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Centrul Medical de Diagnostic, Tratament Ambulatoriu si Medicina Preventiva
Str. Washington nr.8-10 Bucuresti

Centrul Medical de Diagnostic, Tratament Ambulatoriu si Medicina Preventiva - Bucuresti este institutie publica in domeniul sanitar, cu personalitate juridica, subordonata Academiei Romane..
   Centrul asigura asistenta medicala primara, de specialitate, de urgenta pentru categoriile de persoane aflate in sistemul de asigurari sociale de sanatate, precum si asistenta medicala si protectie sanitara pentru demnitarii romani si straini, desfasurand si activitati de inspectie sanitara si sanitar-veterinara de stat, in colaborare cu Inspectia Sanitara de Stat din cadrul Ministerului Sanatatii Publice, avand in vedere protocolul de colaborare interinstitutionala in vigoare.
   Activitatile de inspectie sanitara si de inspectie sanitar-veterinara de stat prestate de personalul acreditat de Ministerul Sanatatii Publice, respectiv Autoritatea Nationala Sanitar Veterinara si pentru Siguranta Alimentelor, se efectueaza in teritoriul operativ impus de situatia asigurarii protectiei sanitare a demnitarilor protejati.
Centrul este o unitate sanitara care functioneaza intr-un mod integrat si asigura:
a) accesul asiguratilor la toate serviciile medicale prestate;
b) utilizarea eficienta a personalului medical si a mijloacelor tehnice de investigatie si tratament;
c) dezvoltarea si perfectionarea continua a asistentei medicale ambulatorii si preventive corespunzator nivelului medicinei moderne.

   Consultatiile pacientilor se acorda pe baza de programare si la prezentarea directa in cazurile de urgenta sau pentru asistenta curenta. Examenele de laborator si tratamentele se efectueaza pe baza recomandarilor scrise ale medicilor.

   Cabinetele de consultatii medicale de specialitate pentru adulti, au urmatoarele atributii functionale:
a) asigura asistenta medicala de specialitate pentru bolnavii prezentati la cabinetele de consultatii cu efectuarea examenului medical complet, in vederea stabilirii diagnosticului si a conduitei terapeutice adecvate, precum si urmarirea aplicarii acesteia;
b) asigura primul ajutor medical si a asistentei medicale de urgenta in caz de boala sau accidente,
c) asigura organizarea si efectuarea examenelor de specialitate si a investigatiilor de laborator necesare in cadrul examenului medical de angajare

Serviciile medicale furnizate de Centru sunt, in principal, urmatoarele:
  a) asistenta medicala de urgenta la domiciliu;
  b) asistenta medicala primara;
  c) asistenta medicala ambulatorie de specialitate;
  d) centru de dializa cronica;
  e) investigatii paraclinice si de laborator;
  f)  servicii de farmacie la pret cu amanuntul;
  g) activitati de chirurgie de o zi in domeniile chirurgie generala, chirurgie ortopedica, oftalmologie, ORL, ginecologie, chirurgie plastica si reparatorie si flebologie;
  h) activitati de medicina muncii.

  Centrul medical asigura servicii medicale la standarde europene pe specialitati astfel:
A. Specialitati clinice cu:
   1. Specialitati medicale cu :
    - medicina interna;

 Cabinetele de boli interne au urmatoarele atributii specifice:
a) asigura examenul clinic si de laborator necesar triajului medical in vederea trimiterii pacientilor la tratament abalnear;
b) selectioneaza persoanele ce urmeaza a fi cuprinse in actiunile de imunizare activa si organizarea vaccinarii acestora;
c) sprijina medicii de medicina generala in rezolvarea unor cazuri dificile din punct de vedere al diagnosticului sau conduitei terapeutice;
d) participa, la nevoie, la asigurarea asistentei medicale pentru demnitarii straini, oaspeti, pe perioada vizitelor in Romania;
e) asigura serviciul medical la cabinetele exterioare Centrului

    - cardiologie;
    - gastroenterologie;
    - hemodializa;
    - pneumologie;

 Cabinetul de boli pulmonare, in afara consultatiilor de specialitate, are urmatoarele atributii:
  a) asigura asistenta medicala a afectiunilor cronice netuberculoase, sau neoplazice;
  b) depistarea individuala si in masa a afectiunilor la copii si adulti;
  c) asigura internarea in sanatoriile si preventoriile specializate, a cazurilor care necesita aceasta, urmareste si asigura tratamentul pacientilor externati;
  d) colaboreaza cu cabinetele de specialitate din policlinicele teritoriale pentru efectuarea anchetelor in focar si aplicare masurilor antiepidemice corespunzatoare;
  e) urmareste contactatii TBC din listingul centrului medical;
  f) organizeaza si asigura testele cutanate si vaccinarile specifice conform normelor in vigoare, in colaborare cu serviciul pediatrie al Centrului Medical;
  g) intocmeste evidenta persoanelor implicate in masurile de profilaxie primara si secundara si urmareste aplicarea acestora;
  h)organizeaza, in colaborare cu laboratorul de radiologie, examene MRF;

