Preventive
health check up for adults has been introduced in CGHS within primary health
care level. The introduction is designed
to conduct a periodic examination, which can detect disease early and can help in
preventive diseases. Such a preventive
check up is a health appraisal specially related to age, risk factors and
lifestyle.
The
aim of the preventive health check envisages to develop
a system to assess the health status through health checks for CGHS beneficiaries
above 40 years of age and to provide preventive, referral and follow-up
services to the beneficiaries through medical check-ups, health education and
counseling of the beneficiaries on various issues.
The
Preventive Health Check is envisaged as a Pilot Project which has been started
for Central Government
employees aged over 40 years at CGHS Wellness Centre RKP-V
(Sector-12), R.K. Puram, New Delhi and CGHS Wellness Centre RKP-I
(Sector 4), R.K. Puram, New Delhi, with a set of proforma
and investigations. It is proposed to
have a mass screening of Central Government employees, Serving and Pensioners at CGHS
Wellness Centre level by paramedic initially for basic history, clinical
examination by Medical Officer/Specialist later reviewing investigations
done.
The
on line module(software) of the Preventive Health
Check Project has been developed with the collaboration of the NIC
officials. The Module with the proforma for health checks and investigations is being
deployed for use for the CGHS Wellness Centre RKP-V (Sector-12), D-57, where
the Preventive Health Check Project has started. All operational formalities are complete and
the module is in use.
CGHS
has already finalized a package deal with Dr. Bhasin
Path Labs for the set of specific investigations (Male/Female) for Health
Check.
Operational steps for check up
Within 10 days prior to registration
date given, beneficiary goes to CMO I/c of his Wellness Centre for an investigation slip
for Health Check up.
Beneficiary
goes to the center for investigations.
The reports of beneficiary are uploaded by the center in module and are
now available to CMO I/c of the Wellness Centre/Health Check Centre.
On
the date of registration, beneficiary reports at Health Check Centre where a
Paramedic (preferably a Staff Nurse) enters all Preliminary History data and
baseline General Physical examination data like Weight, Height, BMI, Pulse, BP, Temp.
etc.
The physician now has
History, Examination data done by Para-medic and investigations data from
Diagnostic Centre, Physician after entering all Clinical examination data and
evaluating all details put beneficiary in one of the following four categories
and records his advice on in physician column.
|
1. Apparently
healthy:
|
:Follow up after one year for
Annual Health Check
|
|
2. Needs
to be investigated further
|
:Next Health Check after 6 Months
|
|
3. At
risk for Disease
|
:Advised follow-up after that 3
Months
|
|
4. Diagnosed
to have Disease
|
:Referred to a Specialist for
management
|
DS/GK