Periodically taking tests and undergoing a minimum of research is the normal behavior of a person who takes care of his health. Therefore, the concept of medical examination has recently returned to Russia - a system of measures aimed at protecting public health, preventing new cases of diseases, reducing the incidence of complications, mortality and improving the quality of life.
Is it mandatory to undergo a medical examination? Screening is carried out indefinitely in all cities of the country with the voluntary consent of a citizen. This is not an obligation, but a right that every citizen of the Russian Federation can use. Is it necessary to undergo a medical examination or is it a waste of time?
What is medical examination
Since 2013, as part of the Health project, a medical examination of citizens was introduced in Russia. This is a set of studies and analyzes that allows you to assess the state of human health and identify various diseases in the early stages. Clinical examination differs from a regular visit to the therapist. Traditionally, citizens turn to doctors with specific complaints, and this is a preventive medical examination.
Is it mandatory to undergo a medical examination? Citizens are not required to be screened. This is a right, not an obligation. The medical examination (like any other medical intervention) is carried out exclusively by the voluntary and informed consent of the patient. A person has the right to refuse certain procedures or examinations at will, and all doctor's appointments are advisory in nature.
The goal of the clinical examination is the early detection of various diseases and pathological conditions that cause disability and premature mortality in the Russian Federation, as well as risk factors that include high blood pressure, high blood glucose, alcohol consumption, smoking, insufficient activity, overweight or obesity, improper food.
Why is medical examination needed?
Many countries of the world are developing special programs for a comprehensive survey of the health status of citizens. In Russia, medical examinations are carried out for various population groups with the aim of early detection of diseases and the main risk factors for their development. In the long run, this will improve the nation and reduce mortality from serious diseases. For each individual patient, a preventive examination is a chance to detect dangerous abnormalities in the early stages, while they still respond well to treatment.
Is it mandatory to undergo medical examination at work? Screening is the right of every citizen of the Russian Federation. There are no legislative sanctions for not having a physical examination, but it’s better to do it for your own good. From the first clinical examination, patients received different reviews. Someone says that this is “for show”, while others are grateful that they managed to detect hidden health problems and start treatment on time. Today, even oncology, identified in the early stages, is being successfully treated.
Is it mandatory to undergo a medical examination
In 2013, almost all children and more than 87 million adults underwent medical examination. Many have done it “because you need to.” So they said at work, in a district clinic, in an educational institution. Is it necessary to undergo a medical examination in a clinic? No one can force a person to undergo medical examinations. The medical examination of the population is carried out exclusively voluntarily and by informed consent. No punishments and penalties for not undergoing a physical examination are provided for the Russians, except for the most important - the possible failure to identify a dangerous pathology at an early stage, while the treatment will be quite effective. You can not undergo a medical examination, but is it worth it?
Who can be examined
Today, screening is conducted among citizens of the Russian Federation. Free medical examination is available to every citizen insured in the system of compulsory honey. insurance (compulsory medical insurance). This applies to all analyzes, diagnostic examinations and consultations of specialized specialists. Doctors recommend a routine physical examination every three years, starting at twenty-one years. That is, this year every person whose age is divided into three (21, 24, 27, 30, 33, 36, 39, 42 and so on) can undergo medical examination. It is recommended to undergo the procedure up to 90 years. For certain categories of the population, an annual medical examination is recommended. Such individuals have a higher need for regular monitoring than the rest of the population.
Clinical examination of children: terms and specialists
Is a child required to undergo a medical examination? This planned event, involving a comprehensive examination of the child’s health, is preferably carried out annually. Parents have the right to refuse a physical examination or certain procedures, but this should not be done. The basic recommendations of the Ministry of Health concern only a minimum, but for children it is better to create a clinical examination program on their own (of course, based on the recommendations of a pediatrician).
The first examination is carried out as early as one month. It is necessary to undergo an ultrasound scan, take tests, visit an ophthalmologist, orthopedist and neurologist. A less extensive program expects a child and parents in three months. The next physical examination is 6 months. Kids are tested by an ENT specialist, cardiologist, pediatrician, neurologist, optometrist. After a year, consultations with a dentist, endocrinologist and surgeon are needed.
Before entering the kindergarten and school, it is additionally recommended to visit a psychologist and speech therapist, orthodontist and immunologist. At 9-12 years, an in-depth physical examination is needed. In addition to the above specialists, you must sign up to a gastroenterologist, dermatologist and urologist. From one to two years, the examination of children is recommended once a quarter, from two to three - once every 6 months, then at three years, five to six, six to seven, eight, ten, eleven to twelve, fourteen to fifteen, fifteen to sixteen and at seventeen.
