors, brief preventive counseling, 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 make it possible to quickly and significantly reduce the likelihood of developing dangerous chronic non-infectious diseases in each individual person, and in persons already suffering from such diseases, significantly reduce the severity of treatment for the disease and the incidence of complications.

Where and when can I undergo medical examination?

Citizens undergo clinical examination in a medical organization 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, 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, agree with you on the approximate date and period of medical examination.

Most of the activities within the framework of clinical examination are carried out 1 time in 3 years, after 40 years, medical examination is carried out annually.

How long does it take to undergo a medical examination?

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

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

If, according to the results of the first stage of clinical 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 sends 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?

The list of examinations by specialist doctors (paramedic or midwife), research and other medical activities carried out as part of medical examination depending on the age and gender of the citizen (volume of medical examination)

Determined by the Procedure for conducting medical examination of certain groups of the adult population, approved by order of the Ministry of Health of Russia No. 124n dated 03/13/2019. It should be noted that when undergoing medical examination, the year of birth of citizens is taken into account, and not the date and month!
For example: a citizen, whose date of birth is 04/07/1989, applied to the polyclinic to undergo medical examination. He can undergo medical examination in the period from 01.01.2019 to 31.12.2019. This means that it is possible to undergo medical examination at any convenient date according to the operating mode of the medical organization throughout the entire calendar year, including until the moment he reaches the age specified by the order.

Content

Every citizen of Russia has the opportunity to undergo free diagnostics of his health if he was born in the year that in 2018 falls under medical examination. It covers different age groups over the age of 21, including retirees, students, working and non-working citizens. Clinical examination 2018 - which doctors and examination analyzes are included in the list of necessary for the population, is determined by the Ministry of Health of the Russian Federation. Otherwise, this procedure is also called screening. It is not necessary for everyone, but doctors do not recommend ignoring it.

What is prophylactic medical examination

In the health care system, prophylactic medical examination, or screening, is called a free general medical examination of the country's population. This procedure ensures the timely detection and prevention of certain diseases. Screening involves a series of mandatory laboratory tests and examinations by doctors, which a person undergoes at a certain age. The advantage of the procedure is that it has increased requirements to eliminate the risk factors for misdiagnosis.

What is it for

The main goal of screening is to identify at an early stage various pathologies, especially those that are common causes of death. These include oncology, diabetes mellitus, cardiovascular pathologies, lung diseases. In addition, during the examination, the doctor may identify some processes that indicate the danger of developing the disease in the future. As a result, the patient is given recommendations to prevent pathology.

Goals and objectives

Clinical examination is aimed at identifying ailments in the examined person at the initial stage. Due to this, in the presence of diseases in a patient, treatment can be started earlier, which generally reduces mortality in the country. The main tasks of a general medical examination include:

• assessment of the state of physical health of the country's population;
• monitoring persons with chronic diseases or those at risk;
• improving the quality of medical care;
• introduction of new technologies for recording health indicators.

Medical examination schedule by year of birth in 2018

In general, screening captures those citizens who have already reached the age of 21. Everyone who is older has the right to receive this service at the place of residence on the basis of a compulsory health insurance policy. Although the Ministry of Health of the Russian Federation reserves the right to medical examination for those who could not pass it in due time. To do this, the patient must submit an application to the polyclinic at the place of registration.

Persons over the age of 21

This free medical service involves the passage of such routine examinations every 3 years. Until the age of 18, a citizen is monitored in children's clinics. After reaching the age of majority, a person undergoes the first prophylactic medical examination at 18 + 3 = 21 years. It turns out that in 2018, persons who were born in 1997 are subject to a routine medical examination.In addition, all those whose age is divisible by 3 are eligible for this procedure, i.e. 24, 27, 30, 33, etc. So, in 2018, persons whose year of birth ends with the following numbers can undergo a medical examination in a polyclinic:

Health screening for children

On the basis of the order of the Ministry of Health of the Russian Federation, persons under the age of 18 are also subject to medical examination, but it is carried out annually. In addition, there are special rules. The law defines scheduled examinations, which must be carried out monthly for up to 1 year, every 3 months - up to 2 years, after six months - up to 3 years. The difference lies in the more in-depth nature of screening when children reach the age of 1, 3, 6, 7, 10, 14, 15, 16 and 17 years old. A child of any of the following birth years must undergo such a clinical examination in 2018:

• 2001;
• 2002;
• 2003;
• 2004;
• 2008;
• 2011;
• 2012;
• 2015;
• 2017.

