Diseases, endocrinologists. MRI
Site search

What to do there is no doctor. Is it possible to make an appointment with a doctor or make a call to a home other than your place of registration? At the commercial clinic they told me that I had indications for an MRI, and at the district clinic they offered me pills. Who is right

Registration in another city is not a reason to run to a paid doctor or self-medicate if you find yourself in Moscow and need medical help. Here's how to get it for free, even without temporary registration.

Check your insurance policy

Every citizen of Russia is insured by the state and has the right to free medical care. To use it, you need a compulsory health insurance policy. It is valid throughout Russia, regardless of the place of registration and execution of the document itself. Let's say you are registered in Kaliningrad, but work in Moscow - by law you have the right to go to any public clinic.

There are officially three formats of the compulsory health insurance policy: a blue A5 sheet, a blue-white-red plastic card with a chip, a green plastic card with a barcode

If you have not used your policy for a long time, then before going to the doctor, check:

— have your first and last names changed?

— what is the validity period of the policy;

- where it is issued;

— which insurance company issued it.

The results of the test determine the health care services available to you.

Can

— Get help if your policy is expired. They have no right to refuse.

It is forbidden

— Go to a doctor at a clinic if you have changed your last name or don’t have a policy.

— See a doctor if the clinic does not cooperate with the insurance company that issued the policy.

— Regularly receive treatment in one clinic and make an appointment with a doctor online if the policy is not issued in Moscow.

Need to

— Re-register a regional policy in Moscow. To do this, just come with it to the Moscow office of your insurance company. They will put a stamp there and enter you into the database. Now, when you choose a clinic, you will be able to keep a medical history there and use EMIAS.

— Take out a new policy if your last name has changed or it simply doesn’t exist. The service is free.

How to apply for a compulsory medical insurance policy

1. Choose an insurance company that works with compulsory medical insurance in Moscow.

2. Come to her office with your passport and SNILS. For children under 14 years of age, instead of a passport, you will need a birth certificate and the passport of one of the parents.

3. Fill out and sign the application.

4. Obtain a temporary certificate while the original is being prepared.

5. Receive a policy within 30 days.

Some insurance companies allow you to apply for and monitor the readiness of your compulsory medical insurance policy online. Find out in advance about the availability of this function, then you won’t have to waste time on calls.

“Get” under compulsory medical insurance

So, you have dealt with the policy. Now it is important to understand what you can calmly go to the doctor with at the clinic, without fear of receiving a refusal or a check for paid services. To do this, familiarize yourself with the basic compulsory medical insurance program. It is valid throughout the Russian Federation, regardless of your gender, age, place of residence and social status.

Can

— Receive primary health care and preventive care.

Diagnostics, prevention, treatment of diseases, medical rehabilitation, monitoring the course of pregnancy.

— Get emergency medical help.

Loss of consciousness, breathing problems, sudden acute pain, bleeding, burns, childbirth.

— Receive specialized high-tech medical care.

Treatment of diseases using sophisticated medical technologies.

It is forbidden

— Receive free medical services that are not included in the compulsory medical insurance program:

- calling a doctor to your home without a good reason;

— preventive vaccinations not included in the list of mandatory vaccinations;

- monitoring patients at home after discharge from the hospital;

— sanatorium-resort treatment, exceptions: sick children with a referral from a doctor and a preferential category of citizens;

— cosmetology services;

— dental prosthetics;

— treatment of sexological pathology;

— vision correction using glasses and contact lenses;

- artificial insemination;

- treatment of logoneuroses in adults;

- medical and psychological care - not to be confused with psychiatric care, which is included in compulsory medical insurance;

- additional household and service services, stay in a superior ward with individual nutrition and care.

— Receive free help for socially significant diseases: tuberculosis, HIV infection and acquired immunodeficiency syndrome.

In these cases, you need to register at your place of registration at the Center for Prevention and Control of HIV/AIDS or an anti-tuberculosis dispensary. In Moscow, you can register with temporary registration if the application is approved by the Moscow Health Department.

Need to

— Check with your doctor and insurance provider whether the service you need is included in the compulsory medical insurance program. The law on compulsory medical insurance specifies a general list of cases for receiving free assistance. It is approximate - paid or free service depends on the specific diagnosis and concomitant treatment. Therefore, it is better to ask again.

