The quality of medical examination of persons who underwent the impact of especially harmful chemical factors
Goncharova, A.G.
Problemy Sotsial'noi Gigieny Zdravookhraneniia i Istorii Meditsiny 2: 31-33
2010
ISSN/ISBN: 0869-866X PMID: 20731148 Document Number: 646434
The comprehensive analysis of the results of dynamic clinical functional examination of the contingent working or worked with especially harmful chemical substances and the corresponding medical documentation was made. The research approved the effectiveness of the system of medical examination of servicemen and mandatory medical check-ups of civilian personnel selected to service or work with toxic chemicals relevant to chemical weapon at the expense of optimization of the procedure of selection and dynamic observation. General morbidity among servicemen with maximal professional risk was on 20% lower than in the group with minimal risk and on 64% lower than in the control group. The algorithm was developed to apply the diagnostic techniques during medical examination of servicemen and mandatory medical check-ups of the civilian personnel of Military Forces of Russian Federation. The system differentiating approach was implemented to take into account the specifics of disease course and the succession in medical maintenance of this group of the examined. The optimization was applied to the system of quality management in medical examination of servicemen and mandatory medical check-ups of the civilian personnel, selected to service or work with toxic chemicals relevant to chemical weapon in accordance with requirements of the Federal Law On the social support of citizen employed to work with chemical weapon.