Файл: Учебное пособие 2 по английскому языку Для студентов лечебного и педиатрического факультета (2 семестр) 2020 год.doc

XVI. Watch the Video ‘Medical treatment for refugee children in Canada’ and answer the questions:

https://www.youtube.com/watch?v=2nstPud1Ww4

• 
  Where does the doctor consult her young patients and why?
  
• 
  What symptoms do the children present?
  
• 
  Who helps in communicating between the doctor and the young patients?
  
• 
  Where has the pediatrician worked in challenging environment before?
  
• 
  What may cause an infectious outbreak in the hotel?
  

XVII.Watch the video ‘Finn Bálor receives a unique medical treatment: Sept. 26, 2016’ and answer the questions:

https://www.youtube.com/watch?v=uS0ltc8MCr0

• 
  What kind of treatment is shown in the video? What patient’s problem must it solve?
  
• 
  How does a treatment relate to a patient’s diagnosis?
  

Lesson 26
Grammar: Revision Past Participle & Passive Voice
Public health in Russia

I. Answer the questions:

• 
  What do you know about the healthcare system in Russia?
  
• 
  Is the medical care free of charge in Russia?
  

Vocabulary
II. Read and translate the words of Latin-Greek origin

ministry, constitution, municipal [mjH`nIsIpql], fund [fAnd], legal [`lJgql], citizen [`sItIzqn], resident [`rezIdqnt], public [`pAblIk], contribution [,kOntrI`bjHSn], social [`squSql], primary [`praImqrI], prophylaxis [,prOfI`lxksIs], principle [`prInsqpl], campus [`kxmpqs]
Active vocabulary

Ministry of Health of the Russian Federation [fedq`reISn]- Минздрав России

Mandatory Medical Insurance [`mxndqtqrI In`Suqrqns] (compulsory medical insurance [`kqm`pAlsqrI] – обязательное медицинское страхование, ОМС

mandatory health insurance policy [‘pOlqsI]– полис ОМС

voluntary health insurance [`vOlqntqrI ]- добровольное медицинское страхование, ДМС

state - государство

prevention measures [prI`venSn ,meZqz]– профилактические меры

public healthcare - здравоохранение

to reveal [ri’vJl] - выявлять, обнаруживать

threat [Tret] - угроза

private [`praIvIt] - частный

pregnancy [`pregnqnsI] - беременность

maternity hospital [mq`tWnqtI]– родильный дом

sick list - больничный лист

first aid [`eId] - первая помощь

rescue service [`reskjH] - служба спасения

ambulance service [`xmbjqlqns] – служба скорой помощи

to restore [rI`stL] - восстанавливать, реконструировать

life expectancy[Ik`spektqnsI] – средняя продолжительность жизни

morbidity rate [mL`bIdqtI]– заболеваемость, показатель (уровень) заболеваемости

alcohol abuse [`xlkqhOl q`bjHs]- злоупотребление алкоголем
Useful vocabulary

executive body [Ig`zekjutIv] – орган исполнительной власти

to draft [drRft]- проектировать

to implement [`ImplIment]– внедрять, осуществлять

legal regulation [`lJgql] - правовое регулирование

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expenses [Ik`spensqs] - расходы, затраты

to cover (with) [`kAvq]– покрывать, охватывать

access - доступ

citizens - граждане

approximately [q`prOksImqtlI] - примерно, приблизительно

emergency room [I`mWdZqnsI] - отделение экстренной медицинской помощи

municipal authority [mjH`nIsIpl L,TOrItI] – муниципальная власть

rural area [,ruqrql `eqrIq] – сельская местность
III. Read and translate the following word combinations

to provide-provided – provision, federal- federation, to employ - employed - unemployed –employer, to contribute– contributions, sick - sickness, to cover– covered – coverage, medical staff – to staff -staffed, to diagnose–diagnosis - diagnostic, pharmacy – pharmacist – pharmaceuticals, to refer – referral, to admit - admitted - admission.
IV. Read and translate the following word combinations

to be provided by the state through the Federal mandatory medical insurance fund, responsible for drafting and implementing government policy, legal regulation in the area of healthcare, to be covered by the contributions paid by employed family members, to be required by Russian law, to be accepted at clinics and hospitals all over the territory of Russia, access to modern medical equipment and shorter waiting lists for specialist treatment, to cover most of the expenses in state hospitals and health centers, to reveal diseases at the earliest stages, emergency medical care in cases of immediate threat to life and health, everything from preventative and restorative to cosmetic treatment
Grammar