“If the doctor said that the services for your treatment are not included in the compulsory medical insurance program and require payment, do not rush to take out your wallet.

Let's say you suspect you have an allergy. The doctor prescribes additional tests to identify the allergen. You are warned: tests are paid. What to do? Just in case, check the information in the following ways.

1. Ask the doctor to present a list of compulsory medical insurance program services approved by law. If your analysis is not on the list, then you will have to pay for it.

2. Call:

— to the information service of the Moscow Department of Health: +7 495 777-77-77;

— to the Roszdravnadzor hotline: 8 800 500-18-35;

— to the insurance company: the number is indicated on your policy.

The first way is the fastest. You will find out on the spot how much the treatment will cost and save time. If the doctor is not convinced, use the second point. But be prepared, you may have to hang on the phone or wait for a call back.”

Join the clinic

All that remains is to choose the clinic where you will be treated. The compulsory medical insurance system includes not only public but also some private clinics. Study the list and choose the one that suits you.

On the spot

1. Come to the clinic with a compulsory medical insurance policy and a passport.

2. Take an application form from the reception desk addressed to the head physician and fill it out.

3. Wait for the clinic to check the information and notify you of your appointment.

On the Internet

Recipe

1. Check your compulsory medical insurance policy. If it is not there or you have changed your last name, get it or replace it.

2. Make sure that the medical care you need is included in the compulsory medical insurance program.

3. Select a suitable clinic and register.

4. Make an appointment with your doctor.

5. In emergency cases, call an ambulance or go to the emergency room. No insurance or registration required.

You can now make an appointment with a doctor online. With the advent of services for self-registration with a doctor, it would seem that it’s time to forget about endless queues and frayed nerves.

But in reality, things don’t always go as smoothly as we would like. Sometimes this is due to the patient’s ignorance of their rights or the organization of an appointment by self-registration.

Self-registration

Just as a theater begins with a coat rack, so a medical institution begins with a reception desk.

Moreover, it doesn’t matter whether you have an appointment or want to see a doctor without an appointment - you will still have to stand in line at the reception desk. This is necessary to issue a coupon and take an outpatient card.

In some clinics there are notices that citizens who have pre-registered are being served out of turn. But in practice, we have to deal with people’s reluctance to let anyone go ahead of them. And the registrars themselves do not interfere in the process.

Things are better in those hospitals where a separate admission window has been created for people who come by self-registration. But even here it is easy to meet a large number of people, because there are quite a lot of people who use the opportunity to register independently. Therefore, it is worth arriving at the medical facility in advance so as not to stand in line at the moment when they are waiting for you at the doctor’s office.

It doesn’t hurt to inquire by phone the day before visiting the hospital about possible changes in the schedule. It often happens that the doctor gets sick or goes on vacation. Agree, it’s a shame to get to the clinic (especially if it’s not a short distance for a person) and find out that there is no appointment.

The examination itself by the doctor is no different from the usual one, which is carried out on a first-come, first-served basis.

What do you need to book a ticket yourself?

To register yourself, you need:

  1. Outpatient card. If the hospital where you plan to make an appointment does not have your card, i.e. If you have never visited it in person, then self-registration will be impossible.
  2. Individual personal account insurance number (SNILS). Often used to complete registration in self-registration services.
  3. Compulsory health insurance policy.
  4. Passport details or birth certificate.

What else you should definitely read:

  • ➤ How to transfer back to the state pension fund?
  • ➤ How to fill out tax reporting online!

Who has the right to see a doctor without an appointment or queue?

Some patient conditions require healthcare providers to conduct an appointment at the time of treatment.

These conditions include:

  • Acute pain of any location (ear, back, head, etc.);
  • High temperature (implied to be at least 38 degrees);
  • Loss of consciousness, bleeding - in a word, conditions that require an emergency response from doctors.

If, in case of obvious symptoms of deterioration in the patient’s well-being (fainting, for example), medical personnel are ready to provide assistance and conduct an examination, then if there is pain or a temperature not exceeding 38.5, clinic staff simply refuse to admit you. Be aware: this violates your rights!

Secondly, in absolutely any clinic there is a so-called on-duty therapist. It is he who must accept the patient in case of refusal to be examined by a specialist (otolaryngologist, neurologist, etc.).

