Imvume yokuzithandela ekwaziswa ngokuzithandela ukungenelela kwezokwelapha: isampula nesibonelo

Noma yimuphi umuntu ofake isicelo enhlanganweni yezokwelapha uzocelwa ukuba agcwalise imvume yokuzikhethela yokwaziswa kwezokwelapha. Iziguli aziqondi njalo ukuthi kungani kudingeke ukuba zigcwalise futhi zisayine leli fomu, zibonisa kulo idatha yazo yomuntu siqu. Ngaphezu kwalokho, ochwepheshe bezempilo abatholakali ngaso sonke isikhathi ukuze bachaze ukuthi yini ngempela umuntu osayine imvume yokuzikhethela yokwelapha (DIS). Yimaphi amalungelo le dokhumenti enikeza odokotela abaya kuyo? Loludaba lwabazali bezingane ezincane lubuhlungu ngokukhethekile: ukugcwalisa nokusayina imvume yokuzikhethela yokwelashwa kwengane yabo kuvame ukuhlinzekwa hhayi emtholampilo wabantwana kuphela, kodwa futhi esikhungweni semfundo. Ingabe kuyadingeka ukuthi usayine i-DIS noma kungcono ukukhipha ukwenqaba? Kungani ngidinga ukugcwalisa le dokhumenti? Yimiphi imiphumela yokuvuma nokwenqaba ukungenelela kwezokwelapha?

Kuyini ukungenelela kwezokwelapha?

Ngegama elithi "ukungenelela kwezokwelapha" lisho noma yiluphi uhlobo lwezinhlolo, izinqubo kanye nezindlela zokuphatha ezenziwa ngabasebenzi bezokwelapha ngokuqondene nesiguli. Ngakho-ke, ukungenelela kwezokwelapha kuphathwa ngokulinganayo kokubili ukuhlolwa kwezokwelapha okulula futhi imibuzo mayelana nezikhalazo zesiguli, nokufakelwa kabusha kwezitho zabanikeli.

Ifomu DIS

Ukuvunyelwa kokungenelela ngokwezokwelapha, futhi ukuphika ukungenelela kwezokwelapha noma ukuvuma izinhlobo ezithile zezinqubo kufanele kwenziwe ngokubhala. Amafomu ajwayelekile kanye nokuhlelwa kokugcwaliswa kwawo kuvunyelwe ngumyalelo we-Ministry of Health of Russia No. 1177n kaDisemba 20, 2012.

Iyiphi ukungenelela kwezokwelapha okubandakanya i-DIS

Imvume yokuzinikela ngokuzithandela idokhumenti eqinisekisa ukuthi ilungelo lomguli ukuthola ulwazi olunokwethenjelwa, oluqondakalayo, oluphelele mayelana nezinsizakalo zezokwelapha ezinikeziwe lubonakala. I-DIS ejwayelekile (i-Annex 2 kuya ku-oda No. 1177n) igcwalisiwe futhi isayinwe yisiguli (ummeleli wezguli) kanye nesisebenzi sezokwelapha ngaphambi kokuhlinzekwa ukunakekelwa kwezempilo okuyinhloko, ngokuhambisana nohlu oluvunyiwe ngumyalelo we-Ministry of Health kanye nentuthuko yezenhlalakahle No. 309n ka-23.04.2012).

Ikhadi lezokwelashwa lesiguli ku-polyclinic, ikhadi lezempilo lezingane esikhungweni semfundo, inkontileka yokuhlinzeka ngezinsizakalo zezokwelapha ezikhokhelwe kanye neminye imibhalo ehlobene nokuhlinzekwa kwalolu hlobo lwezinsizakalo kumele ukuthi iqukethe imvume yokuzikhethela eyaziwayo yokwelashwa okungenele.

Kubalulekile! Ngaphambi kokugcwalisa ifomu le-DIS, udokotela ozofika (udokotela wezokwelapha) kumele azise isiguli ngendlela efinyeleleka ngokuningiliziwe mayelana nokungenelela okuzayo, kufaka phakathi imigomo, izindlela kanye nemiphumela engenzeka yezinqubo ezizayo.

Ngokusayina imvume yokuzikhethela yokwaziswa kwezokwelapha esikoleni noma enkulisa, umzali unikeza imvume kuphela ngezinqubo ezibalulwe emthethweni. Ifomu le-letterhead elijwayelekile lichaza ngokuningiliziwe uhlu lwezinqubo ezihlongozwayo eziqhutshwa ngokuhambisana nonyaka wengane encane. Uma kwenzeka umzali ebangela lokhu ukungabaza kuhlu, kuyoba okungakahle ngaphambi kokuhlola ifomu lokufunda i-DIS ekhaya, endaweni ekhululekile. Uma umbuzo usefomu lokuvuma, umzali (ummeleli wengane) angacacisa uhlu lwezinqubo ezizokwenzeka kulo myalelo we-Ministry of Health we-Russian Federation No. 1346n kaDisemba 21, 2012 "Ngenkambiso yokudinga ukuhlolwa kwezingane ezincane ...", nokuhleleka nezinhlobo zokugoma - ikhalenda yokugoma esemthethweni.

