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Should I choose a clinic? Choosing a doctor, clinic, hospital. Choosing a pediatrician in a paid clinic

The issue of personal insurance comes up constantly and is quite relevant. It happens that a person, simply not knowing his rights, cannot take full advantage of an insurance policy not only in a foreign city, but also in his own.

The Insurance Law regulates all pressing and current issues of personal and medical insurance; you just need to use the information correctly. Legal awareness will help you take the right steps while saving time, money and health.

Is it possible to choose a clinic yourself?

Law No. 326-FZ of the Russian Federation clearly defines the right of a citizen of the Russian Federation to use the services of a clinic in any city in our country. Moreover, this applies not only to emergency situations, but also to a routine appointment at a medical facility. The principle of being assigned to a clinic at the place of registration has been abolished.

Following the new law and amendments to it, a citizen has the right to:

  • choose any clinic in any city;
  • choose the attending physician at your own discretion;
  • choose ;
  • choose a private, departmental or regional medical institution included in the list of the insurance system;

It is important to remember one more significant note: all transitions and changes of doctors occur free of charge and only once a year.

As an exception, changes are allowed more often, but only in cases of moving to another region or city.

In addition, it must be indicated that no explanation is required from the applicant regarding the refusal of his attending physician or, in general, the services of a particular clinic.

It is obvious that the changes made to the law fully protect human rights under universal health insurance.

What is written in the law, naturally, must be observed. Another thing is that there are subjective circumstances that can interfere with or slow down the change of clinic and doctor. The fact is that each clinic is funded according to the number of citizens assigned to it.

There may be another obstacle: the clinic where you want to go may be overloaded. Of course, neither one nor the other circumstance will affect your choice to change the service clinic.

Changing a clinic is possible, but somewhat troublesome. You should seriously think about all the pros and cons of a possible change in clinic, insurance companies, doctors, and only then make the right choice.

How to attach to a clinic without registration?

A situation often arises when a person does not live at his place of permanent registration for a certain time or simply works in another city. The issue of medical care can arise at any time. Attachment to a specific clinic allows you to avoid many difficulties as much as possible.

Start your attachment by visiting the clinic and contacting the reception desk. You must take the following documents with you:

    • passport;
    • certificate from place of work;
    • rental agreement;
    • insurance policy;

Similar conditions apply to the attachment of a minor child. It is clear that he does not need a certificate from his place of work, but a certificate from school must be provided.

The issue of citizens who live and work illegally is not addressed here. Firstly, this is a violation of the law, and secondly, it brings a large number of additional problems. Deceiving the state can be very costly.

Having officially gotten a job and received temporary registration, you can safely go to a nearby clinic and officially become its client. If you stay in another city for a long time (more than a year), you need to apply for an attachment annually.

If a citizen is denied registration at the registry due to lack of local registration, it is necessary to appeal the action of the clinic staff to the health department.

You can and should contact your insurance company with this information. If this does not help, then a direct violation of the law can be appealed to the prosecutor's office.

Is it possible to get medical care while in another city? Definitely yes. Again we turn to the law. Regardless of registration (the registration institution has been abolished), a citizen can use the services of a medical institution in any city, having a compulsory medical insurance policy in hand.

You can exercise your right to medical services even if you do not currently have a policy, but actually have one. When you are anywhere in Russia, know that in this situation it is enough to call the territorial compulsory medical insurance fund in your region and clarify the medical policy number and the name of the insurance company serving you.

Every citizen has the right to basic health services:

        • primary health care;
        • emergency medical services;
        • specialized medical care (for tuberculosis, AIDS, infectious diseases);
        • for the necessary treatment of diseases of the cardiovascular, endocrine, and nervous systems;
        • when injured;
        • in a state of pregnancy or labor;
        • in case of acute dental disease;
        • in the treatment of skin diseases;
        • providing medical care to children;

The entire list of basic diseases that the clinic is required to familiarize with is on the information stand.

The only rule that must be strictly followed: take an insurance policy with you on any trip! It will take up little space, but if necessary, it will save you from many problems.

Remember: the law protects the citizen’s right and can be practically used.

How to change doctor at the clinic?

Of course, any actions to change a clinic or doctor are regulated by insurance law. On the basis of this law, the entire system of work on providing insurance to citizens has been formed.

A change of doctor is carried out upon the personal application of a citizen. To do this, you need to choose a clinic that is part of the compulsory medical insurance system. Arriving there, a citizen must take with him:

        • passport;
        • certificate of employment;
        • pension certificate (for pensioners);
        • insurance policy;

Having written an application, the citizen is registered under the supervision of the doctor he has chosen. Again, let’s make a reservation that this is according to the law, but there is ordinary life. A refusal to satisfy a citizen's request may occur due to the doctor being overworked. Yes, there are certain workload standards for all areas of work, including for doctors.

