MIL OSI Translation. Region: Russian Federation –
Over the next few years, half of the city’s outpatient fund will be completely renewed. This is the largest polyclinic renovation program ever implemented in Moscow.
The head building of the children’s city polyclinic No. 130 in Krylatskoye was opened after a comprehensive reconstruction. It is located at: Krylatskie Kholmy Street, 5. Sergei Sobyanin I met here with the staff of the capital’s medical institutions, congratulated them on the City Day and thanked them for their work during the pandemic.
“During the coronavirus pandemic, a huge burden fell on all of you: you did your work and additional work. The workload has almost doubled, but you handled it brilliantly. Moreover, we started a program to modernize polyclinics, you also worked in cramped conditions – the teams moved, worked in other places. And all this, of course, left an imprint, further complicated the work, ”said the Moscow Mayor.
According to him, all these difficulties were overcome, and today 10 city polyclinics celebrate housewarming. “This is a huge job, new equipment. But we tried it – we succeeded. Today already 30 polyclinics have been reconstructed. Until the end of the year, another two dozen, well, at least a dozen should come out, and two dozen will already be in a high degree of readiness, ”added Sergei Sobyanin.
Today the city has gained a high pace and can reconstruct about 50 polyclinics annually. Therefore, it was decided to expand the city program from 137 to 200 medical institutions, the Moscow Mayor said.
“200 polyclinics are almost half of the entire outpatient complex in Moscow, the largest in the country. This will, of course, be the largest primary care modernization program in the entire history of our country and our city. This is definitely a difficult, complex program, and it will take additional time. I think that in two or three years we will cope with it and will try to keep the repair period short and the effect as positive as possible, ”said Sergei Sobyanin.
Recently, the first patients were admitted to three more reconstructed polyclinics. Among them – branch number 2 of the city polyclinic number 68 (Plyushchikha street, house 42, building 1), branch number 1 of the children’s city polyclinic number 86 (Dubninskaya street, house 40, building 3) and branch number 1 of the diagnostic center number 5 (Inzhenernaya street , building 3, building 1).
In the near future, six more polyclinics will open their doors:
– Branch No. 194 of City Polyclinic No. 212 (Solntsevsky Prospect, 8);
– Branch No. 6 of Diagnostic Center No. 3 (3rd Karacharovskaya Street, 11);
– branch No. 1 of the children’s city polyclinic No. 61 (Polbina street, house 50);
– Branch No. 1 of City Polyclinic No. 11 (Architect Vlasov Street, 31);
– branch No. 1 of the children’s city polyclinic No. 52 (Matrosskaya Tishina street, house 14);
– branch number 2 of the city polyclinic number 46 (Jerusalem street, house 4, building 1).
Doctors of these medical institutions took part in a meeting with the Mayor of Moscow.
Natalya Kuzenkova, chief physician of polyclinic No. 68, said that before the renovation, residents were very apprehensive about the closure of the polyclinic. And now, when the polyclinic has opened after renovation, they are experiencing incredible joy, and their trust in doctors has reached a new level.
“It is very pleasant to be one of the first to congratulate the Mayor of Moscow on the City Day on this day. It turns out that this is your professional holiday, and even on this holiday you are at your workplace. It is very valuable for us that you start your holiday with the opening of a medical facility, you pay such attention to the issues of city health care, ”said Pavel Gulyaev, chief physician of Diagnostic Center No. 5. According to him, residents are eagerly awaiting the opening of polyclinics in their districts, and today a double celebration took place in Krylatskoye.
The chief physician of the diagnostic center No. 3 Lilia Lavrova thanked Sergei Sobyanin for the new uniform of the medical staff. “Thank you so much from the doctors and all of us for respecting and caring for us,” she said.
Doctors presented the Mayor of Moscow with a painting painted by employees of Moscow medical institutions. Fragments for her were written by 270 people: each fragment is connected with the rest, and only all together they acquire meaning. “This is very similar to our outpatient service, which seems to consist of separate institutions, but the whole is a single team, ready to work for the good of the city and for the health of our patients,” said Galina Kotova, chief physician of Polyclinic No. 11.
In accordance with the new Moscow standard
The six-story building of a medical institution in Krylatskoye was built in 1987 according to a standard design. Its area is over six thousand square meters. In recent years, the head building of the children’s city polyclinic No. 130 has been located here, where 12.3 thousand young Muscovites receive medical care.
The complex reconstruction of the polyclinic began in June 2020 and was completed in September 2021. At the time of the work, the patients were transferred to other branches. They mostly attended the clinic on Osenny Boulevard.
In the course of the work, the building on Krylatskie Holmy Street was almost completely rebuilt: a new facade was made, utilities, internal partitions, floor screed, elevators, ventilation and air conditioning systems, door and window blocks were replaced, the premises were finished.
