Clinical examination born in 1976 when. Clinical examination in Russia will take place in a new way: no tests, no ultrasound

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

And to determine what condition the body is in, and whether our life needs adjustment, a person must regularly be examined by a certain group of doctors, take tests and receive healthy advice from specialists. This is medical examination.

There are categories of workers for whom medical examinations are prescribed by official instructions. They work according to their departmental orders. Therefore, in our article we answer the most pressing questions today: clinical examination in 2016, which years of birth are included and what is included in it. Every year, a significant part of Russians receive the right to undergo all necessary examinations free of charge. This year, 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, 35, 1932, 1929, 1925, 1923, 1921, and 1917. But this does not mean that others cannot take care of their health. You just have to pay for doctors' services.

In 2016 (as in 2015), examinations by doctors take place according to a specially approved program. Therefore, the program for 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 occur if quite urgent health problems were identified at the previous stage, in this case the patient is asked to undergo medical examination, that is, treatment at a dispensary.

This information, as well as the information given below, answers the question of what medical examination is in a clinic and how it is carried out. In order to undergo free examinations and tests, you need to check the indicated years of birth, and then contact the clinic that serves your area of ​​​​residence, where you are registered as a medical doctor.

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

The examination is carried out according to age groups, for each of which appropriate tests are prescribed. Thus, patients aged 21-36 years old take:

• general blood test, as well as urine (according to basic indicators);
• blood test that determines cholesterol levels);
• a blood test that determines the glucose level (necessary 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 are offered a pelvic examination by a gynecologist (for early detection of cancer);
• fluorography;

In addition, at this age, patients are consulted by a mammologist (with a mammogram), it is necessary to examine the abdominal cavity, and also visit an ophthalmologist, this specialist will examine the fundus of the eye and determine the eye pressure. The list is completed by an appointment with a neurologist.

Who can count on free examinations in 2019

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 2019 are formed based on the requirements of the regulatory framework and will not change significantly. Next is the answer to the question of which years of birth are included in the clinical examination in 2019. Next year, those whose births fell on the 1921, 1924, 1927, 1930, 1933, 1936, 1939, 1942, 1945, 1948, 1951, 1954, 1957, 1960, 1963, 1966, 1969, 1972, 1975, 1978, 81, 1984, 1987, 1990, 1993 and 1996.

If your birth year doesn't match the years listed above, don't 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:

• urologist (men undergo it);
• gynecologist (or mammologist, women undergo it);
• endocrinologist;
• cardiologist;
• dentist;
• ophthalmologist (aka ophthalmologist);
• therapist.

Legislative basis for free medical examinations

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

• students full-time forms training;
• 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 able to undergo free examinations in 2019?

The state is interested in ensuring that Russians are healthy. That is why there is a law on free medical examinations. By the way, it is not difficult to calculate which years of birth are subject to clinical examination in 2019. To do this, take the corresponding numbers for 2019 and add one to each year of birth. That is, instead of 1996 we get 1997, instead of 1993 we get 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 take advantage of 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.

Civil servants, military and children

Medical examinations for civil servants are a completely different matter; this category of Russians is required to undergo examinations annually. Moreover, this is done in accordance with the existing order. However, as for the sovereign’s people, this is a separate conversation. Such examples include the so-called order 800 of the RF Ministry of Defense on medical examination, dated May 18, 2011.

A separate line is prescribed for medical examination of the child population, which includes children from birth to 18 years of age. Moreover, the greatest attention is paid to newborns and children under 1 year of age. For them, medical examination of children in the first year of life has been developed, which is enshrined in law.

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Medical examination is free medical service for citizens aged 18 years and older, in order to identify diseases in the early stages or risk factors that are the main causes of disability and premature mortality in the Russian population.

Clinical examination has been introduced in Russia since 2013 as part of the compulsory health insurance program.

Medical examination, which is carried out every three years, can be done at the district clinic at the place of registration upon presentation of a passport and compulsory health insurance policy.

In 2018, Russian citizens born in the following years will be able to undergo medical examination: 1928, 1931, 1934, 1937, 1940, 1943, 1946, 1949, 1952, 1955, 1958, 1961, 1964, 1967, 1970, 1973, 976, 1979, 1982, 1985, 1988, 1991, 1997.

Clinical examination does not apply to persons included in special categories who are subject to medical supervision annually - children, disabled people of the Great Patriotic War, military personnel and others.

© photo: Sputnik / Evgeniy Samarin

How to get there

To undergo a medical examination, you must contact the registry office of the district clinic for information. They will tell you where, when and how you can get tested and agree on an approximate date with you.

Clinical examination is carried out in two stages. The first stage includes two visits to the clinic: the first - an examination, the scope of which depends on age, and the second - to the local doctor within a week for a final examination and summing up the results of the first stage of medical examination.

If the results of the first stage reveal at least a suspicion of the presence of a chronic non-infectious disease or a high cardiovascular risk, the local doctor refers the person undergoing the examination to the second stage of medical examination.

