In accordance with paragraph 5.2.11. Regulations on the Ministry of Health and Social Development Russian Federation, approved by the Decree of the Government of the Russian Federation dated June 30, 2004 N 321 (Meeting of the legislation of the Russian Federation, 2004, N 8, Art. 2898) and in order to further improve the organization of the provision of primary health care for the children's population, I order:

Approximate order Organizations of children's clinics in accordance with Appendix N 1.

An exemplary structure of children's polyclinic according to Appendix N 2.

2. Control over the execution of this order shall be entrusted to the Deputy Minister V.I.starodubov.

to the order of the ministry

Approximate procedure for organizing children's clinic

1. This approximate procedure for organizing the activities of children's clinic (hereinafter - the procedure) regulates the organization of activities, management, formation of the structure of children's clinic, the use of property, the basis of relations with the founder.

2. Children's clinic is created by the local government authority (or the head of the medical and prophylactic institution of the municipal district (urban district)) as an independent medical and preventive institution of the municipal district (urban district) or as structural subdivision Therapeutic and prophylactic institution of the municipal district (urban district) for the territorial principle of primary health care for the children's population.

3. Children's clinic ensures the provision of primary health care for the children's population, medical care pediatrician pediatrician medical and preventive departments, specialist physicians of the Advisory Diagnostic Department, the doctors of emergency care departments, replacement treatment, medical and social assistance, as well as the organization of medical care to children in educational institutions.

4. The activities of children's clinics are carried out in accordance with the legislative acts of the Russian Federation, regulatory legal acts executive authorities of the constituent entities of the Russian Federation and local governments, as well as order.

5. Guide to the children's clinic created as an independent therapeutic preventive institution, chief doctorwho is appointed to the post and is exempt from the position of the health authority to the subject of the Russian Federation in coordination with the local government authority.

The leadership of the children's clinic created in the structure of the medical and prophylactic institution is carried out by the deputy chief physician (head of the department), which is appointed and exempt from the position of the head of the medical and prophylactic institution.

6. Structure I. full number The medical and other personnel of the children's clinic is approved by the head of therapeutic and prophylactic institution, depending on the amount of medical and preventive work.

7. Financing of children's clinics is carried out in the manner prescribed by the legislation of the Russian Federation.

8. Accounting and reporting is carried out by children's clinic in the manner prescribed by the legislation of the Russian Federation.

9. Children's clinic can be used for educational purposes with higher (medium) medical educational institutions (faculties), educational institutions of the postgraduate system vocational education or research institutes.

10. Children's clinic carries out:

- diagnosis and treatment various diseases and states;

- the antenatal protection of the fetus (patronage of pregnant pediatrician);

- primary patronage of newborns and children early age under time;

- Providing first (prefigured, medical) and emergency medical care patients with acute diseases, injuries, poisoning and other urgent states, the provision of medical care for children-specialists, timely destination for hospitalization;

- Establishment medical indications and the direction of children to therapeutic and preventive institutions of the state health care system to obtain specialized types of medical care;

- dynamic medical monitoring of the growth and development of the child, including physical and neuropsychic, for children with chronic pathology, disabled children with disappointment, their timely recovery, including children entitled to receive a set social services;

- Preventive measures to prevent and reduce morbidity, identifying early and hidden forms of diseases, socially meaningful diseases, including hepatitis B and C, HIV infection, identifying the risk factors, disability, mortality;

- Conduct preventive inspections Early children, as well as children in decreed age terms, including working adolescents;

- dispensary observation of children with hereditary diseases detected as a result of neonatal screening, and patronage families with children of the specified category;

- provision of advisory, diagnostic, medical, medical and social assistance to children with sharp and chronic diseases, disabled children;

- provision of additional medical care, including the provision of necessary drugs children who are eligible for a set of social services;

- carrying out restorative treatment;

- examination of temporary disability;

- direction of children on medical and social expertise;

- work on the protection of the reproductive health of adolescents;

- medical counseling and medical professional orientation, taking into account the health of children;

- medical and social training of children to enter educational institutions and control over the course of adaptation;

- medical support for young men to military service;

- implementation of preventive and health and recreational work in educational institutions;

- control over the organization of rational nutrition of young children, as well as children raising and students in educational institutions;

- Sanitary and hygienic education and education, carrying out work on the formation healthy image children among children, including educational institutions and families;

- medical monitoring of children engaged in physical culture and sports;

- medical support for children in recreation and recovery institutions;

- the transfer of children to achieve the relevant age to the city (district) clinic;

- holding medical examinations of students educational institutions Before starting and during the period of practice in organizations whose employees are subject to preliminary and periodic medical examinations;

- performance individual programs rehabilitation of disabled children (medical aspects);

- diagnostic and therapeutic work at home and in outpatient conditions;

- providing hospital work at home, day hospital;

- conducting sanitary and hygienic and anti-epidemic events, vaccine-philaxics in the prescribed manner;

- the provision of medical and social and psychological assistance Children and families with children;

- work on the preservation and propaganda of breastfeeding;

- control over the implementation of the regime, timely implementation of prevention activities alimentary disorders, Rahita, anemia and others, the development of a complex of medical and recreational activities;

- establishing medical testimony and directions of children on spa treatment, including children eligible for a set of social services;

- the introduction of new prophylactic, diagnostic and medical technologies;

- organizational and methodological work and planning the activities of polyclinics;

- analysis of the work of the clinic, including the effectiveness analysis dispensary observation.

Order of the Ministry of Health of Russia dated 08.06.2017 N 319n "On approval of target forecasting indicators of the state authorities of the constituent entities of the Russian Federation transferred to the powers of the Russian Federation in the field of providing state social assistance in the form of a set of social services on the organization of providing citizens included in the federal register of persons entitled to receive state social assistance, drugs for medical use, medical Productsas well as specialized product

Ministry of Health of the Russian Federation

On approval of target forecast indicators

Russian Federation transmitted powers of the Russian

Eligible to receive state social

Applications, medical products, as well as

Specialized Medicine Power Products

In accordance with Article 4.1 of the Federal Law of July 17, 1999, N 178-FZ "On State Social Assistance" (Meeting of the Legislation of the Russian Federation, 1999, N 29, Art. 3699; 2004, N 35, Art. 3607; 2006, n 48, Art. 4945; 2007, N 43, Art. 5084; 2008, N 52, Art. 6224; 2009, N 52, Art. 6417; 2010, N 50, Art. 6603; 2013, N 19, Art. 2331 ; N 48, Art. 6165; N 52, Art. 6961) I order:

1. To approve the accompanying target forecasting indicators of the implementation by state authorities of the constituent entities of the Russian Federation transmitted powers of the Russian Federation in the field of providing state social assistance in the form of a set of social services on the organization of providing citizens included in the federal register of persons entitled to receive state social assistance, drugs For medical use, medical products, as well as specialized products medical nutrition For disabled children (hereinafter referred to as target forecasts).

2. To establish that information on achieving target forecasts is represented by state authorities of the constituent entities of the Russian Federation to the Federal Health Supervision Service quarterly.

3. To recognize the order of the Ministry of Health and Social Development of the Russian Federation of December 18, 2007 N 771 "On the target forecasting indicators of the state authorities of the constituent entities of the Russian Federation transmitted powers of the Russian Federation on the organization of providing citizens included in the federal register of persons entitled to receive state social assistance, drugs, products medical prescription, as well as specialized medical nutrition foods for children with disabilities "(registered by the Ministry of Justice of the Russian Federation on December 29, 2007, registration N 10868).

Target forecasts

Implementation by state authorities of subjects

Federation in the provision of state social

Assistance in the form of a set of social services for the organization

Providing citizens included in the federal register of individuals

Assistance, medicinal drugs for medical

Gymnazium8.ru.

Know your rights!

Order of the Ministry of Health 319

Order of the Ministry of Health and Social Development of the Russian Federation
may 3, 2005 N 319
"On approval of species of pharmacy institutions"

Order of the Ministry of Health and Social Development of Russia of July 27, 2010 N 553n This Order is recognized as invalid

In accordance with Article 32 of the Federal Law of June 22, 1998, N 86-FZ "On Medicines" (Meeting of the Legislation of the Russian Federation, 1998, N 2, Art. 3006; 2000, N 2, Art. 126; 2002, N 1 (Part I), Art. 2; 2003, N 2, Art. 167; N 27 (Part I), Art. 2700; 2004, N 35, Art. 3607) I order:

Approved next species Pharmacy institutions: pharmacy, pharmacy, pharmacy kiosk and pharmacy store.

Pharmacies are divided into pharmacies of ready-made dosage forms, industrial, production with the right to manufacture aseptic drugs, hospital, inter-neighborhood, homeopathic, central, district, urban and healthcare facilities.

Pharmacy points are with the right to manufacture medicines and without such a right.

Order of the Ministry of Health and Social Development of the Russian Federation of May 3, 2005 N 319 "On approval of species of pharmacy institutions"

This Order comes into force on the expiration of 10 days after the day of its official publication.

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Order of the Ministry of Health and Social Development of the Russian Federation of July 27, 2010 N 553N
"On approval of types of pharmacy organizations"

In accordance with Article 55 of the Federal Law of April 12, 2010 N 61-FZ "On the circulation of medicines" (Meeting of the legislation of the Russian Federation, 2010, N 16, Art. 1815) I order:

2. To recognize the order of the Ministry of Health and Social Development of the Russian Federation of May 3, 2005 N 319 "On approval of the types of pharmacy institutions" (registered by the Ministry of Justice of the Russian Federation on May 20, 2005 N 6608).

Approved new types of pharmacy organizations. This is a pharmacy, pharmacy point and kiosk. Previously, a pharmacy store was also highlighted.

Pharmacies are divided into pharmacies of finished dosage forms, industrial and manufacturing with the right to manufacture aseptic drugs. Previously, hospital, interstitial, homeopathic, central, district, urban and healthcare facilities were also provided.

The former order of approval of the types of pharmacy organizations has failed.

Order of the Ministry of Health and Social Development of the Russian Federation of July 27, 2010 N 553N "On Approval of Pharmacy Organizations"

(Enter the number and / or part of the name or date of the document.

