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Why go for medical examination if you feel healthy?

Going to the doctor periodically when nothing is bothering you is the normal behavior of a person who cares about staying healthy as long as possible.

The diseases from which people are now dying are the diseases of civilization. Firstly, these are the risk factors associated with civilization - urbanization, stress, overnutrition, low physical activity, they give rise to all these major diseases. It is these mechanisms that are behind the development of various diseases. In Russia, four types of diseases have been identified from which people most often die: cardiovascular, oncological, bronchopulmonary, and diabetes mellitus. As a result, the question arose of the need to call on citizens to take care of their health, because a healthy population is the national wealth of any country. Recently, the concept of clinical examination has returned to us - this is a system of measures aimed at maintaining the health of the population, preventing the development of diseases, reducing the frequency of exacerbations of chronic diseases, the development of complications, disability, mortality and improving the quality of life.

Medical examination takes place indefinitely and in all regions of the country and is carried out with the informed voluntary consent of a citizen or his legal representative. A citizen has the right to refuse to conduct medical examinations in general, or from certain types of medical interventions included in the scope of medical examinations. But why?

Regular medical examinations are necessary, regardless of how you feel. Even if a person considers himself healthy, during the medical examination, chronic non-communicable diseases are often found in him, the treatment of which is most effective at an early stage.

Medical examination will allow you to maintain and strengthen your health, and if necessary, conduct additional examination and treatment in a timely manner. Doctors' consultations and test results will help you not only learn about your health, but also get the necessary recommendations about the basics of a healthy lifestyle or identified risk factors.

How often is screening done?

According to the Order of the Ministry of Health of the Russian Federation No. 124n dated March 13, 2019 "On approval of the procedure for conducting a preventive medical examination and clinical examination of certain groups of the adult population", medical examination of the adult population is carried out in two stages starting from 18 to 39 years old inclusive every three years and annually at the age of 40 years and older. In those age periods that do not fall under the medical examination, you can undergo a preventive examination annually.

Where can you get a medical examination?

Citizens undergo a medical examination in a medical organization at the place of residence (attachment), in which they receive primary health care (in a polyclinic, in a center (department) of general medical practice (family medicine), in a medical outpatient clinic, medical unit, etc.). If you decide to undergo a medical examination, remember that during the medical examination, employees have the right to be released from work for 1 working day once every 3 years, while maintaining their workplace and average earnings.

Employees of pre-retirement age (within 5 years before retirement age) and pensioners receiving an old-age or superannuation pension have the right to be released from work for 2 working days once a year while maintaining their place of work and average earnings. To do this, you need to coordinate with the management the days of medical examination and write an application for release from work.

Each person who would like to undergo a medical examination must contact the medical organization at the place of attachment.

At the first visit, your height, weight, waist circumference, blood pressure, cholesterol and glucose levels (by the express method) are measured, and the total cardiovascular risk is assessed. Here are two documents:

1. Informed voluntary consent to medical intervention.
2. Questionnaire for the identification of chronic non-communicable diseases.

A necessary precondition for conducting a preventive medical examination and medical examination is the giving of an informed voluntary consent of a citizen (his legal representative) to medical intervention in compliance with the requirements established by Article 20 of Federal Law No. 323-FZ.

A citizen has the right to refuse to conduct a preventive medical examination and (or) medical examination in general or from certain types of medical interventions included in the scope of a preventive medical examination and (or) medical examination.

What documents are required for medical examination?

Every citizen heading for medical examination or medical examination must have a passport and a compulsory medical insurance policy.

When conducting a preventive medical examination and medical examination, the results of previously conducted (no later than one year) medical examinations, medical examinations, confirmed by the citizen’s medical documents, may be taken into account, except for cases of identifying symptoms and syndromes of diseases that indicate the presence of medical indications for repeated research and other medical measures. as part of a preventive medical examination and medical examination.

What are the stages of dispensary?

The list of doctors and examinations will be individual: it all depends on your state of health, age, the presence of already diagnosed chronic diseases, etc.

The dispensary is carried out in two stages.

The first stage of medical examination (screening) is carried out in order to identify in citizens signs of chronic non-communicable diseases, risk factors for their development, consumption of narcotic drugs and psychotropic substances without a doctor's prescription, as well as determining medical indications for additional examinations and examinations by specialist doctors to clarify the diagnosis of the disease (state) at the second stage of clinical examination. Cancer screening, personified by gender and age, has been introduced into the program. They are carried out in those groups where they confirm the greatest efficiency.

