Optimization of the activities of a nurse in state budgetary Healthcare Institution of the Samara Region «Volzhsky district clinical hospital» in a patient-centered approach in the pilot project of the ministry of healthcare of the Samara Region on the first stage of dispensary Examination at enterprises

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Particular attention is paid to preventive work within the framework of the implementation of the national projects «Healthcare» and «Demography», initiated by the President of Russia Vladimir Putin. In the region, with the support of the Governor of the Samara Region, active work is being carried out to strengthen the healthcare system, including the development of preventive medicine. Medical examinations are carried out for the early detection of chronic non-communicable diseases and risk factors for their development. Risk factors include: high blood pressure, sugar and glucose in the blood; smoking; alcohol and psychoactive substance use; poor nutrition; low physical activity; overweight. Objective. To increase the coverage of medical examinations and preventive medical examinations of working-age individuals in work teams at an industrial enterprise, to organize 100 % referral to the second stage of medical examination of patients with suspected chronic non-communicable diseases. Results. Increase in the detection of pathology within the framework of medical examinations an 100 % registration of patients with newly diagnosed pathology for medical examination. Conclusion. Medical examinations and medical examinations are the basis of prevention, they help in the early detection of chronic diseases that can lead to premature mortality and disability. A timely and correct diagnosis will allow the necessary treatment to begin. The pilot project made it possible to save time significantly and undergo examinations without interrupting work.