In particular, the patient is prescribed an additional examination - depending on age and gender, a list of specialists, laboratory and diagnostic procedures is determined.

Before starting medical examination, your local doctor needs to show the results of a medical examination if you underwent them in the current or last year.

© photo: Sputnik / Alexander Kriazhev

Who can pass

Clinical examination is universal and does not depend on whether a person works or not, or studies in an educational institution.

Medical examination is a voluntary event, which is formalized in accordance with the regulations of the Ministry of Health of the Russian Federation.

A citizen has the right to refuse medical examination either entirely or from certain stages of medical examinations; you just need to remember that medical examination allows you to identify diseases that are asymptomatic in the first stages and begin treatment on time.

Employed persons can visit medical institution V working hours, the employer cannot prevent them from doing this, just as their absence from the workplace cannot be regarded as a violation of labor discipline. A similar rule applies to full-time students.

© photo: Sputnik / Alexey Malgavko

Surveys

The range of activities carried out within the program differs depending on gender and age. Any patient who applies for a free medical examination in 2018 will be able to undergo an examination and receive advice from several specialists: a gynecologist, urologist, cardiologist, ophthalmologist, endocrinologist and dentist.

All age groups donate blood for sugar and cholesterol, a general urine test and an electrocardiogram.

Clinical examination, in addition to a set of studies common to all age groups of patients, also includes in-depth studies designed for early detection of the most likely chronic non-infectious diseases for a given age and gender.

So, starting from the age of 39, citizens pass ultrasound examination(ultrasound) abdominal cavity and small pelvis once every six years, and women once every three years - mammography.

Also, after 39 years, intraocular pressure is checked to exclude glaucoma, and after 48 years, a fecal occult blood test is performed gastrointestinal tract, which helps to identify early cases of cancer. In addition, each patient fills out a special questionnaire to identify hereditary diseases and risk factors for the development of chronic non-communicable diseases. More detailed information can be found.

Based on the results of the research, the citizen is assigned a health group. After this, people who need to undergo further examination are sent to the second stage, which includes laboratory and instrumental examinations, consultations with specialists.

Doctors believe that the medical examination program in terms of instrumental and laboratory examinations is much broader and allows us to identify not only diseases in the early stages, but also risk factors for their development.

The material was prepared based on open sources

Since 2013, large-scale clinical examination of the entire population began in Russia. Every person who has a compulsory medical insurance policy has the right to go through it and find out whether he has dangerous diseases. What medical examination 2020 is and what it includes is clearly stated in the new order of the Ministry of Health.

Why is medical examination needed?

It is much easier to prevent any disease than to treat its consequences and complications. Prevention is the leading direction in medicine today. To understand what clinical examination is in a clinic by year, it is useful to know why it was created. The main purpose of medical examination is to identify dangerous cardiovascular diseases and cancer as early as possible. Also this one medical examination should identify people who abuse alcohol and drugs or who are predisposed to fatal diseases.

Years of medical examination in 2020

Most of the population undergoes a medical examination every 3 years. It is worth remembering that there are special individuals who must be examined every year. These are people who already have heart and vascular diseases and cancer, disabled people, veterans of the Second World War, and participants in the liquidation of accidents at nuclear power plants.

The order of the Ministry of Health indicates at what age the population must undergo a medical examination. If you want to know if your age is appropriate, then you just need to know how to determine the year of medical examination. To do this, divide the number of years you have turned or will turn this year by 3. If the number can be divided completely, without a remainder, then it’s time to visit a doctor.

From the order of the Ministry of Health it is easy to understand at what age people undergo medical examination for the first time - 21 years. This is the age when a person, despite his youth, may begin to develop symptoms. dangerous diseases:, or sugar.

Considering that the population is not examined annually, certain years of birth are suitable for the event: 1921, 1924, 1927, 1930, 1933, 1936, 1939, 1942, 1945, 1948, 1951, 1954, 1957, 1960, 1963, 1966, 1969, 1972, 1975, 1978, 1981, 1984, 1987, 1990, 1993, 1996, 1999

What examinations are included in the medical examination 2020?

The following medical examination items are mandatory for each person:

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• survey;
• measurement blood pressure;
• blood sugar test;
• blood test for cholesterol;
• fluorography.

Other examinations depend on gender and age. Their greatest number occurs at 40-50 years of age, and then decreases again, as the likelihood of detecting the disease at early stage in an elderly person.

Questioning helps identify chronic diseases that a person is aware of or risk factors, such as poor diet, lack of physical activity. The questionnaire is filled out immediately before the appointment with the therapist so that the doctor can evaluate its results.

Blood pressure measurement is carried out on every person, as it is a cheap way to detect arterial hypertension. High blood pressure causes frequent strokes, heart and kidney problems, poor eyesight. If the therapist once detected a person’s blood pressure above 140/90 mm Hg. Art., then he schedules a second appointment in 2 weeks. If this time the pressure turns out to be high, then a diet, medication and further examination are prescribed.

