What are dispensaries? Dispensaries. Dictionary of medical terms

dispensary(English distribute, patronize) - this is the main specialized institution that provides medical and preventive care to patients of a certain profile and is an organizational and methodological center for combating certain diseases in a specific area; this is an independent institution of the WA with the rights legal entity, print, bill, charter, internal regulations. The dispensary is managed by the chief physician, the states depend on the number of people served, the level of morbidity, and the epidemic situation. The work is based on the territorial principle.

The tasks of the dispensary and their role in improving the quality specialized care :

Provision of qualified, specialized medical, advisory and diagnostic assistance

Implementation of medical examination of patients and organization of dispensary observation of them in medical institutions

Organizational and methodological management of the activities of territorial medical institutions of the general medical network

Registration of patients, analysis of morbidity, disability, mortality, registration of patients, development of preventive and organizational measures

Organization and holding of seminars, conferences in order to increase the level of knowledge on the relevant pathology

Carrying out mass preventive medical examinations

Introduction of new methods of diagnostics, treatment and prevention in healthcare facilities

Dissemination of knowledge among the population, hygienic training and education.

The dispensary also provides social assistance to patients (solving issues of employment, guardianship of incompetent patients, solving housing issues, etc.)

Dispensary structure:

1. Outpatient department (conducts a specialized outpatient appointment)

2. Diagnostic department (laboratories, radioisotope diagnostics room, radiodiagnosis and etc.)

3. Hospital

4. Organizational and methodological department

Types of dispensaries by profile

Dermatovenerological dispensaries

TB dispensaries

Psychoneurological dispensaries

Oncology dispensaries

Narcological dispensaries

Endocrinological dispensaries

Cardiovascular dispensaries

By localization dispensaries can be republican, regional, city, interdistrict.

The relationship between the work of the dispensary and the clinic: according to indications, the polyclinic sends patients to dispensaries of the appropriate profile for the implementation of diagnostic and treatment rehabilitation measures; the dispensary transfers to the polyclinic documentation about the examined and treated patients, provides organizational and methodological guidance for the work of polyclinics in its profile, conducts seminars, conferences, etc. to improve general level knowledge of doctors on a specific pathology, introduces new methods of diagnosis and treatment, etc.

Types of dispensaries:

* medical and physical education;

* cardiological;

* dermatovenerological;

* mammological;

* narcological;

* oncological;

* ophthalmic;

* anti-tuberculosis;

* psycho-neurological;

* endocrinological.

The purpose of medical examination - implementation of a set of measures aimed at forming, maintaining and strengthening the health of the population, preventing the development of diseases, reducing morbidity, increasing active creative longevity.

The dispensary includes:

Annual medical examination of the entire population with a prescribed volume of lab. And instrumental research.

Additional examination of those in need using all modern methods diagnostics.

Identification of individuals with risk factors that contribute to the emergence and development of diseases.

Definition and industrial assessment of the state of health.

Identification of diseases in early stages.

Development and implementation of a complex of necessary honey. and social Activities and dynamic monitoring of the health status of the population.

Dispensary observation groups:

1 - healthy - no complaints, no chronic diseases or disorders of organs or systems were detected during the examination; people with a borderline condition.

2 - practically healthy - in the anamnesis there is an acute or chronic disease, but without exacerbations for several years.

3 - in need of treatment:

Persons with a compensated course of the disease, rare exacerbations, short-term disability;

Persons with a subcompensated course of the disease, frequent and prolonged disability;

Persons with a decompensated course, stable pathological changes leading to permanent disability.

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' onmouseout="hidettip();">Regional medical institutions, their role in providing highly qualified assistance to the population. Organizational and methodological department, its functions

What is a dispensary?

A dispensary is a specialized medical institution of a medical and preventive profile. Its main purpose is the early detection of patients, diagnosis, a range of procedures aimed at reducing the incidence, and the adoption of active preventive measures preventing the spread dangerous species diseases.

