Dispensaries

For the organization of the specialized medical aid to TB patients, malignant tumors, skin-venereal, mental illness and for monitoring the health of persons involved in sports, our country has created a special medical institutions - dispensaries. There are dispensaries national, regional, provincial, city and district level.
The dispensary is peer specialized Agency. It includes a polyclinic, and often inpatient Department. In a basis of work of the staff of the clinic put dispensary method of maintenance of the population, based on active early detection and treatment of patients, improvement of their working conditions and daily life. All dispensaries the work is based also on the precinct and territorial principle. Dispensaries all profiles render organizational and methodological assistance to all medical institutions and in their activity rely upon them in the fight against this disease. A great role in improving the health of patients plays a permanent patronage at home. Therefore, in the state of dispensaries provided posts nurses.
Visiting nurses of the clinic monitor the implementation of the regime of work and rest sick, how they take the prescribed medicines; spend with patients conversation on health education topics, monitor timely turnout them to the doctor of the dispensary.
Under the guidance of physicians, depending on the profile of the clinic visiting nurses spend most preventive work on the site. They study the conditions in which they live and work sick, take measures for their rehabilitation, through the local Soviet authorities, the administration and the trade Union organization, where the patient, improve working conditions and life of the patient, for example, provide appropriate housing, sustainable employment, and the need to ensure diet nutrition, health resort treatment, etc.
TB clinic has the following structure: Department for adults and children, cabinets in osteo-articular tuberculosis, ENT, x-ray, artificial pneumothorax, physiotherapy, clinical-diagnostic laboratory, procedural.
Medical institutions of the district (city) refer all patients with newly diagnosed TB indications in TB dispensary. In addition, the staff of the clinic has been working hard active TB detection among the population by organizing mass targeted medical examinations. At detection of TB patients them put on records at the hospital and start treatment. The patient is taken off the registers in the case of complete recovery.
The center pays great attention to the prevention of the development of tuberculosis in children suffering from bronchodilatory and other closed forms of tuberculosis. The medical staff of the clinic constantly conducts a wide activities for TB vaccination of children.
In the prevention of tuberculosis main role is played by the constant improvement of working conditions and life of the population, early detection of TB patients and active treatment, timely hospitalization of smear-positive cases, extensive health education, regular contact and coordination of the work of the clinic with medical and sanitary-epidemiological institutions.
The party and government set the health authorities the task in the coming years to eliminate tuberculosis as a mass disease in this essential anti-TB dispensaries.
The main tasks of the dermatovenerologic dispensary are the organization of treatment and preventive care of patients suffering from various skin and venereal diseases, and development of measures for their prevention.
Dermatovenerologic dispensary in their work also relies on medical and sanitary institutions. Accounting in the clinic mainly subject to patients trichophytosis, microsporia, ringworm and other fungal diseases, and patients with syphilis and gonorrhea. Workers dispensary attach great importance to identify the source of sexually transmitted diseases (i.e. patients). Each undiagnosed the patient is a danger to others, the threat of new infections.
Medical staff dermatovenerologic dispensary spends most preventive work on the site, take careful account of all patients, takes measures for timely visit to the doctor conducts sanitary-educational work among the sick and persons in contact with them, and so on


Oncological dispensaries identify patients with malignant neoplasms, provide them with adequate medical care. In these dispensaries pay much attention to the planned preventive measures for the early detection of persons with malignant tumors and pre-cancerous diseases.
The task of the oncological dispensaries is the organizational-methodical help of a network of medical institutions in the fight with malignant neoplasms. At the same time, dispensaries rely on them in their daily activities. Dispensaries conduct the registration of morbidity and mortality from malignant neoplasms.
Early detection of malignant neoplasms is very difficult. It is therefore very important that all health workers in treatment-and-prophylactic network was always paid close attention to the so-called precancerous and took measures for the suspension of the pathological process in order to prevent its transition into a malignant. Therefore, oncological dispensaries are engaged in the training of physicians of treatment-and-prophylactic establishments.
To identify patients with oncological dispensaries organize targeted inspections and take account of the persons, directed treatment-and-prophylactic institutions. Subject to accounting, the following main groups of patients with precancerous diseases; suspected malignant neoplasms; installed malignant neoplasm, about which it is necessary surgical treatment; persons after treatment, people with irreversible forms of the disease.
Psychoneurologic dispensary consists of polyclinics, hospitals and departments: labour therapy, neuro-psychiatric prevention and mental health; organizational-methodical Department with the registry, as well as x-ray room and laboratories.
The task of psychoneurological dispensaries includes the provision of health care to persons suffering from severe mental and nervous diseases. This clinic, as well as other, studies and impact on working conditions and life of their patients, organize patronage, provides specialized medical care.
In addition to preventive and curative care to the patients, the clinic renders them more social assistance, which is in the care of the mentally ill, the provision of legal assistance, communication patients with social security, etc.
In the center is held expertise about intoxication expertise "insane", forensic medical examination, etc.
All of the above dispensaries spend most of sanitary-educational work among the population on their profile.
In addition to these centers, in our country organized medical exercises dispensary. Their functions include constant medical-pedagogical observation of persons engaged in physical culture and sports, watching the athletes during training and sports.
Medical staff of the clinic not only constantly monitor the health of athletes, their conditions of work and life, but also control for the sanitary condition of stadiums, playgrounds and swimming pools, state of the shower, rest rooms. Medical workers take part in the correct nutrition of athletes, the prevention of sports injuries, give a conclusion on the admission of athletes for competitions, etc.
In addition to the United hospitals, polyclinics and dispensaries in the country operates a large network of stations of ambulance, designed to provide all kinds of medical aid for health reasons, i.e. for diseases and injuries involving a threat to human life.
In 1973, the country was 3700 stations and departments of emergency medical care and 44 of the emergency hospital, employing more than 26 thousand doctors and 68 thousand persons of middle medical staff.