Regulations on the organization of day hospital activities in medical and preventive institutions. What is a “day hospital” and what procedures can be done there?

What is a day hospital?

Previously, there were only two types of medical care - inpatient and outpatient. Today, another form of it is widespread - day hospital. It is already well known that such medical care can be not only very effective, but also quite economical. The thing is,

That a day hospital can significantly reduce the cost of a person’s stay in the hospital. This form of medical care involves a person being in a hospital every day, but not for all 24 hours. Naturally, it is not applicable in all cases. Many patients require 24-hour care as their condition can rapidly deteriorate. The same people whose treatment consists of not too frequent administration of certain medicines, can take such a health course.

Advantages

Day hospital has a huge number of advantages. It should be noted that it is attractive to the patients themselves. The fact is that they do not have to constantly be in a medical facility. They can easily go home in the evening and overnight, and return to the hospital only in the morning to continue their treatment. This form of medical care, as noted earlier, is very beneficial for the hospitals themselves. The fact is that organizing meals in a hospital is a rather troublesome and costly process. Also, we should not forget that every hospital is full of pathogenic microbes. They are often resistant to most known antibacterial drugs. So limiting the time of contact with pathogenic microflora is a very rational step that contributes to a significant reduction in in-hospital morbidity of patients.

How does all this happen?

First, the doctor examines the patient and determines whether treatment in a day hospital is possible. If this form of medical care is suitable, the patient is sent to the procedures that were prescribed to him by the specialist. After they are completed, the person can go home. At the same time, he is indicated the time when he must return to medical institution to continue treatment.

Varieties

Today there is enough a large number of various forms such medical care. For example, a day hospital for pregnant women has long been created and is successfully operating. As a result, expectant mothers are able to receive effective medical care without having to spend time medical institutions too much time. Naturally, there are day hospitals for ordinary therapeutic patients. For example, if arterial hypertension is detected (in the absence of crises), the patient needs a detailed examination. At the same time, it is absolutely not necessary for him to constantly be in the hospital. Also for vascular atherosclerosis lower limbs it is necessary to “dig in” every six months. It is best to do this in a day hospital.

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Naturally, there are many advantages of such treatment. Here are some of them:

Ability to lead a normal lifestyle. The main thing is to arrive for all prescribed procedures on time and follow the doctor’s recommendations.
Possibility to choose your own menu. Again, it is important not to deviate from the prescribed diet and to eat only approved foods prepared in the appropriate way.
Stay and sleep in familiar conditions. If someone spends the night in an unfamiliar place, on an unusual bed, in a room with strangers, causes serious stress - this can adversely affect the results of treatment.
Full treatment course. Treatment and consultations in a day hospital are a course identical to traditional inpatient treatment.
Opportunity to live a comfortable social life. Day hospital is often chosen by women during pregnancy, as well as patients with oncological diseases for a course of chemotherapy.

Of course, this method of treatment also has its disadvantages.

No 24/7 surveillance. If something goes wrong, things get worse, or the medicine gives unexpected results. side effect– you will have to call an ambulance or get to the clinic yourself. And all this takes time.
Failure to comply with doctor's recommendations. Naturally, if a person diagnosed diabetes does necessary procedures, and after leaving the clinic he goes straight to the diner to swallow burgers, pouring them with mayonnaise and lemonade - positive results there is no need to wait for treatment.
The need for regular visits. Still, I feel sorry for the time spent on the road. And you need to get to the clinic strictly at the appointed time. And if the clinic is very far away, you involuntarily ask the question: “wouldn’t it be easier to just lie down without leaving?”

In general, that's all. As you can see, the only probable factor The risk in treatment is the patient himself. If you miss a dose, are tempted by a forbidden treat, or miss a visit to the clinic, all hopes for a quick and complete recovery may be dashed. But active, business-like and responsible people usually go to day care, so there shouldn’t be any problems with organization.

Who needs a day hospital and why?

As already mentioned, for the most part, day hospital is a choice business people who can’t just go on vacation and take care of their own health thoroughly. Still, this is a significant time saving.