Based on the results of the first stage, the therapist determines the health group and decides whether a more detailed examination is necessary (referral to the second stage of medical 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), in-depth preventive counseling and includes conducting according to the indications determined at the first stage.

What happens if during the medical examination a patient is diagnosed with deviations in health?

After all the studies and consultations of specialists, the patient goes to see a therapist. Based on the results of the medical examination, for planning the tactics of his medical supervision, the health group is determined:

I health group - citizens who have not been diagnosed with chronic non-communicable diseases, there are no risk factors for developing such diseases or have these risk factors at low or medium absolute cardiovascular risk and who do not need dispensary observation for other diseases (conditions).

Health group II - citizens who do not have chronic non-communicable diseases, but have risk factors for developing such diseases at high or very high absolute cardiovascular risk, as well as citizens who have obesity and (or) hypercholesterolemia with a total cholesterol level of 8 mmol/l or more, and (or) persons who smoke more than 20 cigarettes per day, and (or) persons with an identified risk of harmful alcohol consumption and (or) the risk of using narcotic drugs and psychotropic substances without a doctor's prescription, and who do not need a dispensary monitoring for other diseases (conditions).

IIIa health group - citizens with chronic non-communicable diseases requiring the establishment of dispensary observation or the provision of specialized, including high-tech, medical care, as well as citizens suspected of having these diseases (conditions) who need additional examination;

IIIb health group - citizens who do not have chronic non-communicable diseases, but require the establishment of dispensary observation or the provision of specialized, including high-tech, medical care for other diseases, as well as citizens suspected of having these diseases who need additional examination.

If during the prophylactic medical examination indications are found for additional examinations that are not included in its program, they are prescribed in accordance with the procedures for providing medical care according to the profile of the identified or suspected pathology. And with the modern three-level organization of medical care, the continuity between polyclinics, hospitals and centers for the provision of high-tech medical care makes it possible to diagnose the patient as soon as possible and provide all the necessary assistance, including high-tech.

Citizens with IIIa and IIIb health groups are subject to dispensary observation by a general practitioner, medical specialists with medical, rehabilitation and preventive measures.

What is dispensary observation

Dispensary observation is a dynamic monitoring, including the necessary examination, of the health of persons suffering from chronic diseases, functional disorders, other conditions, in order to timely identify, prevent complications, exacerbations of diseases, other pathological conditions, their prevention and medical rehabilitation of these persons carried out in accordance with the procedure established by the authorized federal executive body

Dispensary supervision includes:

1) assessment of the state of a citizen, collection of complaints and anamnesis, examination;

2) appointment and evaluation of laboratory and instrumental studies;

3) establishing or clarifying the diagnosis of the disease (condition);

4) conducting brief preventive counseling;

5) the appointment of preventive, therapeutic and rehabilitation measures for medical reasons, including the referral of a citizen to a medical organization providing specialized (high-tech) medical care, to a sanatorium-and-spa treatment, to a department (office) of medical prevention or a health center for in-depth individual preventive counseling and/or group preventive counseling (patient school);

6) explaining to a citizen with a high risk of developing a life-threatening disease (condition) or its complication, as well as to persons living with him, the rules of action in case of their development and the need to promptly call an ambulance.

The grounds for termination of dispensary observation are:

• recovery or achievement of stable compensation of physiological functions after an acute illness (condition, including trauma, poisoning);
• achieving stable compensation of physiological functions or stable remission of a chronic disease (condition);
• elimination (correction) of risk factors and reduction of the risk of developing chronic non-communicable diseases and their complications to a moderate or low level.

What document confirms the medical examination?

On the basis of information about the passage of a preventive medical examination and (or) clinical examination by a citizen, a medical examination registration card is filled out.

The results of appointments (examinations, consultations) by medical workers, studies and other medical interventions included in the scope of a preventive medical examination and clinical examination are entered in the medical record of a patient receiving medical care on an outpatient basis, marked "Preventive medical examination" or "Prophylactic medical examination".

Clinical examination allows you to improve health, identify the disease as early as possible, treat the disease with the greatest success.

