During the medical examination, a group of first-graders were weighed. Their masses (in kg): 20,18,19,25,23. Find the arithmetic mean and the range of the data obtained.
Answers:
20 + 18 + 19 + 25 + 23 = 105/5 = 21 cf. arithmetic 18 is the smallest. 25 largest members of the series 25-18 = 7 -span of the series
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At the same time, the very need to submit medical documents to the school is an ambiguous question: education officials say that parents are not required to present a medical card upon admission to the first grade, and the school administration still insists that after enrollment it is necessary to bring documents on the student's state of health. "Komsomolskaya Pravda" tried to understand this issue.
Medical examination - one hassle
In the summer months, children's clinics in Blagoveshchensk are literally occupied by parents and children: to go through nine doctors and even pass a bunch of tests is not a joke! Moreover, you need to get certificates both in front of the kindergarten and in front of the school.
I always think about visiting the clinic with horror, - says Irina Maksimchuk, mother of the future Annunciation first grader... - I remember how several years ago I ran to doctors with my older child, half of whom were on vacation. I had to choose: either to go to the other end of the city to a “foreign” clinic, or to go to paid specialists. With the youngest, we have not yet undergone a medical examination. And the other day, in general, a relative from another region called and dumbfounded: it seems like it is no longer necessary to present a medical record when entering school, and this rule has been in effect for more than a year. And medical examinations in front of kindergarten and school will be canceled altogether. Is that really true? If so, then, as they say, the whole family would breathe a sigh of relief! After all, we literally this spring underwent medical examination in a kindergarten, and now they are demanding again ...
What will the authorities say?
According to Marina Gridneva, Deputy Minister of Education and Science of the Amur Region It is not compulsory to present the child's medical record upon admission to school. This is clearly spelled out in the order of the Ministry of Education and Science of the Russian Federation of January 22, 2014 No. 32, which approves the procedure for admitting citizens to study in educational programs of primary general, basic general and secondary general education.
In accordance with this document, the admission of citizens to educational institutions is carried out at the personal application of the parent (legal representative) of the child upon presentation of his passport. For enrollment in the first grade, along with the application, parents must additionally present the original of the child's birth certificate and the child's registration certificate at the place of residence or at the place of stay in the territory assigned to the school. Parents have the right to submit other documents at their own discretion. But the requirement of any other documents as a basis for admitting children to a general education institution is not allowed, - explains the representative of the Ministry of Education of the region.
The conclusion is unambiguous: thanks to this point, the heads of educational institutions have no right to refuse admission to a child who has any health problems.
As for the cancellation of preliminary medical examinations, this initiative was shown by the Ministry of Health of the Russian Federation in February of this year precisely for the reason that the survey data actually duplicate periodic examinations, thus creating an extra burden on the medical staff and children. How reported the press service of the ministry, amendments to the Federal Laws "On the Fundamentals of Health Protection of Citizens in the Russian Federation" and "On Education in the Russian Federation" should enter into force on September 1, 2015.
And what is in practice?
Indeed, when accepting documents, you will not be asked for the child's medical card. However, after the child is enrolled in the first grade, the school leadership strongly recommends that parents still submit a doctor's opinion on the student's health.
Bringing a medical card to school is in the interests of the parent himself, - believes Larisa Popova, Deputy Director for Teaching and Educational Work, Secondary School No. 13 of Blagoveshchensk... - After all, there are practically no absolutely healthy children now: some have allergies, some have any chronic diseases. In order for the school health worker to be able to promptly and competently provide assistance in the event of an emergency, he must have complete information about the student's health. Where else can I get it, if not from a medical card? In addition, on the basis of the data of the medical examination, the health group is determined for each child, and therefore the mode of attending physical education classes.
So is it necessary or not to carry a medical card to school and undergo a medical examination? The question remains open. The situation is aggravated by the fact that medical workers at the school are not subordinate to the Ministry of Education, they have their own bosses - the Ministry of Health. And since the amendments to the law have not yet entered into force, future first-graders and preschoolers of this year will most likely still have to visit specialists from a long list in their medical records. On the other hand, if you still decide to exercise your right and not submit medical documents to school, then where is the guarantee that you will not be overwhelmed with requirements to bring a bunch of different certificates from different doctors and test results? Or, on the contrary, will the administration of the educational institution disclaim any responsibility for the health of your child? Let's hope that the two departments will eventually come to a common solution that will suit everyone: doctors, teachers, and parents.
