How to contact the Community Health Center and not suffer

Why should not abandon the state of medicine

It treats all who have MHI policy. It is important to understand that the free services in public clinics - a relative term. After all, you do not think a free car repairs with insurance "Casco"?

The good news is that, unlike car insurance, health insurance contributions to the MMI system fixed, so there is no reason to go to the clinic is rare, it does not affect the tax deductions in the following year. The bad - that most of us are vaguely imagine the list of services, the situation in the framework of the insurance program, so on Default considers the clinic a bad option for the treatment and agrees to pay the state or a private clinic the situation Free services.

Yes, there are queues at clinics and doctors very little time to spend with each patient. But, firstly, the Polyclinic discord and hospital can always changeThe Federal Law of 21.11.2011 number 323-FZ, art. 21. Choice of doctor and medical organizationBy less loaded (help reviews on the Internet and e-registry, where it is possible to estimate the number of coupons to those skilled in the next date).

Secondly, it is important to remember that the clinic - it is the most obvious place where you will be given state-guaranteed health care services, including high-tech and expensive.

If wisely combine them with the services of private medicine, you can save without sacrificing quality of care. For example, the case. Andrei diabetes the first type. Every couple of months, he visited an endocrinologist at the clinic, he writes him a prescription for a free insulin and test strips for monitoring glucose levels in blood and urine. Medicines are expensive, so Andrew did not consider it shameful to spend a few hours in the queue to the doctor and the bureaucracy with prescription design. But for a full medical examination to the endocrinologist and other doctors Andrei goes to a private medical center. So it safer for their health.

Or so. Alyona recently born child. She goes to the children's clinic to make the kid free vaccinations for natskalendaryu, while for additional immunization, Only officially put children at risk (eg, rotavirus), it becomes a private pediatric clinic.

Some patients complain that they can not be in the clinic immediately get to a specialist - you must first visit the local therapist. Firstly, this is not entirely true: in a number of doctors taking under the MLA, can be reached directly. For example, a gynecologist, dentist or surgeon. In addition, do not underestimate the role of the therapist: the manager, who, depending on the seriousness of the situation, sends you to the "next level" - a specialized physicians. But he may himself make a diagnosis and prescribe treatment.

More than once I've heard from friends that the therapist in the clinic default mediocre doctor who knows almost everything, but not exactly. In fact, in these doctors sometimes encyclopedic knowledge of medicine and a huge clinical experience. It is impossible to get hand and eye and a good diagnostician, if you do not examine the day-to-day tens and hundreds of patients. I do all sorts of things, and patients, primary care physicians are always in abundance.

How to make the most of the reception at the doctor

As a person who had ever worn a white coat and work in the clinic, I will give you a few tips that will help to establish contact with the therapist and optimize scarce time of consultation.

1. According to the doctor the ability to record closer to the beginning of his working day

In the first place, so less likely to sit in the queue (after all, it accumulates at the expense of protracted consultations and patients, was leaked to the office to "just ask"). Secondly, the doctor will be less tired, and thus more attentive.

2. Think about your wardrobe, not to spend a lot of time undressing and dressing

It seems nonsense, but rasstogivanie buttons on his shirt, unwinding scarves, unleashing drawstrings and other exciting activities take away precious minutes, which is more useful to spend in dealing with doctor.

3. Once all of the required documents

Seek in the registry card (if your clinic nurses do not distribute them to classrooms in advance); If you plan to show the doctor some tests, get them out of the bag, spread out in order of importance, and ideally - lay in a folder with files.

4. Decide in advance what will complain

Sounds annoying, but most likely, the doctor does not have time to solve all your health problems in one short consultation. All minor issues ( "But I still have ear aches since last winter, I was treating it with your colleagues, did not help ") to defer until the end of the meeting or before the next visit. Yes, according to the canons of Internal Medicine Propaedeutics - branch of medicine devoted to examination of the patient - the doctor should know about all the complaints of the patient and independently decide which ones are important, and what - not.

But we are in a normal clinic, here rely on extensive consultations, alas, is not necessary. Therefore, to define the purpose of the visit in advance and as soon as the doctor will come off the eyes from the pile of papers and uttered the traditional: "What are you reporting?" - immediately clear and as short as possible to answer his questions.

5. If you are a hundred years have not been in the clinic for the first time or at all were at this doctor, be ready for collection Anamnesis vitae, that is, the story itself

But that does not mean you have to list all the details of his illness and biography from birth to the present day, it is too long and can hardly adequately valuable for diagnosis. Be ready to quickly recall the chronic diseases and the carry-forward operation, hereditary predisposition to certain sores, date of last consultation with a doctor (if you have previously been treated with something with which We came to the doctor).

6. Good idea - to take a tape recorder

Of course, you need to politely check with your doctor, do not mind if he, if you write his recommendation in audio format. By the way, there is some chance that such action mobilizes the doctor and will encourage more and more careful to articulate their requirements. For example, you do not subscribe to the biologically active additive (BAA) in addition to pharmaceutical preparations: they are not included in the standards of care in Russia and in most cases not have proven effectiveness in the treatment of diseases.

7. Do not hesitate to ask your doctor questions

Even if they seem silly to you. How to take the tablets, which are assigned to drink "three times a day before meal", if you never eat breakfast, but only for lunch and dinner? How to make an examination, if the result is needed in the next week, as an expert in your vacation? What to do if you suddenly become ill? For example, if you go to a clinic because of problems with heart.

The therapist may simply forget in the bustle of busy schedule to tell you something important, and then will not ask anyone. You can make notes in a notebook directly in the conversation, not to get lost when the doctor will make it clear that the consultation is over.

8. If you have to go back to the doctor in the next few days (for example, to close a medical certificate), please ask for the voucher directly in the office

Then you'll have to sign up for a convenient time, and also to exclude the situation where coupons for the desired number in the registry will not appear.

9. Remember, the name of your doctor and nurse, and always start with communication is a personal appeal by name

It would seem that this is a mere trifle, but, according to some estimates, 68% of patients are missingShould general practitioners call patients by their first names? this option. Appeal by name has a magical property that turns you from a random patient in a familiar patient. Probably, this technique works is because most patients do not use it, and between them and the doctors saved a faceless distance.

Greet with a doctor and nurse by name during a chance meeting in the corridor clinic and telephone conversation - it's nice, it is remembered, it sets you apart from other patients and could one day serve you well service. For other ways to build relationships with your doctor to discuss the fourth part of the book.

I understand the skepticism of those readers who are experiencing a steady antipathy clinics: difficult believe that a visit to a public institution can be, if not comfortable, at least not humiliating.

However, all quietly changing: now, even in small towns have the opportunity to enroll in the clinic through internet, federal and regional funding can often be purchased in the offices new diagnostic equipment. All rarer miserable Soviet interiors and frank rudeness from staff registries: management leads many hospitals Quality of Service and is open to comments and suggestions patients.

If in doubt, try to have fun somehow go on medical examinations (Free medical check-up, the position of each policy holder MLA every three years, or even more often). And if it turns out that everything in the clinic is still bleak, reach for a purse and go to a paid consultation to private traders.

Do I have to read about the health of the Internet? How to choose medicine? How to assert their rights in the hospital? Medical journalist Olga Kashubina teach patients be advanced. Those with whom the doctor has to be considered. Those who feel confident in inhospitable hospital corridors because they know their rights. Patients who are able to recover.

Buy