Indlela yokugcwalisa: imfundo, isampuli

Kufanele kuvunyelwe imvume yokuzinikela ngokuzithandela yenzelwe ukungenelela kwezokwelapha? Ifomu le-DIS lilungiswe futhi lisayinwe yisiguli kanye nodokotela olapha kuphela ngaphambi kokuqala kwazo zonke izivivinyo zezokwelapha nokuphathwa. Isibopho sokugcwalisa isimo - yonke imininingwane igcwele isiguli (ummeli wesiguli esincane) ngesandla sakhe siqu. Okungafani nalomthetho ukuthi uma isiguli singakwazi ukugcwalisa ifomu ngokwakhe ngenxa yempilo yakhe. Kulesi simo, isikhulu esiphethwe se-medical organization sizokwenza lokho.

Yiluphi ulwazi okufanele ngiluchaze ekuqedeni imvume yokungenelela kwezokwelapha? (Ukuze isampula yokugcwalisa sibone ngezansi kulesi sihloko.)

Ngokomyalelo ovunyelwe ngokusemthethweni wokugcwalisa amafomu we-DIS (ngemuva kwalokhu okubizwa ngokuthi imfundo), isithasiselo ku-Federal Medical and Biological Agency of Russia No. 88 ka-30.03.2008, isiguli kumele sibonise efomu:

• Idatha yakho yomuntu siqu: igama, ikheli lokubhalisa (indawo yokuhlala), unyaka wokuzalwa, ulwazi mayelana nepasipoti (ikhadi lesazisi).

• Idatha yesisebenzi sezokwelapha (udokotela) owenza ulwazi mayelana nokungenelela kwezokwelapha.

• Uhlu lwabantu abavunyelwe ukunikeza ulwazi mayelana nokuxilongwa nesimo sezempilo sesiguli.

• Uma ubhalisa i-DIS ngaphambi kokunakekelwa kwesineke: ulwazi mayelana nesikhungo sezokwelapha lapho kulungiswa khona izibhedlela.

• Usuku lokusayina i-DIS.

Uma ummeleli wezomthetho egcwalisa isiguli esincane :

• Ekuqaleni kwefomu (imigqa yokuqala), idatha yomuntu siqu yomzali (omele) kanye nekheli lokubhalisa (yokuhlala) kanye nolwazi mayelana nepasipoti (ikhadi lokuzisi) likhonjiswa.

• Emibhalweni ye-DIS, kufanele ngigcizelele amagama "ongummeli wami engimanga ...".

• Idatha yomuntu siqu yengane (i-FI, unyaka wokuzalwa) ibonisiwe.

Ekupheleni kombhalo wefomu, imvume yokuzinikela ngokuzithandela yokwelapha okuqinisekisiwe isignesha yezokwelapha (udokotela).

Ukuvunyelwa kwezinye izinhlobo zezinqubo zokwelapha

Izinhlobo ezithile zokungenelela kwezokwelapha zidinga ukuthola i-DIS ngaphezu kwemvume evamile. Isibonelo, ukugoma (ukugoma) kwesiguli esincane nesiguli (ummeli wakhe wezomthetho) sidinga imvume yokuzinikela ngokuzithandela ukungenelela kwezokwelapha (isampula bheka ngezansi kulesi sihloko).

I-DIS yezinhlobo ezithile zokungenelela kwezokwelapha, imithetho efanayo yokugcwalisa iyasebenza. Ngaphambi kokuba usayine imvume yesiguli kumele azise ngokuningiliziwe kokubili inqubo ngokwalo kanye nemiphumela elindelekile. Ifomu ngalinye le-DIS eligcweliswa yisiguli noma ummeli wakhe wezomthetho nalo lifakwe emkhokheni wezokwelapha.

Yini okufanele ngiyibheke? Ifomu kufanele libe negama lenqubo ethize lapho isiguli (omelele) sinikeza imvume. Noma yikuphi ukwaziswa okuvamile kanye nemishwana akuvumelekile. Isibonelo, ngemvume yokugoma, i-DIS ingabandakanyi inqubo kuphela, kodwa futhi negama lomuthi ozosetshenziswa.

Kungenzeka yini ukucacisa imininingwane eyengeziwe efomu?

