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Chapter 2. BASIC TYPES OF MEDICAL INSTITUTIONS

Do you know, what I always think about, looking at lines of windows in our house? I think about a chance to change all this for a hospital, and how to place beds

for the patients there.

Florence Nightingale

Goal: to get a notion about treatment-and-preventive institutions, about in-patient and out-patient medical aid.

Knowledge objective:

► to know the kinds of medical aid rendered by medical institutions

of various types. Subject-matter:

1) the basic types of treatment-and-preventive institutions rendering outpatient aid,

2) the basic types of treatment-and-preventive institutions rendering in-patient medical aid.

THE BASIC TYPES OF MEDICO-PROPHYLACTIC INSTITUTIONS, RENDERING OUT-PATIENT MEDICAL AID

Medical aid to the population of Russia is provided with various types of treatment-and-preventive institutions and can be out-patient, hospital, sanatorium, ambulant and emergency.

Medical aid is rendered both at a place of permanent residence (polyclinics, hospitals) and at a place of work (medical institutions of the enterprises). Poly-clinics, polyclinic departments of clinics, out-patient stations, medico-sanitary parts and infirmaries, ambulance stations and female consultation service carry out the out-patient help in cities.

An out-patient clinic (Latin «ambulatories» - mobile) is a treatment-and-preventive institution rendering out-patient medical aid to the population

of a small settlement of the city type, a small industrial enterprise or countryside. In the countryside, the out-patient help can be rendered by a nursing and midwife station. Reception of patients in an out-patient clinic is carried out only on the basic specialities (a physician, a surgeon, a dentist, a gynaecologist, etc.). The district principle of work allows to reveal the sick, to render the qualified help to them, to study the disease incidence, to carry out preventive and sanitary-educational work. The out-patient clinic differs from a polyclinic (see below) in the lesser number of experts and in the volume of activity.

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