The sphere of influence and responsibilities of the employees of the medical institution includes the conduct of the entire complex preventive measures to prevent and reduce the level of viral, social dangerous diseases through the dispensary of the population. A dispensary is a place where, under appropriate conditions of sanitary and medical compliance, mass medical care is provided to the population. The institution organizes and controls general checkups citizens whose purpose is to identify diseases, pathologies using technical and specialized analysis tools.

The main tasks of the dispensary

A dispensary is an institution where not only medical, but also social and educational problems of certain categories of citizens are solved. The tasks of the dispensary include educational activities, hygiene education, dissemination of knowledge and the benefits of a healthy lifestyle.

The dispensary is a body whose main tasks are:

Provision of qualified advisory, medical, diagnostic assistance to the population according to the profile of the institution.
Medical examination of patients, organization of observation in a dispensary and in other medical institutions.
Organizational and methodological guidance and support of the activities of general territorial medical institutions.
Accounting for patients, keeping statistics of morbidity (mortality, disability), analysis of collected data, registration of patients.
Development of preventive measures.
Conducting seminars, conferences with the participation of existing specialists to improve their skills in specialized types of diseases.
Dissemination of knowledge about the disease for all segments of the population, hygiene education, etc.
Social assistance to patients who have temporarily or permanently lost their ability to work, improving their living conditions, etc.

multitasking

Citizens come to dispensaries not only with a disease or for diagnostic purposes, but to examine their condition. Paid certificates from dispensaries are required by the traffic police, some companies when applying for a job, when adopting children, etc.

It is allowed to obtain a certificate for presentation from the traffic police both in private and in state clinic, in any case, the issuance of the document is paid. In a private organization, the cost of services is about 8 thousand rubles, but it is issued in as soon as possible. In state medical institutions, the price varies from 1.5 to 2 thousand rubles. Certificates from the narcological dispensary and PND are also issued for a fee, the estimated cost is up to 400 rubles.

Social and educational activities

The doctors of the institution actively cooperate with the social authorities of the city authorities, contributing to the employment of citizens with certain types of diseases and those at the stage of recovery. The commissions of the dispensary determine the degree of working capacity of patients, participate in the councils of urban social services in charge of improving the living conditions of certain categories of patients (tuberculosis, oncological, psychiatric, etc.).

Dispensaries in educational activities cover existing medical workers. For doctors, a dispensary is a body where retraining is carried out, the level of training is raised, and new knowledge and professions in the field of medicine are mastered. Under the control of the institution are territorial points of medical care. The main task of the patronage is to identify patients with socially dangerous diseases for their further referral to specialized departments or specialized hospitals.

Types of dispensaries

Dispensaries are divided into general therapeutic and specialized. Types of special dispensaries:

Narcological.
Antituberculous.
Medical and physical education.
Cardiology
Oncological.
Ophthalmic.
Neuropsychiatric.
Dermatovenerological.
Mammological.
Endocrinological, etc.

Dispensaries, their types and structure, are determined by a narrow profile. Each dispensary institution has its own responsibilities, specifics of functioning and a list of mandatory measures, the purpose of which is to completely cure patients or relieve the patient's condition at a satisfactory level.

Dispensaries conduct a survey of the population, dividing patients into groups:

Healthy. Patients have no complaints about the general physical and mental state, the tests obtained demonstrate the state of the body within the normal range.
Practically healthy. There is a history of chronic or acute illness, which during recent years had no exacerbations.
Treatment is needed. This category of dispensary patients is divided into three groups - with a compensated course of the disease; with health disorders and the presence of exacerbations, long periods of disability; with global, growing changes that lead to a deterioration in the state of health and complete loss working capacity.

Drug Dispensary

Drug patients need special approach to treatment and rehabilitation. For achievement effective treatment specialized dispensaries were established. The institution is organized activity for the diagnosis and treatment of patients with the following diseases and states:

Alcohol, drug, toxicological addictions.
Withdrawal syndrome resulting from abuse alcoholic drinks, drugs, toxic substances.
Psychosis (alcoholic, intoxication), which arose as a result of alcohol and drug abuse.

