The New Year brought new formats of work to the Russian healthcare system. So, patients will be able to get a certificate or conclusion in electronic form, Russians with poor eyesight will pick up glasses in the optometry office, and expectant mothers will have to visit doctors less often.
For glasses - to a separate office
Since the new year, the functionality of the ophthalmological departments has been expanded: they should now include rooms for optometry and complex and special vision correction.
In the first, citizens will be helped to choose glasses or serial contact lenses for myopia, hyperopia or astigmatism. For other, more serious vision problems, help will be provided in the office of complex and special correction: they will select glasses and other correction means, write a prescription for medicines, prescribe custom-made lenses, and so on.
In both offices, the reception will be conducted by ophthalmologists, and optometrists will help them part-time.
Expectant mothers will be less likely to do ultrasound
Instead of three screening ultrasounds, pregnant women are now allowed only two - at 11-14 and 19-21 weeks. This is established by the new procedure for the provision of medical care in the profile of obstetrics and gynecology, which is applied from January 1, 2021.
The minimum number of examinations by a gynecologist has also been reduced - from seven to five times. Expectant mothers should visit the dentist once, whereas previously two appointments were required. An examination by an otolaryngologist is no longer necessary. The term for visiting a therapist has been determined - no later than 7-10 days after the first visit to the antenatal clinic.
Obstetricians-gynecologists will have to make decisions earlier whether a woman will be able to bear a child - earlier such a conclusion should have been made before 22 weeks of pregnancy, now this period is two weeks less.
The new order of the Ministry of Health also defines the possibility of providing assistance to pregnant women living in rural areas - they will be received by obstetricians, paramedics, in extreme cases, nurses at FAPs or health centers. In the event of complications, physicians should consult with colleagues using telemedicine technology.
Not everyone will be able to undergo treatment at the federal medical center
The Ministry of Health has updated the procedure for referring patients in need of specialized help for compulsory medical insurance to federal medical centers.
Now doctors will be able to redirect a person there in the following situations:
the disease is atypical; treatment has no effect; the clinic does not have the ability to provide the necessary treatment (for example, there is no equipment); surgical intervention has high risks due to complications or another illness in the patient; additional examination is needed before the operation - for patients with complex cases, complications or if the patient has another disease.
The referral to the federal medical center is prescribed by the attending physician, who must also tell the patient which institutions can be chosen.
Inquiries will become electronic
The Ministry of Health allowed doctors to draw up medical certificates and opinions in any form. The document must be issued on a hospital letterhead and must have an official seal, signature and seal of the doctor. In conclusion, the head physician must also put his signature.
At the request of the patient or in case he applies through the ESIA, the certificate can be issued in electronic form. The doctor must certify the file with a strengthened qualified electronic signature. Electronic medical reports are generated in special programs.
In addition, the creation of a digital register of medical death certificates has begun.While this technology is being tested in Bashkortostan, Dagestan and the Moscow region, Deputy Health Minister Pavel Pugachev said on January 14. Thanks to the electronic system, the authorities will be able to more accurately analyze the total mortality in the country and individual cases.
Subsequently, by combining it with other medical databases, it will be possible to trace the entire path of the patient's treatment and find out whether he died due to illness, or errors or negligence of doctors.