    - reumatologie;
    - endocrinilogie;
    - oncologie medicala;
    - neopsihiatrie pediatrica;

 Cabinetul de neuropsihiatrie infantila are urmatoarele atributii specifice:
a) efectuarea studiului dezvoltarii psiho-intelectuale a copiilor din listing in vederea aplicarii masurilor de igiena psihica si de profilaxie a bolilor mintale;
b) stabilirea modalitatii de integrare in societate a copiilor cu stare sau deficiente neuropsihice;
c) colaborarea cu medicii pediatrie in examenul de bilant al copiilor asistati.

    - urologie si electrocefalograme;
    - psihiatrie psihologie;
    - recuperate medicala fizica si balneologie;
    - medicina muncii;
    - diabet zaharat si boli metabolice;
    - imunologie si alergologie;

  Alergiile reprezintă o reacţie de apărare exagerată şi periculoasă a organismului care poate fi declanşată de o serie de factori externi (acarienii din praful de casă,p olenuri, mucegaiuri,a limente, medicamente,s ubstanţe toxice, poluanţi, metale, cosmetice,i nsecte) şi interni( infecţii bacteriene,v iroze,p arazitoze,a fecţiuni endocrinologice, reumatice, gastroenterologice, oncologice, pneumologice, nefrologice etc.)
                     Afecţiunile alergice înregistrează o creştere notabilă pe plan mondial,manifestându-se la orice vârstă şi indiferent de condiţia socială .Ele pot afecta serios starea de normalitate a individului şi scad semnificativ calitatea vieţii,fiind printre cele mai frecvente boli cronice.Sunt întâlnite cu precădere la copii ,dar şi la adulţi tineri,vârste la care se poate şi interveni eficient în evoluţia lor cu metode terapeutice specifice,aflate strict în competenţa medicilor specialişti alergologi.
                      Alergologia este o specialitate biomedicală care se ocupă de o serie de afecţiuni ca : rinita, conjunctivita, astmul,anafilaxia(şocul anafilactic),urticaria,angioedemul, reacţii alergice şi de intoleranţă medicamentoasă sau alimentară ,eozinofilii, dermatie de contact şi dermatite atopice.În plus poate urmări disfuncţiile sistemului imunitar manifestate de la boli atopice uşoare până la sindroame de imunodeficienţă şi boli autoimune.
                     Diagnosticul bolilor alergice se bazează pe anamneză(istoricul bolii),examen obiectiv şi o serie de testări specifice ,la care se adaugă teste de laborator, radiologice şi funcţionale respiratorii.
                     În urma consultului de specialitate se stabilesc strategiile de profilaxie(prevenţie) precum şi tratamentul specific individualizat pacientului şi afecţiunii alergologice ,inclusiv iniţierea vaccinărilor cu alergene(în terminologia veche desensibilizări) în situaţiile în care există o astfel de opţiune terapeutică,acestea din urmă fiind singurele modalităţi terapeutice, aflate în competenţa alergologului, care pot modifica cursul natural al bolilor alergice spre vindecare.

    - medicina de familie si de urgenta;
    - expertiza medicala si capacitate de munca;
    - pediatrie

 Cabinetele de pediatrie cumuleaza atributiile medicului de medicina generala pentru copii, avand in afara sarcinilor de specialitate si urmatoarele atributii specifice:
a) asigurarea asistentei de medicina generala curenta si de urgenta a populatiei de la 0-18 ani, atat in Centrul Medical cat si la domiciliu, in cadrul programului de zi, cat si in garzile de noapte;
  b) luarea in evidenta a copiilor de la 0-18 ani, cu precadere a copiilor din primul an de viata;
  c) efectuarea de controale active si diferentiate, la domiciliu si in Centrul Medical la copii aflati in evidenta speciala, nou nascuti, prematuri, distrofici, etc., prin controale periodice cu ritm variabil in raport cu varsta, starea de sanatate si conditiile familiare ale acestora;
  d) asigurarea triajului epidemiologic al copiilor prezentati la consultatii, retinerea in izolator la suspiciunea unei boli tranmisibile, pana la rezolvarea cazului;
  e) asigurarea, in colaborare cu medicii de alte specialitati din Centrul Medical, a diagnosticarii si dispensarizarii copiilor cu boli cronice (reumatismale, hepatice, etc.) si intocmirea evidentelor acestor copii in vederea reexaminarii lor periodice;
  f) organizarea si efectuarea imunizarilor active la copiii intre 0-18 ani pe baza cartografiei existente;
  g) asigurarea triajului clinic si epidemiologic al copiilor ce urmeaza a participa la tabere sau copiii trimisi in cure balneare in sanatorii de profil;
  h) asigurarea si efectuarea unor recoltari de laborator pentru analize medicale si investigatii epidemiologice;
  i) efectuarea in cursul zilei a tratamentelor medicale (injectii) pe baza indicatiilor medicale de specialitate date in scris;
  j) colaborarea cu medicii de specialitate si in special cu medicul de cultura fizica medicala pentru stabilirea indicatiilor si contraindicatiilor diferitelor forme de educatie fizica;
  k) efectuarea examenelor de bilant al starii de sanatate a copiilor pe etape de varsta;