What does the medical examination include?

The procedure involves the passage of the patient by a number of planned activities. They are divided into 2 stages. At the first stage, patients undergo general examinations for all, and at the second, doctors prescribe additional diagnostics only if necessary, when a person is found to have any disease or abnormality. The following organs and systems are checked for prophylactic medical examination:

• intestines;
• kidneys;
• vessels;
• thyroid gland;
• blood, including sugar and cholesterol levels;
• a heart;
• nerves.

Medical examination program for 2018 by age

Diagnosis of diseases at an early stage involves the passage of some compulsory doctors. They are recommended for all categories of citizens. The clinical examination includes doctors:

• cardiologist;
• optometrist;
• gynecologist;
• urologist;
• dentist.

Since human health may deteriorate as they grow older, some categories of the population must undergo not only generally accepted screening doctors, but also some separate examinations. The list of what is included in the clinical examination of an adult includes procedures such as:

• cardiogram - for women over the age of 45 and men over the age of 36;
• mammologist and oncologist - for women over 39 years old;
• duplex scanning of brachycephalic arterial vessels - for ages over 45 for men and over 55 for women;
• ophthalmologist - for everyone over 39 years old;
• ultrasound examination (ultrasound) of organs located in the abdominal cavity - for persons over 39 years old;
• not only a general, but also an additional biochemical blood test - for women and men over 39 years old;
• fecal occult blood test - for those who have crossed the 45-year-old border;
• preventive appointment with a neurologist - after 51 years;
• measurement of the amount of prostate-specific antigen in the blood - for age after 51 years for men.

What doctors go through

Attention! The information presented in the article is for informational purposes only. The materials of the article do not call for self-treatment. Only a qualified doctor can diagnose and give recommendations for treatment, based on the individual characteristics of a particular patient.

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Clinical examination 2018 - which doctors and examination analyzes: health diagnostics

The popular dictum that it is easier and cheaper to prevent a disease than to treat it later has rational scientific confirmation. In order to timely diagnose pathological conditions and maintain high indicators of the level of health of the population at the state level, such a concept as clinical examination was formed. What is included in it, why it is carried out, as well as other topical issues on this topic - in this material.

Clinical examination: what is it?

First of all, you should figure out what a clinical examination is. According to the specialized medical dictionary, this term denotes a specific system of treatment and prophylactic work in medical institutions. Such activities are regulated by regulatory documents that determine the volume of medical consultations and research, the timing of their conduct. In addition, enterprises write an order on prophylactic medical examination for workers who require the specified medical examination.

It is carried out in the clinic at the patient's place of residence. A person has the right to refuse such an examination in whole or in part by writing a written refusal according to the established model and presenting the document to the district therapist (family doctor).

Clinical examination in our country: the history of formation

What is clinical examination, how was such a concept formed in our country? For the first time, preventive examination of employees was introduced into the system of medical services for the population back in 1986. It was during this period that an order from the USSR was issued, according to which so-called preventive rooms were equipped in polyclinics. The essence of the activity of the medical examination departments of the polyclinic was in the annual standard examination of working citizens.

Unfortunately, the organization of such work turned out to be not at the proper level, which led to large expenditures of budget money and their irrational use. As a result of the large employment of district therapists due to routine examinations, the work of the polyclinic as a whole was hampered. Also, importantly, the main purpose of these activities was considered exclusively to diagnose diseases. The development of a treatment regimen and monitoring of the patient's condition were not the responsibility of the prophylaxis offices.

Thus, this system turned out to be ineffective and costly. In this regard, the development of a modern form of prevention of diseases of the population was required. A new era of medical examination began in 2006 - it was then that a new structure and innovative methods of work for medical examination of citizens began to be developed.

