As a free check your health

What is the clinical examination

Clinical examination - a complex of measures, including preventive medical examination and additional methods Surveys conducted to assess the health and implemented in accordance with the legislation of the Russian Federation.

Despite the fact that the part of the Russians skeptical refers to clinical examination, this is the only free way to early detection of diseases.

With the 2018 survey focused primarily on the diagnosis of cancer and cardiovascular disease. They are not insured by any young people or the elderly, and such inspection helps to prevent the development of disease or to identify at an early stage.

It is particularly important that the validated risk factors: that is, the signs of which are still not talking about the development of the disease, but predict that it could begin. These include elevated blood sugar, going wild cholesterol, high blood pressure and other abnormalities. If the time to correct these violations, to take them under control, the development of serious diseases can be avoided or at least greatly delay it.

Recently, blood cholesterol imbalance is increasingly common in younger people. Early symptoms of it does not make any, so clinical examination helps to identify these disorders. In addition, there are congenital and hereditary dyslipidemia (disruption of the balance of cholesterol). At the first stage it is possible to identify an increase in total cholesterol, and then examine its fractions and treat.

Kenan Agayev, general practitioner, "Polis. Euromed Group »

How to pass a medical examination

The procedure for the passage of medical examination and studies that it includes, spelledRussian Ministry of Health Order of October 26, 2017 № 869n "On approval of the medical examination of certain adult populations" in the Order of Ministry of Health of the Russian Federation of 26.10.2017 number 869n.

There are rules and deadlines. first medical examination adult available at age 21, then - every 3 years. For children up to 17 years, war veterans and invalids complex annual surveys provided.

In those age periods, which do not fall under the medical examination, it is possibleRussian Health Ministry Order dated December 6, 2012 № 1011n "On approval of the preventive medical examination" undergo routine inspection - once in 2 years.

At the turn of 2019 to go to medical examinations for those who are born in these years: 1920, 1923, 1926, 1929, 1932 1935, 1938, 1941, 1944, 1947, 1950, 1953, 1956, 1959, 1962, 1965, 1968, 1971, 1974, 1977, 1980, 1983, 1986, 1989, 1992, 1995, 1998 th. No matter what month of your birthday even if you turn 45 in December of 2019, on the free survey, you can go now.

Clinical examination is performed in the clinic, to which you are attached. All necessary information you can get at the front desk, in the office or medical prophylaxis in the district of a therapist. When handling is necessary to have a passport and MHI policy.

What treatments are available in 2019

For each age group matched a set of tests and examinations, which are most likely to help detect serious diseases.

A complete list of procedures carried out in the framework of the first stage of clinical examination in certain age periods, can be found in AppendixHealth Ministry Order of 26.10.2017 number 869n № 1 to Order 869n.

We give a list of important studies that are available in 2019 people of different ages.

• Mammography. For women 39-48 years - once in three years, 51-79 years - every two years.
• Analysis of fecal occult blood-sensitive immunochemical method (this analysis allows us to detect as early as possible bowel cancer). For men and women 49-73 years - every two years.
• Pap test, that is, smear with the surface of the cervix (for early detection of cervical cancer). For women 30-60 years - once in three years.
• Determination of prostate-specific antigen (PSA) in the blood (for prostate cancer diagnosis). For men 45 years and in '51.
• Measurement of intraocular pressure - 60 years.
• Electrocardiography (ECG) is appointed for men to 36 years, women - with 45.

You have the right to refuse any procedures and examinations in the dispensary at will. This does not deprive you of the right to the rest of counseling and testing. There are no sanctions for those who miss the clinical examination, our legislation today is not set.

If the first stage of complex surveys, the doctor began to suspect some disease, he will send you to the second stage. It may include the following procedures:

• Duplex scanning brachiocephalic arteries. This is an expensive study the main arteries through which blood supply our brain. It is appointed for men 45 years and women older than 55, if they have at the same time three risk factors: high blood pressure and cholesterol, as well as overweight. Her determined by the physician during the inspection, measuring height, weight and waist circumference.
• Colonoscopy. It bowel examination is indicated for suspected colorectal cancer - as a rule, if there is a genetic predisposition and / or detect hidden blood in the stool samples.
• Additional consultations by specialists and referral for additional tests and survey indicated.

What examinations are no longer included in the clinical examination

Since 2018 we abolished the general and biochemical blood tests, urinalysis and abdominal ultrasound.

These studies were removed because of their low information content and the lack of scientific evidence of benefit. General and biochemical blood tests reflect the large number of changes that may occur in humans are very common and not necessarily associated with serious diseases. Ultrasound of the abdomen was removed due to the fact that it reveals the cancer is only on the third or fourth stage, and this, unfortunately, does not help extend the life of the patient.

As the passage of medical examination is regulated by the Labor Code

For the majority of employed people the main problem with the passage of medical examination is that you need time off from work: it takes place in working hours. Therefore, not everyone who is eligible for this service, it is really getting.

In 2018, the Federal Law № 353-FZ "On Amendments to the Labor Code of the Russian Federation", which complemented article TKFederal Law of October 3, 2018 № 353-FZ "On Amendments to the Labor Code of the Russian Federation" (not yet in force) Number 185.1. According to this article, once every three years is allocated one day leave from work to undergo medical examination. It will be paid in the amount of average earnings.

With the new amendment people will increasingly undergo routine examination. It will also help identify the most disease at an early stage.

For pensioners and those who have not more than five years before the deadline on retire, There are additional opportunities. They will be able to take a medical examination to pass not one, but two paid working days, with each year.

To take advantage of the release, staff will need to submit a written statement. At the same day or days of the passage of medical examination will be determined by agreement between the employee and the employer.

Is there a responsibility for the denial of such a day? The special rule is not set, but for such a breach of the employer can be held liable underAdministrative Code, Article 5.27. Violation of labor laws and other normative legal acts containing norms of labor law 5.27 of the Administrative Code and impose a fine: for the officer - from 1000 up to 5000 rubles for legal entities - from 30 000 to 50 000 rubles.