  2. Specialitati chirurgicale cu:
    - chirurgie generala;
    - chirurgie vasculara si sala de operatii;
    - urologie;
    - onrinolarologie si sala de operatii;
    - chirurgie maxilofaciala;
    - oftalmologie si sala de operatii;
    - obstetrica ginecologie;

 Cabinetele de obstretica-ginecologie au urmatoarele atributii functionale:
a) organizeaza si asigura depistarea precoce a gravidelor si urmarirea periodica a evolutiei sarcinii prin examen clinic si de laborator;
b) organizeaza si participa la efectuarea controalelor periodice la grupe de pacienti stabilite;
c) organizeaza actiuni de depistare precoce a cancerului genital la populatia arondata.

    - ortopedie si traumatologie;
    - anestezie si terapie intensiva;


     B.Specialitati paraclinice cu:
    -radiologie si imagistica medicala;

Laboratorul de radiologie si imagistica medicala are urmatoarele atributii:
  a) efectuarea examenelor radiologice in laborator, cu respectarea tuturor masurilor de protectie generala si securitate a pacientilor si personalului sanitar;
  b) colaborarea cu medicii clinicieni in scopul precizarii diagnosticului, ori de cate ori este necesar;
  c) comunicarea la timp a rezultatelor examenului radiologic catre cabinetul medicului curant;
  d) organizarea si utilizarea corespunzatoare a filmotecii.
  e) sa acorde consultatia si evaluarea clinica a poacientului;
  f) tot personalul care lucreaza cu instalatiile radiologice trebuie sa aiba pregatirea practica relevanta radioprotectie;
  g) practicianul medical, radiologul trebuie sa ia in considerare eficacitatea beneficile si riscurili modalitatilor alternative de diagnostic;
  h) sa evolueze calitatea in practica de radiologie luand in considerare rezultatele monitorizarii pacientilor;
  i) expunerile medicale trebuie sa fie justificate prin analiza comparativa a beneficiilor de diagnostic in raport cu detrimentul pe care il pot cauza, luand in considerare si tehnicile alternative de diagnostic disponibile si care nu implica expunerea medicala;
  j) organizeaza cabinetul de radiografie dentara pentru realizarea examenului de paraclinic apsolut de util medicului stomatolog in vederea punerii unui diagnostic corect;
  k) se ocupa de obtinerea autorizatiilor si a avizelor specifice pentru autorizarea acestui cabinet;
  l) se ocupa de asigurarea cu filme substante de developare si a reviziilor periodice a aparaturii din acest cabinet

    -medicina nucleara si ecografie generala;
    -laborator anatomie patologica;
    -medicina de laborator;

 Laboratorul de analize medicale are in principal urmatoarele atributii
  a) efectuarea analizelor medicale de hematologie, biochimie, citologie, bacteriologie, parazitologie, micologie si hormonologie necesare precizarii diagnosticului, a stadiului de evolutie a bolii si examenelor profilactice;
  b) asigurarea in cele mai bune conditii a recoltarii produselor sau dupa caz a receptionarii lor, care vor fi supuse analizei de laborator si inscrierea lor corecta in evidentele laboratorului;
  c) redactarea corecta si distribuirea la timp a rezultatelor examenelor efectuate;
  d) colaborarea cu medicii clinicieni in vederea confruntarii rezultatelor de laborator cu datele examenului clinic in scopul asigurarii diagnosticului cazului clinic si a aprecierii rezultatelor analizelor efectuate de laborator;
  e) efectuarea testelor de specialitate in conditii perfecte de protectie a personalului medical in vederea prevenirii infectiilor accidentale (SIDA, etc

    -epidemiologie igiena si medicina preventiva;


     C. Specialitati stomatologice cu:
    -stomatologie generala;
    -laborator tehnica dentara;
    -personal auxiliar;

     D. Specialitati farmaceutice cu:
    -farmacie pret cu amanuntul;

     E. Servicii auxiliare cu:
    -statie de salvare;





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