Consultative Diagnostic Clinic № 2

Analysis

State Нealthcare Institution «Consultative Diagnostic Clinic № 2»  is located on 114a Angarskaya street,  in Dzerzhinsky district.

On August 1, 1991, an immunological laboratory was organized by a joint order of the regional and city health departments on the basis of the city polyclinic № 30.  The primary focus of the institution was laboratory diagnostics.  In the future, the institution was allocated to a separate clinic, on the basis of which the reception of allergist-immunologist doctors was also organized.  The institution was renamed the Center for Allergology and Clinical Immunology.

Since January 2013, the polyclinic has been a State Нealthcare Institution and is called «Consultative Diagnostic Clinic № 2».

«СDС № 2» is operated under the program of compulsory health insurance and on a fee basis.  The polyclinic provides consultative and diagnostic assistance to adults and children, regardless of the place of registration.

The service of rapid response 

In January 2016, the centralized clinical and diagnostic laboratory of the Volgograd region began to work on the basis of  «Consultative Diagnostic Clinic № 2», which since 2012 has been headed by the highest category doctor, MD, Anna Panina.  The main goal of centralization is to increase the availability of medical services for the population in the section «Clinical laboratory diagnostics».  Centralization allows you to provide equal for any resident of the region, regardless of his place of residence, the level of quality, deadlines and range of services provided.  Strict monitoring of research performance, objective statistics on the provision of laboratory services are provided.  The problem of shortage of laboratory personnel and the need for technical re-equipment of laboratories of individual medical organizations is being solved.

Before the implementation of the project to create centralized laboratories in the Volgograd region there were a number of problems.  First, not all medical institutions had well-equipped laboratories; quite often laboratory tests were performed on outdated equipment.  In addition, not all types of studies were available to perform.  And in this case, the health care facilities were forced to conclude an agreement to perform tests with third-party institutions, as a rule, with private clinics, in which research could not be controlled properly.  Particularly acute these problems were manifested in providing access to clinics for patients under the health insurance policy of high-tech microbiological and PCR studies.  So, at the time of the start of the project for the centralization of laboratory services, microbiological studies were carried out in their own laboratories at only three territorial polyclinics of Volgograd and Volzhsky, PCR studies were performed in one.

«After organizing a centralized laboratory, all residents of Volgograd and most areas of the region had the opportunity to undergo laboratory tests under the health insurance policy according to the list of 93 clinical laboratory research items in such areas as hematology, coagulogy, biochemistry, and immunochemistry;  according to the list of 45 positions of microbiological, 70 molecular genetic studies.  All types of research are carried out on modern high-performance equipment» says Anna Panina, head doctor of the State Healthcare Institution «Consultative Diagnostic Clinic № 2».  Daily in centralized laboratories «CDC    № 2» receives up to 16 thousand tubes.

Control and order

An important section of immunochemical research was the definition of tumor markers.  The laboratorie’s test menu includes CA-125 (ovarian pathology),      CA-15-3 (breast pathology in women), PSA (prostate gland pathology), CEA,  AFP (gastrointestinal pathology) tests.  The annual volume of research in this area in 2016 was 52,112, in 2017 — 107929, and in 2018 —130761 studies.  Thus, over the three years of operation of the centralized «Сonsultative Diagnostic Clinic», the number of studies  on the definition of tumor markers has increased 2.5 times.

Blood sampling from the patient is carried out in district clinics.  It is carried out using special gentle vacuum systems that allow you to quickly and painlessly perform blood sampling for various types of studies (in different tubes).  As of May 1, 2019, there are 129 collection points in medical organizations in the region.

The delivery of biological material by a single courier service is arranged.  33 route for the transport of biomaterial were organized.  Optimization of the material delivery allowed to fulfill the requirements of the pre-analytical stage of the laboratory analysis.

The work of the laboratories is organized in two shifts.  It is served by highly qualified medical personnel, five doctors have a degree.

All types of research are carried out automatically, on automatic analyzers, under the constant supervision of medical personnel.  In the process of conducting research, several levels of control are used; they can be easily traced through the laboratory information system.

The basis of the laboratory service information is the laboratory information system (LIS), which allows you to fully manage all processes and fully control the production cycle.  Medical organizations are provided with 165 automated workstations for biomaterial registration.

The work of centralized laboratories on the basis of  «Consultative Diagnostic Clinic № 2»  helps to bring a new laboratory diagnostics service to a new level and is focused on tasks related to a decrease in mortality rates by improving diagnostics and, as a result, prescribing timely and reasonable treatment.

On the guard of immunity 

Another key profile of the work of the «CDC № 2» is the provision of outpatient medical care in allergology-immunology.  In the medical organization, a consultation with children and adult allergists is carried out, skin tests and provocation tests are carried out.  Special attention is paid to work with patients with impaired immunity.  A register of patients with primary immunodeficiency states is maintained in conjunction with federal clinics.

A significant part of the diagnosis of allergic diseases and diseases associated with impaired immunity is laboratory diagnosis.  In the laboratory of «CDC № 2» the definition of the main markers of allergy (immunoglobulin E is a common and eosinophilic cationic protein), clarifying allergen diagnosis (determination of the level of specific immunoglobulins) is carried out.  As part of the study of the patient’s immune status, the level of blood immunoglobulins of all classes is determined, the cellular immunity and immunophenotyping with a flow cytometer (device and method are unique for the region) and the phagocytic link are evaluated, and the component of the complement is determined.

Friendly work of laboratory and clinical departments allows you to perform the most complex tasks in the diagnosis and treatment of patients.  And the dynamic development of «Consultative Diagnostic Clinic № 2» is the basis for providing medical care at the highest level.

Infographics

The volume of studies performed in the KDP, year / number of studies

2016 — 4 474 019

2017 — 7 062 350

2018 — 7,649,607