"On approval of the procedure for placing information on the composition of the Council on Ethics, its work and current activities on the official website of the Ministry of Health of the Russian Federation in the Internet Information and Telecommunications Network and recognition of the invalidation of clause 22 of the Council on Ethics, approved by the Order of the Ministry of Health Of the Russian Federation of November 29, 2012 N 986N (registered in the Ministry of Justice of Russia 24.05.2018 N 51182)

"On Amendments to the Annex to the Order of the Ministry of Health of the Russian Federation of September 11, 2017 N 622" On the Network Medical Research (Scientific and Practical) Centers "

"On the network of national medical research (scientific and practical) centers"

"On approval of indicators characterizing the general criteria for assessing the quality of services for the provision of services with medical organizations in respect of which an independent assessment is carried out" (registered in the Ministry of Justice of Russia 23.05.2018 N 51156)

"On Amendments to the Regulations on the accreditation of specialists, approved by the Order of the Ministry of Health of the Russian Federation of June 2, 2016 N 334n" (registered in the Ministry of Justice of Russia 23.05.2018 N 51153)

"On making changes to the procedure for admission to educational training programs higher education - Ordatura programs approved by order of the Ministry of Health of the Russian Federation of May 11, 2017 N 212N (registered in the Ministry of Justice of Russia 10.05.2018 N 51042)

"On approval of the Informatization Plan of the Ministry of Health of the Russian Federation for 2018 and for the planning period of 2019 and 2020"

"On the application of the rules for conducting and storing special logs for registration of operations related to drug trafficking and psychotropic substances, apply. Decree of the Government of the Russian Federation of 04.11.2006 N 644 "

"On the abolition of the Order of the Ministry of Health of the Russian Federation of June 8, 2016 N 358" On approval of methodological recommendations for the development of a network of medical organizations of the State Health System and the Municipal Health System "

"On the procedure for organizing and providing medical care with the use of telemedicine technologies"

"On Amendments to Some Orders of the Ministry of Health of the Russian Federation on the treatment of medicines to be subject to subject and quantitative accounting" (registered in the Ministry of Justice of Russia 05/03/2018 N 50961)

"On Amendments to a list of federal state institutions providing high-tech medical care, not included in the basic health insurance program, approved by the Order of the Ministry of Health of the Russian Federation of August 28, 2017 N 565n (registered in the Ministry of Justice of Russia 17.04.2018 N 50802)

"On Amendments to Annexes No. 1 and 2 to the Order of the Ministry of Health of the Russian Federation of April 5, 2013 N 195n" On the forms of applications for the supply of medical immunobiological drugs purchased within National calendar Preventive vaccinations, and reports on the use of medical immunobiological preparations purchased within the framework of the national calendar of preventive vaccinations "(registered in the Ministry of Justice of Russia 04/20/2018 N 50839)

"On approval of the plan of scientific and practical activities of the Ministry of Health of the Russian Federation for 2018"

"On approval of the procedure for formation, use, storage, accounting and destruction of a collection of constant storage of samples of standardized cell lines" (registered in the Ministry of Justice of Russia 16.04.2018 N 50783)

"On approval of the application for the provision of certificate of accreditation for the right clinical studies Biomedical cell products"(Registered in the Ministry of Justice of Russia 04/13/2018 N 50760)

"On approval of the procedure for the implementation of selective quality control of biomedical cell products" (registered in the Ministry of Justice of Russia 04/05/2018 N 50663)

"On Amendments to a list of biomichenies for the development of similar pharmacotherapeutic effects and improved analogues of innovative drugs, approved by order of the Ministry of Industry and Trade of the Russian Federation and the Ministry of Health of the Russian Federation of May 19, 2016 N 1605 / 308N" On Approval of the List of Biomiusheans for Development similar to pharmacotherapeutic effects and improved analogues of innovative drugs "(registered

"On approval of the administrative regulations of the Federal Service for Health Supervision on the Implementation of the State Function on the implementation of state control over the activities in the field of the appeal of biomedical cell products" (registered in the Ministry of Justice of Russia 23.05.2018 N 51160)

"On approval of the Regulation on the organization of providing primary health care for children" (registered in the Ministry of Justice of Russia 17.04.2018 N 50801)

"On making a change in the order of filling, accounting and issuing a diploma on the end of the residency and its duplicates, approved by the Order of the Ministry of Health of the Russian Federation of September 6, 2013 N 634N" (registered in the Ministry of Justice of Russia 04.04.2018 N 50624)

"On Amendments to General requirements To identify the normative costs for the provision of state (municipal) services in the field of health, used in the calculation of the amount of subsidy on financial support for the implementation of the state (municipal) task for the provision of state (municipal) services (performance) by the state (municipal) institution, approved by the Order of the Ministry of Health Of the Russian Federation of June 25, 2015 N 366n "(registered in

"On approval of a model of ranking priority projects (programs), office projects (programs), inter-program projects (programs), individual events of inter-program projects (programs) and departmental targeted programs included in state program Russian Federation "Development of Health"

"On improving medical care for infertility using auxiliary reproductive technologies" (together with information and methodical letters "On improving medical care for infertility using auxiliary reproductive technologies")

"On Amendments to a list of federal state institutions providing high-tech medical care, not included in the basic health insurance program, approved by the Order of the Ministry of Health of the Russian Federation of August 28, 2017 N 565n" (registered in the Ministry of Justice of Russia 03/14/2018 N 50342)

"On Amendments to Some Orders of the Ministry of Health of the Russian Federation in order to strengthen monitoring compliance with the legislation on combining corruption" (registered in the Ministry of Justice of Russia 03/14/2018 N 50340)

"On Amendments to the Regulation on the Commission of the Ministry of Health of the Russian Federation to comply with the requirements for service behavior Federal State Civil servants and employees of organizations created to fulfill the tasks assigned to the Ministry of Health of the Russian Federation, and the settlement of the conflict of interest, approved by the Order of the Ministry of Health of the Russian Federation of July 31, 2015 N 511n (registered in the Ministry of Justice of Russia 14.03.2

"On the method of calculating the need for specialists with secondary professional (medical) education"

"On the direction of answers to frequently asked questions about drugs for medical applications that are subject to procurement to provide state and municipal needs"

"On the transfer of the younger medical personnel In customer cleaners »

"On Amendments to Annex N 2 to the Order of the Ministry of Health and Social Development of the Russian Federation of April 12, 2011 N 302n" On approval of lists of harmful and (or) hazardous production factors and work, when performing mandatory preliminary and periodic medical examinations (surveys), and the procedure for conducting mandatory preliminary and periodic medical examinations (surveys) of workers employed in hard work and on work

"On approval of the scheme for the placement of territorial bodies of the Federal Service for Supervision of Health"

"On the presentation by subordinate agencies, copies of legal acts establishing accounting policies"

"On approval of the provision on the personnel reserve of the Ministry of Health of the Russian Federation" (registered in the Ministry of Justice of Russia 24.05.2018 N 51175)

"On Amendments to the Standard of Medical Aid when infertility using auxiliary reproductive technologies, approved by the Order of the Ministry of Health of the Russian Federation of October 30, 2012 N 556N" (registered in the Ministry of Justice of Russia 27.02.2018 N 50149)

"On amending the procedure for using auxiliary reproductive technologies, contraindications and restrictions on their application, approved by the Order of the Ministry of Health of the Russian Federation of August 30, 2012 N 107n" (registered in the Ministry of Justice of Russia 27.02.2018 N 50148)

"On Amendments to the Order of the Ministry of Health of the Russian Federation dated January 30, 2015 N 29N" On the forms of statistical accounting and reporting used in organizing the provision of high-tech medical care using a specialized information system, the orders of their filling and submission timing "(registered in the Ministry of Justice Russia 26.02.2018 N 50132)

"On the procedure for conducting preventive medical examinations of minors, utensils. Order of the Ministry of Health of Russia from 10.08.2017 N 514n "

"On the applicable units of measurement of the number of procurement objects in the case of procurement of drugs"

"On the rules of conducting and storing special journals of registration of operations related to the turnover of narcotic drugs and psychotropic substances"

"On the order of admission to pharmaceutical activity Provisorials, completing training for professional retraining programs after January 1, 2018.

"On approval of the Regulation on the procedure for organizing work on the interaction of structural divisions of the Ministry of Health of the Russian Federation in the implementation of the procurement of goods, works, services for state needs and instructions on the preparation, coordination, conclusion, termination, registration, accounting and control of government contracts in the Ministry of Health Russian Federation"

"On Amendments to the Instructions on the preparation, coordination, conclusion, termination, registration, accounting and control of government contracts in the Ministry of Health of the Russian Federation, approved by the Order of the Ministry of Health of the Russian Federation of March 19, 2014 N 117"

"On the application of the norms of the order of the Ministry of Health of Russia of October 26, 2017 N 871n and the Decree of the Government of the Russian Federation of 15.11.2017 N 1380"

"On the definition of a list of particularly valuable movable property of federal state autonomous and budgetary institutions, subordinate to the Ministry of Health of the Russian Federation" (registered in the Ministry of Justice of Russia 08.02.2018 N 49967)

Order of the Ministry of Health of the Russian Federation (Ministry of Health of Russia) of December 19, 2016 N 973N Moscow "On approval of typical sectoral standards of time on the performance of work related to a visit to one patient Cardiologist, an endocrinologist doctor, a dentist-therapist doctor"

In accordance with paragraph 3 of the rules for the development and approval of standard labor standards, approved by Decree of the Government of the Russian Federation of November 11, 2002 N 804 (Meeting of the legislation of the Russian Federation, 2002, N 46, Art. 4583), and paragraph 19 of the Action Plan ("Road Maps ")" Changes in the industries social sphereaimed at improving health efficiency "approved by the order of the Government of the Russian Federation of December 28, 2012 N 2599-P (meeting of the legislation of the Russian Federation, 2013, N 2, Art. 130; 2013, N 45, Art. 5863; 2014, n 19, Art. 2468; 2015, N 36, Art. 5087; 2016, N 21, Art. 3087), order:

To approve as applied with the Ministry of Labor and Social Schools of the Russian Federation, the attached typical sectoral norms of time for the performance of work related to a visit to one patient-cardiologist, an endocrinologist doctor, a dentist-therapist doctor.

1. Typical sectoral time standards (hereinafter referred to - the time of time) to perform work related to a visit to one patient-cardiologist, an endocrinologist's doctor, a dentist doctor (hereinafter referred to as a specialist physician), are used in the provision of primary specialized health care assistance in outpatient conditions (not providing for round-the-clock medical observation and treatment).

2. The norms of time are the basis for calculating the load standards, the number of humanity standards and other norms of medical professionals of medical organizations that provide primary specialized health care assistance in outpatient conditions.

3. Time norms per visit to the patient of a specialist doctor in connection with the disease necessary for performing outpatient conditions labor actions to provide medical care (including the time spent time medical documentation)*:

4. Time norms for a visit to the patient of a specialist doctor with preventive goal are set in the amount of 60-70% of the time standards associated with a visit to one patient a doctor-specialist due to the disease established in a medical organization or other organization carrying out medical activities (hereinafter - a medical organization), in accordance with paragraph 3 of these standards of time .