For information on how exactly you can sign up through the State Services portal, watch the video instructions below:

We get to the office, bypassing hours-long queues

How to get to a doctor without an appointment? Unfortunately, a ticket with the treasured hour and minutes indicated on it does not guarantee timely passage of the specialist.

And if a delay in reception within 15 minutes is acceptable, then waiting in a general queue for several hours is not! So how can you avoid getting into such a situation?

  1. Arrive 30 minutes before your scheduled time. In half an hour, you can calmly stand in line (if there is one) at the registration desk for your card and find the right office. If you don’t make it in time, you will most likely have to go to the appointment on a first-come, first-served basis!
  2. Near the doctor's office, find out about the appointment at the appointed time and the presence of people with coupons for an earlier time. If there are any, then you will have to wait for a specialist to pass them (unless, of course, we are talking about those who are more than 15 minutes late)
  3. In many hospitals, real crowds of people gather at the offices of doctors who do not organize entry on call. Only some of them are recorded for time.

If you want to make an appointment with a doctor at a specified time and get there on time, you probably won’t succeed; this process is still far from perfect. Therefore, be prepared for the old difficulties of making your way to the coveted doctor’s office in those medical institutions where this moment is left to chance. Have a good and relaxing visit to the doctor!

How to get to the doctor if you haven’t made an appointment in advance

“Good afternoon, please explain how I can get to the doctor. This morning I woke up with a strong cough and runny nose, but no fever. I called the reception desk of my clinic to make an appointment with a therapist, and they told me that the next available time was only in three days. But I need help now. Are there really no options? If you get sick without making an appointment with a doctor in advance, will you not get an appointment? Sincerely, resident of Krasnoyarsk Anna Grigorievna Stepanenko.”

Indeed, today in Krasnoyarsk clinics, local therapists are seen by appointment. But this does not mean that if a person falls ill “without warning,” he will not see a doctor.

— Primary medical care in municipal clinics is provided in accordance with the state guarantee program. It can be either planned - by appointment, or emergency - directly on the day of the patient’s visit,” says Oksana Sokolova, chief therapist of Krasnoyarsk. — To provide emergency care, pre-medical offices have been opened in almost all branches of the adult network’s clinics.

To get into it, you need to contact the reception directly; no pre-registration is required. “The reception in the pre-medical office is conducted by a paramedic,” explains Oksana Igorevna. — He examines the applicant and decides on the further management of the patient: he gives directions for tests, and in some cases prescribes drug therapy. If the patient needs to be examined by a doctor on the day of treatment, the paramedic will refer him to the doctor.”

Found a mistake? Select it and click Ctrl+Enter to send to us.

Get the embed code for your blog

Other materials on the topic

Also in this section

A citizen goes to the clinic not for the sake of idle curiosity, but specifically with complaints about his health. Clinic No. 6 actually has a first-aid room if you don’t have a fever. The paramedic recommends making an appointment with a therapist, knowing that in the coming days the patient will not be able to see the therapist. The paramedic does not have the right to write a referral to a specialist and does not prescribe medications. This recommendation should be regarded as a violation of the right to timely medical care. help. When seeking medical help and receiving it, the patient has the right to: respectful and humane treatment on the part of medical and service personnel; relief of pain associated with a disease and (or) medical intervention, using available methods and means. And workers in white coats ignore these rights

In all other cases, the doctor’s work will not be paid, so they can justifiably refuse an appointment.

It depends on what reason and where you applied. If this is a specialist, often before you see him you need to see your family doctor, and only after the latter’s examination will he decide whether you need a consultation with someone else. If necessary, they will give you a referral either to the same clinic or even to a hospital. Yes, a specialist at a clinic has the right not to see you without an appointment or without a referral from a family doctor, unless this is a life-threatening condition (someone became ill in the corridor, had a heart attack or lost consciousness), in which case any doctor is obliged to provide first aid.

St. Petersburg, according to Health Minister Tatyana Golikova, is one of the few regions of Russia that has a surplus of doctors. But patients cannot understand why there are such queues in clinics and no numbers to see specialists.


The terms for the provision of medical care are established by the law “On the Territorial Program of State Guarantees for Providing Free Medical Care to Citizens of the Russian Federation in St. Petersburg for 2012,” that is, they have the status of state guarantees. . For example, if you are asked to wait six months for an MRI examination, this is illegal; it should be carried out within four months.

