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8 тема англ
8 тема англ
CITY POLYCLINIC
СITY POLYCLINIC is a health facility to render outpatient care (primary and specialized)
to urban population at the age 18 and older.
СITY POLYCLINIC Basic tasks:
1. To render medical aid directly in polyclinic and at home;
2. To carry out preventive arrangements among population registered to decrease morbidity,
invalidity and mortality;
3. To carry out prophylactic medical examination (dispensarization) of population first of
all with high risk of cardiovascular, oncological and another social important diseases;
4. To render measures of hygiene education and healthy life style forming.
Prophylaxis department
Doctor rooms
Diagnostic rooms
Computer room
Lecture hall
Groups of health
I HEALTHY
People without chronic non-epidemical diseases and risk factors of their development;
- people with risk factors when low and average sum of cardiovascular risk who needn’t
dispensary observation as regards another diseases and status;
Medical examination – 1 time a year.
II PRACTICALLY HEALTHY
People without chronic non-epidemical diseases with risk factors when high and very high
sum of cardiovascular risk that needn’t dispensary observation as regards another diseases
and status.
Medical examination – 1 time a year and in case of disease.
III PEOPLE WITH CHRONIC DISEASES in different stages of compensation
People with diseases when need dispensary observation and specialized (including high
technology) medical aid;
- people with suspicious of diseases when need extend examination.
Compensated (med.exm. – twice a year and season prophylaxis)
Subcompensated ( 4 times a year);
Decompensated (constant observation not rare than 1 time a month).
Stages of dispensarization:
1. Organizational:
Personal registration of every inhabitant;
Definition of medical examinations order;
Volume of examination and their realization.
2. Estimation of health status and definition of dispensary observation groups.
3. Direct dispensary observation:
Rational distribution of dispensary contingents between doctors;
Sanitation of life conditions and elimination of risk factors;
Treatment in polyclinic and hospital including antirelapse measures, prophylactic
hospitalization, rehabilitation, sanatorium treatment, diet therapy, resettlement.
4. Estimation of dispensary effectiveness, planned diagnostic and sanitary measures, correction
of observe groups.
1.4. Proportion of doctors with the highest, Ist and 2nd qulified level
No. of doctors with the highest, Ist and 2nd qulified level x 100
No. of doctors in fact at the end of the year
1.5. Proportion of doctors with certificate of specialist
No. of doctors with certificate of specialist x 100
No. of doctors in fact at the end of the year
3.2. Plan function of doctor post during reception for year (week, month, 3 months)
(Plan index of mid-hour load of therapeutist during reception)x(Plan no. of working hours during
reception for year, week, month, 3 months)
Budget-insurance Healthcare
Organizational-legal forms of establishments: state and non-state health facilities of
different organizational-legal forms
Management system:
- giving up of strict centralization;
- destruction of previous normative-legal base;
- developing corporations form their own normative-legal base;
- lack of unification in ways and demands of health protection of workers and
simultaneously more clear adaptation to international standards.
Health facilities and specialists:
- single preserved Medico-sanitary departments (MSD), first-aid stations and medical
districts of the enterprises sections of previous Healthcare;
- New medical centers are formed by corporations and enterprises, centers of labor
medicine, departmental medical and feldsher first-aid stations.