The purpose of the medical examination

As mentioned above, the main goal of the prophylactic medical examination of the population is to preserve the health of the nation. Based on this, the following tasks of such a preventive medical measure can be distinguished:

• diagnosis of diseases at an early stage, determination of the main risk factors for the development of health disorders;
• identification of the facts of the use of narcotic and psychotropic substances by citizens without indications and prescriptions of a doctor;
• professional patient counseling;
• determination of the patient's observation group in the event of health disorders or the presence of risk factors for their development.

Features of the organization

In the new modern structure of the organization of medical examination, there are the following features:

1. A citizen of the Russian Federation who has a medical insurance policy has the right to undergo a free examination.
2. A clinical examination is carried out at the place of residence once every three years (which years are allotted for such an examination by an individual patient, you can ask the therapist). In addition, you can undergo a preventive examination every year, which is characterized by a smaller amount of research.
3. Responsibility for organizing and conducting medical examination is assigned to a local therapist or family doctor.
4. The survey is carried out in 2 stages: standard and in-depth.
5. The criteria for defining the concept of "risk factors for the development of diseases" have been developed and specified. This group includes citizens who have the following health abnormalities: poor diet, alcohol abuse, high blood pressure, confirmation of the fact of tobacco use, hyperglycemia, low physical activity, overweight or obesity.
6. Expansion of laboratory research methods, which are included in the program of free medical examination of the population.
7. The number of health groups has been halved. At the moment, patients are divided into 3 groups instead of 6, namely: the first includes people with a low or medium risk factor for developing cardiovascular diseases, the second - with a high level, and the third - with proven diseases requiring medical attention. Each group of patients is provided with the necessary amount of medical care.

How is the examination carried out?

Clinical examination of adults has 2 stages. A citizen who is sent for examination must have a passport and a medical insurance policy with him. It is also recommended to take the research results that were obtained during the previous examination.

The clinical examination begins in the office of the district therapist - what does it include? Here the doctor will ask the patient to answer some general questions, the results are recorded in the questionnaire. Then the specialist will measure the basic anthropometric data (height, weight, waist, body mass index calculation). After that, the patient is given a so-called route sheet, which contains information about which tests should be passed and which narrow specialists will need to be examined. Thus, the first stage of medical examination takes place. What is primary medical examination, what examinations the patient will need to undergo at this stage of the examination, is described in more detail in the next paragraph.

The first stage of medical examination

The purpose of the first stage is to diagnose non-communicable diseases, including disorders of the cardiovascular system, diabetes, glaucoma, malignant neoplasms and others. In addition, an important task is to identify risk factors for a patient's health disorders, as well as his use of narcotic and psychotropic drugs without a doctor's prescription.

It will take at least two visits to the clinic to pass the first stage of the examination. For the first visit, you need 2 to 6 hours of free time. Despite the fact that if you have a referral for prophylactic medical examination, there is no need to stand in line, it will take a lot of time for the examination by doctors. What kind of specialists carry out prophylactic medical examination? Doctors of the following profiles examine the patient at the first stage of a preventive examination:

• therapist (district doctor);
• obstetrician-gynecologist;
• surgeon;
• neurologist;
• ophthalmologist.

Laboratory and instrumental research

What is primary medical examination, what laboratory and instrumental studies are carried out at this stage of the examination? The exact list of necessary medical procedures is indicated in the patient's bypass sheet. Since such a list is developed individually, taking into account the age of the subject and his anamnesis. The standard examinations for prophylactic medical examinations are as follows:

• blood pressure measurement;
• determination of glucose and cholesterol in blood by express methods;
• clinical and detailed blood test;
• general urine analysis;
• determination of the risk of developing cardiovascular diseases;
• coprogram;
• analysis of scrapings from the cervix and cervical canal for women;
• fluorography;
• mammography;
• Ultrasound of the pelvic organs and abdominal cavity;
• measurement of intraocular pressure.