The tasks of the institution include:

Identification of dependent patients at an early stage of manifestation of diseases and their registration.
Consultations and assistance to patients in an outpatient clinic, a special purpose hospital.
Treatment of profile patients, study of the level of morbidity of the population, analysis of the effectiveness of ongoing preventive work and therapeutic and diagnostic actions.
Observation of patients during the rehabilitation period, conducting expert examinations of patients with alcoholism, drug addiction, substance abuse.
Development of programs for the targeted fight against this type of disease.
Provision of social assistance to patients in conjunction with the social protection authorities.
Development and provision of methodological assistance to the inspection of drivers of vehicles before flights.
Methodological, organizational, advisory assistance to narcological centers located in medical institutions.
Organization of preventive work in medical, educational institutions and work groups.
Training of medical and medical personnel, increasing the level of training of existing specialists, retraining of paramedical personnel.

The structure of the narcological dispensary includes:

Narcological department (chambers intensive care, laboratory and functional diagnostics, physiotherapy room, etc.)
Dispensary-polyclinic department (day hospital).
Narcological department for teenagers.
Department of examination of patients with alcohol intoxication.
Department of medical-psychological and social assistance.
Medical office. statistics.
Administrative department.

IN narcological dispensaries a multi-stage differentiated assistance is provided, lasting for several years. Directions and types of measures:

Initial prevention, determination of the degree and type of dependence.
Diagnosis, treatment, emergency care.
secondary prevention.
Relief of the disease.
Rehabilitation.
Control.

The narcological dispensary is often an independent structural unit of the neuropsychiatric dispensary.

Psychoneurological institution

Assistance to patients with mental and psycho-neurological diseases is provided in specialized medical and preventive institutions. Treatment and consultations are provided to adults and children if they have diseases that correspond to the profile of a medical institution.

Psychoneurological dispensary - an independent unit medical activities and the main link for the provision of out-of-hospital care to all segments of the population. The organization, as necessary, opens branches, offices, points at polyclinics where there is no possibility of permanent functioning of the dispensary. The work of the dispensary is based on the district principle.

The psycho-neurological dispensary performs the following functions:

Treatment, diagnosis of mental patients, persons with drug addiction, alcohol addiction, patients with impaired speech functions, etc.
Patronage assistance to specialized patients.
Preventive work in the institution and outside (enterprises, educational establishments etc.).
Expert activity (judicial, medical, etc.).
Promoting the employment of nervous, mental, dependent patients together with the guardianship authorities.
Consultations in polyclinics and hospitals on specialized issues.
Observation, statistics, analysis of the obtained data.

Institution structure:

Therapeutic and diagnostic.
Stationary.
Department of occupational therapy, psychohygiene.
Department of Prevention.
Children's and adolescent psycho-neurological department.
Administrative, clerical departments.

In addition to activities within the walls of the PND, the specialists of the institution carry out work at the sites, take in the help rooms at polyclinics (narcological, neuropsychiatric, etc.). plays an important role in helping patients drug treatment for which manipulation, treatment rooms are equipped.

Dispensary for Delicate Diseases

The fight against skin and venereal diseases, their prevention, treatment of patients are one of the most important tasks of domestic medicine and the rank of national importance.

The Dermatovenerological Dispensary performs the following tasks:

Provision of diagnostic, therapeutic, preventive services for patients with dermatovenerological, dermatological diseases all segments of the population.
Development, planning, implementation of programs aimed at preventing the spread of STIs (sexually transmitted infections).
Development of methods for organizing advisory, preventive, diagnostic and therapeutic assistance to the population in case of infection with STIs, dermatosis, contagious skin diseases.
Implementation of modern methods and technologies for the organization of prevention, daily activities, diagnosis and treatment of STIs, all types of dermatoses, etc.