5. The cost of a specialist doctor's time for registration of medical records, taking into account the rational organization of labor, equipping the workplaces of computer and organizational technician, should be no more than 35% of the time standards associated with a visit to a specialist practitioner in connection with the disease and prophylactic The goal in accordance with paragraphs 3 and 4 of these standards of time.

6. B. medical organizationsproviding primary specialized health care in outpatient conditions, the time norms specified in paragraphs 3 and 4 are established taking into account the density of residence and the age of the population, as well as taking into account the level and structure of the incidence of the population by summing up the correction ratios of the norms of time.

The following correction coefficients are applied:

a) the density of the attached population is above 8 people per square meter. KM: -0.05;

b) The density of the attached population is below 8 people per square meter. km: +0.05;

c) the density of accommodation of the attached population of the regions of the Far North and region equivalent to them is no more than 2.5 people per square meter. km: +0.15;

d) the incidence rate is higher by 20% of the average value under the subject of the Russian Federation: +0.05;

e) the incidence rate is lower by 20% of the average for the subject of the Russian Federation: -0.05;

e) the proportion of persons older than working age among the attached population above 30%: +0.05;

g) the proportion of persons older than working age among the attached population below 30%: -0.05.

* Order of the Ministry of Health and Social Development of Russia dated 27.12.2011 N 1664n "On Approval of the Nomenclature of Medical Services" (registered in the Ministry of Justice of Russia 24.01.2012, registration N 23010) with changes made by the orders of the Ministry of Health of Russia from 10/28/2013 N 794N (registered in the Ministry of Justice of Russia 31.12. 2013, registration N 30977), from 10.12.2014 N 813N (registered in the Ministry of Justice of Russia 19.01.2015, registration N 35569) and from 09/29/2016 N 751n (registered in the Ministry of Justice of Russia 25.10.2016, registration N 44131).

Order of the Ministry of Health and Social Development of Russia of July 23, 2010 N 541n "On approval of the Unified qualifying reference book posts of managers, specialists and employees, section "Qualification characteristics of posts of workers in the field of health care" (registered in the Ministry of Justice of Russia 25.08.2010, registration N 18247).

In accordance with Article 46 of the Federal Law of November 21, 2011 No. 323-ФЗ "On the basis of the health of citizens' health in the Russian Federation" (Meeting of the legislation of the Russian Federation, 2011, No. 48, Art. 6724; 2013, No. 48, Art. 6165 ; 2016, No. 27, Art. 4219) I order:

1. To approve the procedure for carrying out the dispensarization of certain groups of the adult population in accordance with the annex.

order of the Ministry of Health of the Russian Federation of February 3, 2015 No. 33Un "On approval of the procedure for conducting the dispensary of certain groups of adults" (registered by the Ministry of Justice of the Russian Federation on February 27, 2015, registration No. 36268);

order of the Ministry of Health of the Russian Federation of December 9, 2016 No. 946N "On Amendments to the Procedure for Making Certain Adult Groups, approved by the Order of the Ministry of Health of the Russian Federation of February 3, 2015 No. 33Un" (registered by the Ministry of Justice of the Russian Federation January 9, 2017 Registration No. 45104).

application
to the order of the Ministry of Health
Russian Federation
from October 26, 2017 № 869n

1. This procedure regulates issues related to the implementation of the following groups of adult population in medical organizations (aged 18 and older):

3) students in educational organizations for full-time.

This procedure is not applied in cases where the legislative and other regulatory legal acts of the Russian Federation establishes a different procedure for the dispensary of individual categories of citizens.

2. DISCISERIZATION is a set of activities that includes preventive medical examination and additional methods Surveys held in order to assess the state of health (including the definition of a group of health and a group of dispensary observation) and implemented with respect to certain groups of the population in accordance with the legislation of the Russian Federation * (1).

3. The dispensary of the adult population is carried out through an in-depth examination of the health status of citizens in order to:

1) early detection Chronic noncommunicable diseases (states), which are the main cause of disabilities and premature mortality of the population of the Russian Federation (hereinafter referred to as chronic noncommunicable diseases), the risk factors of their development, including elevated level arterial pressure, hypercholesterolemia, elevated blood glucose level, tobacco smoking, the risk of detrimental alcohol consumption, irrational nutrition, low physical activity, excess body weight or obesity (hereinafter - risk factors), as well as consumption of narcotic drugs and psychotropic substances without the appointment of a doctor;

2) the definitions of the health group, the necessary prophylactic, therapeutic, rehabilitation and wellness activities for citizens with the identified chronic noncommunicable diseases and (or) the risk factors, as well as for healthy citizens;

3) conducting preventive consulting of citizens with the identified chronic noncommunicable diseases and the risk factors for their development;

4) definitions of the group of dispensary observation of citizens with the detected chronic noncommunicable diseases and other diseases (states), as well as citizens with high and very high cardiovascular risk in the manner prescribed by the Order of the Ministry of Health of the Russian Federation of December 21, 2012 No. 1344N "On Approval of the procedure for conducting dispensary observation "(registered by the Ministry of Justice of the Russian Federation on February 14, 2013, Registration No. 27072).

4. The dispensarization is carried out 1 time in 3 years in the age periods provided for by Appendix No. 1 to this Procedure * (2), except:

1) Mammography for women aged 51 to 69 years and feces hidden blood for citizens aged from 49 to 73 years, which are held 1 time in 2 years;

2) dispensarization carried out annually regardless of age for certain categories of citizens, including:

a) disabled Great Patriotic War and disabled hostilities, as well as participants in the Great Patriotic War, which have become disabled due to common disease, labor injury or other reasons (except for persons, the disability of which came due to their illegal actions) * (3);

b) those awarded by the "resident of the Blood Leningrad" sign and recognized as disabled due to the overall disease, labor injury and other reasons (except for persons, the disability of which came due to their unlawful actions) * (4);

c) former juvenile prisoners of concentration camps, ghetto, other places of compulsory content created by the fascists and their allies during the Second World War, recognized as disabled due to the overall disease, labor injury and other reasons (with the exception of persons, the disability of which came due to their unlawful actions) * (five).

5. List of inspections (consultations) by specialist doctors (paramedic or obstetric), research and other medical eventsConducted within the framework of the closerization, depending on the age and sex of the citizen (the volume of dispensarization), is determined in accordance with paragraphs 13, 14 and Appendix No. 1 to this Procedure.

The dispensary of the citizens referred to in subparagraphs "A" - "B" of subparagraph 2 of paragraph 4 of this Procedure is carried out in the amount corresponding to the volume of the clinicalization provided for in Appendix No. 1 to this order for the citizens of the nearest age category, with the exception of studies having medical contraindications For annual conduct in case there are no symptoms of diseases or states (fluorography of light, mammography, smear (scraping) from the surface of the cervix (outer uterine sewage) and cervical canal on cytological research, determination of the prostate-specific antigen).

6. The climbing of the adult population is carried out by medical organizations (other organizations carrying out medical activities) (hereinafter - medical organization) regardless of the organizational and legal form participating in the implementation of the program of state guarantees of free provision of medical care and territorial program of state guarantees of free provision of medical care to citizens in terms of providing primary health care, with a license to implement medical activitiesproviding for work (services) on "medical examinations of preventive", "therapy" or "common medical practice (family medicine) "," obstetrics and gynecology "* (6) or" obstetric and gynecology (except for the use of auxiliary reproductive technologies) "," obstetrics and gynecology (except for the use of auxiliary reproductive technologies and artificial interruption of pregnancy) "," obstetric case "or" therapeutic case "," ophthalmology "," neurology "," otorinolaryngology (with the exception of cochlear implantation) "," surgery ", or" coloproctology "," radiology "," clinical laboratory diagnostics "or" laboratory diagnostics ", "Functional diagnostics", " ultrasonic diagnostics", Endoscopy.

If a medical organization has a license to carry out medical activities, providing for the implementation of work (provision of services) on "medical examinations of preventive", "therapy" or "general medical practice (family medicine)", there is no license for medical activities in terms of implementation Other works (services) listed in this clause of the Procedure, said Medical Organization concludes a contract for conducting workshop with other medical organizations that have a license to carry out medical activities in terms of the fulfillment of the required work (services).

7. A citizen is undergoing cliserization in a medical organization in which he receives primary health care.

8. The required prerequisite for conducting the dispensary is the date of informed voluntary consent Citizen (his legal representative) for medical intervention in compliance with the requirements established by Article 20 of the Federal Law of November 21, 2011 No. 323-FZ "On the basis of the health of citizens' health in the Russian Federation" (hereinafter referred to as Federal Law No. 323-FZ) * ( 7).

A citizen has the right to refuse to carry out clisserization in general or from separate species medical interventionsincluded in the volume of closerization.

9. Head of the Medical Organization and Medical Employees of the Office (Cabinet) of medical prevention (including the part of the health center) are responsible for organizing and carrying out the disposance of the population in medical services in a medical organization.

The medical worker authorized by the head of the medical organization provides information interaction with insurance medical organizations in order to organize the informs of citizens subject to dispensary in the current year, or their legal representatives On the possibility of passing the closerization in accordance with the rules of compulsory medical insurance * (8).

Therapist (doctor-therapist Plot, doctor-therapist of a workshop medical site, doctor common practice (Family doctor)) (hereinafter referred to as the therapist) is responsible for organizing and carrying out the recpensation of the population of therapeutic, including the workshop, site (section of a general practitioner (family doctor)), serviced territory (hereinafter referred to as the site).

Feldscher of the Feldsher Swells and the Feldsher-Okushetsky Point is responsible for carrying out the dispensary of the population of the Feldshera section in case of imposing certain functions of the attending physician on the direct provision of medical care to the patient in the period of observation of it and its treatment, including on the conduct of closerization, in order, Installed by order of the Ministry of Health and Social Development of the Russian Federation of March 23, 2012 No. 252n "On approval of the procedure for laying on Feldscher, obstetrician by the head of a medical organization in organizing the provision of primary health care and emergency medical assistance of individual functions of the attending physician for direct medical care Patient in the period of observation of it and its treatment, including the purpose and use of drugs, including narcotic drugs and psychotropic drugs (registered by the Ministry of Justice Of the Russian Federation on April 28, 2012, registration No. 23971).

