MIL OSI Translation. Region: Russian Federation –
Work continues in another 56 buildings of city polyclinics, which are planned to be completed in late 2021 – early 2022.
In West Degunin, after a comprehensive reconstruction, a branch No. 5 of the Consultative and Diagnostic Center (CDC) No. 6 was opened. It is located at the address: Marshal Fedorenko Street, Building 6, Building 1. Participated in the opening ceremony Sergei Sobyanin…
Employees of three more medical facilities, which became available to patients after reconstruction, joined the event via videoconference. We are talking about the specialists of the branch number 3 of the city polyclinic number 12 (Bochkova street, building 5, building 3), the branch number 1 of the polyclinic number 52 (Ryazhskaya street, building 13) and the branch number 2 of the polyclinic number 195 (Molodogvardeyskaya street, building 40, building 1 ).
“Congratulations on your new home. Good luck, I hope that you will be comfortable working in the new conditions, and patients will be satisfied with the new clinics and, most importantly, the attitude of doctors and medical personnel. This is also important, ”said Sergei Sobyanin.
The Mayor of Moscow added that a great burden on doctors, nurses and other medical personnel is imposed by work in a pandemic
“You are coping with dignity. We can say that we have been reducing the incidence for four weeks in a row. Over the past week, we see a significant decrease in the number of identified patients and hospitalizations. So I hope that in the coming days the situation will improve and you will return to your normal work, ”Sergei Sobyanin emphasized.
New equipment, clear navigation and comfortable reception
The five-storey building, where in recent years the branch No. 5 of the Consultative and Diagnostic Center No. 6 is located, was built in 1981. Its area is 6.6 thousand square meters. More than 17.3 thousand Muscovites receive medical care here.
The complex reconstruction of the polyclinic began in June 2020. It took just over a year, ending in July 2021. At the time of the work, the patients were temporarily transferred to the nearest branch No. 1 of CDC No. 6 on Angarskaya Street (house 24).
In the course of work, the building of the clinic was almost completely rebuilt. A new facade has appeared, engineering communications, internal partitions, elevators, door and window blocks have been replaced, the premises have been finished.
Upon completion of the reconstruction, more than 3.6 thousand units of modern medical equipment, furniture and consumables were delivered to the polyclinic. In particular, under life cycle contracts, one X-ray complex, a mammograph and a fluorograph (U-arc), and three ultrasound machines were purchased. The offices of an ophthalmologist and an ENT doctor have been completely renovated. New modern exercise equipment was installed in the physiotherapy room.
The capacity of the institution has been preserved: it can be attended by up to 533 people per shift. The building employs 59 people, including 18 doctors, 22 nurses and 19 other specialists.
Reception is conducted by general practitioners (family doctors), otorhinolaryngologist, ophthalmologist, surgeon, urologist, neurologist, cardiologist, endocrinologist. There are rooms for ultrasound and functional diagnostics, X-ray, mammography, fluorography.
In accordance with the new Moscow standard for polyclinics, the seating of doctors in their offices is organized in such a way as to reduce the likelihood of queues and make waiting for an appointment comfortable. For patients with symptoms of infectious diseases, a separate entrance has been created through a filter box. This allows you to separate the streams of healthy and diseased and thereby 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 and mammography.
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 take X-ray images of high quality and detail with a minimum dose of radiation. Due to the special shape of the tripod, the device provides great freedom in carrying out examinations and is suitable for obtaining X-ray images in various positions. The distance from the emitter to the detector can be changed, which makes it possible to conduct studies in patients of any size (weighing up to 200 kilograms, up to two meters tall).
The clinic will open a pharmacy. Comfortable waiting areas with air conditioners, coolers with drinking water, TVs, soft sofas and armchairs have been created for patients. The warm natural tones of the interiors create a pleasant atmosphere. The new navigation is intuitive, allowing patients to easily find the office they want.
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 a tiled covering (1320 square meters), installed 27 small architectural forms (benches, urns, steles), nine lighting poles, and also laid 0.4 hectares of lawns, planted 17 trees and 82 shrubs.