Dermatovenerological dispensary, structure:

Outpatient department.
Stationary.
Organizational, methodological department.
Department of Primary Prevention.
Department for preventive examinations.
Department of cosmetology.
Administrative, technical, financial, economic departments.

Sports Medicine Dispensary

The dispensary is medical structure, which provides not only medical care, treatment and consultations, but also contributes to the development of certain areas of development of medicine. Special forms of dispensaries include medical and physical education institutions.

The sports dispensary is an independent organization whose tasks are to develop sports medicine, service for people professionally involved in sports, organization of methodological support medical supervision, development of implementation methods physiotherapy exercises in preventive, medical, medical institutions for children and adults.

The medical and physical education dispensary has structural departments:

Sports medicine.
Therapeutic physical education.
Advisory.
Diagnostic.
Methodical, organizational, analytical department.
Administrative, economic, financial department.

Dispensaries perform organizational, medical, analytical, preventive and many other functions. Their full functioning makes it possible to stop the spread of dangerous diseases and get professional help in case of infection.

Lat. dispensare to distribute)

specialized treatment preventive institution intended for early detection patients, their treatment and subsequent medical supervision, as well as for the organization and implementation of active preventive measures aimed at preventing and reducing the incidence of the population.

There are the following types of D.: anti-tuberculosis, dermatovenereological, oncological, neuropsychiatric, narcological, cardiological, endocrinological, medical and physical culture, antitrachomatous. Special attention is paid to the organization of D. to combat common non-communicable diseases - cardiological, endocrinological, narcological. The structure of D., as a rule, provides for an outpatient department, diagnostic units (, X-ray, etc.). In order to more rationally organize medical care for the population, low-powered D., in which 2-4 doctors work, it is advisable to transform into specialized departments (offices) of central district hospitals and city clinics. D. can be regional (regional, republican), in their profile performing the functions of a center of specialized medical care, as well as city, inter-district and district. Headed by D. chief.

The activity of D. is based on the active implementation of medical measures, and in cooperation with local authorities and their services - the whole range of measures to reduce and prevent the incidence of the population with common or socially dangerous diseases using the dispensary method (see Medical examination) . D. organizes, controls mass targeted examinations of the population, aimed at identifying a particular pathology, using special diagnostic methods and takes a direct part in them; conducts additional examination of patients identified in other healthcare institutions, follow-up of patients, including anti-relapse measures and medical examinations (see Medical examination) . An important section of the work of D. is the population and the promotion of a healthy lifestyle. D.'s doctors interact with social security authorities, taking part in the rational employment of patients and convalescents, determining the degree of disability of patients; Together with the relevant departments of the executive committees of local Soviets of People's Deputies, they solve issues of improving the living conditions of patients suffering from tuberculosis, oncological, mental and other diseases. D. carry out advanced training of outpatient and polyclinic doctors and stationary institutions, as well as monitoring their full preventive work and measures to identify and treat patients of the appropriate profile.

D.'s activity is evaluated according to such criteria as a decrease in morbidity, the proportion of patients whose diseases are detected in the early stages, treatment outcomes and the number of relapses of diseases, the level of temporary and permanent disability among the observed contingent, etc.

II Dispensary (French dispensaire, from Latin dispenser to distribute)

a medical institution designed for active early detection and registration of patients with certain groups of diseases, systematic dynamic monitoring of them, provision of specialized medical care, development of recommendations for improving the working and living conditions of these patients, as well as for studying the incidence and its causes, developing and implementation of measures to prevent diseases, conduct sanitary and educational work; in the USSR there are anti-tuberculosis, dermatological and venereological, oncological, psycho-neurological, narcological, cardiological, medical and sports dispensaries, and in endemic areas- anti-goiter dispensaries.

1. Small medical encyclopedia. - M.: Medical Encyclopedia. 1991-96 2. First aid. - M.: Great Russian Encyclopedia. 1994 3. Encyclopedic Dictionary medical terms. - M.: Soviet Encyclopedia. - 1982-1984.

