MIL OSI Translation. Region: Russian Federation –
The first patients will be admitted here at the end of this year.
Reconstruction is underway in the building of children’s polyclinic No. 118 in Severny Butovo. The site was visited Sergei Sobyanin…
“In Moscow, we continue large-scale reconstruction of city polyclinics. This is not a planned renovation, it is a complete modernization of buildings that are obsolete. And for many, many decades, they were in about the same condition. In fact, new floors and partitions are being created, the roof is being replaced, foundations are being strengthened, new technological equipment is being installed, and new logistics are being built. It will be a modern building, a modern polyclinic. In total, 37 objects are under reconstruction, most of them will be completed at the end of this and early next year. The work is very difficult, in my opinion, even more difficult than the construction of new clinics, ”said the Moscow Mayor.
The five-story building of a medical institution with an area of six thousand square meters was built in 1995. In recent years, it was the main building of the children’s city polyclinic No. 118, where more than 15 thousand young residents of the Severnoye Butovo region received medical care.
The complex reconstruction of the polyclinic began in February and should be completed in October 2020.
At the time of the work, the patients were transferred to branch No. 6 of the same polyclinic in the Yuzhnoye Butovo district at 37 Izyumskaya Street. Specialists who worked in the main building are receiving appointments there.
Within eight months, the builders had to complete a complete renovation of the polyclinic, including dismantling work (5989 cubic meters), installation of the facade (5940 square meters), floor screed (6040 square meters), installation of internal partitions (6870 square meters), interior decoration ( 55,750 square meters), replacement of 309 door and 348 window blocks, installation of two elevators, arrangement of a power supply system (69,420 linear meters), arrangement of a water supply system (9211 linear meters), arrangement of a heating system (6242 linear meters), arrangement of a ventilation system ( 7056 running meters), air conditioning system (installation of 15 air conditioners).
The work is carried out around the clock. More than 250 people and four units of construction equipment are involved in them. The reconstruction is now in its final stages.
“We are completely satisfied with the project, because the polyclinic has changed not only externally, it will change internally. We are glad that very comfortable conditions of stay, treatment, examination will be created for our patients, ”said Elena Volkova, chief physician of the children’s city polyclinic No. 118.
Comfort for doctors and patients
After the opening in the head building of polyclinic No. 118, 189 people will work: 59 doctors, 59 nurses and 71 employees of other personnel. The capacity of the institution will remain at 320 visits per shift.
The equipment transferred for temporary storage – two ultrasound machines and an X-ray diagnostic complex – will be returned to the polyclinic. It is also planned to install more than 340 units of modern medical equipment in the building, including an otorhinolaryngology unit with a patient chair, a digital X-ray diagnostic complex for two workplaces, and an ophthalmologist’s workplace.
The building will fully comply new Moscow standard of polyclinics… The seating of doctors in their offices will be organized in such a way as to reduce the likelihood of queues and make waiting for an appointment comfortable.
“Doctors will receive spacious offices with new furniture. And most importantly, new digital equipment will be installed, which will allow us to examine children at the highest level, ”said Elena Volkova.
On the ground floor there will be an office of a doctor on duty, an information desk, a buffet, treatment rooms, biomaterial reception rooms, a swimming pool.
On the second floor, there will be pediatricians, offices for medical prevention, vaccine prevention, and issuance of certificates of incapacity for work.
The third floor will be occupied by the offices of specialist doctors: surgeon, urologist-andrologist, psychotherapist, ophthalmologist, otorhinolaryngologist, neurologist, pulmonologist, cardiologist, allergist-immunologist, orthopedic traumatologist and gastroenterologist.
The fourth floor will house rooms for functional diagnostics, physiotherapy, ultrasound and X-ray diagnostics, an exercise therapy room and a day hospital.
The fifth floor will be occupied by the administration, reference and information department, premises for storing medicines, an office of an epidemiologist.
Comfortable waiting areas will also be organized on all floors.
The entrance area will become more spacious: there will be a special place for baby strollers.
For patients with symptoms of infectious diseases, there will be a separate entrance through the filter box, which will separate the flows of healthy and sick patients and thereby prevent the spread of infection.
“The clinic will have a complete separation of patient flows, which is very important during a coronavirus pandemic. Comfortable stay zones will be created on each floor, where healthy food cafes will open, playgrounds for children and comfortable upholstered furniture, ”added Elena Volkova.
Thanks to the new equipment, doctors of the polyclinic will be able to carry out modern types of diagnostics, including neurosonography of children in the first months of life (ultrasound examination of the brain), daily monitoring of blood pressure (the method allows you to track changes in blood pressure indicators throughout the day), Holter monitoring (accurate daily tracking of readings work of the heart), echocardiography (a method of examining the heart muscle using ultrasound).
In the pool, the polyclinic will conduct physiotherapy exercises for children with pathologies of the neuromuscular system and musculoskeletal system at the age from one to seven years.
For young mothers, there will be classrooms for teaching newborn care and feeding.
A day hospital with 20 beds will also open.
For patients, zones of comfortable stay will be created with air conditioners, coolers with drinking water, TVs, soft sofas and armchairs. Play areas will be equipped for children. The corridors will become wider and the navigation clearer, allowing patients to easily find the right office.
The polyclinic staff will be equipped with cozy rest rooms. The doctors’ offices will be equipped with ergonomic furniture – tables, chairs, armchairs and wardrobes.