As a recommendation, it is necessary to indicate that the citizen himself must decide how much he needs to change the doctor. If we are talking about moving to another city, then everything is clear. Or the required specialist is not available at your clinic and the administration cannot find a replacement, but help is needed now. These reasons may be valid, but if a citizen decides to be capricious, then this is a different question.

It is important to remember that the right, naturally, exists, but this does not mean that it must be used with or without reason.


From the video you will learn how to attach to a clinic that is convenient for you:

23-07-2007, 19:58

We have not yet received an insurance policy and are still going to the clinic at our place of registration. Can I sign up for another clinic when receiving the policy? And what should you pay attention to in this case? For example, is there a swimming pool, maybe some special equipment is available in some clinics? The qualifications and integrity of doctors are not discussed, here it depends on your luck:005:.

MoneyAchka

23-07-2007, 20:34

Yes, you can choose a clinic, for this you need to say when you receive the policy which regiment you want to be assigned to, the policy will indicate accordingly. note and sealed...that's all...

23-07-2007, 20:43

Teddy Bear

23-07-2007, 20:51

Yes, you can be assigned anywhere, but doctors will not come to you even if you are very sick, even for a fee. They have a certain service radius. This is the case in the coastal area, anyway.

Well, you can check such details with your insurance company, but in general, if you are attached and refuse to come, sort it out with the insurance company and the head doctor

24-07-2007, 00:52

Yes, you can be assigned anywhere, but doctors will not come to you even if you are very sick, even for a fee. They have a certain service radius. This is the case in the coastal area, anyway.
Forgive me, but what you write is inherently nonsense, and if it occurs, then you need to call the health committee and the insurance company, since this is a natural violation of rights. All my life I have been attached to the polyclinic at my place of residence, and I call a doctor and have all the same privileges as an ordinary mortal... and having just given birth to a child, without yet having a policy and registration in my hands, from the children's polyclinic AT my PLACE OF RESIDENCE, I ask Please note that doctors and visiting nurses come to me and I CALL a doctor to my house and they have no right to refuse me, much less a baby; moreover, when the doctor came for the first time, she immediately asked me where the child would be registered (since I was registered elsewhere ) and where he will live and be observed, so I don’t know what about choosing a children’s clinic (well, I kind of want this one or that one))) but if you are assigned to the clinic under the policy, you are required to go out on calls and receive you there: flower:

24-07-2007, 01:19

Forgive me, but what you write is inherently nonsense, and if it occurs, then you need to call the health committee and the insurance company, since this is a natural violation of rights. All my life I have been attached to the polyclinic at my place of residence, and I call a doctor and have all the same privileges as an ordinary mortal... and having just given birth to a child, without yet having a policy and registration in my hands, from the children's polyclinic AT my PLACE OF RESIDENCE, I ask Please note that doctors and visiting nurses come to me and I CALL a doctor to my house and they have no right to refuse me, much less a baby; moreover, when the doctor came for the first time, she immediately asked me where the child would be registered (since I was registered elsewhere ) and where he will live and be observed, so I don’t know what about choosing a children’s clinic (well, I kind of want this one or that one))) but if you are assigned to the clinic under the policy, you are required to go out on calls and receive you there: flower:

The fact is that I’m talking specifically about place of residence and not registration. My child is generally registered in Pushkin, and at our place of residence we are assigned to clinic 30, but I don’t like it, I want to go to 77, so I can GO there, but the doctor won’t come to me because they have a certain girth radius . And when we made the policy, I asked the insurance company if I could join another clinic outside my place of residence, and they also told me no. You yourself understand that I live in the Primorsky region, and I like the clinic in Moscow, please go there. Well, you understand perfectly well that the doctor from the Moscow region will not come to me. The same is true within the same region.