In its present form, the Consultative and Diagnostic Center No. 6 was established in 2012. Today, in addition to the head building in Keramicheskiy proezd (building 49b), it includes five branches. The number of patients in the center exceeds 218 thousand people. These are residents of the Beskudnikovsky, West and East Degunino districts, as well as partly of the Timiryazevsky and Dmitrovsky districts. The total area of buildings is 28.4 thousand square meters, the capacity is almost 4.1 thousand visits per shift. The Consultative and Diagnostic Center employs 810 people, including 285 doctors, 292 nurses and 233 other staff.
In connection with the COVID-19 pandemic, the polyclinic has formed 17 medical mobile teams to help patients at home, which make 500-600 visits a day, and four nursing mobile teams (80-100 visits a day).
As of July 16 of this year, 1,986 patients with coronavirus were under observation, 366 people were treated in hospitals.
Since April 11 last year, outpatient CT centers have been organized on the basis of the head building and branch No. 4. They carried out 45.4 thousand studies. In the head building, the CT center worked from April 11 to June 30, 2020 and from June 18 to July 16, 2021. In branch No. 4, the KT-center has been operating continuously since its opening.
Vaccination against COVID-19 is carried out in the head building, two branches (No. 2 on Beskudnikovsky Boulevard and No. 3 on Dubninskaya Street) and the Healthy Moscow pavilion in the Angarskie Prudy park. As of July 16, 80,164 vaccinations with the first component and 45,666 vaccinations with the second component of the vaccine have been made.
How city polyclinics are changing
Several years ago, in the capital outpatient centers, they introducedMoscow standard polyclinics… Instead of a reception desk behind the glass, convenient information desks with consultants have appeared. In polyclinics, doctors are 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. In children’s clinics, play areas have been created for young patients, and mothers have the opportunity to retire to feed the child. 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, which is a logical development of the first generation standard.
Medical professionals gave a professional assessment of the planned changes during a special communication project (online survey), which took place 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 on the “Active Citizen”, of whom over 70 percent approved its main provisions, as well as the program for the comprehensive reconstruction of 137 buildings of city polyclinics necessary to implement the standard.
New Moscow standard for polyclinics
Doctors of the most demanded specialties
In each branch of the polyclinic, doctors of the eight most popular medical specialties will receive appointments: general practitioner (therapist), cardiologist, otorhinolaryngologist, surgeon, neurologist, ophthalmologist, urologist and endocrinologist.
In all head units, patients will additionally receive up to five doctors of narrow specialties: an allergist-immunologist, a gastroenterologist, a pulmonologist, a coloproctologist and an infectious disease specialist.
As a result, the number of movements of patients between the branches of polyclinics will decrease, 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 be supplied with mammographs, X-ray machines, ultrasound machines, as well as equipment for functional diagnostics. The headquarters of the polyclinics will be equipped with magnetic resonance imaging, computed tomography, densitometers (apparatus for examining bone tissue), ultrasound of an expert class, equipment for carrying out stress treadmill tests under the control of electrocardiography, devices for examining the function of external respiration (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.
The supply 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.
The key principle is that the most demanded offices are located on the lower floors, while the less visited and administrative offices are located on the upper floors. Specialists’ offices – where possible – will work on the same floor with functional diagnostics. For example, an ultrasound of the heart or a cardiogram can be done next to the cardiologist’s office.
The distribution of doctors in their offices 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 placed.
Comfort for doctors and nurses
In clinics, comfortable rest rooms are equipped, in which doctors can communicate with each other, have a snack or drink a cup of coffee. The doctors’ offices will be equipped with ergonomic furniture for comfortable work: armchairs, wardrobes, tables and chairs.
To implement the new standard until 2024, the city is implementing a program for the purchase of new equipment and staff training, is reorganizing the space in the buildings of polyclinics that do not require repair, and will build 30 polyclinic buildings in areas where they are objectively lacking. In total, 137 buildings of polyclinics will be reconstructed.
In fact, a third of the capital’s polyclinic fund will be overhauled. The buildings will completely renovate engineering systems, create a comfortable space for patients and doctors, and create the necessary conditions for placing medical equipment.
In 2020–2021, the capital’s municipal economy complex completed the reconstruction of 19 polyclinic buildings with a total area of over 50 thousand square meters. Work is underway to reconstruct another 56 buildings of city polyclinics with a total area of about 250 thousand square meters. They are planned to be completed in late 2021 – early 2022.
EDITOR’S NOTE: This article is a translation. Apologies should the grammar and or sentence structure not be perfect.