10. The main tasks of the Feldscher Health Clamps or the Feldsher-Okushetsky Point when carrying out the closerization are:

1) drawing up lists of citizens subject to dispensarization in the current calendar year, and the plan of conducting workshop on the current calendar year, taking into account the age category of citizens and surveys;

2) attraction of the population attached to the Feldshera area, to the passage of closerization, informing its goals and objectives, the amount of examination conducted and the schedule of the units of the medical organization involved in the implementation of the workshop required preparatory activities, as well as an increase in the motivation of citizens to the passage of dispensarization, including through explanatory conversations at the family level;

3) briefing citizens who arrived at the dispensarization, on the procedure for its passage, volume and sequence of the survey;

4) the implementation of prefigured medical studies of the first stage of clinical examination (survey (survey) aimed at identifying chronic non-infectious diseases, risk factors for their development, drug consumption and psychotropic substances without appointment of a doctor, anthropometry, calculation of the body mass index, measuring blood pressure, and also Determination of the level of total cholesterol in the blood and blood glucose level by express method, measurement of intraocular pressure contactless method, inspection by the paramedic, including the taking of a smear (sickle) from the surface of the cervix (external uterine zoom) and the cervical canal on the cytological examination) * (9);

5) determination of the risk factors of chronic noncommunicable diseases on the basis of diagnostic criteriaprovided for in Appendix No. 2 to this Procedure;

6) the definition of relative cardiovascular risk among citizens aged 21 to 39 years inclusive, and absolute cardiovascular risks in citizens aged from 42 to 63 years inclusive, not having diseases associated with atherosclerosis, diabetes mellitus of the second type and chronic kidney diseases;

7) In the first stage of the examination of individual preventive consulting * (10) for citizens under 72 years old with high relative and high and very high absolute cardiovascular risky, and (or) obese, and (or) hypercholesterolemium with a level of total cholesterol 8 mmol / l and more, and (or) smokers more than 20 cigarettes per day; the direction of these citizens to the in-depth (individual or group) preventive consultation outside the dispensarization framework;

8) carrying out an in-depth (individual or group) prophylactic counseling in the second stage of dispensarization for citizens:

b) with identified according to the results of a survey (survey) of the risk of adverse consumption of alcohol and (or) consumption of narcotic drugs and psychotropic substances without appointing a doctor;

c) for all citizens aged 75 years and older in order to correct the identified risk factors and (or) prevention of senile asthenia;

9) Formation of a set of documents, filling out a card accounting card (preventive medical examinations) (hereinafter referred to as a map of discsorization) in the form approved in accordance with Part 3 of Article 97 of Federal Law No. 323-ФЗ by the Ministry of Health of the Russian Federation;

10) Informing citizens with high risk of development threatening Life diseases (states) or their complications, as well as persons together with them residing characteristic manifestations specified diseases (states) and necessary urgent events, including timely challenge the ambulance brigade;

11) Informing citizens (aged 21 and older) about the possibility medical examination on HIV infection in accordance with Federal law dated March 30, 1995 No. 38-FZ "On the prevention of dissemination in the Russian Federation of the disease caused by the human immunodeficiency virus (HIV infection) * (11) (hereinafter - Federal Law No. 38-FZ) with the provision of addresses of medical organizations, which is possible to carry out voluntary, including anonymous, examination on HIV infection.

11. The main tasks of the doctor when carrying out the closerization are:

2) the involvement of the population attached to the therapeutic area, to the passage of closerization, informing about its goals and objectives, the amount of survey conducted and the work schedule of medical organizations involved in the implementation of the workshop, the necessary preparatory activities, as well as improving the motivation of citizens to pass the closerization, including by conducting explanatory conversations at the family level;

3) Conducting a medical examination of a citizen in the results of the first and second stages of dispensary, the establishment of a diagnosis of the disease (state), the definition of a group of health, a group of dispensary monitoring (taking into account the conclusions of specialist doctors), appointment required treatment, in the presence of medical testimony, the direction for additional diagnostic researchnot included in the volume of closerization, to obtain a specialized, including high-tech, medical care, on sanatorium-resort treatment;

4) carrying out a brief preventive consulting, including recommendations for healthy nutrition, in terms of level physical activity, abandonment of smoking tobacco and destructive alcohol consumption;

5) Direction for in-depth (individual or group) Preventive consulting to the department (Cabinet) of medical prevention or health center, as well as in the Feldsher Swells and the Feldsher-obstetric item of citizens aged up to 72 years old with a survey survey (survey) alcohol and (or) consumption of narcotic drugs and psychotropic substances without the appointment of a doctor, with identified ischemic disease hearts, cerebrovascular diseases, chronic ischemia lower extremities atherosclerotic genes or diseases characterized by elevated blood pressure; as well as citizens aged 75 years and older in order to correct the identified risk factors and (or) prevention of senile asthenia at the second stage of the clinic;

6) the direction of citizens aged up to 72 years with high relative and high and very high absolute cardiovascular risk, and (or) obesity, and (or) hypercholesterolemium with the level of total cholesterol 8 mmol / l and more, and (or) smokers more than 20 cigarettes per day for in-depth (individual or group) prophylactic consulting outside the dispensarization framework;

7) informing citizens with a high risk of developing threatening the lives of diseases (states) or their complications, as well as those who are living with them, about the characteristic manifestations of these diseases (states) and the necessary urgent events, including the timely call of the ambulance brigade;

8) participation in the design (jurisdiction) of medical records;

9) summarizing the dispensarization in its area;

10) informing citizens (aged 21 and older) on the possibility of medical examination on HIV infection in accordance with Federal Law No. 38-FZ with the provision of addresses of medical organizations in which it is possible to carry out voluntary, including anonymous, examination on HIV infection.

12. The main tasks of the Department (Cabinet) of the medical prevention of a medical organization, including those located in the Center for Health, when carrying out a clinical examination are:

1) participation in informing the population in medical care in a medical organization, on the conduct of closerization, about its goals and objectives, the conduct of explanatory work and motivation of citizens to the passage of clinical examination;

2) instructing citizens who arrived at the dispensarization, about the procedure for its passage, volume and sequence of the survey;

3) Performance of prefiguring medical studies of the first stage of clinical examination (survey (survey), aimed at identifying chronic non-infectious diseases, risk factors for their development, drug consumption and psychotropic substances without appointing a physician, anthropometry, calculation of body mass index, blood pressure, leveling general cholesterol and blood glucose level by the express method, measurement of intraocular pressure by contactless method);

4) determination of the risk factors of chronic non-infectious diseases on the basis of the diagnostic criteria provided by Appendix No. 2 to this Procedure;

5) the definition of relative cardiovascular risks in citizens aged 21 to 39 years inclusive, and absolute cardiovascular risks in citizens aged from 42 to 63 years inclusive, not having diseases associated with atherosclerosis, diabetes mellitus of the second type and chronic kidney diseases;

6) In the first stage of the closerization of individual preventive consulting for citizens aged up to 72 years with high relative and high and very high absolute cardiovascular risk, and (or) obesity, and (or) hypercholesterolemium with a level of total cholesterol 8 mmol / l or more, and (or) smokers more than 20 cigarettes per day; the direction of these citizens to the in-depth (individual or group) preventive consultation outside the dispensarization framework;

7) carrying out an in-depth (individual or group) prophylactic counseling in the second stage of clinical examination for citizens:

a) under the age of 72 years with the cerebrovascular diseases detected by coronary disease, chronic ischemia of the lower limbs atherosclerotic genesis or diseases characterized by elevated blood pressure;

8) informing citizens with a high risk of developing threatening the lives of diseases (states) or their complications, as well as those who are living with them, about the characteristic manifestations of these diseases (states) and the necessary urgent events, including the timely call of the ambulance brigade;

9) the formation of a set of documents, according to the results of studies conducted within the framework of the clinicalization, to send a patient to inspections by medical professionals and a physician on the first and second stage of clinical examination, including filling the discsorization card;

10) Accounting for citizens who have passed each stage of dispensarization, including filling out the discsorization card in accordance with the medical prevention of medical prevention, the general control of the completion of all sections of the specified map and prepare a report on the conduct of cliserization * (12).

The first stage of the clinicalization (screening) is carried out in order to identify from citizens of signs of chronic noncommunicable diseases, the risk factors for their development, the consumption of narcotic drugs and psychotropic substances without the appointment of a doctor, as well as the definitions of medical testimony to fulfill additional examinations and inspections by specialist physicians to clarify the diagnosis of the disease (states) at the second stage of the dispensary, and includes:

1) survey (survey) 1 time in 3 years, in order to identify complaints characteristic of noncommunicable diseases, personal anamnesis, smoking, alcohol consumption, risk of drug use and psychotropic substances, nutrition nature, physical activity, as well as in order to identify citizens aged 75 years and older risks of falls, complaints characteristic of osteoporosis, depression, heart failure, non-recreated hearing disorders (hereinafter referred to as voice);

2) anthropometry (growth measurement standing, body weight, waist circle), calculation of body mass index 1 time in 3 years;

4) determining the level of general cholesterol in the blood (the use of the express method * (13)) (for citizens under the age of 85 years 1 time in 3 years);

5) determining the level of blood glucose on an empty stomach (the use of the express method is allowed) 1 time in 3 years;

6) the definition of relative cardiovascular risk among citizens aged 21 to 39 years inclusive, and absolute cardiovascular risks in citizens aged from 42 to 63 years inclusive, not having diseases associated with atherosclerosis, diabetes mellitus of the second type and chronic kidney disease, 1 time in 3 years;

7) Conducting individual preventive counseling in the office (office) of medical prevention (health center, medical school health health center or medical and obstetric item) for citizens aged up to 72 years with high relative and high and very high absolute cardiovascular risks, and (or) obesity, and (or) hypercholesterolemia with the level of total cholesterol 8 mmol / l and more, and (or) smokers more than 20 cigarettes per day; the direction of these citizens to the in-depth (individual or group) preventive consultation outside the dispensarization framework;

8) electrocardiography at rest (for men aged 36 years and older, for women aged 45 years and older than 1 time in 3 years);

9) inspection by the paramedic (obstetric), taking using a cytological cervical brush (scas) from the surface of the cervical cervical (external umbistau) and cervical canal to cytological research (hereinafter - smear from the cervix), cytological examination of the cervical cervix (for women aged 30 to 60 years 1 time in 3 years) * (14);

11) Mammography of both mammons in two projections (for women aged 39-48 years 1 time in 3 years and aged 50-70 years 1 time in 2 years) * (16);

12) the study of feces on the hidden blood by the immunochemical method (for citizens aged from 49 to 73 years 1 time in 2 years);

13) the definition of a prostate-specific antigen (PSA) in the blood (for men at the age of 45 and 51);

14) measurement of intraocular pressure 1 time in 3 years (for citizens aged from 60 years and older);

15) Taking (inspection) by a physician at the completion of the study of the first stage of clinical dispensarization, which is conducted at a periodicity of 1 time in 3 years, including the establishment of a diagnosis, the definition of a health group, a group of dispensary monitoring, conducting a short prophylactic counseling, including guidelines for healthy nutrition, activity, abandonment of smoking tobacco and detrimental alcohol consumption, definition of medical testimony for surveys and consultations within the second stage of dispensarization;

16) Reception (inspection) by a physician at the end of the study of the first stage of clinical dispensarization, conducted at a periodicity of 1 time in 2 years in the presence of pathological changes, including the definition in accordance with the identified changes in medical testimony for surveys and consultations within the second phase of the dispensarization.

