MIL OSI Translation. Region: Russian Federation –
In 2020–2021, the reconstruction of 15 polyclinic buildings was completed. Work is underway in another 60 buildings.
The complex reconstruction of branch No. 3 of the city polyclinic No. 6 has been completed. The first patients will be admitted here from 28 June.
At the same time, the doors will be opened by three more reconstructed polyclinics: branch No. 2 of the children’s city polyclinic No. 122 (Golyanovo, Baikalskaya street, 28), branch No. 2 of the city polyclinic No. 2 (Central Chertanovo, Chertanovskaya street, 26) and branch No. 4 of the children’s city polyclinic No. 10 (Cheryomushki, Profsoyuznaya street, house 52).
According to Sergei Sobyanin, in a short time, morally and physically obsolete buildings have become comfortable medical centers, equipped with the most modern equipment.
“This is such a good step forward in the development of our outpatient service, polyclinic service. It is very important that the new clinics receive doctors who are in demand by the local population, they are equipped with modern equipment, they are comfortable for both patients and, I hope, for the staff. So what about the housewarming, ”- said the Mayor of Moscow during the inspection of the renovated building of the polyclinic.
More than 2.5 thousand pieces of equipment
Branch No. 3 of the city polyclinic No. 6 is located at the address: 3rd Novomikhalkovsky proezd, house 3a, building 1. The four-storey building in Koptev with an area of about four thousand square meters was built in 1968. In recent years, it has hosted a polyclinic. More than 34.4 thousand Muscovites receive medical care here.
The complex reconstruction of the building began in June 2020 and was completed exactly one year later – in June 2021. At the time of the work, the patients were temporarily transferred to the nearest branch No. 2 of the city polyclinic No. 6 at the address: 3rd Mikhalkovsky lane, building 22.
During the reconstruction, the building was almost completely rebuilt: a new facade was equipped, utilities, internal partitions, elevators, door and window blocks were replaced, and the premises were finished.
Upon completion of the work, over 2.5 thousand units of modern medical equipment were installed in the branch, including an X-ray complex, a mammograph, a fluorograph (U-arc), and three ultrasound machines purchased under life cycle contracts. The offices of the ophthalmologist and ENT doctor have been completely renovated.
The facility is designed for 750 visits per shift. It employs 67 people, including 28 doctors, 23 nurses and 16 other staff.
Reception is conducted by general practitioners (family doctors), otorhinolaryngologist, ophthalmologist, surgeon, urologist, neurologist, cardiologist and endocrinologist. There are rooms for ultrasound diagnostics, functional diagnostics, X-rays, mammography, fluorography (X-ray apparatus of the “U-arc” type).
In accordance with the new Moscow standard for polyclinics, doctors’ offices are located in such a way as to reduce queues and make waiting for an appointment comfortable. For patients with symptoms of infectious diseases, there is a separate entrance through the filter box. This allows you to separate the streams of healthy and sick people and prevent the spread of infection.
Thanks to the new equipment, doctors of the polyclinic can carry out modern types of diagnostics, including daily monitoring of blood pressure, echocardiography (a method for examining the heart muscle using ultrasound) and others.
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 perform 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 various positions. The distance from the emitter to the detector can be varied over a wide range, which makes it possible to conduct studies in patients of any size.
The polyclinic has comfortable waiting areas with air conditioners, drinking water coolers, TVs, soft sofas and armchairs. The warm, natural tones of the interiors create a pleasant atmosphere. The new navigation system allows patients to easily find the right office.
There are rest rooms for doctors and nurses where they can have a snack and discuss work issues. The doctors’ offices are equipped with ergonomic furniture – tables, chairs, armchairs and wardrobes.
The adjacent territory is landscaped and landscaped. Here they laid 769 square meters of tiled covering, installed 13 small architectural forms (benches, urns, steles), 11 lighting poles, two barriers / gates and 225 meters of fencing, and also laid 0.2 hectares of lawns, planted 12 trees and 169 shrubs.
For residents of Savelovsky, Timiryazevsky and Koptevo districts
The city polyclinic No. 6 acquired its modern look in 2012. Today, in addition to the head building located at 7b Vuchetich Street, it includes four branches. The polyclinic serves over 155 thousand residents of the Savelovsky, Timiryazevsky and Koptevo districts. The total area of buildings is 16.5 thousand square meters. Branches are designed for 3.3 thousand visits per shift. The clinic employs 529 people, including 211 doctors, 154 nurses and 164 other staff.
The Mayor of Moscow thanked the medical workers for their work in the context of the coronavirus pandemic.
“In addition to your normal duties, you have additional responsibilities related to the pandemic. I know that polyclinic No. 6 and a CT center are available for patients with coronavirus infection, as well as vaccination points; mobile teams work here that serve patients with COVID-19 on an outpatient basis. This is a really large volume and burden for doctors, ”Sergei Sobyanin noted.