It can be performed from a vein or using the express method, from a finger. High sugar levels (above 5 mmol/l) indicate problems with carbohydrate metabolism. A further examination and consultation with an endocrinologist is prescribed. Depending on the results of additional tests, a diagnosis of diabetes or impaired carbohydrate tolerance may be made. In the latter case, it is necessary to follow a strict diet in order to avoid the development of diabetes in the future.

A blood test for total cholesterol is performed on everyone to detect atherosclerosis. lead to the formation of plaques in the blood - the vessels become narrow, problems with the heart and brain appear. If elevated total lipids are detected in the blood, additional tests are required, since this does not always indicate atherosclerosis.

Differences between clinical examination 20 and previous years

Today's clinical examination includes a smaller volume of examinations than in the early years. The Ministry of Health excluded the following items from it:

• general blood and urine tests;
• expanded biochemical analysis blood;
• Ultrasound of the abdominal and pelvic organs.

Also, measurement of intraocular pressure now occurs only from the age of 60, while previously it was carried out for all citizens starting from the age of 39. Exception general analyzes blood and urine are the most controversial issue.

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On the one hand, these examinations are expensive and costly for healthcare. At the same time, the number of pathologies identified with their help is small. On the other hand, these studies helped to identify other diseases that do not belong to the group of cardiovascular and oncological ones: anemia, chronic infections, problems with the urinary system.

Ultrasound examinations are also excluded due to at a high price and low diagnostic value. They identified many asymptomatic, harmless pathologies. Therefore, compulsory medical insurance now pays for their implementation only once every 6 years, unless there are special indications for this.

At the same time, the Ministry of Health increased the number of the following types of examinations:

• mammography;
• stool occult blood test.

These events are now offered to the entire adult population every two years. Mammography helps to detect breast cancer early. Breast cancer that is detected at an early stage is very treatable. Even a complete mastectomy - the removal of the breast - does not always need to be done; sometimes it is just the removal of a section.

Detection of hidden blood in the stool of a person without may indicate changes. If the test is positive, colonoscopy is recommended, which in such cases often detects small bleeding polyps. This formation can become malignant. Therefore, it is important to detect colon cancer at an early stage, especially since it is one of the most common cancers today.

Video

Medical examination schedule 2020

The dispensary complex of events is carried out for citizens over the age of 21. This procedure must be completed every 3 years to be sure of the favorable state of your health and, if any diseases are detected, to immediately take appropriate measures. Read about which years of birth are eligible for medical examination in 2018-2019 in this article.

Who can expect to be examined in 2018-2019?

Clinical examination is regulated by Federal Law dated November 21, 2011 No. 323-FZ. Moreover, it is carried out voluntarily and free of charge on the basis compulsory medical insurance policy. The main task is to identify pathological, acute and chronic diseases, as well as prevention of their development and prevention.

To fulfill its responsibilities to protect public health and provide full coverage to Russian citizens, medical organizations draw up plans for medical examination, guided by regulations. The birth years of citizens who must undergo a set of medical measures in 2018 and 2019 are presented in the table below.

Table - Years covered by clinical examination in 2018-2019

The establishment of age thresholds for undergoing medical examination is due to the fact that, according to statistics and the results of medical practice, it is at a certain age that the risk of developing a particular disease appears. The procedure under consideration is precisely intended to identify such a disease at the initial stage.

What is included in the procedure?

It is best to start undergoing the required examinations at the beginning of the year, that is, from January, since, according to statistics, the largest number of citizens come to clinics for this purpose towards the end of the year, which creates queues and does not guarantee a fast pace of completion of all the necessary specialists. The procedure occurs in stages: first, it is determined general condition health, and then deeper observation is carried out (if diseases are identified at the first stage).

To undergo an examination, a citizen should go to the hospital at his place of permanent residence. Afterwards, you need to fill out a special form containing basic information about your health and lifestyle. Based on the information received, an initial examination will be scheduled. In case of detection of pathological and acute conditions - additional. The initial examination includes a number of medical research aimed at identifying general health indicators:

• Blood composition (total, per HIV infection, biochemical);
• Detection of pathologies of urine and feces;
• Electrocardiogram;
• Fluorography;
• Gynecological examination (for women).

At a more mature age, in addition to the above, additional research. This is due to the fact that the risks of a certain group of diseases are much higher at a given age threshold. Thus, citizens after 39 years of age will have to undergo the following examinations:

• Stool analysis (for the presence of blood);
• Urological examination (for men);
• Mammological examination (for women);
• Ultrasound of the digestive organs;
• Vision examination (determination of impairment, the presence of farsightedness or myopia, if necessary, selection of glasses or contact lenses);
• An examination aimed at identifying circulatory disorders.

The results of the examinations are entered into the patient’s medical outpatient book and analyzed by the responsible doctor (therapist, paramedic), who can ultimately prescribe some preventive measures or write out a referral for an in-depth examination, refer to a specialist.