Pass the medical examination – realize your right to health!

Since July 27, medical examinations of the adult population have resumed in the region. In accordance with the order of the Ministry of Health of the Russian Federation No. 124n of March 13, 2019, Russian citizens undergo professional examinations annually (instead of once every two years), and medical examinations – once every three years at the age of 18 to 39 years. Those who are 40 years old pass it annually.

Who can pass the medical examination in 2020?

In 2020, persons of the following years of birth can undergo a medical examination: 1981, 1984, 1987, 1990, 1993, 1996, 1999, 2002. After the age of 40, medical examinations are carried out annually.

Where are professional examinations and free medical examinations conducted?

A citizen undergoes a preventive medical examination and medical examination in a medical organization in which he receives primary health care.

What do preventive examinations and medical examinations include in 2020?

• Fluorography (1 time in 2 years).
• Survey (questionnaire).
• Anthropometry (height, weight, waist circumference are measured).
• Blood pressure measurement.
• A blood test for total cholesterol.
• Blood glucose test.
• Determination of cardiovascular risk (relative — from 18 to 39 years, absolute-from 40 to 64 years), risks of chronic diseases.
• Measurement of intraocular pressure (at the first medical examination, annually-from 40 years).
• ECG (at the first medical examination, every year-from the age of 35).
• Women are examined by a gynecologist.

What are the stages of medical examination?

The first stage of medical examination is screening, it is designed to determine the main risks of developing diseases. Therefore, in addition to the preventive examination measures listed above, during the medical examination of the adult population at the first stage, the following measures are carried out::

• general blood test (hemoglobin, white blood cells, ESR) - from 40 years;
• examination by a paramedic (midwife) or an obstetrician-gynecologist of women aged 40 years and older;
• examination of feces for occult blood (from 40 to 64 years inclusive-1 time in 2 years, from 65 to 75 years inclusive-annually);
• esophagofibrogastroduodenoscopy – at the age of 45;
• for women: cytological examination of a smear from the cervix (from 18 to 64 years inclusive-1 time in 3 years);
• mammography (from 40 to 75 years inclusive-1 time in 2 years);
• for men: determination of prostate-specific antigen (PSA) in the blood (in 45, 50, 55, 60, 64 years);
• examination by a general practitioner based on the results of the first stage.After completing the first stage of the examination, the doctor analyzes the data obtained, conducts preventive counseling, and makes recommendations for further actions of the patient.

What should I do if problems are identified already at the first stage of medical examination?

If health problems are identified, an additional examination is prescribed at the second stage of the medical examination. In this case, the following are assigned:

• consultations of specialists (neurologist, otorhinolaryngologist, ophthalmologist, surgeon or urologist, surgeon or proctologist, obstetrician-gynecologist, examination by a general practitioner based on the results of the second stage of medical examination);
• additional examinations (lung radiography or computed tomography of the lungs, colonoscopy, esophagofibrogastroduodenoscopy, rectoromanoscopy, spirometry, duplex scanning of the brachiocephalic arteries).

How is the medical examination organized in the polyclinic? Where should I start? Where to apply?

You should start with your clinic, where you are attached. I must say that now not only citizens are actively applying to polyclinics, but also insurance medical companies are very actively involved in the notification process: this is both an SMS mailing list and an invitation by phone.

To save patients ' time, departments and prevention rooms have been created in polyclinics, and time for laboratory and instrumental examinations has been allocated specifically for medical examinations. In polyclinics that implement "lean manufacturing", medical examinations are given the closest attention - this is one of the mandatory processes for improvement.

How long does the whole procedure take?

Depends on the scope of the survey. Most often, it takes 2 visits to the clinic in order to go to the first stage of medical examination. If the patient is referred to the 2nd stage due to the fact that he has identified diseases, then it will take more time, but here the patient's personal interest in his health is already important.

The person has passed a medical examination. What to do next?

Implement the recommendations received, taking into account the identified risks of developing diseases and the diseases themselves. Change your daily routine, diet, fight bad habits, lose weight.

How are the results of medical examinations used? What pathologies are detected?

Diseases of the cardiovascular system, the endocrine system, diseases of the digestive and respiratory organs are in the first places in terms of detectability.

Risk factors for the development of the disease are detected much more and not one for each person who has passed the examination. The most common - overweight and obesity, poor nutrition, high blood pressure, hypodynamia. Risk factors are identified mainly in young people and middle-aged people, our "safety margin" is lost by the age of 40-50, and health problems begin to be solved. Therefore, it is important not only to take prescribed medications, but also to change your lifestyle.

The information is prepared based on the materials
health departments of the Lipetsk region
medical examination