MIL OSI Translation. Region: Russian Federation –
This year, reconstruction will begin in the buildings of about 100 clinics.
In Golyanovo, after a comprehensive reconstruction, the building of the branch No. 4 of the city polyclinic No. 191 was opened. It is located at the address: Amurskaya street, house 36. I visited the renovated medical facility Sergei Sobyanin.
Мэр Москвы также пообщался по видеосвязи с коллективом филиала № 2 детской поликлиники № 12, где тоже начали принимать пациентов после реконструкции здания. Оно расположено в районе Орехово-Борисово Северное (адрес: Шипиловская улица, дом 23, корпус 1).
“In Moscow, every month a program for the reconstruction of polyclinics is unfolding more and more on a large scale. This is the largest program in the history of the city, including the Soviet era. There have never been such volumes of reconstruction and overhaul. This year we will begin the reconstruction of 100 polyclinics at once. For the next year, design estimates for 68 are being prepared. Thus, 200 polyclinics are included in the work, ”said Sergey Sobyanin.
According to him, according to the schedule, all work should be completed by 2024. “I think this is a very positive program that is necessary both for doctors to work in comfortable conditions, and for visitors who will receive a new service, new medical, diagnostic opportunities and more comfort,” said the Mayor of Moscow.
He congratulated the staff of polyclinics on Amurskaya and Shipilovskaya streets on the completion of reconstruction and thanked them for their work in the face of a new wave of the pandemic. “During this wave that we experienced in the omicron, you, of course, faced enormous workloads, with a huge challenge for the work of the outpatient department. I believe that you have coped, and today, when the decline is already underway, we can say with confidence that Moscow doctors and Moscow polyclinics withstood this blow and provided the necessary medical assistance to everyone who turned to them, ”said Sergei Sobyanin.
С 14 февраля поликлиники начинают увеличивать volumes of planned assistance, to pay more attention to elderly patients, to visit them at home even with a mild course of the disease. “I think that in a week we will return to normal work,” said Sergei Sobyanin.
In addition, the Mayor of Moscow met with participants in the renovation program from the Golyanovo district. He examined the new building being occupied at the address: Schelkovskoye Highway, house 71. “The renovation program in Golyanovo began with this house,” Sergei Sobyanin noted. – All houses in Golyanovo will be built. I hope they are of high quality.” He advised the new settlers, if they have any questions, to contact the information centers for the resettlement of participants in the renovation program: in case of problems, the builders should fix everything.
Two houses are currently being built on the territory of the district under the renovation program, one of them is planned to be completed this year, the second – in 2023.
The latest equipment and 558 visits per shift
The four-story building of the medical institution in Golyanovo was built in 1967. Its area is 3.2 thousand square meters. In recent years, branch No. 4 of city polyclinic No. 191 has been operating there, to which 27.6 thousand Muscovites are attached.
The comprehensive reconstruction of the polyclinic in Golyanovo began in January 2021, it took a little over a year. At this time, patients visited doctors in branch No. 1, located at Chusovskaya street, house 9.
The building has been almost completely rebuilt. Specialists made a new facade, replaced engineering communications, internal partitions and floors, elevators, ventilation and air conditioning systems, door and window blocks, and finished the premises.
Upon completion of the reconstruction, 1.2 thousand units of modern medical equipment, medical furniture and instruments, purchased under life cycle contracts, appeared in the polyclinic. Among them are an X-ray complex, a mammograph, a fluorograph (a U-arm type device), and three ultrasound machines. The offices of the ophthalmologist and otorhinolaryngologist have also been completely renovated.
The institution is designed for 558 visits per shift. The polyclinic building on Amurskaya Street employs 77 people, including 22 doctors.
Reception is conducted by general practitioners (therapists), an otorhinolaryngologist, an ophthalmologist, a surgeon, a urologist, a neurologist, a cardiologist, an endocrinologist, as well as a physiotherapist and a physiotherapist. There are rooms for ultrasound and functional diagnostics, mammography and radiography.
In accordance with the new Moscow standard for polyclinics, the location of doctors’ offices by floor is organized in such a way as to reduce the likelihood of queues and make waiting for an appointment comfortable. A separate entrance has been created for patients with symptoms of infectious diseases, which makes it possible to separate the flows of healthy and sick SARS 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, electrocardiography (ECG), echocardiography, body plethysmography (examination of the function of external respiration), a study of the diffusion capacity of the lungs, and others.
For fluorographic studies, an X-ray machine of the “U-arc” type will now be used. This versatile digital system produces high-quality, high-resolution x-rays with minimal radiation dose. Due to the special shape of the tripod, the device provides great freedom in research and is suitable for taking x-rays in various positions. The distance from the emitter to the detector can vary over a wide range, which allows you to receive patients of any size (weighing up to 200 kilograms, up to two meters tall).
The clinic has a pharmacy (preferential drug provision). Patients have comfortable waiting areas for a doctor’s appointment with air conditioners, coolers, TVs, soft sofas and armchairs. The warm natural tones of the interiors create a pleasant atmosphere. The new navigation is intuitive, which allows visitors to find the right office without difficulty.
Cozy rest rooms are equipped for the medical staff, where they can have a bite to eat and discuss work issues. Doctors’ offices are equipped with comfortable furniture – tables, chairs, armchairs and cabinets.