Often the question arises as to whether an additional visit to a gynecologist is required if a woman has undergone the first stage medical examination? Additional examination will be required only if abnormalities are found in the results of scraping.

The second stage of medical examination

If during the initial examination, any violations in the patient's state of health were identified, then he is assigned a second additional stage. What is secondary medical examination, what is included in it? Such an examination includes the consultation of narrow specialists and the conduct of the necessary tests to confirm the preliminary diagnosis and make a decision on the further treatment of the patient. Namely: the examinee is invited to use the following free medical services (the list is determined according to indications based on the research results obtained during the initial clinical examination):

• consultation with a neurologist, urologist, gynecologist, otolaryngologist, ophthalmologist or surgeon;
• necessary additional laboratory and instrumental studies.

After the completion of the examination by the general practitioner, the “Health card” is filled in.

Clinical examination of children

Preventive examinations of newborns are carried out by the district pediatrician in the first three days after the baby is discharged from the hospital, on the 14th and 20th days. Then, during the first year of life, parents need to bring the child to a doctor to assess the growth and development of the baby.

Children over one year old should undergo medical examination once a year. It is necessary to get advice from such pediatricians as a neurologist, orthopedist (surgeon), ophthalmologist, otolaryngologist, dentist, speech therapist according to the schedule of preventive examinations depending on the age of the child.

The obtained data of examinations and analyzes are entered into the baby's medical record, if necessary (for example, for admission to a preschool educational institution), a special medical form is filled out.

Thus, we have explained what a clinical examination is and why it is carried out. Such preventive measures will help maintain health and increase the life expectancy of the population of our country.

When we are healthy, the world around us plays with bright colors. I want to live, create, take care of my loved ones.

When we are sick, the colors fade. As a rule, we seek medical help when we feel severe discomfort. Poor health does not allow us to study, go to work, be on a positive wave. The correct solution in this case is prevention! For more than 20 years, JSC VTB Medical Insurance has been providing reliable insurance coverage to millions of citizens throughout Russia and supports prevention as one of the highest priority areas in the field of public health. The most effective comprehensive methods of prevention in the Russian Federation are clinical examination and preventive medical examinations.

Clinical examination and preventive medical examinations are carried out as part of the implementation of measures aimed at the prevention of non-communicable diseases and the formation of a healthy lifestyle among citizens, including minors.

This section contains information on the scope and procedure for carrying out preventive measures.

Clinical examination of the adult population

Clinical examination is a set of measures, including a medical examination by doctors of several specialties and the use of the necessary examination methods carried out in relation to certain groups of the population in accordance with the legislation of the Russian Federation.

The procedure for conducting clinical examination of certain groups of the adult population - working, non-working, full-time students - was approved by Order of the Ministry of Health of the Russian Federation of February 3, 2015 N 36an

Who can get through?

Clinical examination is carried out once every three years in the following age periods: 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 and older.

Every year, regardless of age, you have the right to undergo medical examination:

1. Invalids of the Great Patriotic War and invalids of military operations;
2. Participants of the Great Patriotic War who became disabled as a result of a general illness, work injury or other reasons (except for persons whose disability occurred as a result of their illegal actions);
3. Persons awarded with the sign "Resident of the besieged Leningrad" and recognized as disabled due to a general illness, work injury and other reasons (except for persons whose disability occurred as a result of illegal actions).

How is the clinical examination carried out?

Clinical examination is carried out in 2 stages.

The first stage of clinical examination (screening) is carried out in order to identify signs of chronic non-infectious diseases in citizens, risk factors for their development.

The first stage includes:

1) a survey (questionnaire) aimed at identifying chronic non-infectious diseases, risk factors for their development, the consumption of narcotic drugs and psychotropic substances without a doctor's prescription;

For your convenience, you can download and fill in the questionnaire yourself.

