Question: In what order are children who have reached the age of 18 transferred from children's outpatient polyclinic institutions to outpatient polyclinic institutions of the general network?
Answer: The procedure for transferring a child who has reached 18 years of age from children's outpatient clinics to outpatient clinics of the general network is determined by the Order of the Ministry of Health of the Russian Federation of 05.05.1999 N 154 "On improving medical care children adolescence".
According to this document, the transfer of children who have reached the age of 18 and medical documentation for them from children's outpatient clinics to outpatient clinics of the general network is carried out on a quarterly basis according to the schedule and within the timeframes approved by a joint order of the chief doctors of two outpatient clinics or by order chief physician of the city hospital. The area of ​​operation of an outpatient clinic of a general network that accepts adolescents from a children's outpatient clinic is determined by a higher health management body
For the transfer of children who have reached the age of 18, a medical commission is created consisting of: chairman - deputy chief physician of an outpatient clinic for adults (deputy chief physician for a city hospital polyclinic); members of the commission: the head of the therapeutic department, specialist doctors (surgeon, ophthalmologist, neuropathologist, ENT, psychiatrist, etc.) of the polyclinic (polyclinic department) for adults, the deputy chief physician (head of the children's department) of the children's outpatient clinic.
Annually, until December 15, the chairman of the medical commission for the admission of adolescent children is given the list of names of children to be transferred in the coming year. The lists are compiled in alphabetical order, separately for boys and girls.
The transfer of adolescent children who are on dispensary registration is carried out in person, on a commission basis. Healthy adolescents are passed on in absentia.
For healthy children who have reached the age of 18, transferable epicrisis are issued and transferred to outpatient clinics of the general network.
The transfer of children who have reached the age of 18, who are registered with dispensaries, and medical documents for them is carried out by the head of the pediatric department of the children's outpatient clinic to the relevant specialists who are part of the adolescent admission commission. Doctors of the commission examine patients of their profile, assess their health status, and prepare the submitted documentation. The specialist who has accepted the sick teenager ensures his further medical examination. The transfer of children who have reached the age of 18 is formalized by an act of transfer.
The medical commission decides on all issues of assessing the health of children transferred, analyzes cases of return from the Armed Forces of young men for health reasons.
Senior Lecturer
Department of Medical Law
MMA them. I.M.Sechenov
Yu.V. PAVLOVA
24.11.2005

The compulsory medical insurance policy entitles children under the age of 18 to be served in children's clinics, after which they need to transfer to an adult medical institution. How it happens - tells the company "AlfaStrakhovanie-OMS".

AlfaStrakhovanie-OMS reminds that the transfer of the insured from a children's clinic to an adult required documents are regulated by the order of the Ministry of Health of the Russian Federation dated 05.05.1999 No. 154 "On improving medical care for adolescent children."

To go to an adult clinic, healthy adolescents do not need to come to a medical institution, the transfer takes place in absentia. Those who have serious illnesses and are registered at the dispensary are accepted by the commission, which includes adult and pediatric doctors.

For all adolescents, just before reaching the age of 18, the doctor of the children's polyclinic draws up a transferable epicrisis, a list of specified diagnoses, fills in information about the vaccinations received and enters the data into the computer. These data are transmitted to the adult clinic. The translation itself is drawn up by a bilateral act.

Lists of those who will be translated in the near future are available in both adult and children's polyclinics. When the insured arrives at the adult clinic, his card will already be prepared by the district nurse and transferred to the registry.

An insured person can undergo the first medical examination in an adult clinic at the age of 21 and then every three years (at 24, 27, 30 years, etc.). At the age of 18, clinical examination, as a rule, has already been completed in a children's clinic, before a citizen finishes being observed in it and is subject to further observation in an adult.

“The transition of the insured from a children's clinic to an adult is regulated by the order of the Ministry of Health and for relatively healthy patients it happens automatically. If you are asked to come to a children's medical institution and pick up documents or an extract "about unpinning", then medical workers do not comply with the established norms. In these cases, an insurance representative will come to your aid,- says Svetlana Babarykina, director of regional management of LLC AlfaStrakhovanie-OMS. - If a teenager or his parents (legal representatives) have wishes to be assigned to a particular clinic, in this case they must come there and write an application. Also, do not forget that at the age of 14, after the child receives a passport, it is imperative to come to the insurance company and enter the data in the register. "

You can contact the insurance representative for any questions about the transition from a children's clinic to an adult by calling the round-the-clock free hotline AlfaStrakhovanie-OMS 8-800-555-10-01, through the website www.alfastrahoms.ru, as well as during a personal visit to any office of the company on the territory of 13 constituent entities of the Russian Federation.