During the COVID-19 pandemic, 20 mobile teams were formed at the clinic to help patients at home. They make 250-300 trips a day. As of June 22, 2021, 1,317 people with COVID-19 are under observation, 118 patients have been treated in hospitals.
From April 11 to June 30, 2020, an outpatient CT center was organized on the basis of the head building. It conducted 5060 studies. Since May 15, 2020, ELISA diagnostic rooms have been operating in the polyclinic. Over 95 thousand patients have been tested for the presence of antibodies.
Vaccination against COVID-19 is carried out in branches No. 1 and 4, as well as in the Healthy Moscow pavilion in the park near the building of the CAO prefecture at 27 Timiryazevskaya Street. As of June 22, 2021, 27 702 vaccinations were made with the first component and 23,028 inoculations with the second component of the vaccine.
Moscow Standard: the largest program for the reconstruction of city polyclinics
The Moscow standard for polyclinics was introduced in the capital’s outpatient centers several years ago. So, instead of a reception desk behind the glass, convenient information desks with consultants appeared. In polyclinics, doctors on duty conduct appointments, a certificate or a referral can be quickly obtained in a special office. The halls have waiting areas, water coolers and vending machines. In children’s clinics, children can play with toys, and mothers can retire to feed the child. Thus, the first step was taken towards the creation of a modern clinic.
The new Moscow polyclinic standard developed in 2019 by the Moscow Government is a logical development of the first generation standard. Medical professionals gave a professional assessment of the planned changes and their proposals for the future standard during an online survey. It ran from March 28 to April 10, 2019. More than four thousand doctors took part in the project, who left 2,700 proposals.
The new Moscow standard for polyclinics received the support of the townspeople. More than 212 thousand people took part in the voting of the Active Citizen project. More than 70 percent of them approved the main provisions of the new Moscow standard. They also supported the program of comprehensive reconstruction of 137 buildings of city polyclinics.
Key elements of the new standard
In each branch of the polyclinic, doctors of the eight most demanded medical specialties will conduct appointments: therapist, cardiologist, otorhinolaryngologist, surgeon, neurologist, ophthalmologist, urologist and endocrinologist. The head units will additionally receive up to five doctors of narrow specialties: an allergist-immunologist, a gastroenterologist, a pulmonologist, a coloproctologist and an infectious disease specialist. The most sought-after doctors will see patients close to their place of residence. This will reduce the number of patient movements between branches.
Polyclinics are equipped with modern equipment. The branches will operate mammographs, X-ray machines, ultrasound machines, as well as equipment for functional diagnostics.
The headquarters of the polyclinics will be equipped with MRI, CT, densitometers (devices for examining bone tissue), ultrasound of an expert class, treadmills (equipment for carrying out stress tests under ECG control), devices for examining the function of external respiration and endoscopic equipment. Thus, patients will be able to have the most common examinations as close to their home as possible. In addition, analog equipment will gradually be replaced by more modern, digital equipment, which will allow creating a unified city database for storing medical images, improving the quality of diagnostics and reducing the number of erroneous diagnoses. Deliveries of new equipment to polyclinics began in 2019.
Polyclinics are gradually becoming digital. 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 expand.
The institutions organize a convenient location of doctors’ offices and zoning of premises. The most popular offices are located on the lower floors, less visited and administrative offices – on the upper. The offices of narrow specialists are located, if possible, on the same floor with the departments of functional diagnostics. For example, an ultrasound of the heart or a cardiogram can be done next to the cardiologist’s office, and endoscopy – next to the gastroenterologist’s office.
The distribution of doctors is organized in such a way as to reduce the likelihood of queues and make waiting for an appointment more comfortable. Where possible, buffets for patients and staff will be organized.
Provides comfort for doctors and nurses. Polyclinics are equipped with cozy rest rooms, in which doctors can communicate, have a snack, and drink a cup of coffee. Doctor’s offices are equipped with ergonomic furniture for comfortable work – armchairs, wardrobes, tables and chairs. The territories near the institutions are being improved.
To implement the new standard, the Moscow Government plans to purchase new equipment and train personnel by 2024, reorganize the space in the buildings of polyclinics that do not require repair and build 30 new buildings in areas where there are not enough of them, and reconstruct 137 polyclinics.
Over the next few years, a third of the city’s polyclinic fund is awaiting a major overhaul. 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. In 2020–2021, the Moscow city economy complex completed the reconstruction of 15 polyclinic buildings with a total area of about 40 thousand square meters.
Now work is underway to reconstruct another 60 buildings of city polyclinics with a total area of about 300 thousand square meters. The work is scheduled to be completed by the end of 2021.
EDITOR’S NOTE: This article is a translation. Apologies should the grammar and or sentence structure not be perfect.