REFERENCE "KP"
At the moment, a medical examination upon admission to a kindergarten or school at a private medical center in Blagoveshchensk, along with all analyzes, will cost an average of 2,000 rubles. However, the dentist and psychiatrist will still have to go to specialized medical institutions.
), uniting medical insurance organizations working in the CHI system, collected the most popular questions about medical examination / preventive examinations in the CHI system.
During the period of schooling, children undergo a preventive examination annually. In-depth (extended) examinations are carried out at 7, 10, 14, 15, 16 years old.
Do I need to undergo medical examination before the start of the new school year, which doctors are required? Is there any restriction by year of birth / grade for children to undergo medical examination? What is the required set of doctors?
In accordance with the Order of the Ministry of Health of the Russian Federation of 12/21/12 N 1346н "On the Procedure for Minors to undergo medical examinations, including upon admission to educational institutions and during the period of study in them" (Registered with the Ministry of Justice of Russia 04/02/2013 N 27961), preliminary medical examination children are carried out immediately before entering a general educational institution.
List of specialistsapproved by the same order (Order of the Ministry of Health of the Russian Federation of 12.21.12 N 1346n):
Pediatrician
Neurologist
Pediatric surgeon
Children's dentist
Traumatologist-orthopedist
Ophthalmologist
Otorhinolaryngologist
Children's psychiatrist
Obstetrician-gynecologist
Pediatric urologist-andrologist
List of analyzes:
General blood analysis
General urine analysis
Electrocardiography
Should schools be required to send students to a prophylactic health check-up? Can parents refuse such a compulsory examination of their children and go through it on their own together with the children?
The doctor responsible for the preventive examination (as a rule, the school doctor), no later than 5 working days before the start of the examination, is obliged to give the minor (his legal representative) a referral for the preventive examination with an indication of the list of examinations by specialist doctors and research, as well as dates, times and locations. On the day of the preventive examination, the minor arrives at the medical organization and presents a referral for a preventive examination and a policy of compulsory medical insurance. A minor under the age of 15 arrives at a medical organization accompanied by a parent or other legal representative. If it is impossible to accompany the children on the appointed day, parents can contact a medical organization on another day. In this case, the routine inspection may take longer. Upon completion of the professional examination, it is necessary to submit its results to the educational institution.
What rights of patients (children) can, in principle, be violated during the clinical examination?
A necessary precondition for medical intervention (including a preventive examination) is the giving of informed voluntary consent of a minor or his legal representative to medical intervention in compliance with the requirements established by Article 20 of the Federal Law of November 21, 2011 N 323-FZ "On the basics of health protection citizens in the Russian Federation ". Parents should be familiar with the list of specialists, laboratory functional research methods, which are included in the List (Appendix 1). Parents can write a written refusal for the child to undergo a dispensary examination, but at the same time there is a risk of untimely detection of a serious illness in the child.
Is it important to undergo an in-depth preventive examination before the start of the school year? Or can you do it while studying?
Minor students undergo preventive in-depth medical examination at the beginning of the school year - in order to determine medical groups for physical education for a minor, taking into account his state of health, it is carried out in order to assess the level of physical development and functional capabilities of a minor, select an optimal physical education program, develop medical recommendations for planning classes physical education.
Preliminary examinations are carried out upon admission to an educational institution on the basis of a written application from a minor (his legal representative) addressed to the head of a medical organization.
Can a fee be charged for laboratory tests / specialist services as part of a clinical examination? If so, in what cases?
Answer: payment for preventive and preliminary medical examinations, and diagnostic tests is not provided for by the current legislation of the Russian Federation.
How can the rights of children be violated within the framework of preventive medical examinations under the compulsory medical insurance policy?