2) anthropometry (measurement of standing height, body weight, waist circumference), calculation of body mass index;
3) measurement of blood pressure;
4) determination of the level of total cholesterol in the blood;
5) determination of blood glucose levels;
6) determination of the total cardiovascular risk in citizens under the age of 65;
7) electrocardiography at rest (for men over the age of 35, for women aged 45 and over, and for men under the age of 35 and women under the age of 45 - during the initial medical examination);
8) examination by a paramedic (midwife), including taking a smear from the cervix for cytological examination) (for women up to 69 years old inclusive);
9) fluorography of the lungs;
10) mammography (for women aged 39 to 75);
11) clinical blood test;
12) a detailed clinical blood test (for citizens aged 39 years and older with a frequency of 1 time in 6 years instead of a clinical blood test);
13) a biochemical general therapeutic blood test (in the amount of at least determining the level of creatinine, total bilirubin, aspartate aminotransaminase, alanine aminotransaminase, glucose, cholesterol - for citizens aged 39 years and older with a frequency of 1 time in 6 years instead of the studies provided for in paragraphs 4 and 5);
14) general urine analysis;
15) study of feces for occult blood (for citizens aged 48 to 75 years);
16) ultrasound examination (ultrasound) of the abdominal cavity and pelvic organs (for citizens aged 39 years and older with a frequency of once every 6 years), and for men who have ever smoked in life, also ultrasound of the abdominal aorta at the age of 69 or 75 years old;
17) measurement of intraocular pressure (for citizens aged 39 and older);
18) reception (examination) of a general practitioner, including establishing a diagnosis, determining a group of health status, a group of dispensary observation, conducting brief preventive counseling, including recommendations on healthy eating, level of physical activity, cessation of tobacco smoking and harmful alcohol consumption, determination of medical indications for examinations and consultations as part of the second stage of clinical examination.

The second stage includes:

1) duplex scanning of the brachycephalic arteries (according to indications);
2) esophagogastroduodenoscopy (according to indications);
3) examination (consultation) by a neurologist (according to indications);
4) examination (consultation) by a surgeon or urologist (for men aged 42 to 69 years according to indications, as well as for men regardless of age in case of suspicion of prostate cancer based on ultrasound results);
5) examination (consultation) by a surgeon or a coloproctologist (with a positive fecal occult blood test), for citizens aged 45 years and older - if other medical indications are detected;
6) colonoscopy or sigmoidoscopy (as prescribed by a surgeon or coloproctologist);
7) determination of the lipid spectrum of blood (for citizens with an identified increase in the level of total cholesterol in the blood);
8) spirometry (for citizens with suspected chronic broncho-pulmonary disease based on the results of a questionnaire survey, smokers and on the referral of a general practitioner);
9) examination (consultation) by an obstetrician-gynecologist (for women with identified pathological changes based on the results of a cytological examination of a smear from the cervix and (or) mammography, ultrasound of the uterus and ovaries);
10) determination of the concentration of glycated hemoglobin in the blood or a glucose tolerance test (for citizens with an identified increase in blood glucose levels);
11) examination (consultation) by an otorhinolaryngologist (for citizens aged 75 years and older in the presence of medical indications based on the results of a questionnaire survey or examination by a general practitioner);
12) a blood test for the level of prostate-specific antigen (as prescribed by a surgeon or urologist for men with suspected prostate cancer based on the results of a survey, examination, digital examination or ultrasound of the prostate gland);
13) examination (consultation) by an ophthalmologist (for citizens aged 39 years and older who have increased intraocular pressure, and for citizens aged 75 years and older who have decreased visual acuity that cannot be corrected by spectacles, revealed by the results of a questionnaire survey);
14) individual in-depth preventive counseling or group preventive counseling (patient's school) in the department (office) of medical prevention (health center, medical assistant's health center or medical assistant-obstetric point) (for citizens with identified risk factors for the development of chronic non-communicable diseases who have these diseases or have high and very high absolute total cardiovascular risk);
15) reception (examination) of a general practitioner, including the establishment (specification) of the diagnosis, determination (specification) of the health status group, determination of the dispensary observation group (taking into account the conclusions of medical specialists), as well as referral of citizens in the presence of medical indications for additional examination, not included in the scope of medical examination, to receive specialized, including high-tech, medical care, for spa treatment.