Where to go for medical examination
Screening is carried out in the clinic at the place of attachment. You can undergo a medical examination at the Health Center, the department of family medicine, in the medical unit and so on. It is important that the employee who decided to undergo a medical examination can take leave of work without problems (this is provided for by law). Is it necessary to undergo a medical examination in a clinic? You can contact a private medical center, however, all tests and examinations in this case will be paid.
Is it mandatory to undergo a medical examination at the place of registration? Yes, but for this you need to attach to any convenient clinic. On the compulsory medical insurance policy it is written that it is valid throughout the territory of the Russian Federation, so they can’t accept a patient. Attach not at the place of registration, but at the place of residence can be through a statement addressed to the head physician. They do not have the right to refuse. But you will need to disconnect from the clinic at the place of registration.
What is included in the medical examination
The first stage of the medical examination can be completed without prior appointment in the office of medical prevention. The doctor will tell you about the procedure for screening, depending on the age and gender of the patient, and will also offer to sign an informed consent. The first stage is carried out in order to identify chronic diseases, risk factors and determine the indications for additional examinations to clarify the diagnosis in the future.
The medical examination on the first day includes interviewing and questioning the patient, measuring height and weight, waist, calculating BMI, measuring blood pressure. Express methods will determine the level of cholesterol and glucose in the blood, but may offer to undergo a routine analysis. By the way, during the clinical examination, tests are taken out of turn, so you won’t have to wait long. At the first stage, they also perform FLG of the lungs, ECG (for men from thirty-six years old and women from forty-five years old), measurement of intraocular pressure (from 60 years old), analysis of feces for occult blood (it is recommended to take from 49 to 73 once every two years years).
After receiving the results of the tests, the therapist will conduct an examination (reception), including determining the diagnosis, health group and the need for further follow-up. A brief counseling is also provided on prevention issues. The patient will receive recommendations on physical activity, healthy nutrition, determination of medical indications for examinations as part of the second stage of the clinical examination.
Additionally, women need to undergo examination by a gynecologist and pass a smear from the cervix (from 30 to 60 years old), do a mammogram (from 39 years old). Men are recommended a study on the level of PSA in the blood from forty-five years to fifty-one years. According to the results of the analyzes, the patient will be additionally or by age sent to the second stage of the medical examination. Studies are conducted to clarify the diagnosis.
The second stage of the clinical examination
At the second stage, spirometry, examination by a neurologist, duplex scanning of arteries (for women from fifty-four years old, for men from forty-five years old), colonoscopy (with suspected oncology), examination of a surgeon or coloproctologist, ophthalmologist (from 60 years), and otorhinolaryngologist ( from 75 years old), urologist (for men from forty-five years old with a high content of PSA). Based on the results of the second stage of the clinical examination, the therapist is consulted to clarify the diagnosis and determine the group of the clinical observation. From 72 years of age, if indicated, or from 75 years of age, additional preventive counseling is also provided for everyone.
How long will the exam take
The first stage of medical examination in polyclinics of Moscow can be completed in an average of 90 minutes. For the entire screening, you will only have to come to the hospital several times to take tests and undergo special examinations, as well as talk with doctors. Each visit may take two to three hours, but in general the patient will not lose much time.
If you do not pass the medical examination on time
Is it mandatory to undergo a medical examination? What will happen if you do not come to pass the inspection? There will be absolutely no sanctions for this. Is it necessary to undergo a medical examination by year? No need to wait three years to check your health. Routine examinations can be completed as part of a routine inspection annually at Health Centers. If necessary, the patient will be sent to the clinic to undergo additional studies or receive recommendations from specialists.
What happens after medical examination
Based on the results of the screening, the therapist will determine the patient’s health group. Almost healthy people with risk factors belong to the first group. Citizens are advised on disease prevention and a healthy lifestyle. The second group is people who have a high or very high risk of developing dangerous diseases. The doctor will give recommendations to reduce the risk, can refer to the "School of the patient." Patients with the third group of health are shown dispensary observation in narrow specialists.
Is there a medical examination? This is advisable for those who care about their health. A physical examination can detect cancer in the early stages, problems with the heart and blood vessels, and serious risk factors. Doctors agree that the medical examination is important and should not be abandoned. Is it necessary to undergo a medical examination? This is the right of every citizen, which is definitely worth using.