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And how often can you be examined by doctors.
Clinical examination and dispensary observation: sounds the same – the meaning is different. How do these concepts differ? Galina Valerievna Razbitskova, the head of the St. Petersburg branch of the SOGAZ-Med insurance company, spoke about this.
– I would like to immediately clarify: clinical examination is a set of measures that include a preventive medical examination and additional examination methods carried out in order to assess the state of health. Medical examination can be done free of charge once every 1 years, starting from the age of 3.
Dispensary observation is the observation of patients already suffering from chronic diseases, functional disorders, and other conditions, in order to identify and prevent complications, exacerbations of diseases, other pathological conditions, their prevention and medical rehabilitation. The presence of grounds for conducting dispensary observation, its nature, frequency and volume of therapeutic, diagnostic, preventive and rehabilitation measures are determined by the doctor.
– Patients suffering from certain types of chronic non-infectious and infectious diseases (oncology, cardiovascular, HIV, diseases and others).
– People who are in the recovery period after suffering severe acute diseases (including injuries and poisoning).
– Children of the first year of life.
– Dispensary supervision is carried out by the following medical workers: a general practitioner; specialist doctor; doctor of the department of medical prevention; a paramedic in a medical prevention office or health center; doctor of a medical assistant-obstetric station. If the patient is assigned to the dispensary observation group to a narrow specialist, and there is no such doctor in his polyclinic, the therapist can send this insured person for dispensary observation to another medical institution that provides specialized care according to the profile of the disease. Dispensary observation can be carried out both on an ongoing basis and for a certain time.
– Sure. Some non-communicable diseases, such as oncology, are very insidious and require constant monitoring even after successful surgery or chemotherapy. Therefore, patients are advised to stay in contact with their healthcare provider. He already knows the peculiarities of the course of the disease and can draw up a schedule of dispensary observation in such a way that it is convenient for a person to follow it.
Rehabilitation after infectious diseases is aimed primarily at maintaining the body’s vital functions and adapting it to conditions after an illness, and then to everyday life. Among the therapeutic and restorative measures, the following can be distinguished: regimen, nutrition, physiotherapy exercises, physiotherapy, conducting conversations with patients, pharmacological agents. Observation is carried out after dysentery, salmonellosis, acute intestinal infections of unknown origin, typhoid fever, paratyphoid fever, cholera, viral hepatitis, malaria, tick-borne borreliosis, brucellosis, tick-borne encephalitis, meningococcal infection, hemorrhagic fevers, leptospirosis, orpseudonitis.
Dispensary observation of children of the first year of life is carried out with the aim of preventive control over the health of babies and the timely organization of preventive procedures.
– The grounds for termination of dispensary observation are:
1) recovery or achievement of stable compensation of physiological functions after an acute illness (conditions, including trauma, poisoning);
2) achieving stable compensation of physiological functions or stable remission of a chronic disease (condition);
3) 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.
– Patients can be reminded about dispensary observation by medical workers and insurance representatives. When conducting dispensary observation, a health worker informs a citizen about the procedure, volume and frequency of consultations. Dispensary observation is a natural part of life and serves as support in the fight against illness or during the recovery period.
If you are insured with SOGAZ-Med and you have any questions related to the receipt of medical care in the compulsory medical insurance system or the quality of medical services, please contact SOGAZ-Med by calling the 8-hour contact center phone number 800-100-07-02 −XNUMX (call within Russia is free). Detailed information on the website .
Справка о компании
The SOGAZ-Med insurance company has been operating since 1998. The number of insured persons is more than 19 million people. Regional network – more than 660 subdivisions in 40 constituent entities of the Russian Federation. SOGAZ-Med carries out compulsory medical insurance activities: it controls the quality of services provided to the insured when receiving medical care in the compulsory medical insurance system, protects the rights of insured citizens, and restores violated rights of citizens in the pre-trial and judicial order. In 2018, the Expert RA rating agency confirmed the rating of the reliability and quality of services of the SOGAZ-Med insurance company at the A ++ level (the highest level of reliability and quality of services in the framework of the CHI program according to the applicable scale). For several years now, SOGAZ-Med has been awarded this high level of assessment.