If a citizen is identified in the process of clinical examination of medical indications for conducting research, examinations and activities that are not included in the scope of medical examination, they are assigned and performed to the citizen, taking into account the provisions of the procedures for the provision of medical care according to the profile of the identified or suspected disease (condition) or standards of medical care approved in accordance with part 2 of article 37 of the Federal Law of November 21, 2011 No. 323-FZ "On the basics of protecting the health of citizens in the Russian Federation."

How to prepare for medical examination? *

• On the first visit, it is advisable to come to the medical organization in the morning, on an empty stomach, before performing any physical activity, including morning exercises.
• Take with you a morning portion of urine in the amount of 100-150 ml.
• If it is necessary to conduct a study of feces for occult blood, check with the clinic which method is used for the analysis. If immunochemical, then no dietary restrictions are required. If the study is carried out by a different method, then in order for the test result to be correct, within 3 days before the examination, give up food with a high content of iron (meat, apples, white beans), laxatives and enemas, iron preparations, aspirin and ascorbic acid (in the absence of contraindications).
• If you underwent medical examinations in the current or previous year, take documents confirming this and show them to medical workers before starting a medical examination.
• The scope of preparation for the second stage of clinical examination will be explained to you by the local doctor.

Preventive medical examination of the adult population

The procedure for conducting a preventive medical examination was approved by Order of the Ministry of Health of the Russian Federation dated December 6, 2012 No. 1011n.

Who can get through?

A preventive medical examination is carried out in relation to citizens aged 18 and over.

For what purpose is it carried out?

A preventive medical examination allows you to:

• to identify risk factors and early signs of cardiovascular, oncological, bronchopulmonary diseases and diabetes mellitus;
• receive timely assistance in correcting risk factors and identified deviations in health.

Where and how is it carried out?

A preventive medical examination is free of charge. It can be passed in a polyclinic, in which a citizen receives primary health care, once every two years.

On the day of contacting the clinic for a preventive examination, you must have a passport and a policy of compulsory medical insurance with you.

In the year of passing the prophylactic medical examination, a preventive medical examination is not carried out.

What examinations and doctors' consultations are included in a preventive examination?
A preventive medical examination includes:

1. Survey (questionnaire) in order to identify chronic non-infectious diseases, risk factors for their development, consumption of narcotic drugs and psychotropic substances without a doctor's prescription;
2. Anthropometry (measurement of standing height, body weight, waist circumference), calculation of body mass index;
3. Measurement of blood pressure;
4. Clinical blood test;
5. Determination of the level of total cholesterol in the blood;
6. Determination of blood glucose levels;
7. Reception of a general practitioner, including prophylactic counseling on the correction of identified risk factors and, if there are medical indications, referral of citizens to receive specialized, including high-tech, medical care for spa treatment.

For women aged 39 and over, additionally:

8. Mammography.
For citizens aged 45 and over, additionally:
9. Study of feces for occult blood.
For citizens under the age of 65, additionally:
10. Determination of the total cardiovascular risk.

Preventive medical examinations of children

Preventive medical examinations of children are carried out free of charge, within the framework of the program of state guarantees of free provision of medical care to citizens and territorial programs of state guarantees of free provision of medical care to citizens, including within the framework of the territorial program of compulsory medical insurance.

Who can get through?

Minors between the ages of 0 and 17 at certain age periods.

For what purpose are they carried out?

Preventive medical examinations of minors are carried out at certain age periods in order to timely identify pathological conditions, diseases and risk factors for their development, as well as in order to form groups of health status and develop recommendations for minors.

Where and how can you go?

A preventive examination is carried out in a medical organization in which the child receives primary health care.

The doctor responsible for conducting the preventive examination (pediatrician, district pediatrician, general practitioner (family doctor), no later than 5 working days before the start of the examination, must give (send) a referral to the minor (his legal representative) for a preventive examination with an indication of the list of examinations by specialist doctors and studies, as well as the date, time and place of their conduct.

On the day of contacting a medical organization in order to undergo a preventive examination, you must have a compulsory medical insurance policy and a referral for a preventive examination issued by the doctor responsible for its conduct.

What does the preventive examination program include?