AlfaStrakhovanie Group

It unites JSC AlfaStrakhovanie, LLC AlfaStrakhovanie-Zhizn, LLC AlfaStrakhovanie-OMS, LLC Medicine AlfaStrakhovaniya. The Group's equity capital is RUB 14.3 billion. AlfaStrakhovanie Group is a part of the financial and industrial consortium Alfa-Group (Alfa-Bank, Alfa-Capital, A1, Rosvodokanal, X5 RetailGroup N.V.). Under the license, the Group offers over 100 insurance products, including life and accident insurance products. More than 270 regional offices carry out insurance activities on the territory of Russia. The Group's services are used by more than 24.8 million customers throughout Russia. AlfaStrakhovanie Group has a Fitch financial strength rating of BB on an international scale and the highest ruAA + reliability rating by the Expert RA rating agency.

Prevention of atherosclerosis Atherosclerosis is a common chronic disease of blood vessels, characterized by their change due to exposure to harmful factors: nicotine, high cholesterol; senile vascular wear. Over the years, the vessels gradually lose their flexibility, become hard due to the deposition of fats and lime on the walls, less elastic, narrow, as a result of which the access of blood to the organs decreases. The vessel can completely close, blood coagulability is disturbed, a tendency to thrombosis appears and ischemic (from the Greek "retain blood") organ damage occurs. Atherosclerosis affects the vessels of the heart, brain, kidney arteries, and leg arteries. Atherosclerosis of the cerebral vessels leads to a restriction of the blood supply to the brain, a deterioration in its functions, which manifests itself in a weakening of memory, a decrease in intellectual abilities, changing the psyche. 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Control and achievement of the target cholesterol level (total cholesterol up to 5 mmol / l, LDL cholesterol below 3 mmol / l). 2. Quitting smoking, drinking alcohol, taking drugs. 3. Adequate level of physical activity. 4. Normalization of body weight. 5. Limitation of emotional overload. 6. Normal indicators blood glucose (up to 5.5 mmol / l in capillary blood). 7. Blood pressure below 139/89 mm Hg 8. Compliance with the principles of anti-atherosclerotic diet. Basic recommendations Nutrition You need to eat rationally - in accordance with your needs and energy costs... It is necessary to limit the consumption of foods high in animal fats and cholesterol, to reduce the calorie content of the diet. Sharp changes in diet, an excessive amount of refined foods, an increased intake of casein, a lack of dietary fiber, antioxidants, calcium, potassium, magnesium, chromium, etc. also lead to the development of atherosclerosis. However, the diet for atherosclerosis is not strict and involves a lot of healthy and tasty foods. It is better to replace animal food with vegetable food to the maximum, white sugar - with cane or honey, and fatty dairy products - with low fat. What to remove from the diet 1. Animal fats (butter, fatty cottage cheese and sour cream, lard, fatty meat). 2. Margarine (it doesn't matter if it's a sandwich, for frying or baking). 3. Refined sugar. 3. Eggs (the most dangerous part of an egg is the yolk). 4. Strong black tea and coffee. 5. Semi-finished products, "fast" food. 6. Canned food. 7. Smoked products, meat and fish delicacies. 8. Fatty sauces. What can and should be used in food 1. Fish. 2. Lean meats. 3. Fiber (vegetables and fruits, legumes, especially raw). 4. Berries and plants of yellowish-red flowers (hawthorn, mountain ash, strawberry, viburnum, pumpkin, tansy, etc.). 5. Vegetable oils. 6. Spices in moderation (garlic, onion, ginger, turmeric). 7. Bread and cereals (it is better to use whole grain flour and cereals). 8. Oat and corn bran (the most "anti-cholesterol" foods, 1-2 tablespoons a day can reduce blood cholesterol by 30% per month). 9. A sufficient amount of non-alcoholic drinks - juices, fruit drinks, compotes, kvass, herbal decoctions. Physical activity Rational physical activity combats several risk factors at once: obesity, diabetes mellitus, with arterial hypertension, stress. Physical activity should be increased taking into account general health and age. You can start it with the safest and most accessible types. physical activity- morning exercises, walking (morning exercises for at least 15 minutes daily, walking at least four to five times a week for 30-40 minutes). Morning exercises should be intense, with the maximum amplitude of each movement, walking at a moderate pace with rhythmic breathing, which will cleanse the blood stagnant during the working day and saturate it with oxygen. Yoga These exercises will relieve nervous tension, strengthen the muscles of the spine and give the heart a measured load. It must be remembered that classes must be conducted with a competent instructor. Running Running is fine if you still have a healthy heart and your weight is within normal limits. Otherwise, jogging can be harmful instead of benefit. This applies to any serious dynamic loading. Try to exercise outdoors - it is good for detoxifying the body, adds vitality and boosts immunity. The main thing is not to stop there: health requires a constant investment of time and effort.