Take care of your health and it will thank you!

Clinical examination (screening)- This is a medical examination of the population on a free basis, which is aimed at improving the health of the nation. This technique originated in connection with the increase in the growth of oncology of the lung tissue. In Russia, this event has been held since 2013 every 3 years by public and private clinics on the basis of the updated order of the Ministry of Health of the Russian Federation No. 514N dated 19.01.2017. “On the procedure for carrying out preventive measures for a certain group of the adult population”. This document was previously published in 2011 and amended in 2015. Preventive medical examination should be understood as a general examination of a citizen and an additional examination, if necessary.

Is screening mandatory?

Own health for a modern person, unfortunately, has faded into the background. In the pursuit of money, people do not pay attention to ordinary ailments, and miss the first symptoms of serious illnesses. But there are diseases that can not manifest themselves in the human body for years, and only tests can determine their presence. Therefore, a timely examination may well prevent the presence of an ailment, the development of a chronic disease and death.

If a person’s whole life is spent in a metropolis with poor ecology, with the use of unhealthy foods, without proper sleep and leading a sedentary lifestyle, this gives full reason to assert that even the strongest organism is slowly but destroyed. A special category of such diseases include: oncology, diabetes, problems with blood vessels, heart and lungs.

What years are undergoing medical examination in 2018

In order to calculate the frequency of passing a medical examination, you need to divide your age, starting from 18 years old, by 3 and, if there is no balance, then you can take an examination this year. To simplify the situation, there is a table of correspondence between age and year of birth for the period 2018.

Children

For children, the rules for conducting an examination are completely different, they are carried out within strictly established terms and without fail: 1, 3, 6-7, 10, 14-17 years, that is, in 2018 the following years should be screened: 2002-2004, 2008, 2011 , 2012, 2015 and 2017. The survey of minors is more in-depth.

Children from birth to 3 years

What is included in the medical examination

The procedure for passing the examination by doctors is divided into 3 stages:

1. The primary appointment of the therapist is the measurement of the main indicators of weight, height, pressure, filling out a questionnaire to identify chronic diseases and mental disorders, taking tests and undergoing fluorography for the presence of inflammatory processes in the body and examining the main specialists: gynecologist, urologist, cardiologist, oculist and dentist.

It should be understood that the exact list of studies directly depends on the gender and age of the patient:

1. Secondary visit to the clinic for the passage of narrow specialists and retake tests in case of detection of diseases against the background of the results obtained. This can be a visit to a gynecologist, an ophthalmologist, a surgeon, a urologist, and scanning of brachycephalic arterial vessels to detect a possible stroke in a person.
2. Definition of a risk group for people who have undergone medical examination, which are also divided into 4 categories:
   • I gr. – Healthy (without chronic and infectious diseases and the absence of risk factors for their development).
   • II gr. – At increased risk (with signs of illness, obesity, dyslipidemia and people who smoke more than 2 packs a day, but do not need dispensary treatment).
   • IIIa gr. – Patients (having chronic diseases and in need of specialized care).
   • IIIb gr. – Patients (who do not have chronic diseases, but need special high-tech care).

At the end of the examination at any stage, a health passport is issued with full information about the examination and further recommendations.

What do children go through during the medical examination?

For children in 2018, there is no division of medical examination into preliminary and periodic, but there are only preventive and annually, starting from 3 years old, that is, it is enough to undergo an examination once a year and present it at the place of demand:

• Scheduled examination before entering an educational institution for children 3-7 years old with the passage of all doctors (dentist, traumatologist, ophthalmologist, psychiatrist, ENT and pediatrician) and basic research (general blood and urine tests, feces and ECG).
• Examination of a baby from 0 to 3 years old by all narrow specialists provided for this age with the delivery of urine, blood, feces and ultrasound of the abdominal cavity, hip joints and ECG.
• A medical examination of schoolchildren from 10 years old excludes visits to such doctors as a psychiatrist, surgeon and ENT, as well as passing stool and ECG tests. At certain ages, a fluorogram, urine, blood and glucose tests are provided.

The data of the examination of children are entered into the already existing history of the development of the child, which is stored in the clinic and transferred to the educational institution where he studies. Parents are given a copy of the research and doctors' recommendations.