If a medical institution really cannot accept you, it must:

1. invite you to sign a written agreement to wait longer than the established period;

2. if you do not agree to wait, issue a referral to another medical institution operating in the compulsory medical insurance system.

In practice, of course, this does not happen; there is no form of written consent in clinics. The healthcare facility does not want to lose money for the patient, so it forces him to wait.

But let’s say that one clinic writes you a referral to another, but there it’s the same story - the doctor is on vacation or maternity leave, wait. Then you should ask for a referral for a diagnostic test to a hospital. If you are denied here too, call your insurance company and complain. And now it is the insurer who writes you a referral to a hospital or outpatient clinic.

To ensure that this chain is not interrupted by the insurance company, the Federal Compulsory Medical Insurance Fund has developed “Methodological recommendations on compensation by an insurance organization for damage caused to the insured person in connection with its failure to fulfill or improper fulfillment of its obligation to organize the provision of medical care.” Now, as explained by Gennady Lopatenkov, head of the department for working with citizens of the St. Petersburg Compulsory Health Insurance Fund, these recommendations establish financial liability for the insurer.

That is, if you turned to a clinic for help, and they didn’t take any steps towards you, you contacted your insurance company, but they also refused you, you can safely go to a private clinic to see the specialist you need (though you will have to spend your money ), and then demand reimbursement of expenses in court.

True, there are few people willing to go through all the complexities of our legal proceedings: “If the insurance company does not want to help you, you can put pressure on it,” advises Gennady Lopatenkov, “by reminding them of how this could turn out for them. Punishment with the ruble is still more effective than any suggestions.”

Oksana Eliseeva

Doctor Peter

Category: Patient's rights

11 comments

Mr. Lopatenkov is disingenuous, wishful thinking. TFOMS of St. Petersburg really wants to shift all responsibility for the mess in the city’s healthcare to insurance companies. And with his comment, he pits patients of clinics against insurance organizations, indicating the vector of movement: “Here they (insurers) cannot organize medical care for you! We (TFOMS) will punish them with a ruble! At them!” Although the “Methodological Recommendations...” of the FFOMS clearly states what the insurance company can be punished for:
“The grounds for an insured person to file a claim against a medical insurance organization or a claim in court may be, in particular:
- unjustified refusal to issue a compulsory medical insurance policy;
- refusal to provide information or provision of false information about the types, quality and conditions of providing medical care to the insured person;
- refusal or improper implementation, upon the complaint of the insured person, of control over the volumes, timing, quality and conditions of providing medical care in medical organizations;
- unjustified refusal to consider or untimely consideration of citizens' requests and complaints;
- other violations that infringe on the rights and legitimate interests of insured persons, guaranteed by the legislation of the Russian Federation in the field of compulsory health insurance."
Insurers have previously arranged, and are now extending, their insureds, who are treated at health care facilities, to appointments with doctors. All this is done through personal agreements. But if there is no doctor in the clinic, then he is not there and nothing can be done!
And the Compulsory Medical Insurance Fund solves the problem of access to medical care in a rather unique way - by developing Call centers. Although the number of operators making appointments with doctors increases, the number of doctors themselves in clinics does not increase.

In children's clinic No. 39 of the Moscow region, appointments with doctors are carried out on Mondays, Wednesdays and Fridays from 8.00 to 8.30. There are never numbers for specialists. It is impossible to sign up on the website, although there are free numbers. Where to complain?

From residents of the Leningrad region: the villages of Toksovo, Kuzmolovo, Yukki, Garbolovo, Leskolovo, the village of Rappolovo and nearby settlements, those who visit the clinic in the village of Toksovo, Leningrad region!
OPEN COMPLAINT
to the Head of the Toksovskaya Polyclinic - Shavlokhova Irina Sergeevna.
Dear Heads of committees, departments, EVERYONE who can hear US and help!
We are PEOPLE and there are MANY of us! We live in the village of Toksovo, Leningrad region and nearby villages and small towns.
We have a clinic and a hospital in the village of Toksovo. The hospital is not bad, there is a lot of equipment and we get help in severe cases, BUT before going to the hospital we naturally go to see a doctor at the clinic, but there are NO doctors!!! There is almost no specialist: there is no ophthalmologist, ENT specialist, cardiologist, surgeon, neurologist, oringologist, proctologist, not to mention highly specialized specialists. Therefore, we, old people, disabled veterans and pensioners have to go to see doctors in Vsevolozhsk or the Regional Hospital, which is located in the city, and getting a number to see doctors there is almost impossible even with a referral - there is a queue for six months ahead!!!
Previously, things were much better with doctors, but over the past 5 years, the head of the Toksovskaya clinic, Irina Sergeevna Shavlokhova, has driven everyone away! This person doesn’t think at all about people who simply have nowhere to get medical care other than their place of residence! She is rude, rude, always speaks in a raised tone, and the diamonds with which she is hung are enough to pay the salaries of all the specialists that the clinic requires for more than one year of work!
WE REALLY ask you to understand why excellent doctors, good specialists are simply running away from the Toksovskaya clinic, why Irina Sergeevna Shavlokhova completely fails to cope with her duties as a leader, but only yells and is rude!
Hear US!
Thank you SO MUCH in advance!
(Recorded from the words and at the request of residents!)