V. Read and translate the sentences paying attention to Past Participle and Passive Voice:

1. The Bloomberg report ranked Russian healthcare last out of 55 developed countries based on the efficiency of state healthcare systems. 2. Every Russian citizen and resident is entitled to free public healthcare under the Russian healthcare system via Mandatory Medical Insurance. 3. Unemployed foreign citizens with a residence permit may be entitled to an MMI policy under certain conditions. 4. There are many international medical centers in Moscow where English is spoken, but generally these clinics are more expensive. 5. Some foreign healthcare insurance providers may also only have contact with a limited number of medical clinics, meaning you may be forced to use certain healthcare providers. 6. There are generally three types of available hospitals in Moscow – state facilities, private facilities and western-oriented private facilities. 8. Dental care in Russia is usually paid for either separately or as an additional extra on a private healthcare insurance package. 9. Maternity leave in Russia is allowed for 70 days before and after the birth. 10. A person should be vaccinated for diphtheria, measles, mumps, rubella, polio and tetanus before going to Russia. 11. Students planning on studying in Russia should first familiarize themselves with the health care system in Russia, in case the unexpected should happen.

Reading
VI. Read and translate the text

Healthcare in Russia
Healthcare in Russia is provided by the state through the Federal Mandatory Medical Insurance Fund, and regulated through the Ministry of Health of the Russian Federation. Ministry of Health

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of the Russian Federation is the federal executive body that is responsible for drafting and implementing government policy and legal regulation in the area of healthcare, mandatory health insurance, the production and distribution of pharmaceuticals for medical use, including disease prevention measures (AIDS and other infections), and others.

The Constitution of the Russian Federation has provided all citizens the right to free healthcare since 1996. Every Russian citizen and resident is entitled to free public healthcare under the Russian healthcare system via Mandatory Medical Insurance (MMI). MMI is financed by the contributions from employers. The employer pays 5.1 % of employee’s salary into a social tax, a percentage of which is paid into a national Russian healthcare fund. The dependent family members are covered by the contributions paid by employed family members. The unemployed, aged pensioners and people on long-term sickness benefit are also entitled to free healthcare, with the state covering their contribution. A mandatory health insurance policy, which covers the minimum of medical services (including out-patient and in-patient care, hospitalization and transportation), is required by Russian law and is accepted at clinics and hospitals all over the territory of Russia.

The state fund covers a basic healthcare package; however citizens who can afford private insurance can ensure that they receive the best medical care available. Advantages of private healthcare include access to modern medical equipment and shorter waiting lists for specialist treatment. Private medical services include treatment by specialists, hospitalization, prescriptions, pregnancy and childbirth, and rehabilitation.

The structure of health services in Russia is divided into federal, regional and municipal administrative levels. The two major types of healthcare institutions in Russia are policlinics (health centers) and hospitals through which about 30% of the population receive primary care. MMI covers most of the expenses in state hospitals and health centers (policlinics). In private medical centers and hospitals patients are admitted without any insurance as long as they cover their own expenses.

Policlinic or Health Center. In the Soviet Union the national government established a nationwide free outpatient policlinic system, where each health center covered a part of a city, and this system has been preserved in post-Soviet times. Each policlinic covers populations of approximately 7,000 people and offers a range of primary care services which are normally considered general practice and include screening, treatment for chronic illnesses and on-going care. It is normally staffed by doctors and nurses headed by a consultant, a Head Doctor. Depending on the size, polyclinic would also house specialists from fields such as cardiology, oncology and neurology. A general practitioner working in the state outpatient policlinic sees his patients on weekdays both in his room during 3–4 reception hours and spends another 3–4 hours on house calls. Before seeing a GP a person should make an appointment. The doctor can supply the patient with a sick-list allowing a patient not to be employed for a number of days due to his illness. A GP can refer the patient for further treatment, or provide with a prescription allowing the patient to have medicine at a pharmacy. Prophylaxis is one of the basic principles of the Russian healthcare system. Annual general examinations with different screening tests are carried out at every municipal polyclinic aiming at revealing diseases at the earliest stages, e.g. cancer, heart diseases, etc.

Hospital. There are different types of hospitals in Russia: general hospitals, children’s hospitals, burn centers, city and region clinical hospitals, scientific research centers of cardiosurgery, traumatology, neurosurgery, etc. A hospital may be situated in one building or a campus having different in-patient departments. The patients are admitted to the hospital either through the emergency department or through a referral from the doctor. Once a patient is admitted treatment is controlled by one of the hospital doctors. The waiting lists for planned hospital admissions are extremely long.

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In Russia first aid and emergency medical care is available to Russian and foreign citizens free of charge. First aid in case of emergency (accidents, injuries, and other) is rendered by police officers, fire and rescue service workers and other appropriately trained individuals. Emergency medical care in cases of immediate threat to life and health is provided by healthcare providers, they stabilize the patient’s condition and further treatment is possible only with a valid policy or payment of expenses. In an emergency, a person should dial 112 and ask for the ambulance service. Emergency treatment is provided at the emergency room of all hospitals.