Until what date can I take a medical examination

Inspection can be carried out at any time during the year for a certain age category for 2018.

The first stage of the examination usually takes up to 6 hours, depending on the age group. The next visit to the doctor takes place in a few days, depending on the duration of the results. Then you should visit the clinic as needed to treat the identified disease. The doctor, nurse or receptionist should explain in detail about the examination procedure and individually determine the date and duration of the medical examination.

How to register and where to get a medical examination

To undergo a screening examination, you should go to the hospital at the place of permanent or temporary registration, study, or at the choice of a medical institution where treatment is already underway. You must have a passport and SNILS with you without fail. Without a health insurance policy, the examination will be on a paid basis. An appointment with a doctor takes place at the clinic's registry or via an electronic terminal. After the initial examination in the direction, you can make an appointment with other doctors. As for working citizens, on the basis of the law of the Russian Federation (Article 24 of November 21, 2011 No. 323-FZ) “On the Basics of Health Protection”, the head is obliged to create conditions for passing a medical examination of his employees. Also, a screening study can be carried out by mobile teams of doctors visiting enterprises or areas where there are no other medical institutions.

In this video report, from correspondent Natalia Sheshegova, it is clearly told who should undergo medical examination and why it is needed:

This method of examination reveals a predisposition to certain diseases, their detection in the early stages and the possibility of treating the most difficult cases that would otherwise lead to death.

We are used to the fact that the care of our own health is entirely in the hands of doctors. This is not quite the right approach. Everyone should take care of themselves, then life becomes longer, and a person begins to live fully!

And to determine what state the body is in and whether our life needs to be adjusted, a person must regularly be examined by a certain direction of doctors, take tests and receive healthy advice from specialists. This is dispensary.

There are categories of workers for whom the passage of doctors is prescribed by service instructions. They work according to their departmental orders. Therefore, in our article we answer the most pressing questions today: medical examination in 2016, what years of birth fall into and what is included in it. Every year, a significant part of Russians receives the right to undergo all the necessary examinations free of charge. This year it can be done by everyone whose birth falls on 1995, 1992, 1989, 1986, 1984, 1980, 1977, 1974, 1971, 1968, 1965, 1962, 1959, 1956, 1953, 1950, 1947, 1944, 1941, 1938, 1 935, 1932, 1929, 1925, 1923, 1921, and 1917. But this does not mean that others cannot take care of their health. You just have to do it with payment for the services of doctors.

In 2016 (as in 2015), the examination of doctors takes place according to a specially approved program. Therefore, the program of medical examination of the population in 2016 is a set of measures, conditionally divided into two stages:

• during the first stage, each specialist should undergo an appropriate examination, as well as a survey;
• the need for the second stage may happen if sufficiently relevant health disorders were revealed at the previous stage, in which case the patient is invited to undergo a medical examination, that is, treatment in a dispensary.

This information, as well as the information below, answers the question of what a medical examination in a polyclinic is and how it goes. In order to get free examinations and tests, you need to check the indicated years of birth, and then contact the clinic serving your area of ​​​​residence, you are in it on a medical record.

The first stage begins with an examination, as a result of which individual data (weight, height, working regime, lifestyle, chronic diseases, pressure level, information about bad habits, including alcohol abuse) are entered into the patient's book.

The survey is carried out by age groups, for each of which appropriate tests are prescribed. So, patients of 21-36 years of age pass:

• general analysis of blood, as well as urine (according to the main indicators);
• blood test, which determines the level of cholesterol);
• a blood test that determines the glucose indicator (required for early detection of diabetes mellitus);
• fluorography;
• women are given a referral to a gynecologist, who will assess the condition of the pelvic organs, and also examine the data of cytological tests.

Patients aged 39 years and older take:

• blood (detailed analysis format);
• urine (general analysis);
• blood (for biochemistry);
• feces (requires indicators for the presence of occult blood);
• blood (presence of PSA antigen, in this case, prostatitis and early stage prostate cancer are diagnosed);
• women at the gynecologist are offered to undergo a pelvic examination (for early detection of cancer);
• fluorography;

In addition, at this age, patients are consulted by a mammologist (with mammography), it is necessary to examine the abdominal cavity, as well as visit an ophthalmologist, this specialist examines the fundus and determines eye pressure. Completes the list of appointments with a neurologist.

