State Council Joint Prevention and Control Mechanism Relevant Experts -
Interpretation and guarantee the needs of the people for medical treatment
At present, the goal of epidemic prevention and control is to protect health and prevent severe illness, and the top priority is to ensure the needs of the people for medical treatment. Medical institutions at all levels are optimizing processes, expanding resources, increasing their strength, and coordinating epidemic prevention and control, treatment of patients with new crown and daily medical services, and making every effort to solve the urgent, difficult and anxious problems of the people.
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How to further expand the supply of medical resources and medical services and better meet the people's needs for medical treatment? Recently, relevant experts from the State Council’s Joint Prevention and Control Mechanism answered questions about medical treatment that are of concern to the masses.
Question: Some places have shortage of medical resources and difficulties in seeking medical treatment. How to solve this problem?
Answer: In recent period, the diagnosis and treatment demand of in the fever clinic has increased rapidly, and the contradiction between supply and demand is relatively prominent. We have taken a series of measures to this end.
First, further expand the supply of medical resources and medical services. We require all second-level and above hospitals and primary medical and health institutions to open fever clinics or fever clinics. As of December 15, more than 15,000 fever clinics have been opened in secondary and above hospitals nationwide, and more than 35,000 fever clinics or fever clinics have been set up in primary medical and health institutions. The fever clinic visit process has been further simplified, providing convenience for patients to prescribe medicines, and further improving service efficiency. Beijing, Shanghai, Anhui, Jiangsu, Shandong and other places use square hospitals, , gymnasium and other facilities to open temporary fever clinics, which greatly alleviates the medical treatment problems of fever patients. Local governments are upgrading and renovating designated hospitals and sub-designated hospitals as required, and expanding and renovating critical care resources for hospitals above the second level.
Second, promote tiered diagnosis and treatment and build a reasonable medical order. On the one hand, in cities, medical alliance is used as a carrier and in rural areas, county medical community is used as a carrier to promote the implementation of tiered diagnosis and treatment of new coronavirus and other medical services. Let the three-level urban and rural networks and medical institutions implement their respective functional positioning. The grassroots level mainly implements health monitoring, especially the health monitoring of key groups and health management ; secondary hospital provides technical and manpower support and guarantees to meet general diagnosis and treatment needs; tertiary hospital focuses on meeting the diagnosis and treatment needs of critically ill patients.
Third, vigorously promote Internet medical services. Through Internet medical care, corresponding prescriptions are given to patients in consultation and corresponding drugs are provided through offline third-party delivery. At the same time, we also require medical institutions to provide 24-hour online consultation and medication guidance and time-divided appointments for diagnosis and treatment services, thereby reducing the peak of medical treatment, reducing the gathering of people, and reducing the risk of cross-infection in offline medical treatment.
Fourth, continuously optimize the process of fever clinics, general clinics and inpatient medical treatment. By optimizing the medical treatment process, it will provide greater convenience for the general public to see a doctor.
Question: Have medical institutions opened specialized medical treatment areas for people infected with the new coronavirus? Can patients with critically ill patients receive timely diagnosis and treatment?
Answer: We require all medical institutions to treat patients with negative nucleic acid and positive . For example, Shanghai requires all hospitals to distinguish between nucleic acid-positive reception areas and nucleic acid-negative reception areas; set up treatment areas and buffer areas in the emergency department; for urgent and critically ill patients, municipal medical institutions will be treated, and the capacity will be further expanded and transformed critical medical resources. Beijing, Wuhan, Hangzhou, Nanjing, , Nanchang, and other cities require hospitals to set up nucleic acid-negative diagnosis and treatment areas and nucleic acid-positive diagnosis and treatment areas in general outpatient clinics. In emergency , if there is a 48-hour nucleic acid negative certificate, you will directly enter the rescue area; if there is no 48-hour nucleic acid negative certificate, you will enter the buffer area and provide corresponding medical emergency services. All localities have emphasized that patients with critical illness should not refuse treatment or shirk responsibility for any reason.
Question: Some netizens reported that they had urgent medical needs during home isolation, and they called 120 and were not here for a long time.How to solve this problem?
Answer: Recently, the number of calls to the 120 hotline in various places has increased, and some places have also experienced some situations such as tight call resources and difficulty in dispatching ambulances. On the one hand, winter is the high season for cardiovascular and cerebrovascular diseases and respiratory diseases, and there would have been a significant increase in the number of calls in season 120. However, some of the phone calls are who are asymptomatic infected with the new coronavirus and even . The demand in this regard has squeezed out 120 first aid resources.
On the one hand, we require grassroots medical and health institutions to timely disclose consultation phone numbers so that the masses can use grassroots medical institutions to solve routine consultation problems as much as possible. At the same time, we require primary medical institutions to establish a ledger for special groups such as the elderly living alone in empty nests, pregnant women, patients with underlying diseases, and patients with hemodialysis patients and provide necessary medical services. On the other hand, do a good job in corresponding referral connections. We hope that all parties will actively cooperate and leave first aid resources for patients with reduced mobility or critical illness, so as to ensure that the 120 life channel is always efficient and smooth.
Question: How to improve the friendliness of Internet medical care to the elderly?
Answer: In order to better meet the elderly's needs for medical treatment, we require medical institutions to undergo an aging-friendly transformation, simplify the online appointment process, and facilitate the elderly to use Internet medical services. At the same time, we will increase the channels and options for family members to make appointments for diagnosis and treatment or Internet diagnosis and treatment consultation. For example, the Internet hospital of West China Hospital of Sichuan University has undergone aging-friendly transformation, and through facial recognition, artificial intelligence assist, voice input, and adding artificial service seats, it is convenient for elderly patients to choose Internet medical services.
Source: People's Daily
Process Editor: TF022
