So sometimes we ask our friends and get answers that do not always please us. But the latest data show that not everything is so bad, according to the head of freelance specialists MHST for medical prevention and the chief freelance specialist of the North Caucasus region, Vladimir Isaev. In order to take care of your health, you must at least know its objective state. And to do this, you will pas a med checkup, right?
The sixth year in the country and the region is being implemented on an unprecedented scale and this is the project “Med checkup of certain part of 20+ popultaion “. In relation to Stavropol – this is almost 50%
a 1.000.000 one year insurance of the population. We did not have such a scale even in the 80s of the last century, when the project of general medical examination of the population of the Soviet Union was implemented. When I say that the project is being implemented, this is not a reservation. Despite its extremely deep development, almost every year and a half it is subjected to significant revision. Suffice it to say that with 1 January 2018, a new, third revision of the “Order” is already in effect conducting medical examinations”. The reason for this is a number of factors, among which a special place is occupied by the beginning of the global restructuring of domestic health care on the rails of prevention. The new medical examination project is based on the understanding that the problem of reducing the mortality rate of the population can only be solved by a real reduction in the prevalence of major non-communicable diseases. It is cardiovascular, oncological, continuing breathing problems that are the causes of 75 percent of deaths. early detection and prevention of the spread is the main task of modern med chekup. The clinical examination is designed to take into account the peaks of morbidity in both men and women, as well as in different age groups. The list of examinations for each person is individual. The goal is to identify the risk factors that need to be eliminated in order to prevent the disease from developing, and when diseases are detected, to start treating them in a timely and effective manner. I repeat – these are cardiovascular, oncological, bronchopulmonary diseases and diabetes mellitus. Over the past three years, the first stage covered 1,461,484 people, which was 65.5% of the adult population. Every fifth resident of the region has some major non-communicable diseases. I repeat that these are diseases of the respiratory system, circulatory system, neoplasms and diabetes mellitus. The data obtained during the medical examination allowed us to form a clear picture of the state of public health in the region. The percentage of health groups varies from year to year, but does not change significantly.
on average, 30 percent of citizens are practically healthy, 20 percent have significant risk factors for diseases and 50 percent have some kind of chronic disease. Among Stavropol residents, the most common risk factors are they are high blood pressure, tobacco smoking, low physical activity, overweight, and poor nutrition. For these reasons, every tenth person has a vascular risk. It is these citizens, who today feel almost healthy, who are in the focus of preventive health care.
What documents regulate medical examinations? As far as I know, some changes have been made to the procedure for passing medical examinations, starting from January of this year. What exactly are they? There are two documents on medical examination. The first is the procedure for conducting medical examinations. It has a special appendix with tables that clearly explain what kind of research to conduct for a man or woman at a particular age. In addition to this document, there are guidelines for doctors with a more detailed description of the necessary research methods. Since January of this year in the order of passage some changes were made to the medical examination, the need for which
was identified during the previous years. More often they will conduct research on oncological diseases. To detect cancer bowel analysis of feces for hidden blood will be carried out to all citizens every 2 years at the age of 50 to 75 years. In particular, mandatory mammography will be performed at such intervals: once every three years for women aged 39-49 years and once every two years for women aged 50-69 years. But an ECG as part of the medical examination will be done
less often, men – at the age of 35 years and older, women-from 45 years and older. Tell our readers, please, the step-by-step instructions for passing the medical examination? Every adult, starting from the age of 21, has the right to undergo
a medical examination to the extent prescribed in accordance with the procedure, with a regularity of once every three years. And in some cases, more often, depending on the risk of detecting a particular disease, age and gender of the person. At the same time, there are contingents of the population to whom medical examinations are carried out annually. These are disabled peopleIt is necessary to come to the territorial polyclinic or polyclinic, where he is constantly observed. You must have a passport, a pension insurance certificate and a mandatory health insurance policy.
If a person has passed all the prescribed tests, what will happen next? After passing all examinations, consultations of specialists, each person who has passed the medical examination is determined by the appropriate group according to his state of health. The first group will include people with low income and the average risk of developing the disease, in the second – with a high and very high risk of developing the disease. And in the third group there will be people who already have a proven disease. About half of the deaths occur in the second group, among those who have the disease, hidden and asymptomatic. What do they do with those people who will be included in the second group? If during the first stage of the medical examination any deviations from the norm were detected, then a preventive conversation is conducted with the person to reduce risk factors and maintain a healthy lifestyle. And, secondly, if the risk of developing the disease is high, the doctor will offer additional research methods. Each patient who is undergoing a medical examination, according to the results of the first stage, the district general practitioner conducts individual preventive counseling. This is the doctor’s responsibility, and responding to these recommendations is the patient’s privilege. He can take them into action, or, unfortunately, he can ignore them. It is especially difficult with patients of the second health group who have serious risk factors, but they feel healthy. Who among smokers does not know that a drop of nicotine kills a horse? But such we are, that having actual knowledge about the dangers, they often do not relate to themselves in any way. On average, only 18% of people, knowing about the benefits of a healthy lifestyle, profess its principles. Sociologists have found that the population has a somewhat dependent approach to the state of their health, does not feel fully practical responsibility for the state of their health. And if every resident of the region consciously treats his health, then his life will become better quality and more successful. We count on the activity and consciousness of the population.