Dental care is provided both in the state and private dentistry clinics and health centers, as well as the doctor’s offices. Dental clinics in Russia offer everything from preventative and restorative treatment to cosmetic treatment.

In total, in Russia there are more than 17,000 pharmacies, with 60% belonging to municipal authorities, 23% to regional governments and 17% owned privately. Medicines are provided for inpatients by the hospital, but outpatients must purchase them. While most medications are over-the counter ones, some of them are not allowed to have without a doctor’s prescription, e.g. antibiotics, pain killers and anti-depressants.

Still there are a lot of problems in Russian healthcare system: low life expectancy, high HIV and tuberculosis morbidity rates, alcohol abuse, and others, the government takes measures to improve the situation step by step from year to year.

VII. Decide if the statement is True or False:

Yes\No Quiz

1. Healthcare in Russia is provided by the state through the Federal Mandatory Medical Insurance Fund.

• 
  Yes
  
• 
  No
  

2. Healthcare in Russia is regulated through the Ministry of Foreign Affairs of the Russian Federation.

• 
  Yes
  
• 
  No
  

3. The Constitution of the Russian Federation has provided all citizens the right to free healthcare.

• 
  Yes
  
• 
  No
  

4. Mandatory Medical Insurance entitles every Russian citizen and resident to partially free public healthcare under the Russian healthcare system.

• 
  Yes
  
• 
  No
  

5. The employer pays 3.1 % of employee’s salary into a social tax.

• 
  Yes
  
• 
  No
  

6. Mandatory health insurance policy covers the minimum of medical services including out-patient and in-patient care, hospitalization and transportation.

• 
  Yes
  
• 
  No
  

7. Voluntary health insurance refers to the private health insurance market.

• 
  Yes
  
• 
  No
  

8. Private medical services include hospitalization and rehabilitation.

• 
  Yes
  
• 
  No
  

9. In private medical centers and hospitals patients are admitted with insurance as long as they cover their own expenses.

• 
  Yes
  
• 
  No
  

10. A general practitioner working in the state outpatient policlinic sees his patients on weekdays both in his room during 3–4 reception hours and spends another 3–4 hours on house calls.

• 
  Yes
  
• 
  No
  

11. In Russia first aid and emergency medical care is available only to Russian citizens free of charge.

• 
  Yes
  
• 
  No
  

12. Dental care is provided both in the state and private dentistry clinics and health centers, as well as the doctor’s offices.

• 
  Yes
  
• 
  No
  

13. A prescription can only be prescribed by doctors and pharmacist.

• 
  Yes
  
• 
  No
  

VIII. Make a word combination, match the words:

private aid

rural expectancy

maternity practitioner

primary hours

general rate

reception service

first care

ambulance area

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life hospital

morbidity insurance
IX. Match the terms (1-8) with the correct definition (a-h):

1. 
   healthcare
   
2. 
   mandatory insurance
   
3. 
   policlinic
   
4. 
   head doctor
   
5. 
   primary care
   
6. 
   sick-list
   
7. 
   first aid
   
8. 
   life expectancy
   

1. 
   country’s system of delivering services for the prevention and treatment of diseases and for the promotion of physical and mental well being
   
2. 
   simple medical treatment given as soon as possible to a person who is injured or who suddenly becomes ill
   
3. 
   the average period that a person may expect to live
   
4. 
   healthcare provided in the community for people making an initial approach to a medical practitioner or clinic for advice or treatment
   
5. 
   a healthcare facility providing the primary care
   
6. 
   a head of healthcare institution
   
7. 
   a list of a person who is ill an unable to work provided by the doctor.
   
8. 
   insurance required according with laws of the country
   

X. Read the following sentences and choose a correct word:

1. 
   Healthcare in Russia is provided by the state\private insurance companies through the Federal Mandatory Medical Insurance Fund.
   
2. 
   The Constitution of the Russian Federation has provided all citizens the right to partially paid\free healthcare.
   
3. 
   Voluntary\Mandatory medical insurance is financed by the contributions from employers\employees.
   
4. 
   The dependent family members are covered by the contributions paid by unemployed\employed family members.
   
5. 
   The two major types of healthcare institutions in Russia are policlinics and hospitals\walk-in clinics and research centers.
   
6. 
   Waiting time to see doctors varies and before seeing a GP a person should make an appointment\a house call.
   
7. 
   A hospital\policlinic may be situated in one building or a campus having different in-patient departments.
   
8. 
   Emergency medical care \First aid in case of emergency is rendered by police officers, fire and rescue service workers and other appropriately trained individuals.
   
9. 
   First aid \Emergency medical care in cases of immediate threat to life and health is provided by healthcare providers.
   

10) Medicines are provided for inpatients\outpatients by the hospital, but inpatients\outpatients must purchase them.

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