In the absence of a specialist, or instrumental, laboratory methods of examination in a medical organization conducting a medical examination of a minor, situations may arise when a minor will be sent for consultation (diagnostic, laboratory research) to another medical organization on a paid basis. But, according to the same Order of the Ministry of Health of the Russian Federation of 12/21/12 N 1346n:
Clause 29. If a medical organization that has a license to carry out medical activities, providing for the performance of work (provision of services) for "medical examinations (preliminary, periodic)", "pediatrics" or "general medical practice (family medicine)", there is no license for medical activity in terms of performing other works (services) listed in paragraph 28 of this Procedure, the specified medical organization engages other medical organizations licensed to carry out medical activities in terms of performing the required work (services) in accordance with agreements concluded between these medical organizations for conducting preliminary examinations.
At the same time, payment for consultations and research is not provided for by the current legislation of the Russian Federation.
Where to go in case of violations?
In this case, you must contact:
- to the insurance representative of the health insurance company by calling the "hot line" indicated on the compulsory medical insurance policy (and if there is an insurance representative in the medical insurance company - to him personally with an oral address);
- to the chief physician of a medical organization conducting a medical examination, and in the absence of a proper response on his part to the appeal - to the Department of Health, the Territorial MHI Fund or an insurance medical organization, where the minor is insured under the MHI.
MCMS experts also remind that, according to the law, it is insurance companies that protect the rights of insured citizens. Therefore, in case of any questions related to the organization of the work of medical institutions in the CHI system, the availability and quality of medical care, you can always contact the insurance company by calling the hotline indicated on your CHI policy.
List of studies during preventive medical examinationsv 7, 10, 14, 15, 16 years old:
| Age periods in which preventive medical examinations of minors are carried out | Examinations by specialist doctors | Laboratory, functional and other research |
| 7 years | Pediatrician
Neurologist Pediatric surgeon Children's dentist Traumatologist-orthopedist Ophthalmologist Otorhinolaryngologist Children's psychiatrist Obstetrician-gynecologist Pediatric urologist-andrologist |
General blood analysis
General urine analysis Blood glucose test Ultrasound examination of the abdominal organs, heart, thyroid gland and organs of the reproductive sphere Electrocardiography |
| 10 years | Pediatrician Neurologist Pediatric surgeon Children's dentist Pediatric endocrinologist Traumatologist-orthopedist Ophthalmologist Otorhinolaryngologist Children's psychiatrist |
General blood analysis
General urine analysis General analysis of feces Electrocardiography Blood glucose test |
| 14 years | Pediatrician Children's dentist Pediatric urologist-andrologist Pediatric endocrinologist Neurologist Ophthalmologist Otorhinolaryngologist Obstetrician-gynecologist Psychiatrist adolescent |
General blood analysis
General urine analysis Blood glucose test Ultrasound examination of the abdominal organs, heart, thyroid and reproductive organs Electrocardiography Studies of the level of hormones in the blood (prolactin, follicle-stimulating hormone, luteinizing hormone, estradiol, progesterone, thyroid-stimulating hormone, triiodothyronine, thyroxine, growth hormone, cortisol, testosterone) |
| 15 years | Pediatrician Pediatric surgeon Children's dentist Pediatric urologist-andrologist Pediatric endocrinologist Neurologist Traumatologist-orthopedist Ophthalmologist Otorhinolaryngologist Obstetrician-gynecologist Psychiatrist adolescent |
General blood analysis
General urine analysis Blood glucose test Electrocardiography Fluorography of the lungs |
| 16 years | Pediatrician Pediatric surgeon Children's dentist Pediatric urologist-andrologist Pediatric endocrinologist Neurologist Traumatologist-orthopedist Ophthalmologist Otorhinolaryngologist Obstetrician-gynecologist Psychiatrist adolescent |
General blood analysis
General urine analysis Blood glucose test Electrocardiography Fluorography of the lungs |
The Interregional Union of Medical Insurers (ICMS) is the only professional organization representing the interests of medical insurance organizations in all regions of Russia, registered in January 2003. The association includes leading insurance medical organizations operating in all constituent entities of the Russian Federation, including AlfaStrakhovanie-OMS, IC Ingosstrakh-M LLC, ROSNO-MS OJSC, ROSGOSSTRAKH-Medicine, SOGAZ-Med "," RESO-Med "," Medica-Vostok "and many others.
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