E-letterhead ejwayelekile ye-DIS, isigaba esithi "Ulwazi olungeziwe" lungagcwaliswa ngudokotela oya khona, uma kunesidingo, enikeza ulwazi ngokuthola i-DIS yesiguli kanye nokungenelela kwezokwelapha okuzayo.

Ukwethulwa kwanoma yiluphi ulwazi olwengeziwe kumvume evamile noma ifomu lokulahla akuhlinzekwe ngumthetho, kodwa akuvunyelwe.

Kungenzeka yini ukwakha imvume noma ukwenqaba efonini yamahhala?

Imiyalo iphinde inikeze amacala lapho isiguli ngesizathu esithile singafuni ukugcwalisa i-DIS kwifomu elivunyiwe. Esimweni esinjalo, imvume yokuzikhethela yokwaziswa kwezokwelapha ingabhalwa ngesandla noma ifakwe efomini elibhalwe mahhala. Kodwa-ke, kukhona ukucaciswa ukuthi uma i-DIA ibhalwa ngokuzimela, isiguli kufanele sisahambisana nezidingo zomthetho ezakhelwe i-DIS zokwelapha.

Ukungenelela kwezokwelapha ngaphandle kwemvume yesiguli

Ezimweni ezihlukile, umthetho uvumela ukuhlinzekwa kosizo lwezokwelapha oludingekile noma izinqubo zokwelapha ngaphandle kokuthola i-DIS:

• Uma kudingeka izinyathelo eziphuthumayo ukuze kuqedwe isisulu empilweni yesiguli, kodwa usembuso ongavumeli ukucaciswa kwesinqumo sakhe, futhi abameli bakhe bezomthetho abakho.

• Kubantu:

1) ukuveza abanye ingozi ngenxa yezifo ezikhona;

2) ukukhathazeka ngokwengqondo ngesimo esibi;

3) labo abenza ubugebengu;

4) mayelana nokuhlolwa kokuhlolwa kwezempilo noma ukuhlolwa kwezimo zengqondo.

Indlela yokwenqaba: sigcwalisa ukwenqaba kokwelashwa

Ukwenqaba ukungenelela kwezokwelapha kuyilungelo elingokomthetho lesiguli (ummeleli wezomthetho wesiguli esincane). Isiguli singakhipha ukwenqaba ngesimo esikhethekile (isithasiselo 3 ukuze u-No. No. 1177n) noma ngokusibhala ngeshidi elijwayelekile ngesandla.

Ngaphambi kokudweba le dokhumenti, udokotela ozofika (udokotela wezokwelapha) unesibopho sokutshela isiguli ngemiphumela yonke yokungena ngemvume yokwenqaba ukwelashwa noma "ukulahla" ingxenye yenqubo yezokwelapha.

Ukuze wenze lokhu, ingxenye "engenayo yepasipoti" engenhla ifomu le-DIS igcwaliswa ngendlela efanayo nemvume, ngokuhambisana nemfundo. Ngaphezu kwalokho, kufanele kube nokungavumelani ngokungenelela, irekhodi eliqinisekisa ukuthi kunikezwe incazelo mayelana nemiphumela yokwenqaba abasebenzi bezokwelapha. Esikhathini sefomu lokuphika ejwayelekile kunesigaba sokugcwaliswa ngudokotela oya khona, lapho kungenzeka khona imiphumela yokwenqatshelwa okunolwazi.

Ukwenqaba isiguli kusuka ekungeneni kwezokwelapha kudluliselwe ekhadini lakhe noma, uma kunqatshelwe ukugula esibhedlela, kudluliselwa emibhalweni yokukhishwa kwesiguli.

Ungakuyeka kanjani kancane izinqubo ezichazwe kwimvume?

Ngokwehlukana, kufanele sicabange ngesimo lapho ukwenqatshwa kungavamile ngokungenelela kwezokwelapha, kodwa kunqubo eyodwa noma eziningana. Kulesi simo kudingekile ukuba uhlele kulolu hlobo olukhethekile lwezinhlamvu ezibonisa inqubo ethile lapho isiguli esenqatshelwe khona (isithasiselo 3 kuya ku-oda No. 1177n).

Ifomu igcwaliswe ngokuphelele, ngokusho komyalelo osungulwe wokugcwalisa kanye nemiyalelo. Udokotela ozofika uzokhombisa imiphumela ekulindelekile yokwenqaba le nqubo.

Ngabe ingane ingayisayina yimuphi u-DIS ngokwakhe?