24-07-2007, 03:43

The fact is that I’m talking specifically about place of residence and not registration. My child is generally registered in Pushkin, and at our place of residence we are assigned to clinic 30, but I don’t like it, I want to go to 77, so I can GO there, but the doctor won’t come to me because they have a certain girth radius . And when we made the policy, I asked the insurance company if I could join another clinic outside my place of residence, and they also told me no. You yourself understand that I live in the Primorsky region, and I like the clinic in Moscow, please go there. Well, you understand perfectly well that the doctor from the Moscow region will not come to me. The same is true within the same region.
natural and logical))) that’s why I wrote that this concerns the place of residence, and that’s why not a single insurance company will give a redirection to a clinic in the Moscow region if you actually live in Primorsky... but if they did this, then the doctor is obliged to you to go to the call (but they definitely won’t do this:004:)... I just understood your previous post a little more narrowly or something, I decided that you are talking about the fact that they don’t even go to their place of residence))) :flower:

01-11-2007, 11:18

I'm raising the topic!
I'm wondering if I can choose a children's clinic in my area. For example, I am registered in Krasnogvardeisky, I live in VO, the nearest settlement is No. 1 (apparently they will be assigned to it at the place of residence), but I want to go to No. 24, which is a little further away.

They talk about the possibility of freely choosing a hospital and a doctor. How can this be done?

Yes, in addition to choosing a medical insurance organization, a citizen has the right to choose a medical organization - a clinic, hospital and doctor. To do this, you must submit an application addressed to the chief physician of the selected clinic.

In this case, the choice of a clinic will also be carried out no more than once a year (unless the person has changed his place of residence). And then in this medical institution he can find a local therapist or a pediatrician, or a general practitioner (family doctor).

And it is from them that, if necessary, he will receive referrals to specialist doctors, for planned surgery, etc. If there are options, he will be offered options to choose from.

Of course, it will be difficult for the citizen himself to make a decision, and word of mouth cannot always be trusted. Therefore, the most important thing will be to choose a highly professional general practitioner.

Information about medical organizations and advice on a doctor can also be obtained from your insurance company.

If a patient has chosen a medical institution that cannot provide him with the assistance established by the state guarantee program (for example, due to waiting periods), then he has the right to refuse it and receive a referral to a “free” clinic.

I have chronic diseases. How to choose the right clinic?

First of all, you need to make sure that the clinic is included in the register of medical organizations operating in the field of compulsory health insurance. Such a register must be maintained by the territorial fund, which is obliged to post it on its official website on the Internet. It is also necessary to find out whether the clinic has all the capabilities to provide you with medical care in connection with existing diseases, i.e. does the clinic have the appropriate license, specialists of the required profile, the necessary diagnostic and treatment facilities, can the clinic provide you with assistance at home, etc. We understand that the patient may not have this information. Therefore, I recommend that if you have any difficulties choosing a clinic, contact your insurance company, which, having all the necessary information about the clinic, will help you make the right choice.

I want to be treated by a private doctor, does he have the right to work in compulsory medical insurance? If so, how do I sign up with him?

The Law on Compulsory Health Insurance in the Russian Federation (Article 15) stipulates that medical organizations of any organizational and legal form, as well as individual entrepreneurs engaged in private medical practice, can provide medical care to citizens under compulsory health insurance. A prerequisite for this is the inclusion of these organizations and entrepreneurs in the register of medical organizations operating in the field of compulsory health insurance. In order to receive compulsory medical insurance treatment from a private practitioner, you need to make sure that he is included in such a register. After this, you can submit a corresponding application to him. According to the Law, the Register of medical organizations is maintained by the territorial fund and must be posted on its official website on the Internet.

If I didn’t like the clinic, can I change it?

Yes you can. According to Article 16 of the Law on Compulsory Medical Insurance, the insured may choose a medical organization from among the medical organizations that participate in the implementation of the territorial compulsory health insurance program. To do this, you will need to submit an application addressed to the chief physician of the clinic. Such a choice can be made no more than once a year (except for cases of change of residence or place of stay of a citizen) (draft Federal Law “On the Fundamentals of Protecting the Health of Citizens in the Russian Federation”).

If I choose a clinic, but at some point when I get sick, there won’t be a specialist there. What should I do?

If the clinic cannot provide you with a consultation with a doctor in the required specialty, contact the insurance company. We will arrange for you to see the required specialist.

Choosing a pediatrician - this problem faces parents with the arrival of a baby in the house. Read below about possible ways to solve it.

Choice of a pediatrician Opinion of a local pediatrician

There are many articles on this issue on different sites. I decided to express my opinion.

Every parent wants their child to be constantly monitored by the best pediatrician, so that the doctor is competent, experienced, attentive, pays enough attention to the child, takes his time during examinations, answers all the parents’ questions, and uses modern methods of treatment and diagnosis. Now about the options for achieving this goal.