The list of examinations by specialist doctors, laboratory, instrumental and other studies as part of a preventive examination.

When conducting preventive examinations, the results of examinations by specialist doctors and studies are taken into account, entered in the history of the child's development, the prescription of which does not exceed 3 months from the date of the examination and (or) research, and in children under the age of 2 years, the results of examinations and studies are taken into account , the prescription of which does not exceed 1 month from the date of inspection and (or) research.

A preventive examination is carried out in one stage and is completed in the case of examinations by specialist doctors and studies provided for by the examination program.

Preventive examination is carried out in two stages in case of suspicion of the presence of a disease (condition) in a child, the diagnosis of which cannot be established during examinations included in the examination program. In this case, the preventive examination is considered completed after additional consultations, research and (or) obtaining information about the child's health from other medical organizations.

What is the time frame for a preventive examination?

The total duration of the first stage of a preventive examination should be no more than 10 working days, the first and second stages - no more than 45 working days.

Reference information on other types of medical examinations of minors, including upon admission to educational institutions and during the period of study in them.

In addition to preventive examinations, preliminary and periodic medical examinations are carried out for children.

Preliminary medical examinations are carried out upon admission of the child to educational institutions in order to determine the student's compliance with the educational requirements.

Periodic medical examinations are carried out in order to dynamically monitor the state of health of students, to timely identify the initial forms of diseases, early signs of the impact of harmful and (or) dangerous factors of the educational process on their health and to identify medical contraindications to continuing their studies.

Detailed information on the procedure and scope of these types of examinations is contained in the Order of the Ministry of Health of the Russian Federation of December 21, 2012 No. 1346n.

The procedure for conducting dispensary observation

1. Dispensary observation is a dynamic observation, including the necessary examination, of the state of health of persons suffering from chronic diseases, functional disorders, other conditions, in order to timely identify, prevent complications, exacerbation of diseases, other pathological conditions, their prevention and the implementation of medical rehabilitation of these persons.

2. Dispensary observation of citizens suffering from chronic non-communicable diseases, which are the main cause of disability and premature mortality of the population of the Russian Federation, as well as having the main risk factors for such diseases, is part of the complex of measures for conducting medical examination and preventive medical examinations of the population.

3. Dispensary observation is carried out by the following medical workers of a medical organization where a citizen receives primary health care:

General practitioner, general practitioner (family doctor)

Specialist doctors (according to the disease profile of a citizen)

Physician at a medical prevention department or health center

Feldsher of a feldsher-obstetric station in the event that the head of the medical organization assigns him certain functions of the attending physician

4. The medical professional referred to in clause 3:

Keeps records of citizens under dispensary supervision

Informs the citizen about the procedure, volume and frequency of dispensary observation

Organizes and carries out dispensary appointments (examinations, consultations), examinations, preventive, therapeutic and rehabilitation measures

If it is impossible for a citizen subject to dispensary observation to visit a medical organization due to the severity of the condition or impairment of motor functions, organizes a dispensary reception at home

5. The list of diseases (conditions), in the presence of which a group of dispensary observation by a general practitioner is established, including the recommended duration and frequency of dispensary observation - Appendix to the Order of 21.12.2012. N1344n “On approval of the procedure for conducting dispensary observation”. This is a table with diseases and frequency of doctor visits.

6. Dispensary reception by a medical worker includes:

Assessment of the state of the citizen, collection of complaints and anamnesis, physical examination

Appointment and assessment of laboratory and instrumental studies

Establishing or clarifying the diagnosis of the disease

Conducting a brief preventive counseling

Prescribing preventive, therapeutic and rehabilitation measures for medical reasons, including referring a citizen to a medical organization providing specialized (high-tech) medical care, to a spa treatment, to a medical prevention department or a health center for in-depth individual preventive counseling and (or ) group preventive counseling (patient school)

Explaining to a citizen with a high risk of developing a life-threatening disease or its complications, as well as to persons living with him, the rules of action for their development and the need to call an ambulance in a timely manner.

* Recommendations developed by the Ministry of Health of the Russian Federation were used