The adjacent territory will be landscaped and landscaped. 26 trees, 25 shrubs will be planted near the clinic, 56 benches, urns and steles will be installed, a playground and 10 parking spaces will be equipped, nine lighting poles, two barriers, a gate and a fence will be installed.
The renovated polyclinic is expected to receive the first patients in early 2021.
Children’s city polyclinic number 118 was founded in 2012. Today, in addition to the headquarters, it includes six branches. Patients of the polyclinic are 84.1 thousand children from the regions of North and South Butovo.
The total area of buildings is 35.2 thousand square meters, the capacity is over 1.9 thousand visits per shift.
The polyclinic employs 693 employees, including 236 doctors, 289 nursing staff and 168 other staff.
Moscow Standard: the largest program for the reconstruction of city polyclinics
Several years ago, the Moscow standard for polyclinics was introduced in the capital. Instead of the usual registries, convenient information desks with consultants have appeared. In polyclinics, doctors are on duty, and a certificate or referral can be obtained quickly in a special office. The halls now have waiting areas, water coolers and vending machines. In children’s clinics, kids can play, and mothers can retire to feed the baby. Thus, the first step was taken towards the creation of a modern polyclinic.
Based on the experience gained, in 2019 the Moscow Government developed new Moscow standard for polyclinics, Which is a logical development of the first generation standard.
A professional assessment of the planned changes and their proposals for the future standard of polyclinics was given by medical workers as part of a special online survey, which took place from March 28 to April 10, 2019. More than four thousand doctors took part in the project, who left 2700 proposals.
The new Moscow standard for polyclinics received the support of the townspeople. More than 212 thousand people took part in the voting on the Active Citizen portal. More than 70 percent of them approved the main provisions of the project, as well as the program of capital reconstruction of 135 buildings of city polyclinics, necessary for the implementation of the standard.
“Next year, despite all the difficulties with the budget, we will begin to reconstruct about 40 polyclinics. We have adopted new technologies so that from start to finish it took not years, but a matter of months. Of course, this task is extremely difficult, but so far the builders and repairmen are coping with it, ”Sergei Sobyanin said.
The main directions of the new Moscow standard for polyclinics
The number of doctors in the most popular specialties is increasing. In each branch of the polyclinic, a general practitioner / therapist, cardiologist, otorhinolaryngologist, surgeon, neurologist, ophthalmologist, urologist and endocrinologist will receive an appointment.
In each head unit, patients will additionally receive up to five doctors of narrow specialties – an allergist-immunologist, a gastroenterologist, a pulmonologist, a coloproctologist and an infectious disease specialist.
This will reduce the number of patient movements between the branches of polyclinics: the most demanded doctors will be received as close as possible to the place of residence.
Polyclinics are equipped with modern equipment. The branches will operate mammographs, X-ray machines, ultrasound machines, as well as equipment for functional diagnostics.
The headquarters of the polyclinics will be equipped with MRI, CT, densitometers (apparatus for examining bone tissue), ultrasound of an expert class, treadmills (equipment for carrying out stress tests under ECG control), and endoscopic equipment.
Thus, patients will be able to have the most common examinations as close to home as possible. Analog equipment will be gradually replaced by more modern, digital equipment, which will create a unified city database for storing medical images, improve the quality of diagnostics and reduce the number of erroneous diagnoses.
Deliveries of new equipment to polyclinics began in 2019.
The digital clinic is developing. Patients got access to an electronic medical record and can independently see the results of their analyzes and studies. The amount of information available to patients will gradually expand.
The location of doctors’ offices is becoming more convenient. The most popular offices will be located on the lower floors, less visited and administrative offices – on the upper.
Specialist doctors, where possible, will work on the same floor as functional diagnostics rooms. For example, an ultrasound scan of the heart or a cardiogram can be done next to the cardiologist’s office, endoscopy – next to the gastroenterologist’s office, and so on.
The distribution of doctors by office will be organized in such a way as to reduce the likelihood of queues and make waiting for an appointment more comfortable.
Some buildings will have buffets for patients and staff.
Particular attention is paid to creating comfortable conditions for doctors and nurses. Polyclinics are equipped with cozy rest rooms for staff, in which doctors can communicate with each other, have lunch or have a cup of coffee. The doctors’ offices will be equipped with ergonomic furniture for comfortable work – armchairs, wardrobes, tables and chairs.
The territories near the clinics are being improved.
The path to a digital polyclinic: chief doctors – about the new Moscow standard
To implement the new standard until 2024, the Moscow Government:
– implements a program for purchasing new equipment, hiring additional doctors and training staff;
– will reorganize the space in the buildings of polyclinics that do not require reconstruction;
– will construct over 30 new buildings of polyclinics in areas where they are objectively lacking;
– will carry out reconstruction of 135 buildings of polyclinics.
In fact, over the next few years, a third of the city’s polyclinic fund will be overhauled. These are mainly polyclinics built 50–70 years ago. In the course of work in polyclinics, engineering systems will be completely updated, a comfortable space for patients and doctors will be formed, the necessary conditions will be created for placing medical equipment, including heavy equipment.
At present, the complex of the municipal economy of the city of Moscow is working on the capital reconstruction of 37 city polyclinics with a total area of over 120 thousand square meters. In 11 polyclinics it will be completed in October 2020, in one polyclinic in December 2020, in 25 polyclinics in early 2021.
Currently, over eight thousand workers and 450 pieces of equipment are involved in the facilities.
EDITOR’S NOTE: This article is a translation. Apologies should the grammar and or sentence structure not be perfect.