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Main arrow Archive of previous Issues arrow 4 2014 (38) arrow Regular medical examination of adults in the Russian Federation: first year implementation: lessons learnt, results and perspectives
Regular medical examination of adults in the Russian Federation: first year implementation: lessons learnt, results and perspectives Print
Thursday, 28 August 2014

T.V. Yakovleva1, S.V. Vylegzhanin1, S.A. Boitsov2, A.M. Kalinina2, P.V Ipatov2
1Ministry of Health of the Russian Federation, Moscow
2National Research Center for Preventive Medicine, Ministry of Health of the Russian Federation, Moscow

Abstract. The aim of the article is to present results of the first year implementation of the Order N1006n on regular medical examination of certain groups of adult population issued by the Ministry of Health of the Russian Federation on December, 3d, 2012.

Methods. A special web-site (profmed.rosminzdrav.ru) was developed to collect data on regular medical examination. Constituent entities of the Russian Federation sent their completed statistical form 131/o to this web-site on a monthly basis (Order of the Ministry of Health of the Russian Federation N 382n as of 21.06.13). A process to monitor volumes and completeness of examinations, pathologies detected and further treatment was established along with the process to monitor satisfaction of people with organization and results of regular medical examination.

Results. In 2013, 20.5 millions of people underwent regular medical examination.

Annual targets were fully achieved in 25 regions, and achieved by 90% in 24 regions and by 64% - in 39 constituent entities of the Russian Federation. The main reason for not achieving 100% was inefficient use of departments / offices of medical prevention.

Survey of people that undergo regular medical examination (613,501 patients) in different regions of the country showed that the majority of them (57.1%) were invited for examination by medical staff, 36.1% learnt about regular medical examination during their visit to a health care facility.

To undergo a complete examination the majority of patients had to visit the medical facility twice (67.6%) or even three times (28.9%).

The analysis showed that employers are not active enough in encouraging and enabling their employees to undergo medical examination.

The analysis of results showed that 1st health group was established in 32.8% of patients, 2nd health group in 23.1%, and 3rd in 43.7%.

Regular medical examination demonstrated its high diagnostic value in comparison with disease detection during outpatient visits, this is especially relevant to diseases of the circulatory system (detection is 3.2 times higher), to endocrine and metabolic diseases (by 4.5 times) including diabetes mellitus (by 2.6 times).

The analysis showed insufficient coverage of population with in-depth prevention counseling (38.3% of the targets) and with taking on a follow-up both the ill and patients with high risk of cardiovascular diseases.

The article defined key methodological and organizational objectives that require immediate decisions to improve quality of regular medical examination and actual achievement of its targets.

Keywords: prevention; regular medical examination; preventive medical check-ups; screening; diagnostic value; chronic noncommunicable diseases; risk factors; prevention counseling; primary care physicians.

References

  1. Boytsov S.A., Ipatov P.V., Kalinina A.M., Vylegzhanin S.V., Gambaryan M.G., Eganyan R.A., et al. Organization of procedure of health examination and preventive medical examination of adult population. Methodical guidelines. 2-nd ed. rev. Moscow. 2013. 83 p. The Letter of Russian Ministry of Health of 2013 August 29 14-2/10/2-6432. [Internet] [cited 2014 Jul 22]. Available from: http://www.skfoms.ru/normdoc/federal/minzdravrf/1035. (In Russian).
  2. Boytsov S.A., Vylegzhanin S.V., Gileva F.A., Gulin A.N., Ipatov P.V., Kalinina A.M., et al. Improving the prevention of chronic non-communicable diseases in health care facilities. Profilakticheskaya meditsina. 2013; 2(16):3-12. (In Russian).
  3. Health-21. Health for all in 21 century. WHO. [Internet ] [cited 2014 Jan 23]. Available from: http://www.euro.who.int/data/assets/pdf_file/0007/109762/EHFA5-R.pdf. (In Russian).
  4. About Semashko N.A. [Internet] [cited 2014 Jan 23]. http://www.historymed.ru/dental/scientists/index.php?ELEMENTID=572. (In Russian).
  5. On the procedure of general health examination of the population: the Order of the Ministry of Health of the USSR of 1986, May 30 770. [Internet] [cited 2013 Dec 28]. Available from: http://russia.bestpravo.ru/ussr/data02/tex12342.htm. (In Russian).
  6. On approving medical documentation and statistical reporting documents used for medical examination of certain groups of adult population and preventive medical examination: the Order of Russian Ministry of Health of 2013, June 21 382n. [Internet] [cited 2014 Feb 14]. Available from: http://www.rosminzdrav.ru/docs/mzsr/orders/1522. (In Russian).
  7. On approving the procedure of health examination of certain population groups: the Order of Russian Ministry of Health of 2012, December 3 1006n. [Internet] [cited 2014 Feb 14]. Available from: http://mpmo.ru/content/2013/01/-1006--03.12.2012-.pdf .
  8. On approving the procedure of preventive health examination: the Order of Russian Ministry of Health of 2013 December 6 1011n [Internet] [cited 2014 Feb 14]. Available from: http://mzsrrf.consultant.ru/page.aspx?1029514 (In Russian).
  9. On approving the procedure of dispensary observation: the Order of Russian Ministry of Health of 2013 December 21 1344n. [Internet] [cited 2014 Feb 14]. Available from: http://base.consultant.ru/cons/cgi/online.cgi?req=doc;base=LAW;n=142423 (In Russian)..
  10. Conroy R.M., Pyörälä K., Fitzgerald A.P., Sans S., Menotti A., De Backer G., et al. Estimation of ten-year risk of fatal cardiovascular disease in Europe: the SCORE project. Eur Heart J. 2003; 24:987-1003.
  11. First Report of the National Screening Committee. Health Departments of the United Kingdom. 1998 April. 45 p. [Internet] [cited 2014 Jan 12]. Available from: http://aogm.org.mo/assets/Uploads/aogm/Guidelines/NHS/National-Screening-Committee-UK-1998.pdf

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