Local doctor at a children's clinic at your place of residence

Usually everyone sees the only advantage - it's free. The disadvantages are discussed further: long queues, little time is devoted to the child during examination, it is impossible to get answers to your questions, you cannot call your doctor at night, on weekends and holidays, and others. Everything is fair, understandable, and if for you the disadvantages outweigh the advantages of a free doctor, choose a paid one. If you are ready to constantly pay for the observation of your child, perhaps this is the best solution for you.

But many parents believe that they have the right to choose a pediatrician at a free children's clinic.

In law

Article 21. Choice of doctor and medical organization

1. When providing medical care to a citizen within the framework of the program of state guarantees of free medical care to citizens, he has the right to choose a medical organization in the manner approved by the authorized federal executive body, and to choose a doctor, taking into account the doctor’s consent.

If you are in doubt, there is no need to rush into making a choice; you can do this at any time. After discharge from the maternity hospital, all information about the child is transferred to the children's clinic at the place of residence. In the next 3 days (usually the next day), your local doctor and honey will come to you. sister.

You need to find out whether there is a permanent doctor in your area; if there is, this is already an advantage, because there are not enough doctors in children's clinics today. Next, you need to get to know this doctor, and don’t be shy to ask questions about your child. If the doctor is very busy with work and cannot devote as much time to you as you want, talk to your local medical doctor. sister. She can answer many questions and advise when it is better to come with your child to an appointment (on which day of the week and at what time there are fewer visitors), in what sequence it is more convenient to undergo an examination with the child at the clinic, etc. Then only part of it will be left for the doctor questions and answers will be easier to obtain. Most likely, you will gradually find a common language with the doctor and nurse and settle on this option.

If there is no permanent doctor at the site - this is much worse - the child will most likely be examined by different doctors each time. But if there is no doctor, then there is no choice in your clinic; another doctor will not be able to take on the constant care of all the children from this area.

Doctor's rights

I would like to draw your attention to the fact that if you decide to choose a specific doctor for yourself in a free children's clinic, do not forget that not only you, but also the doctor has the right to choose. Start by talking to this doctor and getting his consent.

1. Today, such a doctor is absolutely not interested in being chosen. He does not have any advantages from this.

2. The doctor in the children's clinic is assigned a certain territorial area, which he is obliged to serve, and the doctor is not always provided with transport. Therefore, if people living on the other side of the city want to choose him, house calls are possible only if the doctor is provided with transport, and precisely at the time when he wants to come to you, and not when you want it. All work on the main area will always come first, and your child will always be last. In addition, if the journey takes a long time, the doctor will refuse.

3. Observation with the condition that you regularly bring the child to appointments and refuse house calls - it is possible, but it is inconvenient for both parties, especially if the child is very small and constant supervision is required.

If the doctor agrees, you can write an official statement addressed to the head of the clinic that you want to be seen by this particular doctor, it will be signed by the doctor and the head and the result will be achieved. But most likely you will be refused.

Conclusion - if you talked to the doctor and received a refusal, you should stop there. You should not insist that this particular doctor be required to observe your child - this will add problems and troubles to him. And if there are too many of these especially persistently wanting to be seen by a particular doctor, the doctor will not be able to work at all.

The right to choose a doctor in a free clinic today lies only in the possibility, if the doctor and patient mutually agree, to register an observation with this doctor on paper (i.e., officially). And achieving this mutual agreement is very difficult. Therefore, in practice, the question still stands like this: if you don’t like a free doctor, choose a paid one.

Choosing a pediatrician in a paid clinic

In a paid clinic, everything will be the other way around. For money here you can choose a lot

  • The clinic itself. You need to find out what services this clinic provides: is it possible to undergo examination by specialists, take tests, get vaccinated, take sick leave, register your child for kindergarten or school,
  • A doctor who will be very pleased that you chose him,
  • Observation option. Perhaps the doctor will give you his phone number and will be ready to answer your questions at any time of the day or come when called (of course, this type of observation will cost more).
  • The time of your visit to the clinic and the time the doctor arrives at your home, etc.

But it is still worth keeping in mind that if a doctor is from a private clinic, this does not mean that he is any better than a free doctor, as a specialist. He is in no hurry, has the opportunity to better examine the child, answer your requests, he is more interested in pleasing you - and these are all his advantages. A doctor’s professional skills do not depend in any way on the clinic in which he works. Therefore, here you need to study patient reviews and find out about the doctor’s other merits.

Another option

It is not necessary to completely refuse the services of a children's clinic at your place of residence. If you want to retain some benefits that only a public clinic provides, for example, prescribing free medicines or free food for your child, it is quite possible to combine both options. But it is worth keeping in mind that no prescriptions are issued without examining the child, so in this case, you will have to regularly show the child to the doctor in a public clinic.