Sergei Sobyanin unveiled a new outpatient clinic in Nekrasovka (branch #5 of municipal out-patient clinic #23).
“I met Nekrasovka residents a few years ago, and they asked me to accelerate the clinic’s construction. We have completed it a year ahead of schedule,” the mayor said at a meeting with local residents. “It is not just an ordinary local outpatient clinic, it is a full-fledged clinic with MRI and CT scans, ultrasound, gastroscopy and so on, with GPs and specialist doctors of all profiles.”
He said the clinic would be fully equipped in the near future. Local residents expressed gratitude to the mayor for his efforts.
The next construction project in Nekrasovka is a metro station. “We are energetically building the metro. It is one of the longest lines in Moscow, from Aviamotornaya to Nekrasovka,” Mr Sobyanin said. “To launch the station, we need to build lots of other stations because they cannot be put into operation or connected separately. It is an ambitious project but hopefully, by 2018, all the major works will be finished. Despite current economic difficulties, we are proceeding with the construction. This line is very important for us.”
He also said that social facilities, such as schools and nurseries, were also a priority. “We have already commissioned some of them, and are continuing to work on two more schools. Another school is to be completed shortly, five nursery schools are being designed and constructed so that Nekrasovka residents could have a sufficient number of schools, nursery schools and clinics,” the mayor said.
Outpatient clinic for adults and children
Nekrasovka’s new clinic was built at 2 Nedorubova Street with funds from the Targeted Investment Programme. The construction project’s active phase lasted 10 months, from February to November 2016. The clinic’s outdoor area will be developed during the warm season.
Project developer – Tatinvestgrazhdanproekt state unitary enterprise
General contractor – Regionpromstroi open joint-stock company.
The clinic’s six-storey building and a basement consist of two sections with a total area of 10,500 sq.m. The out-patient clinic for children and adults can accommodate 750 appointments per shift, or 265,000 appointments a year.
The clinic provides grade level two medical outpatient assistance, which includes diagnostics departments and a wide spectrum of specialist doctors.
Medical services for adults include:
— GP department with ten locally assigned physicians and GPs for residents of four surrounding districts;
— women’s health department for six districts;
— on-duty doctor’s office.
Patients can see gastroenterologists, pulmonologists, allergologists and immunologists, geriatricians, neurologists, ophthalmologists, ENT specialists, endocrinologists, cardiologists, urologists, surgeons, infectious disease specialists, and trauma and orthopaedic specialists.
A paediatric department and an on-duty doctor will be available for children from ten local districts. Specialists here will include cardiologists, surgeons, urologists-andrologists, ENT doctors, neurologists, ophthalmologists, endocrinologists, trauma and orthopaedic specialists, midwives and gynaecologists.
The clinic will have more than 30 staff members, including over 100 doctors. The interviewing process is already under way. Some of those hired have transferred from other branches of municipal outpatient clinic #23.
The clinic’s diagnostic and treatment facilities will include:
— functional diagnostics rooms;
— endoscopy examination rooms;
— clinical and diagnostics lab;
— Х-ray diagnostics room (chest X-ray, other X-ray diagnostics, MRI scans);
— ultrasound scan rooms;
— medical rehabilitation department;
— medical prevention rooms;
— examination room;
— vaccination room;
— treatment room;
— daytime in-patient clinic;
— central sterilization ward;
— medical history archive room;
— medical attendant posts;
— medical statistics room.
The clinic will also have its own pharmacy.
The medical equipment list in the outpatient clinic includes endoscopic equipment for gastroscopy, colonoscopy and cystoscopy.
The women’s health department is equipped with a surgery console and an anaesthesia-respiratory apparatus. The functional diagnostics department is outfitted with electroencephalographs for both adults and children. The clinic also has programme-controlled audiometric rooms and a device for treating children’s strabism.
The clinic also has a General Electric magnetic resonance imaging (MRI) scanner with a magnetic field capacity of 1.5 tesla. It is a unique system that consists of an un-evaporating helium system, allowing it to operate a full 10 years without needed a refill of helium. Less modern, MRI scanners require a helium refill twice a year, at a cost of 500,000 roubles per refill.
