MIL OSI Translation. Region: Russian Federation –
In total, it is planned to renovate 137 medical institutions according to the new standard.
Polyclinics in the Kotlovka and Kuzminki districts were opened after reconstruction. Patients began to be admitted to branch number 4 of the city polyclinic number 22 on Remizov Street (house 6) and branch number 2 of the children’s polyclinic number 48 in Kuzminki.
“You have a whole host of innovations. Firstly, this is a complete reconstruction of the oldest building due to its physical deterioration, landscaping, an external facade, a completely new and modern interior decoration, the logistics for patients and doctors is completely different, a complete replacement of equipment, “Sergei Sobyanin said during a visit to the branch. No. 4 of the city polyclinic No. 22 on Remizov Street (house 6).
According to him, the most demanded specialists will work in the renovated polyclinics. “These are at least eight specialties that will accept patients and they will have to spend less time traveling to the central clinic. This is very important – the main request was just to staff small clinics with such doctors who are most in demand. And, of course, to give them new equipment, new technologies, which, I think, was successful, ”the Moscow Mayor said.
Sergei Sobyanin also thanked the doctors for their work, including during the pandemic. “Despite the reconstruction, you continued to work with patients in other polyclinics, in cramped conditions, but nevertheless all your functions, all your tasks were fulfilled,” he added.
A four-story polyclinic with an area of 3.1 thousand square meters was built on Remizov Street in 1963, the builders began a comprehensive reconstruction of the building in February 2020. At the time of the work, 32.3 thousand attached patients were temporarily served in branch number 2 on Dmitry Ulyanov Street (building 25).
According to the new standard
During the reconstruction, the facades of the building were renewed and the internal premises were repaired, all engineering systems, elevators, windows and doors were replaced. Also, 1295 units of modern medical equipment were installed in the clinic. Under life cycle contracts, an X-ray complex was purchased for two workplaces, three ultrasound machines (universal, portable and for examining the cardiovascular system), and one mammograph. In terms of its capabilities, the new equipment significantly surpasses the equipment that was previously used in the clinic.
The ophthalmologist’s office was equipped with a full set of instruments, including an autorefractometer for determining the refraction of the cornea, a sign projector (table), a slit lamp for examining the anterior segment of the eyeball and deep optical media, a direct electric and mirror ophthalmoscope for examining the fundus, and much more.
The otorhinolaryngologist’s office is equipped with an ENT combine and an automatic chair, so that a full-fledged professional examination, vacuum washing of tonsil lacunae, cleaning of the external auditory canals and nasal cavity, irrigation with antibacterial and antiseptic solutions, and blowing of the Eustachian tubes can be carried out. An impedance meter is also installed here – a device for examining the state of the middle ear, the patency of the Eustachian tube. The surgical room has a modern multifunctional surgical table for minor surgery.
The renovated polyclinic, designed for 750 visits per shift, received its first patients on March 29. Reception is conducted by general practitioners (family doctors), otorhinolaryngologist, ophthalmologist, surgeon, urologist, neurologist, cardiologist and endocrinologist. There are rooms for ultrasound and functional diagnostics, as well as electrophototherapy.
A modern exercise therapy room has been created with unique equipment for the rehabilitation of patients with diseases of the musculoskeletal system and muscular dystrophies, after surgery on the spine and prosthetics of joints, patients with the consequences of strokes. For patients, there are Ortorent Moto simulators (restores the activity of the upper and lower extremities), EN-Dynamic 2/2 Rowing MDD (allows assessing the condition of the musculoskeletal system and choosing the required load), EN-Tree Pulley MDD (for strength exercises), “X-” Imitron “” (for rehabilitation and restoration of leg functions) and others.
The clinic employs 79 people, including 28 doctors, 35 nurses and 16 other staff.
Thanks to the new equipment, doctors can conduct daily monitoring of blood pressure, holter monitoring (accurate daily tracking of heart readings), echocardiography (a method for examining the heart muscle using ultrasound), mammography (examination of the mammary gland) and other types of modern diagnostics.
Fluorographic studies will now be carried out on an X-ray apparatus of the “U-arc” type – a universal digital system that allows you to make X-ray images of high quality resolution and detail with a minimum dose of radiation. Due to the special shape of the tripod, the device provides great freedom in conducting examinations and is suitable for obtaining X-ray images in different positions. The distance from the emitter to the detector can be varied within wide limits, which makes it possible to carry out studies in patients of any size.
In accordance with the new Moscow standard for polyclinics, doctors’ offices are conveniently located and easy to find thanks to clear navigation. The building also has zones of comfortable stay with air conditioning, coolers with drinking water, TVs, soft sofas and armchairs. For visitors with symptoms of infectious diseases, a separate entrance has been created, which makes it possible to separate the flows of healthy patients and those who are sick and thereby prevent the spread of infection.
The adjacent territory is landscaped. Lanterns, benches, urns and steles were installed here, six parking spaces were equipped and paths were paved with tiles (724 square meters). The territory of the clinic was separated from the street by barriers and a new fence (200 running meters).
