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Учебное пособие НАР.ШАМ. 2008.doc
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Public health institutions list

I. CURATIVE- PROPHYLACTIC INSTITUTIONS:

a) Hospitals - district, central, city, regional

specialized: tuberculosis, infectious, psychiatric

b) Dispensaries – antituberculous, skin-venereal, oncologic, psycho-neurologic, sport-medical, antithyroid

c) Ambulatory-polyclinic institutions - ambulatory, polyclinic, stomatologic polyclinic, physio-therapeutic polyclinic, feldsher-obstetrician post, feldsher health station

d) Institutions of the First Medical Aid and Blood Transfusion - first medical aid stations with ambulances, blood transfusion station

e) Mother and Child Health Institutions - maternity homes, baby orphan home, mother and child home, milk-bank, children's hospital/polyclinic

f) Sanatorium-Resort Institutions - sanatorium, prophylactorium, balneological treatment centre, mud treatment centre, resort polyclinic

II. SANITARY-PROPHYLACTIC INSTITUTIONS

a) Sanitary-antiepidemiologic establishments - sanitary-epidemiologic station, isolation-control post

b) Sanitary-educational institutions - sanitary education home

III. INSTITUTIONS OF FORENSIC MEDICAL EXAMINATION

Bureau of forensic medical examination

IV. PHARMACEUTIC INSTITUTIONS

chemist's (shop), chemist's stall, drugstore, warehouse, control-analytic laboratory

Management in preventive medicine (medico-sanitary) work

Ministry of Public Health and Social Development, Regional Health Department, City Health Department, District Health Department (on the city level), District Doctor-in-Charge, Sanitary Doctor-in-Charge.

Texts and Dialogues Medical Service in Russia

The Ministry of Public Health and Social Development of Russia is responsible for the medical service as well as for the manufacture of drugs and medical equipment and goods. Health education preventing the spread of the diseases is also of great importance. For this purpose different mass media (the press, cinema, radio, TV, etc.) are of great use. Advertising new remedies and items of hygiene has become common practice. A great number of various kinds of commercial diagnostic and consulting centers have appeared. But, still, every citizen can receive medical aid free of charge at the local institutions of public health.

In cities and towns the basic unit is the polyclinic. Polyclinics are large units each often employing as many as 200 doctors. They have their own laboratories, X-ray, physiotherapy, minor surgery and dental consulting rooms. Some of them even have radiotherapy units.

Polyclinics are of three main types - those for the adult population of a given area, those situated in factories and plants (for employees only), and those for children. Thus, within one family it is possible to have father, mother and child served by three separate polyclinics.

When the patient comes to the local polyclinic he most often sees his own district doctor, who seeks specialist's advice only where necessary. In other cases the patient himself with a little help from the reception staff selects the specialist who appears to be the most needed and respected by him. He may be a surgeon, a physician, an ophthalmologist, a dermatologist, or any other specialist he needs.

If a patient is unable to come to the polyclinic himself he is visited by his district doctor at home. Only minor illnesses are treated at home; all other patients are hospitalized.

Every district has its own hospital. All the hospitals are well staffed with both medical and ancillary personnel. Besides that, we have a wide network of specialized institutions for the prevention and cure of some particular diseases, and also sanatoriums (ia), rest-homes and so on. The treatment usually begins in the department for resident patients, then it is continued in a sanatorium or hospital, and, finally, the person is treated as an out-patient. Dispensaries always continue their treatment and follow up of the patient till complete recovery has been attained.