The first stage of clinical examination can be carried out by mobile medical teams operating in accordance with the rules of organizing the work of mobile medical teams provided for in Appendix No. 8 to the Regulation on the organization of the provision of primary health care for the adult population approved by the Order of the Ministry of Health and Social Development of the Russian Federation from 15 May 2012 No. 543N (registered by the Ministry of Justice of the Russian Federation on June 27, 2012, Registration No. 24726), with changes in the orders of the Ministry of Health of the Russian Federation of June 23, 2015 No. 361n (registered by the Ministry of Justice of the Russian Federation July 7, 2015 ., Registration No. 37921), of September 30, 2015 No. 683N (registered by the Ministry of Justice of the Russian Federation on November 24, 2015, registration number 39822).

14. The second stage of the dispensary is carried out in order to further examine and clarify the diagnosis of the disease (state) and includes:

1) Inspection (consultation) by a neurologist (if there are first identified instructions or suspicion of previously transferred acute violation Brain circulation for citizens who are not on this occasion under dispensary observation, as well as in cases of identifying the results of the surveillance of violations muscular function, cognitive violations and suspicion of depression among citizens aged 75 years and older who are not on this occasion under dispensary observation);

2) duplex scanning Brakhcephalic arteries (for men aged from 45 to 72 years old and women aged 54 to 72 years old, with a combination of three risk factors for the development of chronic noncommunicable diseases: elevated level of blood pressure, hypercholesterolemia, excess body or obesity, as well as in the doctor's direction -Neorologist with first identified instructions or suspected of a previously transferred acute violation of the cerebral circulation for citizens aged 75-90 years, which are not on time under dispensary observation);

3) Inspection (consultation) by a surgeon doctor or a urologist (for men aged 45 years and 51, with an increase in the level of prostate-specific antigen in the blood of more than 1 ng / ml);

4) inspection (consultation) by a surgeon doctor or a calloprochast physician, including rectoroscopy (with positive Analysis Cala on hidden blood, for citizens aged from 49 years and older with burdened heredity in family adenomatosis, oncological diseases of the colorectal region, when identifying other medical testimony based on the results of the survey, as well as the appointment of a doctor's doctor, a doctor-urologist, an obstetric doctor -ginecologist in cases of identifying symptoms of oncological diseases of the colorectal region);

5) a colonoscopy (for citizens in the case of suspicion of the oncological disease of the colon in the appointment of a surgeon doctor or a doctor - a coloproktologist);

6) spirometry (for citizens with suspicion of chronic bronchopulmonary disease according to the results of the survey, smoking in the direction of the doctor's physician);

7) inspection (consultation) by an obstetrician-gynecologist (for women aged 30 to 69 years inclusive with identified pathological changes According to the results of the cytological study of the smear from the cervix and (or) mammography);

8) inspection (consultation) by an otorinolaryngologist (for citizens aged 75 years and older in the presence of medical testimony based on the results of the survey or inspection of the doctor's doctor);

9) inspection (consultation) by an ophthalmologist (for citizens aged 60 years and older having increased intraocular pressure, and for citizens aged 75 years and older, having a decrease in visual acuity, non-glacier correction identified by the results of the survey);

10) Conducting an individual or group (school for patients) in-depth preventive counseling in the office (office) of medical prevention (health center, paradise health center or the Feldsher-Okushersky paragraph) for citizens:

11) receiving (inspection) by a therapist, upon completion of the study of the second stage of dispensing, including the establishment (clarification) of the diagnosis, the definition (clarification) of the health group, determining the group of dispensary monitoring (taking into account the conclusions of specialist doctors), as well as the direction of citizens if there are Medical indications for an additional examination that is not included in the volume of closerization, to obtain specialized, including high-tech, medical care, on sanatorium-resort treatment * (17).

15. If a citizen has documented inspection results (consultations), specialist doctors (paramedics or obstetric) (hereinafter referred to as inspection), research or information about other medical measures included in the volume of dispensarization in accordance with paragraphs 13 and 14 of this Procedure, which were carried out in The current of the 12 months preceding the month of climbing, the decision on the need for a re-examination, research or activities within the framework of the clinite is made individually taking into account all the existing results of the survey and the state of health of the citizen.

16. When identifying a citizen in the first and (or) second phase of medical testimony to conduct inspections medical professionals, research and activities that are not included in the volume of closerization in accordance with this order, they are appointed and carried out taking into account the provisions of the procedures for medical care for the profile of the identified or alleged disease (state) and medical care standards approved in accordance with Part 2 of Article 37 of the Federal Law No. 323-FZ, as well as clinical recommendations (treatment protocols) on the provision of medical care developed and approved in accordance with Part 2 of Article 76 of the Federal Law No. 323-FZ.

17. Based on the procedure for the passage of a citizen of the clinical examination by a medical officer of the department (Cabinet) of medical prevention, as well as the Feldsher Swells, or the Feldsher-obstetric item based on the results of studies conducted within the framework of the workshop in this Feldsher Swells or the Feldsher-Okushersky paragraph, the accounting card is filled. which is fed by B. medical map Ambulator patient * (18).

The results of studies conducted at a periodicity of 1 time in 2 years are taken into account in the accounting card of closerization, while the coincidence of the year of their conduct with the studies conducted 1 time in 3 years (coincidences occur 1 time in 6 years). The remaining studies conducted with a periodicity of 1 time in 2 years are taken into account separately in the account of the accounting of dispensarization.

The results of studies and inspections that are included in the volume of the closerization are entered into a medical card of an outpatient patient with a note "dispensary".

18. To determine the results of a citizen and planning a group of health, the following criteria are used to displays the health group of the citizen and planning:

I Group of Health - Citizens who have not established chronic noncommunicable diseases, there are no risk factors for the development of such diseases or there are indicated risk factors with low or medium absolute cardiovascular risk and which do not need dispensary observation about other diseases (states).

To such citizens, within the framework of the first stage of the dispensarization, a short-prophylactic counseling by a physical actor, including recommendations on healthy nutrition, the level of physical activity, the abandonment of smoking tobacco and a detrimental consumption of alcohol, and persons with high relative cardiovascular risk in addition to the department (office) medical PREVENTIONS (Health Center, Feldsher Swelling or Feldsher-Okushersky Point) is carried out individual preventive consulting.

The II group of health - citizens who have not established chronic noncommunicable diseases, but there are risk factors for the development of such diseases with high or very high absolute cardiovascular risk, as well as citizens who have identified obesity and (or) hypercholesterolemium with a total cholesterol level 8 mmol / l and more, and (or) face smoking more than 20 cigarettes per day, and (or) persons with the identified risk of destructive consumption of alcohol and (or) risk of drug consumption and psychotropic substances without a doctor, and which do not need to be dispensary Observing about other diseases (states).

Such citizens within the framework of the first stage of the dispensarization conducts a brief preventive consulting by a physician. Persons with a high or very high absolute cardiovascular risk, and (or) smoking more than 20 cigarettes per day, and (or) who have obesity, and (or) hypercholesterolemia, with a level of total cholesterol 8 mmol / l and more, is carried out Individual prophylactic counseling in the department (office) of medical prevention, health center, paramedic health health center or paramedic and obstetric item. Citizens with the identified risk of adverse consumption of alcohol and (or) risk of drug consumption and psychotropic substances without appointing a doctor at the second stage of clinical examination is carried out in-depth (individual or group) preventive consulting. Citizens II Health Groups in the presence of medical testimony by a physician prescribed drugs for medical use in order to pharmacological correction of revealed risk factors. Citizens II Health Groups with high or very high absolute cardiovascular risk are subject to dispensary observation by a physician (paramedic) department (Cabinet) of medical prevention or health center, as well as paramedic health health center or paramedic-obstetric item, with the exception of patients with a total cholesterol level 8 mmol / l and more to be subject to dispensary observation by a physician.

IIIA Health Group - Citizens Having chronic noncommunicable diseases requiring the establishment of dispensary observation or the provision of specialized, including high-tech, medical care, as well as citizens with suspicion of the presence of these diseases (states) in need of an additional survey * (19);

IIIIB Health Group - citizens who do not have chronic non-infectious diseases, but requiring the establishment of dispensary observation or the provision of specialized, including high-tech, medical care for other diseases, as well as citizens with suspicion of the presence of these diseases that need additional examination.

Citizens with IIIA and IIIIB Health Groups are subject to dispensary observation by a physician-therapist, specialist physicians with medical, rehabilitation and preventive measures.

Citizens IIIA and IIIIB Health Groups, which have risk factors for the development of chronic noncommunicable diseases, within the framework of the first stage of the dispensarization, a short preventive consultancy is carried out by a physician. As part of the second stage of the dispensarization, citizens under the age of 72 with the detected coronary heart disease, cerebrovascular diseases, chronic ischemia of the lower limbs atherosclerotic genesis or diseases characterized by increased blood pressure and all citizens aged 75 years and older in order to correct the identified risk factors and ( or) the prevention of senile asthenia is carried out in-depth (individual or group) prophylactic counseling in the department (office) of medical prevention, health center, paradise health learning or paramedic and obstetric item. In the presence of medical testimony by a physician prescribed drugs for medical use in order to pharmacological correction of the identified risk factors.