“Everything has changed, the clinic is generally beyond recognition, one might say. The equipment is state-of-the-art, the waiting areas are comfortable and comfortable. It is a pleasure not only to work in such a polyclinic, but also to come here – a pleasure for patients, ”noted the head of the branch, methodologist Svyatoslav Dmitriev.
City polyclinic number 22
Polyclinic No. 22 was established in 2012. In addition to the main building at 24 Kedrova Street, it includes five branches. They serve over 207 thousand patients who live in the Akademichesky, Cheryomushki, Lomonosovsky, Donskoy and Kotlovka districts. The total area of buildings is 26.4 thousand square meters, the capacity is 4.5 thousand visits per shift. The clinic employs 785 people, including 297 doctors, 296 nurses and 192 other staff.
During the COVID-19 pandemic, 36 mobile teams were created in the clinic to help patients at home, who made 350-400 visits a day. After a decrease in the number of cases, 14 teams remained to work with infected with coronavirus.
As of March 25, 406 people are under the supervision of doctors of covid teams at home. Under the supervision of doctors of the polyclinic – 1,008 people who have previously undergone treatment in hospitals in connection with COVID-19.
From April 11, 2020 to February 16, 2021, an outpatient CT center worked in the headquarters of the polyclinic, over 13.3 thousand studies were carried out.
Since May 15, 2020, ELISA diagnostic rooms have been operating in branch No. 3 on Bolshaya Cheremushkinskaya Street (house 6a), 72,790 patients have been tested for the presence of antibodies.
Vaccination against COVID-19 is carried out in the head building (Kedrova street, house 24), branches No. 3 (Bolshaya Cheremushkinskaya street, building 6a) and No. 5 (Vavilova street, house 71). As of March 25, 2021, there were 21,347 vaccinations with the first component and 17,506 vaccinations with the second component of the vaccine.
Sergei Sobyanin said that next to the children’s clinic there is an adult one, the reconstruction of which will also be completed soon. This is a building on Yeseninsky Boulevard (house 9, building 1). “I hope that in April the renovation work will end there, and she, too, will soon receive her patients. So Kuzminki will have good modern polyclinics, ”Sergei Sobyanin said.
According to the Mayor of Moscow, if earlier the duration of the repair was quite long – about a year, now the experience gained allows us to reduce these terms to six to eight months.
Improvement and renovation: how the Kotlovka district is changing
Kotlovka becomes a comfortable and attractive area. Thanks to the program “My region”, Developed on the initiative of the Mayor of Moscow, 43 courtyards and territories of four schools have become more comfortable. In 2019–2020, public gardens were landscaped on Nagorny Boulevard and Sevastopolsky Avenue (at 15, building 3). A sports cluster has been created on Remizova Street (house 14, building 1) – with a skate park, climbing wall, streetball and table tennis courts. There is also a 5.7-kilometer health path from house 11 on Bolshaya Cheremushkinskaya street to house 49 on Sevastopolsky avenue. There are benches and pergolas with swings along the route.
In November 2020, police officers received a new building of the Ministry of Internal Affairs for the Kotlovka district, and in March this year, after reconstruction, branch No. 4 of polyclinic No. 22 was opened on Remizova Street (building 6).
In addition, within the framework of the “Art for Children” project, the children’s art school “Yunost” (Bolshaya Cheremushkinskaya street, building 19a) was overhauled, equipment. A new social service center has been built on Nagornaya Street, which will soon open to visitors.
To improve the transport accessibility of social facilities, the route of the C5 bus has been changed to move to the Nagornaya Ulitsa stop. Movement intervals are tactical, 30 minutes throughout the day.
In 2021–2023, according to the My District program, it is planned to improve 50 courtyards, a natural park of the floodplain of the Korshunikha and Kotlovka rivers, a public garden near the Church of St. Euphrosyne of Moscow and Sevastopol Avenue.
Residents will also receive 12 new sports grounds. By August of this year, more than six thousand shrubs and 160 trees will be planted in the region. In addition, specialists will equip two kilometers of footpaths. It is planned to make a beautiful embankment along the Kotlovka river and near the Zelenka pond. “This is still a preliminary project. We collected the opinions of residents, made a concept. Now the project will be developed, we will definitely agree with the residents and then we will start implementation, ”said Elena Lomova, First Deputy Prefect of the South-Western District.
The current overhaul of the library No. 182 (Dmitriy Ulyanov Street, 43, building 1) and overhaul of the building of the department of the school No. 45 named after L.I. Milgram (Sevastopolsky prospect, house 12a). In another building of this educational institution – on Vinokurov Street (building 19) – the roof will be overhauled.
There are also plans to overhaul the Moscow Children and Youth Center for Ecology, Local History and Tourism on Nagornaya Street (building 16, building 1).
The renovation program in Kotlovka includes 82 houses with an area of 249.7 thousand square meters. 15.7 thousand people should move to new buildings – about 24 percent of the district’s residents. Two houses will be preserved as having urban planning and historical value, and new residential quarters will gradually appear in place of the rest.