Upon completion of the reconstruction, 473 units of modern medical equipment were installed in the polyclinic. In particular, one X-ray complex and four ultrasound machines were purchased under life cycle contracts. The offices of the ophthalmologist and otorhinolaryngologist were completely renewed.
320 patients per shift will still be able to visit the polyclinic. The medical facility employs 189 people, including 45 doctors. Reception is carried out by district pediatricians, otorhinolaryngologist, ophthalmologist, pediatric surgeon, pediatric urologist-andrologist, pediatric endocrinologist, pediatric cardiologist, neurologist, orthopedic traumatologist, nephrologist, gastroenterologist, allergist-immunologist. There are rooms for ultrasound and functional diagnostics, physiotherapy, a healthy child, and the issuance of certificates and referrals. There is a swimming pool.
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 children with symptoms of infectious diseases, there is a separate entrance through the filter box. This allows you to separate the streams of healthy children and sick children, which means stopping 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, digital radiography.
Comfortable waiting areas with air conditioners, coolers, TVs, soft sofas and armchairs were organized for patients. The warm natural tones of the interiors create a pleasant atmosphere. The new navigation is intuitive, which makes it easy to find the right office.
There are cozy rest rooms for doctors and nurses. In them they can have a snack and discuss work issues. The doctors’ offices are equipped with ergonomic furniture.
The area next to the clinic was landscaped and landscaped, 1.2 thousand square meters of lawn were laid out, trees and shrubs were planted. They laid tiles (228 square meters), installed 33 small architectural forms (benches, urns, steles), eight lanterns, three barriers, a gate and a fence.
Today, in addition to the head building on Krylatskie Holmy Street, Polyclinic No. 130 includes three branches and a pediatric department in the village of Rublevo. The patients of the complex are about 48.4 thousand children – they are residents of the Krylatskoye, Kuntsevo and Fili-Davydkovo districts. The total area of buildings is 16.5 thousand square meters, the capacity is about 1.4 thousand visits per shift. The clinic employs 452 people, including 144 doctors.
During the COVID-19 pandemic, mobile teams were formed at the clinic to help patients at home. Currently, there is one medical and one nursing team, which make 10–20 visits a day.
Technology and comfort: a new standard for polyclinics
Several years ago, the Moscow standard of polyclinics was introduced in the outpatient centers of the capital.
The reception desk behind the glass was replaced by convenient information counters with consultants. Reception in polyclinics is conducted 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. In children’s clinics, kids have a place to play, and mothers have the opportunity to retire to comfortably 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 polyclinic standard, which developed the principles of the previous standard.
From March 28 to April 10, 2019, an online survey was conducted for healthcare providers, with the help of which they gave a professional assessment of the planned changes and made their proposals. More than four thousand doctors took part in the project, who left 2700 ideas.
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, of which over 70 percent approved its main provisions. They also spoke in favor of a program for the comprehensive reconstruction of about 200 buildings of city polyclinics (50 percent of the polyclinic fund), which is necessary to implement the standard.
According to the new Moscow standard, more doctors of the most demanded specialties have appeared in polyclinics.
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, the most demanded doctors will be seen near their homes.
Polyclinics will be equipped with modern technology. The branches will install 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 (apparatus for examining bone tissue), ultrasound of an expert class, treadmill devices (equipment for carrying out stress tests under ECG control), devices for examining the function of external respiration (spirographs, bodyplethysmographs), and endoscopic equipment.
This will allow you to take the most common examinations near your place of residence. In addition, analog equipment will gradually be replaced by more modern digital equipment. This will help 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.
Thanks to the new standard, patients have access to an electronic medical record. Now they have access to the results of analyzes and studies. The amount of information available to patients will gradually expand.
The clinics, renovated according to the new standard, will provide 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.
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, endoscopy – next to the gastroenterologist’s office.
Doctors will be assigned to offices so as to reduce the likelihood of queues and make waiting for an appointment more comfortable.
Where possible, buffets will be provided for patients and staff.
Much attention will be paid to the comfort of doctors and nurses. The polyclinics will be equipped with cozy rest rooms.
The doctors’ offices will be equipped with ergonomic furniture for comfortable work. Clinic employees are provided with comfortable work clothes and footwear.
At the reception, patients will be greeted by employees of the My Documents centers of public services. They will answer the questions that arise, help you navigate and get an appointment with the right doctor on time.
The area next to the clinics will be improved.
To implement the new standard, the Moscow Government is implementing a program for the purchase of new equipment and staff training. Also, the city will reorganize the space in the buildings of polyclinics, which do not require repair. It is planned to build about 30 new buildings of polyclinics in areas where they are objectively lacking. Also, about 200 buildings of polyclinics will be reconstructed, including 137 polyclinics of the first stage and about 60 buildings of the second stage.
In 2020–2021, the Moscow city economy complex completed the reconstruction of 30 polyclinic buildings with a total area of about 100 thousand square meters.
Work is underway to reconstruct 46 buildings of city polyclinics with a total area of over 200 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.