19. The main criteria for the effectiveness of the adult dispensarization are:

1) coverage of the dispensarization of the population to be dispensing in the current year (scheduled value - at least 63%);

2) coverage with individual preventive consulting at the first stage of the dispensary of citizens having a high relative and high and very high absolute cardiovascular risk, at least 90% of their total number;

3) coverage of in-depth (individual or group) prophylactic consulting at the second stage of the client examination of citizens under the age of 72 years to the first time detected by coronary heart disease, cerebrovascular diseases or diseases characterized by elevated blood pressure, at least 70% of their total numbers;

4) coverage of in-depth (individual or group) prophylactic consulting at the second stage of reconsiderization of citizens under 72 years of age, having a pernicious consumption of alcohol and (or) the risk of drug consumption and psychotropic substances without the appointment of a doctor, at least 70% of their total number ;

5) coverage of in-depth (individual or group) prophylactic consulting at the second stage of reconsiderization of citizens aged 75 years and older than 70% of the total number of them;

6) Coverage of citizens with first identified diseases of the circulatory system, high and very high absolute cardiovascular risk of dispensary observation, at least 80% of their total number.

20. In a medical organization, there should be a record of citizens who have passed each stage of dispensarization, with registration of inspections, research and other medical measures performed in the framework of monitoring, and inspections, research, activities performed earlier outside the dispensarization framework and accounted for during dispensarization in accordance with Clause 15 of this Procedure, as well as the failures of citizens from the passage of individual inspections, research and activities.

21. The first stage of the clinicalization is considered completed and shall be paid within the framework of the territorial program of state guarantees of free provision of medical care to citizens (hereinafter referred to as the territorial program) in the event of not less than 85% of the study of the first stage of the dispensary, conducted with a periodicity of 1 time in 3 years, A citizen installed for this age and sex, with the obligatory to conduct a survey and reception (inspection) of the doctor - therapist. In the event that the number of inspections, research and other medical measures implemented earlier and taken into account in dispensarization in accordance with clause 15 of this Procedure exceeds 15% of the volume of the clinicalization established for the appropriate age and sex of a citizen, and the total amount of completed during the clinic and recorded In accordance with paragraph 15 of this Procedure for inspections, research and other medical measures, it is 85% and more of the volume of dispensarization, the first stage of the dispensarization is reflected in the discsorization report as a complete case, while only completed inspections (research, activities) are subject to payment. With the methods of payment for medical care, established by the territorial program.

Studies of the first stage of clinical examination, conducted with a periodicity of 1 time in 2 years, are subject to payment in accordance with the methods of payment for medical assistance established by the territorial program.

If there is less than 85% of the scope of clinserization within the first stage of the dispensarization, which is established for the age and sex of the citizen, but at the same time completed inspections, research and other medical measures are 85% or more of the scope of the survey established for the preventive medical examination * ( 20), such cases are taken into account as a citizen conducted preventive medical examination.

The second stage of the dispensary is considered to be completed in the event of inspections, research and other medical measures specified in paragraph 14 of this Procedure, the need for which is determined by the results of the first and second phases of the clinition. When determining the results of the first stage of the dispensarization of the testimony to conduct only in-depth preventive consulting at the second stage, the second stage of the dispensary is considered to be completed during its execution, while inspection by a physician at the second stage of the dispensarization is not carried out.

Studies of the second stage of dispensarization, regardless of the frequency of their conduct, are subject to payment in accordance with the methods of payment for medical assistance established by the territorial program.

* (1) Article 46 of the Federal Law of November 21, 2011 No. 323-FZ "On the basis of the health of citizens' health in the Russian Federation" (Meeting of the legislation of the Russian Federation, 2011, No. 48, Art. 6724; 2013, No. 48, Art. 6165; 2016, No. 27, Art. 4219).

* (2) The date of clocking is considered a calendar year, in which a citizen reaches the appropriate age.

* (3) In accordance with Article 4, subparagraph 11 of paragraph 1 of Article 14 and paragraph 2 of Article 15 of the Federal Law of January 12, 1995 No. 5-FZ "On Veterans" (hereinafter referred to as Federal Law No. 5-FZ) (Meeting of Legislation Of the Russian Federation, 1995, No. 3, Art. 168; 2002, No. 19, Art. 2023; 2002, No. 30, Art. 3033; 2004, No. 25, Art. 2480; No. 35, Art. 3607; 2005, No. 1 , Art. 25, No. 19, Art. 1748; 2008, No. 30, Art. 3609; 2009, No. 26, Art. 3133; No. 30, Art. 3739; No. 52, Art. 6403; 2010, No. 19, Art 2287; No. 27, Art. 3433; No. 31, Art. 4206; No. 50, Art. 6609; 2011, No. 47, Art. 6608; 2013, No. 27, Art. 3477; No. 48, Art. 6165; 2014 , No. 52, Art. 7537; 2015, № 27, Art. 3967, No. 48, Art. 6724; 2016, No. 22, Art. 3097; 2017, No. 31, Art. 4766).

* (4) In accordance with subparagraph 1 of paragraph 2 of Article 18 of the Federal Law No. 5-FZ (meeting of the legislation of the Russian Federation, 2000, No. 19, Art. 2023; 2004, No. 35, Art. 3607; 2005, No. 1, Art. 25, № 19, Art. 1748; 2009, No. 26, Art. 3133, No. 52, Art. 6403; 2010, No. 19, Art. 2287, No. 31, Art. 4206, No. 50, Art. 6609; 2013, No. 48, Art. 6165; 2015, No. 27, Art. 3967, No. 48, Art. 6724; 2016, No. 22, Art. 3097).

* (5) In accordance with Part 8 of Article 154 of the Federal Law of August 22, 2004 No. 122-FZ "On Amendments to Legislative Acts of the Russian Federation and recognition by invalid the strength of some legislative acts of the Russian Federation in connection with the adoption of federal laws" On changes and additions to the Federal Law "On general principles Organizations of legislative (representative) and executive bodies state power of the constituent entities of the Russian Federation "and" On the General Principles of Local Government Organization in the Russian Federation "(Meeting of the legislation of the Russian Federation, 2004, No. 35, Art. 3607; 2013, No. 14, Art. 1654).

* (6) For licenses for medical activities issued before the enforcement of the decree of the Government of the Russian Federation dated April 16, 2012 No. 291 "On licensing of medical activities (with the exception of this activity carried out by medical organizations and other organizations belonging to private system Health, on site innovative Center Skolkovo) "(Meeting of the legislation of the Russian Federation, 2012, No. 17, Art. 1965; No. 37, Art. 5002; 2013, No. 3, Art. 207; No. 16, Art. 1970).

* (7) Meeting of the legislation of the Russian Federation, 2011, No. 48, Art. 6724; 2013, No. 48, Art. 6165; 2017, No. 31, Art. 4791.

* (8) approved by order of the Ministry of Health and Social Development of the Russian Federation of February 28, 2011 No. 158n "On Approval of Mandatory Medical Insurance Rules" (registered by the Ministry of Justice of the Russian Federation on March 3, 2011, Registration No. 19998), as amended orders of the Ministry of Health and Social Development of the Russian Federation dated August 10, 2011 No. 897N (registered by the Ministry of Justice of the Russian Federation on August 12, 2011, registration number 21609), of September 9, 2011 No. 1036n (registered by the Ministry of Justice of the Russian Federation October 14, 2011 , registration number 22053), orders of the Ministry of Health of the Russian Federation of March 22, 2013 No. 160n (registered by the Ministry of Justice of the Russian Federation on May 23, 2013, Registration No. 28480), dated June 21, 2013 No. 396n (registered by the Ministry of Justice Of the Russian Federation on September 23, 2013, registration number 30004), from 20 November 2013 No. 859An (registered by the Ministry of Justice of the Russian Federation on November 29, 2013, Registration No. 30489), from August 6, 2015 No. 536n (registered by the Ministry of Justice of the Russian Federation on October 2, 2015, registration No. 39119), from 25 March 2016 No. 192n (registered by the Ministry of Justice of the Russian Federation on May 4, 2016, Registration No. 41969), dated June 28, 2016 No. 423N (registered by the Ministry of Justice of the Russian Federation on July 18, 2016, Registration No. 42892), from 28 September 2016 No. 736N (registered by the Ministry of Justice of the Russian Federation on October 5, 2016, registration No. 43922), dated October 27, 2016 No. 803N (registered by the Ministry of Justice of the Russian Federation on December 21, 2016, registration number 44840), from 11 January 2017 No. 2N (registered by the Ministry of Justice of the Russian Federation on January 27, 2017, registration No. 45459).

* (10) For parashar healthcare and medical and obstetric items located in a remote or hard-to-reach area.

* (11) Meeting of the legislation of the Russian Federation, 1995, No. 14, Art. 1212; 1996, No. 34, Art. 4027; 1997, No. 3, Art. 352; 2000, No. 33, Art. 3348; 2004, No. 35, Art. 3607; 2007, No. 43, Art. 5084; 2008, No. 30, Art. 3616; 2010, No. 31, Art. 4172; 2011, No. 30, Art. 4590; 2013, No. 27, Art. 3477; 2013, No. 48, Art. 6165; 2013, No. 52, Art. 6986; 2015, No. 1, Art. 48, No. 12, Art. 1801; 2016, No. 1, Art. 58; 2016, No. 22, Art. 3097.

* (12) Order of the Ministry of Health of the Russian Federation of March 6, 2015 No. 87n "On the unified form of medical documentation and the form of statistical reporting used in the dispensary of certain groups of adults and preventive medical examinations, order to fill them" (registered by the Ministry of Justice Russian Federation April 7, 2015, registration number 36740).

* (13) Express method Determining the level of total cholesterol and blood glucose is allowed only using a certified express analyzer that has passed the metrological verification with the daily definition of the error of the device compared to laboratory method Definitions of general cholesterol and blood glucose.

* (14) except in cases of impossibility of research on medical testimony due to the extirpation of the uterus, Virgo. It is allowed instead of inspection by paramedic (obstetric) inspection by the doctor an obstetrician-gynecologist, including the taking of a smear from the cervix. Cytological research Sailing from the cervix is \u200b\u200bcarried out when painting a smear of Papanicolau.

* (15) Fluorography of the lungs is not carried out if the citizen during the preceding calendar year or the year of the surveillance was carried out fluorography, radiography (x-ray) or computed tomography of the chest organs.

* (16) Except for the impossibility of conducting research on medical testimony in connection with the mastectomy. Mammography is not carried out if a mammography or computed tomography of the mammary glands was carried out during the preceding 12 months.

* (17) When conducting only in-depth prophylactic counseling, the receipt (inspection) is not conducted by a physician at the second stage of the inspection.

* (18) Order of the Ministry of Health of the Russian Federation of December 15, 2014 No. 834N "On approval of unified forms of medical records used in medical organizations providing medical assistance in outpatient conditions and orders of filling them" (registered by the Ministry of Justice of the Russian Federation 20 February 2015, Registration No. 36160).

* (19) According to the results of an additional survey, a citizen's health team can be changed. If a patient has chronic noncommunicable diseases and other diseases (states) requiring dispensary observation, it is included in the IIIA group of health.