The following people come to the day hospital of the Medicine 24/7 clinic:

women during pregnancy, because expectant mothers have so many other concerns;
people with cancer undergo chemotherapy courses, since this procedure must be carried out by an experienced doctor, sometimes using special equipment and is impossible at home;
arterial hypertension;
heart failure;
condition after myocardial infarction;
angina pectoris;
ulcer;
hepatitis;
disorders of the central and peripheral circulation;
chronic ischemia brain;
consequences of traumatic brain injury;
neuritis;
radiculitis;
diabetes(including with complications);
diseases of the liver, kidneys and a number of other diseases are successfully treated or controlled in a day hospital.

For successful treatment in the “Medicine 24/7” clinic, the main thing is the patient’s willingness to act in accordance with the doctor’s recommendations, to follow a diet and regimen during treatment, and not to forget that the doctor is always in touch, and, if something happens, not to rely on the dubious advice of “sofa doctors" on the Internet, and inform the doctor about any changes in the condition.

The municipal service includes examination and treatment in a day hospital.
Municipal services are provided free of charge as part of the compulsory health insurance program if you have a compulsory health insurance policy on a scheduled basis.

Emergency medical care is not provided in the day hospital.
Recipients of the service are individuals who applied to the day hospital for medical care within the framework of compulsory health insurance
The purpose of providing municipal services is to provide qualified primary health care in a day hospital setting.
The duration of the service depends on the severity of the disease (diagnosis).

To receive municipal services, the applicant must submit:

1. Identity document (to be presented):
- passport of a citizen of the Russian Federation;
- birth certificate.
2. Compulsory medical insurance policy of the Russian Federation.
3. Referral from the attending physician.

To receive a municipal service, the applicant:
- makes an appointment with the head of the department or the DS doctor for an initial examination;
- provides documents;
- is registered in the DS or receives a reasoned refusal;
- complies with the doctor’s instructions and prescriptions;
- attends prescribed procedures;
- undergoes prescribed clinical diagnostic examinations;
- complies with the DS regime in accordance with the procedure established by the chief physician of the clinic;
- upon completion of treatment, receives a statement from the attending physician with further recommendations.

Waiting time in queue:

For hospitalization in the day hospital of the State Budgetary Healthcare Institution for up to 30 days (depending on availability)
- treatment in a day hospital depending on the diagnosis and course of the disease.

Grounds for refusal of admission:
- lack of a compulsory medical policy;
- lack of an identity document;

Grounds for refusal to provide services:

Presence of contraindications;
- lack of indications for day hospital;
- the applicant’s refusal to receive treatment;

GENERAL INDICATIONS FOR HOSPITALIZATION IN A DAY HOSPITAL

The following patients can be referred for treatment to the day hospital of the clinic:
- those who are registered at the dispensary for vegetative-vascular dystonia (VSD) and biliary dyskinesia (BDSD), and who do not require round-the-clock monitoring and use due to their health status medicinal products, after use, which should be under medical supervision for a certain time due to possible adverse reactions;
- requiring intravenous drip administration medicines;
- those in need complex treatment using physiotherapy, massage, physical therapy, after which rest is necessary, as well as when administering medications different ways at certain intervals.

GENERAL CONTRAINDICATIONS FOR HOSPITALIZATION IN A DAY HOSPITAL

Staying in a day hospital is contraindicated for patients:
- those in need of round-the-clock medical supervision and medical care, parenteral round-the-clock administration of medications; requiring bed rest;
- having severe concomitant disease, a complication of the underlying disease that developed during treatment in a day hospital;
- with frequent exacerbations at night until the condition stabilizes;
- with sharply disabilities independent movement;
- conditions that require strict adherence to a dietary regimen, and which cannot be fulfilled in a clinic setting;
- health and condition that may worsen when exposed to cold air, heat on the way to the day hospital and home.

INTERNAL RULES OF THE DAY HOSPITAL

The patient is obliged:
- take care of your own health, take timely measures to preserve, strengthen and restore it;
- treat healthcare workers and other patients with respect;
- follow recommendations medical workers necessary to implement the chosen treatment tactics, cooperate with medical professionals in the provision of medical care;
- inform medical workers about the presence of diseases that pose a danger to public health, the human immunodeficiency virus, and also take precautions when contacting other persons;
- inform medical workers about previously identified medical contraindications to the use of medicines, hereditary and transmitted diseases, about requests for medical care, as well as changes in health status;
- follow the internal rules of the clinic and treat property with care.