Umuntu ofinyelele eminyakeni engu-15 anganikeza imvume enolwazi ekungeneni kwezokwelapha. Kodwa kusukela kulo mthetho kukhona okungafani okusekelwe yimithetho nokwenza izenzo ezijwayelekile. Ukuvunyelwa kwezigaba ezithile zokungenelela kwezokwelapha kungasayinwa kuphela ngokugcwele - umuntu omdala, okungukuthi, isakhamuzi esingaphezu kweminyaka eyishumi nesishiyagalolunye noma umuntu owamukele umthamo wezomthetho ngaphambi kwesimiso ngendlela ebekwe ngumthetho. Ukungafani okunjalo kufaka:

• Ukuvunyelwa kunoma yikuphi ukuxhaphazwa kwezokwelapha mayelana nokunikela (ukuhlukunyezwa kwezinhloso zabanikeli) zezingxenye noma igazi kanye nokufakelwa kwezitho zomnikeli kwisiguli.

• Ukuvuma ukuhlola ukusola kwesidakamizwa (utshwala) ukudakwa.

• I-DIS yokuhlinzeka ngosizo lwezemvelo kwisakhamuzi esagula izidakamizwa. Ngesikhathi esifanayo, ukungenelela kwezokwelapha okungaxhunyiwe nokuphathwa kwezidakamizwa, isiguli esinokwethenjelwa kwezidakamizwa singavuma iminyaka eyishumi nesithupha.

Kubalulekile! Isakhamuzi esazi ukuthi asikwazi ngokomthetho ngendlela enqunywe ngumthetho ayinalo ilungelo lokunikeza u-DIS ngokwakhe. Ukuze enze isinqumo ngemvume noma ukwenqaba ukungenelela kwezokwelapha kumele abe ngummeli wakhe wezomthetho.

Ukuqinisekisa kwe-DIC

Imibandela yokuqinisekisa ye-DIS ayimisiwe ngokomthetho. Incazelo kuphela kule ndaba yukuthi imvume ivunyelwe sonke isikhathi sokwelashwa (ukunakekelwa kwezempilo). Ngokwenza njalo, lokhu kusho ukuthi imvume enolwazi yokungenelela kwezokwelapha kuyosebenza isikhathi sonke lapho isiguli sinikezwa inhlangano yezokwelapha. Okungukuthi, kungukugulisa, ukuphathwa kwezempilo noma, ngokuqondene nezinsizakalo ezengeziwe zemali ezikhokhelwayo, sonke isikhathi sekhontrakthi nomtholampilo.

Kodwa-ke, isiguli esinikeze imvume enolwazi yokungenelela kwezokwelapha sinelungelo lokulihoxisa ngokuphelele noma ingxenye ngaphambi kosuku lokuphela. Ukwenqaba ukungenelela kwezokwelapha noma ingxenye yezinqubo okudingekayo ngokubhala, ngokugcwalisa ifomu le-medical organization noma elibhalwe mahhala isicelo esibhekiswe kudokotela oyinhloko. Isiguli singase sibonise isicelo (ifomu lokuphika) isizathu sokuhoxiswa kwe-DIS, kodwa lokhu kuyimfuneko yokuzikhethela.

Isibopho sokuhlinzeka ngezokwelapha ngaphandle kwe-DIC

Ukukwazisa isiguli ngezinqubo zezokwelapha ezizayo kanye nemiphumela yabo engaba khona kuyisibopho senkampani yezokwelapha esungulwe ngumthetho wamanje kanye nesimo selayisense (ukugunyazwa) ekunikezeni lolu hlobo lwezinsizakalo. Udokotela oya khona noma inhlangano yezokwelapha engabhalisanga kahle imvume yokuzikhethela yokwelapha yokwelashwa iyobekwa ngokulawulwa ngokuhambisana neSigatshana 14.1 (into 3.4) ye-CoaP, ngesimo sokumiswa noma sokumiswa okwesikhashana emsebenzini wezobuchwepheshe.

Uma isiguli sinikezwa ngezinsizakalo zezokwelapha ngemali ngaphansi kwenkontileka, khona-ke inhlawulo engenhla izongezwa emthwalweni ngaphansi kwe-Art. 14.8 Coap RF yokuthi isiguli asitholanga ulwazi olunokwethenjelwa kumasevisi anikeziwe.

Isimo siyinkimbinkimbi kakhulu uma impilo yesiguli noma impilo isengozini. Uma isisulu singanikezwa ngokugcwele nolwazi olunokwethenjelwa mayelana nezinqubo zokwelapha ezizayo nemiphumela yabo engenzeka, isiguli (noma izihlobo zakhe) sinelungelo lokuthola isinxephezelo esiphelele sokulimala ngokuhambisana noMthetho Wokuvikelwa Kwemalungelo Wabathengi (Isigaba 12) kanye ne-Civil Code ye-Russian Federation (Isigaba 1095). Kumele kuqashelwe ukuthi uma engekho i-DIS, isiguli singakwazi ukucela isinxephezelo ngenxa yengozi eyitholiwe, kungakhathaliseki ukuthi kukhona iphutha lenhlangano yezokwelapha kulesi sigameko.