* (20) In accordance with the order of the Ministry of Health of the Russian Federation of December 6, 2012 No. 1011n "On approval of the procedure for holding a preventive medical examination" (registered by the Ministry of Justice of the Russian Federation on December 29, 2012, Registration No. 26511).

Appendix No. 1.
to the procedure for making a closerization
certain groups of adults,
approved by the order of the ministry
health of the Russian Federation
from October 26, 2017 № 869n

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Ministry of Health of the Russian Federation

In accordance with the Civil Code of the Russian Federation, the Resolutions of the Government of the Russian Federation of September 2, 1999 N 982 "On the use of scientific and technical activities", dated January 14, 2002 N 7 "On the order of inventory and value assessment of the rights to results scientific -Technical activities, "dated April 22, 2009 N 342" On some issues of regulating the consolidation of rights to the results of scientific and technical activities, "dated June 4, 2014 N 512" On approval of remuneration rules for office inventions, utility products, Service Industrial Samples ", of March 22, 2012 N 233" On approval of the rules for the implementation by state customers management of the rights of the Russian Federation to the results of intellectual activities of civil, military, special and dual-use, "on April 12, 2013 N 327" On the Unified State information system of accounting research, experimental and technologies of civilian work ", by order of the Ministry of Finance of the Russian Federation of December 1, 2010 N 157n" On approval of a single account plan accounting for state authorities ( government agencies), local governments, government bodies of state extrabudgetary funds, state academies of sciences, state (municipal) institutions and instructions for its use "

order:

1. Heads of federal state institutions subordinate to the Ministry of Health of the Russian Federation (hereinafter - institutions):

1.1. Organize work to identify the results of intellectual activity capable of legal protection created in the implementation of research, development and technological work in institutions (hereinafter referred to as Reed).

1.2. When revealing Reed to ensure the implementation of the following events:

registration of rights to Reed;

state accounting of the results of research, development and technological works;

organization of work on valuation and adoption on accounting rights to Reed;

organization of Using Reed.

1.3. In order to identify Reed by June 10, 2018, to create a commission in institutions intellectual propertyBy approving the provisions on these Commissions and the composition of the specified commissions with the imposition of the following functions on them:

consideration of the feasibility of imprisonment with employees of civil law contracts or employment contracts ( additional agreements to labor contracts) provided for by the 1370 Civil Code of the Russian Federation, with respect to exclusive rights to official works, office inventions, service useful models, service industrial samples;

consideration written notifications employees of the establishment of the establishment in connection with the fulfillment of their employment duties or the specific task of the RID institutions and the decision on the feasibility of submitting a patent application for the appropriate official invention, a service utility model or a service industrial model to the federal executive authority for intellectual property, the transfer of the right to Obtaining a patent for office invention, a service utility model or a service industrial sample to another person, maintaining information on the appropriate result of intellectual activity in secret or transfer of the right to obtain a patent for such an invention, a utility model or an industrial example of an employee (paragraph 4 of Article 1370 of the Civil Code of the Russian Federation );

consideration of the results of the inventory of rights to the RID conducted in accordance with the Decree of the Government of the Russian Federation of January 14, 2002 N 7 "On the procedure for inventory and value assessment of the rights to the results of scientific and technical activities" (hereinafter referred to

holding valuation rights to Reed, carried out in accordance with the Federal Law of July 29, 1998 N 135-FZ "On Appraisal Activities in the Russian Federation" and the Resolution;

deciding on the compliance of the RID's rights to the conditions imposed on intangible assets in accordance with clause 56 instructions on the application of a single accounting account plan for state authorities (state bodies), local governments, government bodies of state extrabudgetary funds, state academies of sciences, state (municipal ) institutions approved by order of the Ministry of Finance of the Russian Federation of Russia dated December 1, 2010 N 157N, and decisions on accounting rights to Reed as an intangible asset;

organization of an independent assessment of the non-monetary contribution of the institution in the form of RID's right to the authorized capital of economic societies and share capital economic partnershipswhose activity lies in practical application (implementation) results of intellectual activity (programs for electronic computing machines, databases, inventions, useful models, industrial samples, selection achievements, topologies of integrated circuits, production secrets (know-how) ().

1.4. Ensure the submission to the Ministry of Health of the Russian Federation annually, up to March 31 of the year following the reporting, report on RID funds, enshrined with the establishment transferred to his employees or other persons, according to the recommended sample according to Appendix *.

________________

2. Department of Science, innovative development and managing the health risks of the Ministry of Health of the Russian Federation to strengthen control over the organization of the work of institutions to identify Reed when conducting control measures in accordance with the Order of the Ministry of Health of the Russian Federation of September 5, 2013 N 626N "on the implementation of the Ministry of Health of the Russian Federation of Financial Control subordinate to the Ministry of Health of the Russian Federation of Organizations. "

3. Control over the execution of this order shall be entrusted to the Deputy Minister of Health of the Russian Federation S.A. Krayoy.

V.I.Skvortsov

Electronic document text

prepared Codex JSC and drilled by:

About the organization in federal state institutionsSubmitted by the Ministry of Health of the Russian Federation, work on identifying, ensuring legal protection, accounting and use of the results of intellectual activity created in the implementation of research, experimental and technological works

Document's name:	On the organization in federal state institutions subordinate to the Ministry of Health of the Russian Federation, work on identifying, ensuring legal protection, accounting and use of the results of intellectual activity created in the implementation of research, development and technological works
Document Number:	319
Document type:	Order of the Ministry of Health of Russia
Accepted	Ministry of Health of Russia
Status:	Suitable
Published:	The document was not published
Date of adoption:	June 05, 2018.
Start date:	June 05, 2018.

In accordance with paragraph 5.2.11. Regulations on the Ministry of Health and Social Development of the Russian Federation, approved by the Decree of the Government of the Russian Federation dated June 30, 2004 N 321 (Meeting of the legislation of the Russian Federation, 2004, N 8, Art. 2898) and in order to further improve the organization of the provision of primary health care I order to the children's population:

1. Approve:

Approximate procedure for organizing the activities of children's polyclinic in accordance with Appendix N 1.

An exemplary structure of children's polyclinic according to Appendix N 2.

2. Control over the execution of this order shall be entrusted to the Deputy Minister V.I. Starodubova.

Minister

M. Zurabov

Appendix N 1.

and social development of the Russian Federation
of April 28, 2006 N 319

Approximate procedure for organizing children's clinic

1. This approximate procedure for organizing the activities of children's clinic (hereinafter - the procedure) regulates the organization of activities, management, formation of the structure of children's clinic, the use of property, the basis of relations with the founder.

2. Children's clinic is created by the local government authority (or the head of the medical and prophylactic institution of the municipal district (urban district)) as an independent medical and prophylactic institution of the municipal district (urban district) or as a structural division of the medical and prophylactic institution of the municipal district (urban district) for rendering According to the territorial principle of primary health care for the children's population.

3. Children's clinic provides for the children's population of primary health care, medical assistance to pediatric hospitals by district medical and prophylactic departments, specialist physicians of the Advisory-Diagnostic Department, doctors of emergency medical care, restoration treatment, health care, and organization Medical assistance to children in educational institutions.

4. The activities of the children's clinic are carried out in accordance with the legislative acts of the Russian Federation, the regulatory legal acts of the executive authorities of the constituent entities of the Russian Federation and local governments, as well as the procedure.

5. The guidance of a children's clinic created as an independent medical preventive institution is carried out by the chief physician who is appointed and exempt from the position of the health authority of the subject of the Russian Federation in coordination with the local government authority.

The leadership of the children's clinic created in the structure of a medical and prophylactic institution is carried out by the deputy chief physician (the head of the department), which is appointed and exempt from the position of the head of the medical and prophylactic institution.

6. The structure and staff number of medical and other personnel of the children's clinic is approved by the head of therapeutic and prophylactic institution, depending on the amount of medical and preventive work.

7. Financing of children's clinics is carried out in the manner prescribed by the legislation of the Russian Federation.

8. Accounting and reporting is carried out by children's clinic in the manner prescribed by the legislation of the Russian Federation.

9. Children's clinic can be used for educational purposes with higher (medium) medical educational institutions (faculties), educational institutions of the postgraduate vocational education system or research institutes.

10. Children's clinic carries out:

Diagnosis and treatment of various diseases and states;

Antenatal protection of the fetus (patronage of pregnant pediatrician);

Primary patronage of newborns and early children during the time limit;

Provision of first (prefigured, medical) and emergency medical care patients with acute diseases, injuries, poisoning and other urgent states, the provision of medical care for children with specialists, timely destination for hospitalization;

The establishment of medical testimony and the direction of children in medical and prophylactic institutions of the state health care system to obtain specialized types of medical care;

Dynamic medical monitoring of the growth and development of the child, including physical and neuropsychic, for children with chronic pathology, disabled children, consisting on dispensary accounting, their timely recovery, including children entitled to receive a set of social services;

Preventive measures to prevent and reduce morbidity, identifying early and hidden forms of diseases, socially significant diseases, including hepatitis B and C, HIV infection, identifying risk factors, disability, mortality;

Conducting preventive inspections of young children, as well as children in decreed age terms, including working adolescents;

Dispensary observation of children with hereditary diseases identified as a result of neonatal screening, and patronage families with children of the specified category;

Provision of advisory, diagnostic, medical, medical and social assistance to children with acute and chronic diseases, disabled children;

Provision of additional medical care, including providing the necessary drugs for children with the right to receive a collection of social services,

Restoration treatment;

Examination of temporary disability;

Direction of children to medical and social expertise;

Work on the protection of adolescent reproductive health;

Medical consulting and medical professional orientation, taking into account the health of children;

Medical and social training of children to enter educational institutions and control over the course of adaptation;

Medical support of the training of young men to military service;

Implementation of preventive and health and recreational work in educational institutions;

Control over the organization of rational nutrition of young children, as well as children raising and students in educational institutions;

Sanitary and hygienic education and education, carrying out work on the formation of a healthy lifestyle among children, including educational institutions and families;

Medical monitoring of children engaged in physical culture and sports;

Medical support for children in recreation and recovery institutions;

The transfer of children to reach the relevant age to the city (district) clinic;

Conducting medical examinations of students of educational institutions before starting and during the period of practice in organizations whose employees are subject to preliminary and periodic medical examinations;

Fulfillment of individual programs for the rehabilitation of disabled children (medical aspects);

Diagnostic and therapeutic work at home and in outpatient conditions;

Ensuring the work of the hospital at home, day hospital;

Conducting sanitary and hygienic and anti-epidemic activities, vaccine-philatics in the prescribed manner;

Providing medical and social and psychological assistance to children and families with children;

Work on preserving and propaganda of breastfeeding;

Control over the implementation of the regime, timely implementation of measures for the prevention of alimentary disorders, Rakhit, anemia and others, the development of a complex of medical and recreational activities;

The establishment of medical testimony and the direction of children on sanatorium-resort treatment, including children eligible for a set of social services;

The introduction of new prophylactic, diagnostic and medical technologies;

Organizational and methodological work and planning activities of the clinic;

Analysis of the work of the clinic, including analysis of the efficiency of the dispensary observation.