HOSPITALIZATION PROCEDURE IN A DAY HOSPITAL

Hospitalization is carried out as planned.
The patient must have an outpatient card and a referral from a doctor for hospitalization in a day hospital, a change of clothes and shoes.
In case of refusal (from) hospitalization, the doctor of the day hospital makes a record in the register of patient admissions and refusals to hospitalize the reasons for the refusal to hospitalize and measures taken with written information from the patient.
The treatment plan (start date of treatment, duration of treatment, examination methods, time of arrival and duration of stay in a day hospital, etc.) of a patient in a day hospital is determined by a day hospital doctor for each patient individually.
The patient is discharged after 12.00.
Before discharge from the day hospital, a final examination of the patient is carried out by a doctor at the day hospital, and, if necessary, by a specialist doctor at the clinic who referred the patient to the day hospital.
On the day the patient leaves the day hospital outpatient card is transferred to the attending physician through the registry with a completed epicrisis.
The first copy of the epicrisis is pasted into the patient’s outpatient medical record, the second copy remains in the patient’s day hospital record.
After the patient’s departure from the day hospital, a patient’s card from the day hospital is drawn up within 3 days and stored in the archives of the day hospital.
In case of conflict situations, the patient has the right to contact the administration of the clinic in accordance with the schedule of reception of citizens approved by the chief physician of the clinic.

The portal provides information about which hospitals and medical centers in Moscow have day hospitals for patients. For your convenience, we have collected telephone numbers and addresses of clinics, prices for the most popular services, as well as hospital costs day stay, patient reviews. To make your search easier, we have developed a visual filter for metro stations and districts, allowing you to quickly select the optimal option by location.

A day hospital in a clinic or medical center is intended for rehabilitation and preventive measures patients who do not require 24-hour medical supervision. It has all the necessary equipment to provide the full range of procedures for inpatient treatment: infusions, intramuscular and intravenous injections, ozone therapy, intravenous laser therapy, ultraviolet blood purification, oxygen procedures and many other services.

Advantages of treatment in a day hospital at medical centers in Moscow

First of all, these include the availability of all the necessary modern tools for quick and accurate diagnosis patient's condition. For their outpatient use, patients would have to spend a lot of time getting a doctor's referral, visiting a medical center and waiting in queues. By visiting adult and children's day hospitals, you can receive the full range of inpatient treatment.

No less important is the factor of constant and vigilant monitoring by doctors - in this case, the patient’s recovery occurs faster. The high qualifications of the clinic’s specialists also play a significant role in this, thanks to which they promptly correct the prescribed treatment and refer the patient for additional diagnostics, prescribe new examinations or tests.

The therapeutic hospital sometimes combines traditional healing methods and the latest developments. Thus, patients with diseases of the heart, lungs, nervous system and other problems receive more effective treatment rather than prescribing medications for home use.

Why is a day hospital needed in a hospital?

The organization of a day hospital is aimed at providing qualified diagnostic, therapeutic and rehabilitation care to patients who require inpatient treatment, but do not need round-the-clock medical supervision. In addition, the day hospital is aimed at:

Providing a range of examinations and treatment for patients who cannot be hospitalized in a medical center or hospital for a number of social reasons.
Providing advisory, diagnostic and therapeutic assistance for patients who do not require constant monitoring.
Planned health improvement of patients included in the dispensary group.
Planned health improvement and treatment courses for individual groups of patients.
Continuation of treatment of patients who have completed hospital treatment.
Providing emergency assistance for those patients who experienced emergencies while visiting a medical facility.
Improving the level and increasing the prestige of the medical institution.
Ensuring greater accessibility of inpatient care through more rational use of bed capacity in 24-hour hospitals and reducing costs medical center for the treatment of patients.

To reduce the time of examination of patients and the opportunity to prescribe treatment at an early stage, patients are often referred for hospitalization based on the results of preliminary general clinical examinations and according to the indications of specialist doctors.