Clinical examination

Information about the medical examination of the adult population in 2017

Who can undergo a medical examination in 2017 under a compulsory medical insurance policy (OMI)?

Regular medical examinations and laboratory tests are very important activities that are a common form of disease prevention in many countries around the world.

Many diseases in the early stages do not affect the well-being of a person and can only be detected according to laboratory tests or as a result of computer diagnostics, and timely prescribed treatment will help to avoid complications and reduce recovery time.

What is dispensary and what does it include?

Clinical examination is a regular medical examination and consultations of specialists, laboratory tests and computer diagnostics of the state of health of the population.

The purpose of the periodic medical examination of the health of citizens is prevention and detection of common chronic and oncological diseases, that cause disability and early death of the population.

This is also done to update clinical data obtained during the previous examination. Many studies can detect cancer and some blood diseases in the early stages. So, according to statistics, the probability of curing oncology detected at an early stage is 90 %.

In addition, many oncological diseases are associated with the age and gender of the patient, and in some periods of life the risk of the disease is highest. Therefore, during the clinical examination, many studies are assigned taking into account the age of the patient.

What years of birth are subject to medical examination in 2017?

In accordance with the order of the Ministry of Health of the Russian Federation dated February 3, 2015 No. 36an on the conduct of a planned medical examination, Russian citizens can for free undergo a full examination, starting at the age of 21, to determine the state and health group.

According to the state program of free medical care for the population, measures have been introduced for a planned medical examination of Russians every three years.

In 2017, the state provides free medical examination to citizens born in the following years: 1996, 1993, 1990, 1987, 1984, 1981, 1978, 1975, 1972, 1969, 1966, 1963, 1960, 1957, 1954, 1951, 1948. 1942, 1939, 1936, 1933, 1930, 1927, 1924, 1921, 1918.

All citizens insured in the system of compulsory medical insurance (CHI) can undergo a free medical examination. Clinical examination is carried out in the district clinic at the place of residence of citizens.

Citizens of other years of birth can undergo preventive examinations (a preventive examination is carried out once every two years between the years of medical examination).

In our clinic, the following is carried out: "Dispensary - preventive observation method" - this is a system of preventive and therapeutic measures aimed at strengthening the dental health of the population, active detection of dental diseases in the early stages, systematic monitoring of the state of the oral cavity of people taken for dispensary observation, providing them timely medical care, the elimination of the causes of these diseases, the preservation of their ability to work.

What is Dispensary:

— Clinical examination of dental patients is a complex method of early detection of patients in need of long-term and dynamic observation, highly qualified examination and treatment of them, individual and group, social and biomedical prevention of dental diseases.

The basic principles of the system of medical examination of dental patients are declared by the following positions.

1. Planning - establishing the sequence and optimal timing of organizational,

treatment-and-prophylactic and sanitary-hygienic measures.

2. Complexity: a) the direction of therapeutic measures not only to eliminate the local process, but also to the general improvement of the body; b) carrying out activities to improve the environment; c) carrying out recreational activities together with pediatricians, therapists, hygienists, doctors of other specialties, paramedical personnel and the public.

3. The choice of the leading link from the general complex of measures (special attention is paid to those therapeutic and preventive measures that are decisive in this type of pathology).

4. A differentiated approach to the appointment of health measures, taking into account: the level and structure of dental morbidity and the factors that cause them; the degree of provision of the population with doctors and the state of the material and technical base of the dental service; optimal use of available forces and means.

Patients with actively proceeding dental caries, as well as non-carious lesions of the teeth, may be under dispensary observation; periodontal and oral mucosa diseases; odontogenic neuralgia and trigeminal neuritis; chronic osteomyelitis of the jaws and chronic odontogenic sinusitis; some precancerous and malignant diseases of the face and organs of the oral cavity; congenital cleft lip and palate; anomalies of development and deformation of the jaws, etc.

What is Prevention:

is a system of measures to prevent the occurrence and development of dental diseases.

The purpose of prevention is to ensure the dental health of a person.

Primary prevention is a system of measures aimed at preventing dental diseases by eliminating the causes and conditions of their occurrence, as well as increasing the body's resistance to the effects of adverse factors in the natural, industrial and domestic environment.

Secondary prevention is a set of measures aimed at preventing relapses and complications of diseases.

Tertiary prevention is a system of measures aimed at the rehabilitation of the dental status by preserving the functionality of the organs and tissues of the maxillofacial region, mainly by the replacement method.

Thus, the primary task is to preserve health, if this failed and the disease developed, then the second task is to stop it, prevent the occurrence and development of its complications, and in the future, relapses. If this was not possible or was possible only in a radical way, that is, by surgical intervention, then at the third stage we must restore the lost function, more often this is possible due to orthopedic replacement of lost teeth with prostheses.

These provisions can be illustrated by the following example:

— Prevention of the development of dental caries refers to the primary prevention of dental diseases.

- Prevention of the development of complications of dental caries in the form of pulpitis and periodontitis refers to secondary prevention.

- If, as a result of unsuccessful treatment of periodontitis and its complications, it was necessary to remove a tooth and replace the empty space with a prosthesis, then this refers to tertiary prevention.

Thus, it becomes obvious that each individual should be interested, first of all, in the primary prevention of dental diseases, which also includes therapeutic conservative measures.