The order of resettlement has already been determined. At the first stage, 12 houses will be resettled by the end of 2024, at the second stage (2025-2028) new apartments will provide residents with another 40 houses, and the last wave of resettlement (2029-2032) will include 30 houses.
“Three houses have been commissioned, residents of 347 apartments have already celebrated housewarming. The plan is to build nine more houses by 2024. Four launch sites have already been selected. We are ready to go, ”said Elena Lomova.
To date, houses have been built and populated in the district at the following addresses: Nagornaya street, house 13, Sevastopolsky prospect, house 22 and Dmitry Ulyanov street, house 45. Residents of three houses are moving to new buildings.
In addition, four more launch sites have been selected. Houses on Dmitry Ulyanov Street (possession 47), Nagornaya Street (possession 5a) and Remizov Street (possession 11, building 2) are planned to be completed in 2023. The completion of the construction of a house on Bolshaya Cheryomushkinskaya Street (possession 25b) is scheduled for 2024.
Moscow Standard: the largest reconstruction program for city polyclinics
Several years ago, in the metropolitan outpatient centers was introduced Moscow standard polyclinics…
Instead of a reception desk, convenient information desks with consultants have appeared. Reception is carried out by doctors on duty, and a certificate or referral can be obtained quickly in a special office. The halls now have waiting areas, water coolers and vending machines. Children’s clinics have play corners and feeding rooms. This was the first step towards the creation of a modern polyclinic.
Based on the experience gained, in 2019 the Moscow Government developed a new Moscow standard for polyclinics – a logical development of the first generation standard. From March 28 to April 10, 2019, it was evaluated by medical workers, over four thousand doctors left 2,700 additional proposals.
The new Moscow standard of polyclinics also received the support of the townspeople. More than 212 thousand people took part in the voting in the Active Citizen project, more than 70 percent of them approved the main provisions of the new standard and the program for the comprehensive reconstruction of 137 city polyclinic buildings necessary for its implementation.
More doctors of demanded specialties
According to the new Moscow standard, each branch of the polyclinic will receive doctors from eight of the most popular medical specialties: general practitioner / therapist, cardiologist, otorhinolaryngologist, surgeon, neurologist, ophthalmologist, urologist and endocrinologist.
In each head unit, patients will additionally receive up to five doctors of narrow specialties: an allergist-immunologist, a gastroenterologist, a pulmonologist, a coloproctologist, an infectious disease specialist.
As a result, the number of patient movements between the branches of polyclinics will decrease, and the most demanded doctors will be received as close to their place of residence as possible.
Modern technical equipment
The branches of the polyclinics will operate mammographs, X-ray machines, ultrasound devices, as well as equipment for functional diagnostics.
Head buildings will be equipped with magnetic resonance imaging and computed tomography, densitometers (apparatus for examining bone tissue), expert-class ultrasound apparatus, treadmill test apparatus (equipment for stress tests under the control of an electrocardiogram), apparatus for examining respiratory function (spirographs) , bodyplethysmographs), endoscopic equipment.
Thus, patients will be able to have the most common examinations as close to home as possible. In addition, analog equipment will be gradually replaced by more modern digital equipment, which will create a unified city database for storing medical images, improve the quality of diagnostics and reduce the number of erroneous diagnoses.
Deliveries of new equipment to polyclinics began in 2019.
Patients got access to an electronic medical record and can independently see the results of their analyzes and studies. The amount of information available to patients will gradually expand.
Comfort for doctors and patients: how zoning and beautification will improve the work of clinics
Doctor’s offices in polyclinics will be distributed in such a way as to reduce the likelihood of queues and make waiting for an appointment more comfortable. The most demanded doctors’ offices will be located on the lower floors, and the less visited and administrative premises – on the upper floors. If possible, the offices of narrow specialists will work on the same floor with functional diagnostics. For example, an ultrasound examination of the heart or a cardiogram can be done next to the cardiologist’s office, endoscopy – next to the gastroenterologist’s office.
The doctors’ offices will be equipped with ergonomic furniture for comfortable work – armchairs, wardrobes, tables and chairs – and cozy rest rooms where doctors can talk to each other, have a snack or drink coffee. Some clinics will make buffets for patients and staff. The area near the buildings will also be put in order.
New buildings and smart renovation
To implement the new standard, it is planned to reconstruct 137 and build 30 polyclinics by 2024.
In fact, over the next few years, a third of the city’s polyclinic fund will be overhauled. During the work, the engineering systems will be completely updated, a comfortable space for patients and doctors will be created, and the necessary conditions will be created for placing medical equipment, including heavy equipment.
Also, new equipment is being purchased, additional doctors are being recruited and personnel are being trained, as well as the reorganization of space in polyclinic buildings that do not require repair.
In 2020-2021, the city’s urban economy complex began the reconstruction of 85 polyclinic buildings with a total area of over 300 thousand square meters. 11 of them are already open to patients, and repair work will be completed in several dozen polyclinics this year.
EDITOR’S NOTE: This article is a translation. Apologies should the grammar and or sentence structure not be perfect.