In the 39th children's clinic for Cosmonauts there are no numbers to even get to the pediatrician with an infant. We are trying “with the whole yard” to sign up children for examinations with specialists, which must be completed within a year - a pediatrician, an ophthalmologist, a surgeon, an ophthalmologist, etc. We make an appointment a month in advance - there are no numbers. Mothers arrive at the clinic at 7:30 a.m., registration opens at 8 a.m. There are no more numbers. We received a number to see the surgeon in 2 months. They arrived at the appointed time. The surgeon left his workplace without explanation. They offer everyone paid services, for example, vaccinations, citing the fact that free ones are not of high quality. Where to contact. The information book says that the doctor is not seeing the chief either on vacation or ill. What to do?

It is not possible to sign up for an ultrasound at Children's Clinic No. 39 on Cosmonauts. Registration is only by telephone. Calls only take 10 minutes. I came to the clinic myself, but they turned me out the door. In my presence, the doctor told the nurse who was taking calls to immediately turn off the phone, otherwise she would be reprimanded. Arriving at the clinic and going up to the office, I saw that there was no one for an ultrasound. Then why is it not possible to sign up for an ultrasound. I tried to resolve this issue with the head but it is difficult to find her in place.

What I like about the Vsevolozhsk antenatal clinic) is that there are no ultrasound numbers) but you can do it for a fee at any time) and if you use a number, you have to wait two weeks)

39 clinic on Cosmonauts, Moskovsky district. It is very difficult to make an appointment with doctors, and it is simply unrealistic, there are never any coupons! The child is almost 5 months old; the scheduled check-up at 3 months still hasn’t passed - no coupons! We also cannot do a heart ultrasound at 1 month - there is no appointment! The clinic has a waiting list; I signed up on January 13 to see an orthopedist, they called 2 weeks later and offered an appointment for February 2! It's a complete disgrace - the baby will be 6 months old! There was no time to call the head doctor, I complained to the insurance company!

In 34 antenatal clinics there are not enough villages for calposcopy. Every day, a specialist writes 3 days by hand in a notebook. I have not been able to get permission to sign up for three weeks now. Please make an appointment with this specialist through a single telephone number so that working women can undergo this important examination in a timely manner!

unknown, November 15, 2016 3:19 pm

you guys are funny! what's going on in the medical institution. this is a direct consequence of the policy of your government - hence it is necessary to elect. and not hysterical. now reap the benefits.

Long queues, insults towards patients, high levels of waiting, indifference of doctors, uncomfortable conditions of stay in a medical institution, shortage of doctors - these are the main problems of clinics that patients face every day.

Many people are dissatisfied with the quality of medical care they receive in public clinics. Some even try to correct the situation: they quarrel with the honey. staff, other patients, but no use.

Where can I complain about the clinic so that the quality of service improves?

Patients can contact higher-level organizations regarding any problems that seem serious to them and require outside intervention.

You can complain about the actions of the medical staff of the clinic, for example, on issues such as:

  • refusal of a specialist to provide assistance;
  • provision of medical care is not complete;
  • incorrectly prescribed treatment, as a result of which the patient’s condition worsened even more;
  • disclosure of medical confidentiality;
  • misdiagnosis;
  • provision of inadequate care, which led the patient to physical or mental injury;
  • unethical, unprofessional behavior of the clinic staff - rudeness, rudeness, callousness, etc.;
  • the doctor’s demand for money for an appointment, for prescribed treatment, etc.;
  • lack of vaccine;
  • inability to obtain an appointment ticket and much more.