Synonyms:

See what "Dispensary" is in other dictionaries:

DISPENSER, dispensary, husband. (French dispensaire) (neol. medical). A medical institution for the treatment and prevention of disease. Venereal dispensary. Tuberculosis dispensary. Dictionary Ushakov. D.N. Ushakov. 1935 1940 ... Explanatory Dictionary of Ushakov

DISPENSER- (from the English dispensary clinic for the poor, French dispensaire charity pharmacy), honey. dignity. an institution (for incoming patients), which in the USSR sets as its task, in addition to a thorough examination of the person who asked for help ... ... Big Medical Encyclopedia

dispensary- a, m. dispensaire m. A medical and preventive institution whose task is to identify patients with early forms certain diseases, systematic monitoring of the health status of certain groups of the population in order to prevent ... ... Historical dictionary gallicisms of the Russian language

dispensary- (wrong dispensary). Pronounced [dispensary] ... Dictionary of pronunciation and stress difficulties in modern Russian

A specialized medical and preventive institution that provides outpatient medical care to the population. A medical history is made for each patient D.. Doctor D. has the right to issue a certificate of incapacity for work. Glossary of business terms. ... ... Glossary of business terms

- (French dispensaire, from Latin dispenso I distribute), specialized medical institutions: anti-tuberculosis, dermatovenerological, neuropsychiatric, oncological, medical and physical education, etc ... Modern Encyclopedia

- (French dispensaire from Latin dispenso I distribute), a special medical and preventive institution that provides medical care to certain contingents of the population and systematically monitors their health. There are… … Big Encyclopedic Dictionary

- [se], ah, husband. A medical institution that treats a certain contingent of patients, systematically monitoring their health. Anti-tuberculosis, oncological clinic | adj. dispensary, oh, oh. Explanatory dictionary of Ozhegov. S.I.… … Explanatory dictionary of Ozhegov

Ex., number of synonyms: 11 veterinary dispensary (1) Ltd. (1) drug dispensary (1) ... Synonym dictionary

dispensary- (French dispensaire, from Latin dispenso I distribute), specialized medical institutions: anti-tuberculosis, dermatovenerological, neuropsychiatric, oncological, medical and physical education, etc. ... Illustrated encyclopedic Dictionary

- (fr. dispensaire) special. a medical and prophylactic institution, whose tasks include identifying patients with early forms of certain diseases, treating the sick, systematic monitoring of the state of health certain groups population in... Dictionary foreign words Russian language

A dispensary is a medical institution that refuses narrow-profile care. In the article, we will consider what this institution is, what tasks it performs, and what types exist.

Features and types

On this moment There are specialized and general therapeutic dispensaries. What structure and appearance they represent depends entirely on directionality. There is an oncological, cardiological, anti-tuberculosis, narcotic and skin dispensary.

Each of the institutions receives individual responsibilities, so it has a certain specific treatment. In dispensaries, either patients are completely cured, or they stop attacks.

Tasks

Each dispensary is a medical institution with its own tasks. The dispensary should provide social assistance, especially to those patients who have lost their ability to work. The duties of its staff include the development of preventive measures, keeping records of patients, as well as disease statistics. Employees must conduct medical examinations, provide qualified assistance, disseminate information about various diseases among all segments of the population.

You need to understand that a dispensary is an institution where medical and social issues are resolved. Therefore, workers should not only treat the sick, but also conduct educational activities, teach people about hygiene, spread knowledge among them about healthy way life.

Patient classification

Dispensaries classify patients in order to make it easier to examine them. There are three groups. We are talking about healthy, practically healthy and those who need treatment. The latter is also divided into three groups. The third group - diseases that led to global changes in the body, because of them a person lost his ability to work. The second group is health disorders, due to which there is a partial loss of working capacity, and the first is a mild course of some kind of illness. A dispensary is a place where anyone can be examined.