Who can count on free examinations in 2020

For those who are going to the clinic after January 1, you need to know: doctors and tests for medical examination of the population in 2020 year are formed on the basis of the requirements of the regulatory framework and will not change significantly. Next - the answer to the question, what years of birth fall into the medical examination in 2020. Next year, those whose births fell on 1921, 1924, 1927, 1930, 1933, 1936, 1939, 1942, 1945, 1948, 1951, 1954, 1957, 1960, 1963, 1966, 1969, 1972, 1975, 1978, 1 981, 1984, 1987, 1990, 1993 and 1996 years.

If your year of birth does not match the years listed above, do not worry. After all, everyone has the right to free examinations and tests, and this can be done every three years. Answering the question about which doctors undergo medical examination, we list - these are:

• urologist (men undergo it);
• gynecologist (or mammologist, women go through it);
• endocrinologist;
• cardiologist;
• dentist;
• ophthalmologist (he is also an ophthalmologist);
• therapist.

Legislative framework for free medical examinations

The current order of free medical examination is enshrined in law, it has been in force since April 1, 2015. Its basis is the order on medical examination of the adult population. According to this document, starting from the age of 18, every Russian is recommended to go through all the doctors and pass all the tests once every three years in order to have an idea about the state of his own health. These Russians include:

• full-time students;
• employed Russians;
• citizens who do not work.

This document is the official basis for everyone, this is the so-called order 36an on medical examination of the population. It is included in the list of regulations governing the basics of protecting the health of Russians.

Who will be eligible for free screenings in 2020?

The state is interested in the fact that the Russians were healthy. That is why there is a law on the free passage of doctors. By the way, it is not difficult to calculate which years of birth fall under medical examination in 2020. To do this, we take the corresponding numbers for 2020 and add one to each year of birth. That is, instead of 1996, it turns out 1997, instead of 1993 - 1994, and so on.

It is essential to answer the question, is it necessary to undergo medical examination, and how can one refuse it? According to the current regulatory framework, free examinations are voluntary. Everyone can use this right, and, on the advice of doctors, this should be done systematically. If you do not feel unwell, this is not a reason to think that you are completely healthy.

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In order to improve the level of public health and timely detection of diseases of various pathogenesis, a systematic free examination of citizens is provided on the territory of the Russian Federation. Its procedure and conditions are regulated by the Order of the Ministry of Health of the Russian Federation of February 3, 2015 No. 36an.

Along with the previous periods, the medical examination of 2018 provides for a similar procedure for passing. It applies to citizens from 21 years old, according to the established age periods, with the exception of special categories of persons who are subject to medical supervision annually: children, disabled veterans of the Second World War, military personnel, etc.

Age periods that pass the program in 2018

Employed, unemployed, student citizens aged 21 and above, whose age period corresponds to the list established by law, can undergo a comprehensive examination. Current information on the medical examination of the population by year of birth in 2018 is presented in the table.

To date, such services are provided free of charge by state medical institutions, in particular district polyclinics. Citizens, at their own discretion, can choose the organization where it is most convenient for them to undergo an examination: at the place of residence, study or work.

At the same time, employed persons have the right to visit a medical institution during working hours and the employer cannot prevent them from doing this, nor can they regard their absence from the workplace as a violation of labor discipline. A similar rule applies to full-time students.

Considering that medical examination is completely voluntary, a person who has expressed a desire to undergo it may, at his own discretion, refuse certain medical actions and examinations by certain specialists. The complex of activities that are carried out within the framework of the program differs depending on gender and age.

Duration of medical examination

The duration of primary medical examinations and passing the necessary tests is theoretically 2 days. On the first day, the patient bypasses specialists and takes tests, and after a week, during which the results will be prepared, he comes to his local therapist to find out about the results of the examination.

Often, in practice, the passage of such a commission takes longer and requires multiple visits, depending on the working hours of certain doctors, the timing of the analysis, etc. This fact should be taken into account if it is planned to undergo an examination during working or school hours.

Doctors note that the most favorable time of the year to undergo an examination is summer. The warm season is less busy than others. The most intense is considered the autumn-winter period.

According to the results of a statistical survey, often, having learned which years of birth fall under medical examination in 2018, and not finding their age period among them, people prefer to postpone going to a medical institution until better times. And this is along with the fact that they have some questions about the state of their health.