If you have complaints about the quality of service in a medical institution, then you have the right to complain to the following authorities:

    1. Head doctor of the clinic– if the patient’s complaint is related to the action or inaction of a specific doctor or other medical employee.
    2. To the Ministry of Health(local department) – if the head physician does not accept a complaint from the patient or ignores it. You can write a complaint to the Ministry of Health about anything: long queues, poor quality service, inattention and rude attitude of the staff of a medical institution, etc.
    3. To the local authorities(city administration) - if the clinic does not have the necessary medications that should be given to a certain category of patients free of charge, if the doctor refuses to write a prescription for free medications, etc.
    4. To the insurance company which issued the health insurance policy - if the doctor refuses to prescribe medications to the patient that are included in the list of free medications specified in the health insurance policy; if the doctor did not tell the patient that he was entitled to the medicine free of charge.
    5. To Roszdravnadzor– if the patient’s legal rights were violated; if the clinic staff violates the rules of medical care; if the patient is not satisfied with the result of treatment, etc. That is, the applicant can apply to this authority if his rights as a consumer of medical services have been violated, as well as if there is a threat to his life or health.

  • To the prosecutor's office– if the patient is faced with extortion of funds from staff; the doctor caused harm to the patient’s health by misdiagnosing him or prescribing the wrong treatment.
  • To the police– if the appeal is related to extortion, threats, insults from medical personnel, as well as if the doctor intentionally caused harm to the patient’s health.
  • To court– if the patient has suffered serious harm; if the patient has recorded a violation of medical ethics; if the doctor unlawfully charges the patient a fee for providing free care, etc.

If you have complaints about the quality of service at the clinic, you can leave a written complaint on the Ministry of Health website.

To do this you need:

  1. Log in to the website www.rosminzdrav.ru.
  2. Select the subsection “Public reception” – “Form for sending an appeal”.
  3. Fill out the form by entering your last name, first name, patronymic, and the text of the complaint in the appropriate fields. Attention! The text of the document should not exceed 2 thousand characters. The application must indicate the address of the clinic, as well as specific facts with which the patient was dissatisfied.
  4. If necessary, you can attach documents that serve as evidence of the patient’s innocence - photo, audio materials, a scanned copy of an extract, a doctor’s prescription, etc.
  5. Be sure to select from the list the region from which the application is being submitted.
  6. Check the box next to the desired option for receiving a response to the complaint: by mail or email.
  7. Place a checkmark at the end indicating that the client has been familiarized with the procedure for receiving and appeals from citizens, and then click on the “Send appeal” button.

An online complaint filed against a clinic with the Ministry of Health is registered by the responsible employee within 3 days, after which it is sent to the required department of the Ministry or to the authority that directly deals with the issue raised in the appeal.

The applicant may not receive a response to the email or postal address from the Ministry of Health if he indicated incomplete information about himself in the application or entered inaccurate information about himself.

Anonymous complaints filed by a citizen against the clinic are not accepted by any authority.

In order to properly file a complaint, you must consider the following:

  • The complaint must be written in a formal style, without unnecessary emotions, curses.
  • The text needs clearly describe the problem, do not deviate from the essence of the complaint.
  • If the complaint is submitted in writing, then you need to write it in two copies so that one remains with the applicant. On its copy, the responsible official must indicate the date of acceptance of the application, the incoming number, as well as indicate his position, surname and signature.
  • When filing a complaint, it is recommended to refer to the articles of law that regulate issues in the field of healthcare.

If you want to complain about a clinic on the website of the Ministry of Health, then the patient is asked to fill out a complaint form. But how to write a complaint if the applicant decides to submit it in writing?

The document must reflect the following information:

  • addressee's name;
  • information about the addressee: full name, residential address, contact phone number, address for feedback;
  • The text of the complaint must contain information about the clinic where the person is complaining: the name and number of the medical institution, as well as its address. If the complaint concerns a specific doctor or medical employee, then you need to indicate his last name, first name and patronymic. After the descriptive part, the applicant must put forward his demands, for example, to hold officials accountable, conduct an inspection, etc.;
  • a list of documents that are attached to the complaint;
  • date of drawing up the appeal, signature, surname and initials of the applicant.

If you want the work of a medical institution to be improved, then you have the right to file a complaint.