Medical service available in Nekrasovka
The outpatient clinic received its first patients on 9 February. Before the EMIAS system was launched, appointments were booked manually.
The new outpatient clinic has improved the availability of outpatient medical aid to residents of the district whose population now exceeds 45,000 people (without taking into account older neighbourhoods). Now over 21,000 Nekrasovka residents have registered with the new clinic (branch No.5), with a third of these (7,000) being children.
Before the new clinic opened, residents received their primary health care at branch No.4 of the city outpatient clinic No.23, at 3 1st Volskaya Street, Bld.1. Specialty care was provided by the main clinic located at 5-6, Aviakonstruktora Milya Street.
Municipal Polyclinic No. 23
Municipal polyclinic No. 23, now with a newly built affiliate in Nekrasovka, opened its doors in 2001. It is a large out patient centre providing healthcare services to over 216,000 residents of the Ryazansky, Vykhino-Zhulebino and Nekrasovka districts.
In addition to its main building (6, Avakonstruktora Milya Street, Bld. 1), five other affiliates form part of polyclinic No. 23:
- affiliate No. 1 – 8, Zhulebinsky Boulevard;
- affiliate No. 2 – 25 Tashkentskaya Stree, Bld. 2t;
- affiliate No. 3 – 5, Vostrukhina Street;
- affiliate No. 4 – 3 1st Volskaya Street, Bld.1;
- affiliate No. 5 – 2, Nedorubova Street.
Taken together, all these buildings account for more than 42.200 square metres of floor space. The aggregate capacity of polyclinic No. 23 is 4,721 visits per shift. In 2016, the total number of patient visits amounted to 1.36 million. The polyclinic employs 867 people, including 318 doctors, 307 paramedics and 18 nurses.
The institution consists of 36 specialty care units including a 60-bed daytime in-patient unit..
From 2012 to 2016, more than 63 million roubles worth of maintenance and renovation works were carried out under a programme to upgrade the polyclinic.
The city funded the purchase of 125 units of modern medical equipment totaling more than 220 million roubles. These include a tomographic scanner, a magnetic resonance scanner, digital x-ray systems, mid-level and expert class ultrasound units, ophthalmology stations, ENT stations, electroencephalographs and laboratory equipment.
Conditions for patients were upgraded to meet the higher standards set by the city: the lounge halls on the first floor of polyclinic No. 23 were expanded and lounge furniture, water dispensers, hot drink and snack vending machines were installed. The reception desk was reorganized in accordance with the one-stop shop principle. Patients’ case records are now stored in a separate room. Medical attendant posts have appeared in the therapeutic and specialty care departments. The attendants consult and help visitors and take care of patients with limited mobility.
A special paramedic post handles patients with prescription discounts. Home visits and mobile medical crews are coordinated by a call-centre. An on-duty physician’s handles patients in need of emergency aid.
A redistribution of medical equipment among the affiliates has enabled them to perform nearly all types of instrumental and laboratory research, all within easy reach.
Cutting-edge diagnosis and treatment technologies are actively being phased in and introduced to polyclinic staff members. A modernised preventive healthcare unit has made routine health checkups much easier for patients; with all the necessary rooms now more closely located to each other, general health examinations now don’t take longer than 90 minutes.
A centre for the prevention of recurring miocardical infarctions and cardioembolic strokes has opened in the cardiology department.
The endocrinology department boasts a separate room for patients with thyroid problems, where needle biopsies of thyroid tissue can be performed.
The polyclinic offers multi-detector spiral tomography, a high-precision diagnostic tool producing 10-millimetre cross-sectional views of the human body.
An x-ray densitometry room will help diagnose the severity of osteoporosis.
The clinic has a general practitioner (family doctor)’s room and a palliative care centre.
The obstetrician and gynaecology service has been reorganised to allow doctors to perform certain types of minimally invasive surgery on-site, as well as carry out office hysterospcopy and screening.
The emergency aid service is staffed with three emergency crews.
30 New Polyclinics
From 2011 to 2017, 30 new outpatient clinics and outpatient centres were built in Moscow, 16 of which were incorporated into the city’s healthcare system. The rest are either federal or private institutions.