Experts regard such behavior as very reckless, and focus on the fact that, along with Order No. 36an of the Ministry of Health, a special decree was also issued, according to which a person can undergo a preventive examination every 2 years. It is a kind of abbreviated version of the medical examination. In case of detection of serious violations, the patient will be referred for a comprehensive examination.

Order of conduct

At the first visit to the clinic, a passport and a compulsory health insurance policy are required. If the patient has already seen certain specialists and / or passed tests within the 12 months preceding the visit to the medical institution, he should take all medical documentation with him to provide to the local doctor.

The examination covers 2 stages:

• screening (questioning the patient about the main aspects of his health);
• additional examination to establish the diagnosis.

The first stage involves drawing up a general picture of the patient's degree of health. To do this, he is required to:

• delivery of a standard set of tests, the list of which differs depending on age (blood, urine, feces);
• inspection of highly specialized specialists;
• passing a number of studies (ultrasound, electrocardiography, etc.).

If no serious deviations were found at the end of the initial stage, the examination ends at this point and can be retaken after 3 years.

The second stage of medical examination is appointed if there are certain deviations. To clarify the diagnosis, a citizen is sent to a specialist of the appropriate profile for additional examination or preventive counseling.

In situations where it has been found that the patient needs to contact specialists in other areas and conduct medical manipulations and activities that are not included in the medical examination program, treatment is prescribed in accordance with the rules established by law for the provision of medical care in accordance with the identified disease. Simply put, the treatment begins to be carried out in the usual manner.

The essence of clinical examination is to diagnose possible diseases, control the state of health of the population and predict risk factors. And since the timely detection of deviations greatly increases the effectiveness of treatment, it is worth noting that its passage is necessary in any case. This statement is supported by the fact that a large number of serious diseases do not have significant symptoms and can often develop over many years without revealing themselves. Find out which years are being screened in 2018 and take the time to get tested.

So, according to the results of a medical check, a citizen is issued a medical passport indicating the health group:

• 1 is assigned in the absence of chronic diseases and risk factors;
• 2 - if there is a probability of occurrence of certain deviations;
• 3 (a, b) is given to persons who have serious violations of certain systems of life, indicating the need for certain treatment.

The most common diseases among the Russian population include cardiovascular and bronchopulmonary pathologies, cancerous tumors and diabetes mellitus. The medical examination program is aimed mainly at identifying risk factors for them. If earlier a person simply went through a lot of doctors in a row, now, taking into account the studies and incidence statistics, the emphasis is on these areas.

Purpose of dispensary: early detection of chronic non-communicable diseases, which are the main cause of disability and premature death 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 in our country. In addition, clinical examination is aimed at identifying and correcting the main risk factors for the development of these diseases:

Elevated blood pressure

Elevated blood cholesterol

Elevated blood glucose

Tobacco smoking

Harmful consumption of alcohol

Irrational nutrition

Low physical activity

Overweight or obesity

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

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

Such active preventive interventions will quickly and significantly reduce the likelihood of each individual developing dangerous chronic non-communicable diseases, 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 a medical examination in a medical organization in which they receive primary health care: in a polyclinic, in a center (department) of general medical practice (family medicine), in a medical outpatient clinic, and in a medical unit.

Your district doctor (paramedic) or district 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 a medical examination, agree with you on the approximate date and period of medical examination.

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

How long does a medical examination take?

As a rule, two visits are required to pass the examination of the first stage of clinical examination (screening). 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 the final examination and summarizing the clinical examination. Usually the interval between visits is from 1 to 6 days and depends on the length of time required to obtain the results of the studies.

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

How to pass a dispensary?

List of examinations by medical specialists (medical assistant or midwife), examinations and other medical activities carried out within the framework of clinical examination depending on the age and gender of the citizen (volume of medical examination)

It is determined by the Procedure for conducting medical examinations for certain groups of the adult population, approved by order of the Ministry of Health of Russia No. 124n dated March 13, 2019. It should be noted that when undergoing medical examinations, the year of birth of citizens, and not the day and month, is taken into account!
For example: a citizen whose date of birth is 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 at any convenient date according to the working hours of the medical organization throughout the calendar year, including until the moment when he reaches the age specified by order.