This can be done in several ways:

  1. Submit an application on the website of the Ministry of Health, the prosecutor's office, and the city administration.
  2. Write a written complaint and bring it personally to the head physician, the Ministry of Health and other authorities, or send the document by registered mail with notification.
  3. Complain about the clinic by calling the hotline. Since 2011, a hotline was created to analyze the work of clinics and hospitals. Any person who is faced with arbitrariness in the clinic, disrespectful attitude of medical staff, and so on, can call the number 8-800-700-8-800 and leave a complaint.

Sample complaint submitted to the Department of Health

So that you do not have unnecessary questions regarding the registration of a complaint, we suggest that you familiarize yourself with an example of a complaint that was submitted in writing to the Ministry of Health:

To the Ministry of Health in the Volgograd region

st. Raboche-Krestyanskaya, 16, Volgograd, 400001

from Lyudmila Petrovna Izmailova, living at:

Volgograd, st. Lenina, 56-A, 400025.

tel. 8-903-656-88–89

On April 12, 2018, I went to clinic No. 2 at the address: Volgograd, Metallurgov Ave., 16 for medical help. At an appointment with general practitioner S.E. Abdulova, she allowed herself to loudly voice my diagnosis in the presence of other patients who were in the office at that moment. In addition, the specialist violated medical ethics: she scolded me for late contact with her. She did not pay attention to my requests to stop the discussion.

On April 13, 2018, I wrote a complaint to the head physician of clinic No. 2 regarding his employee’s violation of ethics in relation to patients. I didn't receive an answer.

I believe that the actions of doctor S.E. Abdulova do not comply with the provisions described in Art. 13 Federal Law “On the Fundamentals of Health Protection” regarding medical confidentiality. In my opinion, therapist S.E. Abdulova showed a disrespectful attitude towards me, and also violated the law “On the Fundamentals of Health Protection in the Russian Federation.”

In connection with the above,

Understand the situation and bring the therapist S.E. Abdulova to justice in accordance with the law.

Applications:

  • a disc with a recording of a conversation with doctor S. E. Abdulova dated April 12, 2018;
  • copy of the complaint addressed to the head physician of the clinic dated April 13, 2018.

05/25/2018 signature of Izmailov L.P.

Where to write if the clinic refuses to provide medical care?

First you need to write a written complaint addressed to the chief doctor of the clinic. If the complaint remains unanswered, then you need to go further - write to the Ministry of Health.

If a citizen is assigned to a specific clinic, then he has the right to receive medical care. If a doctor refuses to provide assistance, he may face criminal liability under Art. 125 of the Criminal Code of Russia.

This article clearly states that leaving a person without medical care, which has cast doubt on his state of health, entails liability for the guilty person in the form of a fine or correctional or forced labor.

Below is an example of filing a complaint regarding a clinic doctor’s refusal to provide medical care to a patient:

To the chief physician of state clinic No. 2

Volgograd

Vinogradova O. P.

from Izmailov Stanislav Mikhailovich,

living at the address: Volgograd, st. Starorusskaya, 16,

index 400025.

tel. 8-903-112-47–78

On March 5, 2018, I went to clinic No. 2 in Volgograd. I wanted to see a cardiologist about complaints of heart pain. The doctor's office is located on the 3rd floor. The elevator in the clinic did not work, so I called the doctor’s office and asked Yuri Leonidovich Romanov to come down to me, since I am disabled in a wheelchair. To which the doctor replied that he did not intend to go down, because he had many patients.

I consider the actions of cardiologist Yuri Leonidovich Romanov illegal, such as those that fall under Art. 125 of the Criminal Code of Russia, namely, “Leaving in danger.” The doctor violated my right to receive medical care, and refusal to provide assistance is unacceptable according to Art. 11 of the Law “On the Fundamentals of Health Protection”.

I ask you to look into this situation and hold cardiologist Yu. L. Romanov accountable in accordance with the law.

Applications:

  • disc with a voice recording of a conversation with Dr. Yu. L. Romanov dated 03/05/2018

03/10/2018 signature Izmailov S. M.

Many parents are concerned that there are no vaccines in city clinics, and according to the vaccination calendar, the child must be vaccinated.

So, if information was received that vaccines were purchased, but in fact there are none in the clinic, the citizen must file a complaint with the local government health department.

This is a local issue, so you need to go to the local government administration to complain about this issue.

