Aspects of the Moscow fluorographic services status and possible approaches to its reorganization

Abstract Due to the fact that modern digital fluorographic plants have been introduced into medical practice, it is necessary to elaborate new organizational and technological forms of work during fluorographic survey. For this, 1-2 Moscow okrugs completely equipped with digital fluorographic plants should be used to examine their actual capacities and on this basis to develop guidelines for detection of chest diseases by applying this new technological equipment. While organizing mass surveys by using digital fluorographs, it is necessary to take into account the definite conditions: health care facilities must be equipped with a uniform digital fluorograph; for continuity in work and information exchange, the software of all fluorographs must be unified within the city; a personified electronic fluographic card catalogue must be provided by identifying decreed contingents and tuberculosis risk groups; digital fluorographs must be fitted with the programmes that permit one to keep records and accounts in accordance with the approved official statistical forms; the database must be compatible in all users for prompt exchange of information on modem communication and for transmission of the results of a survey on diskette carriers; a fluorographic center wherein the fluorograms of individuals with suspected tuberculosis should be collected and deciphered (by modem communication or on diskette information carriers) must be set up on the basis of one of the tuberculosis dispensaries.