The territory adjacent to the clinic was landscaped and landscaped. Here they laid tiles (239 square meters), installed 14 small architectural forms (benches, urns and steles), 11 lanterns, gates and fences (309 linear meters), as well as laid out 3.3 thousand square meters of lawns and planted 226 shrubs.
In its modern form, the city polyclinic No. 191 started operating in 2012. Today, in addition to the head building on Altaiskaya Street (building 13), the institution includes four branches. Among the patients of polyclinic No. 191 are almost 210 thousand residents of the Golyanovo, Izmailovo, Northern Izmailovo and Eastern Izmailovo districts (VAO). The total area of the buildings is 19.4 thousand square meters, they are designed for about 2.7 thousand visits per shift. The polyclinic employs 517 people, including 223 doctors, 172 nurses and 122 other staff.
During the pandemic, the polyclinic formed mobile teams to help patients at home. Currently, 7569 people with COVID-19 are under observation. There are 18 medical and nursing teams.
Vaccination against coronavirus infection is carried out in the main building, as well as in the Healthy Moscow pavilion in Izmailovsky Park during the warm season. As of February 10, 2022, 126.9 thousand vaccinations with the first component and 118.7 thousand vaccinations with the second component of the vaccine were done at polyclinic No. 191.
Since January 17 of this year, departments have been set up in the head building and branches of the city polyclinic No. 191 to receive patients with symptoms of SARS. There are 27 medical offices, they received over 13.5 thousand patients.
Moscow Standard: how polyclinics are changing
A few years ago, the Moscow standard for outpatient clinics was introduced in the capital’s outpatient centers. Instead of a reception desk behind glass, convenient information desks with consultants appeared. In polyclinics, doctors on duty conduct appointments, and a certificate or referral can be obtained quickly in a special office. Lobby areas now have waiting areas, water coolers and vending machines. In children’s clinics, little patients can play, and mothers can retire to feed the child. Thus, the first step towards the creation of a modern polyclinic was taken.
Based on the experience gained, in 2019 the Moscow Government developed a new Moscow standard for polyclinics. A professional assessment of the planned changes was given by health workers during a special communication project (online survey), which took place from March 28 to April 10, 2019. It was attended by more than four thousand people who left 2700 proposals. Also, 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, as well as the program for the comprehensive reconstruction of almost 200 buildings of city polyclinics (half of the polyclinic fund), necessary for the implementation of the standard.
Thanks to the new Moscow standard, there are more doctors in popular specialties in the renovated clinics. In each branch of medical institutions, the reception is carried out by: a general practitioner (therapist), a cardiologist, an otorhinolaryngologist, a surgeon, a neurologist, an ophthalmologist, a urologist and an endocrinologist. This made it possible to reduce the number of patient movements between branches of polyclinics. In all head units, patients are additionally treated by up to five doctors of narrow specialties: an allergist-immunologist, a gastroenterologist, a pulmonologist, a coloproctologist and an infectious disease specialist.
Renovated polyclinics are equipped with modern equipment. Mammographs, X-ray machines, ultrasound machines, as well as functional diagnostic equipment appear in the branches. All head buildings of polyclinics will be equipped with MRI, CT, densitometers (devices for examining bone tissue), ultrasound of an expert class, treadmill devices (equipment for conducting stress tests under ECG control), devices for studying the function of external respiration (spirographs, body plethysmographs), endoscopic equipment .
Thus, patients will be able to undergo the most common examinations as close to home as possible. In addition, analog equipment will be gradually replaced with 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 received access to an electronic medical record, in which they can see the results of their analyzes and studies. The amount of information available is constantly increasing.
In the renovated polyclinics, the offices of the most in-demand specialists are located on the lower floors, while the less visited and administrative offices are located on the upper floors. Rooms for narrow specialists, where possible, will work on the same floor as functional diagnostic rooms. 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.
The distribution of doctors among the offices is organized in such a way as to reduce the likelihood of queues and make waiting for an appointment more comfortable. Buffets for patients and staff will be provided where possible.
Polyclinics are equipping staff with cozy lounges where doctors can talk to each other, have a bite to eat or drink a cup of coffee. Doctors’ offices will be equipped with ergonomic furniture for comfortable work – armchairs, cabinets, tables and chairs. Employees of polyclinics are given comfortable and stylish work clothes and shoes.
In the registry, which works on the principle of reception, patients are met by employees of the My Documents public services centers, whose duties include answering questions that arise, helping them navigate and get an appointment with the right doctor on time.
The territory near the building of medical institutions is being put in order.
To implement the new standard, the Moscow Government:
— implements a program for the purchase of new equipment and staff training;
– will reorganize the space in the buildings of polyclinics that do not require reconstruction;
— will build about 30 new polyclinic buildings in areas where they are objectively lacking;
– will reconstruct almost 200 polyclinic buildings, including 137 polyclinics of the first stage and about 70 buildings of the second stage.
In 2020-2022, the metropolitan municipal complex completed the reconstruction of 34 polyclinic buildings with a total area of over 110,000 square meters.
This year, it is planned to reconstruct 101 buildings of outpatient clinics. Work is currently underway in 50 buildings.
Design and estimate documentation will also be developed for the reconstruction of 68 polyclinics, the work in which will be carried out in 2022–2023.
EDITOR’S NOTE: This article is a translation. Apologies should the grammar and or sentence structure not be perfect.