Is it possible to write a collective complaint against the clinic?

If, for example, patients are dissatisfied with the service at the clinic (according to the schedule, the doctor was supposed to be on site, but in fact he was not, and people sat in line), then they can write a collective complaint.

This norm is spelled out in Federal Law No. 59-FZ “On the procedure for considering citizens’ appeals.” In paragraph 1 of Art. 2 clearly states that citizens have the right to apply personally, as well as send collective appeals to government bodies.

If a person is assigned to the clinic to which he is applying, and the doctor refuses to see him, he must contact the chief physician.

It is advisable to videotape the refusal to provide medical assistance or record the conversation on a voice recorder.

In paragraph 6 of Art. 4 of the Law “On the Fundamentals of Health Protection” clearly states that every citizen must receive affordable and high-quality medical care.

Paragraph 7 of the same article states that a doctor’s refusal to provide medical care is unacceptable.

Therefore, if you have complaints against the clinic’s employees, you have every right to file a complaint with the appropriate authority: the Ministry of Health, local authorities, the insurance company where the policy was issued, the prosecutor’s office or the court, depending on the reason for your appeal.

As a rule, every medical institution has internal rules that determine the mechanism for a patient to see a doctor. This regulation is established by the management of the clinic or the city health department. Typically, the rules for making an appointment with a doctor in different clinics are similar.

Before visiting a doctor, you need to make an appointment with him. This can be done immediately, on the day of treatment, if:

  • the doctor has free appointment time;
  • if you need immediate help: something is very painful, your temperature has risen, your condition has sharply worsened (this treatment is often called “acute pain”).

In these cases, you come to the reception of a medical institution, from where you are referred to the right doctor on a first-come, first-served basis. You can usually see a general practitioner on the same day. If your GP is busy or is not currently accepting appointments, the registrar should refer you to any other GP.

A preliminary appointment is usually required to see a doctor of a narrow specialty, and can be carried out:

If you urgently need specialist advice, you can ask the doctor to see you without an appointment (the doctor will not refuse if he has free time in his schedule) or contact the head of the department or the chief physician.

If the clinic does not have the ability to provide you with an urgent consultation with a specialist doctor, you should be given a referral to such a specialist in another institution.

Make an appointment with a doctor online

Since 2010, a system for making doctor’s appointments via the Internet began to develop in our country. You can use this service if:

  • you have a valid compulsory health insurance policy (CHI);
  • your visit is planned (not urgent);
  • you are already assigned to this clinic and registered in its electronic file (that is, you have a medical card in this institution).

To implement this program, a unified electronic database has been created, where medical institutions in the city and districts must enter the data of all patients assigned to them. Here arise the first problems faced by those wishing to make an appointment with a doctor online:

  • Not all clinics participate in the electronic registration program, so the one you need may not be on the list of those offered.
  • The doctor's appointment system may refuse you, not finding your data, which they either forgot to enter into a single database, or entered it with some error, for example, in the last name.

In both cases, you will have to use other methods of making an appointment with a doctor.

In addition to information about patients, medical institutions must regularly place information about available doctor appointments in the same database. However, not all numbers end up on the Internet. Some of them are reserved by clinics. Reserve numbers can be used by those who need emergency care, people who come back again (for example, while on sick leave) or make an appointment with a doctor when visiting a clinic in person.

How many numbers to leave and how many to put in the electronic database is determined by the internal regulations of the institution or orders of regional health care management departments. And here the second problem arises: few “numbers” get onto the Internet, and their shortage is acute. Sometimes a paradox arises when you have to hunt for a number to see the right specialist on the Internet like a rare animal, but during an in-person visit it turns out that the doctor’s office has an empty corridor and not a single patient.

The constant lack of numbers to see doctors is already a trademark of the electronic registry. In addition, messages began to appear on forums from speculators who collect requests from doctors for future use, and then “give them over” to those in need for a fee.

Leaders of the Ministry of Health reassure that the online registration program is constantly being improved, and all problems will be resolved over time. Now, to monitor the quality of work, a “hotline” has been created - 8-800-200-04-01. In addition, you can leave your comments and questions by email: [email protected].

Despite the listed disadvantages, booking via the Internet already solves many problems: no queues, early rises and unnecessary travel to the clinic. Without leaving your home, you can see which specialists have free appointments. Then, using our website, read