Appendix N 2.
to the order of the Ministry of Health
and social development of the Russian Federation
of April 28, 2006 N 319

Approximate structure of children's clinic

Polyclinic Guide #

Administrative and economic part.

Information and analytical compartment:

Registry;

Orgmethodcabinet (Statistics Cabinet).

Therapeutic and prophylactic separation (pediatric):

Pediatrician packages of precinct;

Cabinet of a healthy child;

Vaccination cabinet;

Cabinet.

Consultative and diagnostic department:

Cabinets of specialist doctors;

Cabinets of functional diagnostics;

Radiant diagnostics rooms.

Laboratory.

Department of emergency medical care.

Department of rehabilitation treatment.

Department of Medical and Social Assistance.

Department of medical care for children in educational institutions:

Medical cabinets educational institutions.

Day hospital.

Hospital at home.

Medical healthcare.

Feldsher Sweep.

Order of the Ministry of Health and Social Development of the Russian Federation of April 28, 2006 N 319 "On approval of an approximate procedure for organizing the activities and structure of children's clinics"

Ministry of Health and Social Development

RUSSIAN FEDERATION

ORDER

On approval of an approximate order of organization

Activities and structures of children's clinic

In accordance with paragraph 5.2.11. Regulations on the Ministry of Health and Social Development of the Russian Federation, approved by the Decree of the Government of the Russian Federation dated June 30, 2004 N 321 (Meeting of the legislation of the Russian Federation, 2004, N 8, Art. 2898) and in order to further improve the organization of the provision of primary health care I order to the children's population:

1. Approve:

Approximate procedure for organizing the activities of children's polyclinic in accordance with Appendix N 1.

An exemplary structure of children's polyclinic according to Appendix N 2.

2. Control over the execution of this order shall be entrusted to the Deputy Minister V.I.starodubov.

M. Zurabov

Appendix N 1.

to the order of the ministry

health Care I.

social Development

Russian Federation

Approximate order

Organizations of children's clinic

1. This approximate procedure for organizing the activities of children's clinic (hereinafter - the procedure) regulates the organization of activities, management, formation of the structure of children's clinic, the use of property, the basis of relations with the founder.

2. Children's clinic is created by the local government authority (or the head of the medical and prophylactic institution of the municipal district (urban district)) as an independent medical and prophylactic institution of the municipal district (urban district) or as a structural division of the medical and prophylactic institution of the municipal district (urban district) for rendering According to the territorial principle of primary health care for the children's population.

3. Children's clinic provides for the children's population of primary health care, medical assistance to pediatric hospitals by district medical and prophylactic departments, specialist physicians of the Advisory-Diagnostic Department, doctors of emergency medical care, restoration treatment, health care, and organization Medical assistance to children in educational institutions.

4. The activities of the children's clinic are carried out in accordance with the legislative acts of the Russian Federation, the regulatory legal acts of the executive authorities of the constituent entities of the Russian Federation and local governments, as well as the procedure.

5. The guidance of a children's clinic created as an independent medical preventive institution is carried out by the chief physician who is appointed and exempt from the position of the health authority of the subject of the Russian Federation in coordination with the local government authority.

The leadership of the children's clinic created in the structure of the medical and prophylactic institution is carried out by the deputy chief physician (head of the department), which is appointed and exempt from the position of the head of the medical and prophylactic institution.

6. The structure and staff number of medical and other personnel of the children's clinic is approved by the head of therapeutic and prophylactic institution, depending on the amount of medical and preventive work.

7. Financing of children's clinics is carried out in the manner prescribed by the legislation of the Russian Federation.

8. Accounting and reporting is carried out by children's clinic in the manner prescribed by the legislation of the Russian Federation.

9. Children's clinic can be used for educational purposes with higher (medium) medical educational institutions (faculties), educational institutions of the postgraduate vocational education system or research institutes.

10. Children's clinic carries out:

Diagnosis and treatment of various diseases and states;

Antenatal protection of the fetus (patronage of pregnant pediatrician);

Primary patronage of newborns and early children during the time limit;

Provision of first (prefigured, medical) and emergency medical care patients with acute diseases, injuries, poisoning and other urgent states, the provision of medical care for children with specialists, timely destination for hospitalization;

The establishment of medical testimony and the direction of children in medical and prophylactic institutions of the state health care system to obtain specialized types of medical care;

Dynamic medical monitoring of the growth and development of the child, including physical and neuropsychic, children with chronic pathology, disabled children, consisting of dispensary accounting, their timely recovery, including children entitled to receive a set of social services ;

Preventive measures to prevent and reduce the incidence, identifying early and hidden forms of diseases, socially significant diseases, including hepatitis B and C, HIV infection, identifying the risk factors, disability, mortality;

Conducting preventive inspections of young children, as well as children in decreed age terms, including working adolescents;

Dispensary observation of children with hereditary diseases identified as a result of neonatal screening, and patronage families with children of the specified category;

Provision of advisory, diagnostic, medical, medical and social assistance to children with acute and chronic diseases, disabled children;

Provision of additional medical care, including providing the necessary drugs for children with the right to receive a set of social services;

Restoration treatment;

Examination of temporary disability;

Direction of children to medical and social expertise;

Work on the protection of adolescent reproductive health;

Medical consulting and medical professional orientation, taking into account the health of children;

Medical and social training of children to enter educational institutions and control over the course of adaptation;

Medical support of the training of young men to military service;

Implementation of preventive and health and recreational work in educational institutions;

Control over the organization of rational nutrition of young children, as well as children raising and students in educational institutions;

Sanitary and hygienic education and education, carrying out work on the formation of a healthy lifestyle among children, including educational institutions and families;

Medical monitoring of children engaged in physical culture and sports;

Medical support for children in recreation and recovery institutions;

The transfer of children to reach the relevant age to the city (district) clinic;

Conducting medical examinations of students of educational institutions before starting and during the period of practice in organizations whose employees are subject to preliminary and periodic medical examinations;

Fulfillment of individual programs for the rehabilitation of disabled children (medical aspects);

Diagnostic and therapeutic work at home and in outpatient conditions;

Ensuring the work of the hospital at home, day hospital;

Conducting sanitary and hygienic and anti-epidemic activities, vaccine-philatics in the prescribed manner;

Providing medical and social and psychological assistance to children and families with children;

Work on preserving and propaganda of breastfeeding;

Control over the implementation of the regime, timely implementation of measures for the prevention of alimentary disorders, Rakhit, anemia and others, the development of a complex of medical and recreational activities;

The establishment of medical testimony and the direction of children on sanatorium-resort treatment, including children eligible for a set of social services;

The introduction of new prophylactic, diagnostic and medical technologies;

Organizational and methodological work and planning activities of the clinic;

Analysis of the work of the clinic, including analysis of the efficiency of the dispensary observation.

Appendix N 2.

to the order of the ministry

health Care I.

social Development

Russian Federation

Approximate structure of children's clinic

Manual Polyclinics:

Administrative and economic part.

Information and analytical compartment:

Registry;

Orgmethodcabinet (Statistics Cabinet).

Therapeutic and prophylactic separation (pediatric):

Pediatrician packages of precinct;

Cabinet of a healthy child;

Vaccination cabinet;

Cabinet.

Consultative and diagnostic department:

Cabinets of specialist doctors;

Cabinets of functional diagnostics;

Radiant diagnostics rooms.

Laboratory.

Department of emergency medical care.

Department of rehabilitation treatment.

Department of Medical and Social Assistance.

Department of medical care for children in educational institutions:

Medical cabinets educational institutions.

Day hospital.

Hospital at home.

Medical healthcare.

Feldsher Sweep.

Ministry of Health and Social Development
RUSSIAN FEDERATION

ORDER
from 16.06.09 N 319n

On the procedure for publishing and entering into force
Orders of the Ministry of Health and Social
Development of the Russian Federation recognized by the Ministry
Justice of the Russian Federation who do not need
In state registration

In accordance with paragraph 17 of the Rules for the preparation of regulatory legal acts of federal executive bodies and their state registration, approved by the Decree of the Government of the Russian Federation of August 13, 1997 N 1009 (Meeting of the legislation of the Russian Federation, 1997, N 33, Art. 3895; N 50, Art. 5689; 1998, N 47, Art. 5771; 1999, N 8, Art. 1026; 2002, N 40, Art. 3929; 2006, N 29, Art. 3251; 2009, N 2, Art. 240; 2009 , N 12, Art. 1443), I order:

1. To establish that the orders of the Ministry of Health and Social Development of the Russian Federation, recognized by the Ministry of Justice of the Russian Federation who do not need state registration (hereinafter referred to as orders):

a) are subject to publication on the official website of the Ministry of Health and Social Development of the Russian Federation (www.minzdravsoc.ru) and in the magazine "Label Label and social legislation Russian Federation";

b) come into force from the moment they are recognized by the Ministry of Justice of the Russian Federation do not need state registration.

2. Publication of orders on the website of the Ministry of Health and Social Development of the Russian Federation and in the journal "Label Label and Social Legislation of the Russian Federation" is considered to be their official publication.

Structural division of the Ministry of Health and Social Development of the Russian Federation, prepared by order:

represents an order on paper and electronically by the Department of Analysis and Principal Development of Health and Socio-Labor Separation for publication on the Ministry of Health and Social Development of the Russian Federation;

carries out the direction of the order to the editors of the magazine "Bulletin of the Labor and Social Legislation of the Russian Federation" for its publication;

provides informing in the prescribed manner of the Ministry of Justice of the Russian Federation on the publication of the order;

one copy of the magazine "Bulletin of the Labor and Social Legislation of the Russian Federation" guides, in which the order is published, to the Ministry of Justice of the Russian Federation.

4. Placing orders on the website of the Ministry of Health and Social Development of the Russian Federation is carried out by the Department of Analysis and Projection of Health Development and Socio-Labor Sphere.

5. Control over the execution of this order is reserved.

Minister
So.Golikova