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Eight measures to ensure medical services during the epidemic by Beijing Municipal Health Commission
From:Economic Daily News APP
Date:07/10/2020

  According to news released by the Beijing Municipal Health Commission on  the 29th, in order to do a good job in the medical service during the  normalization of Beijing epidemic prevention, medical institutions throughout  the city adhere to the three principles of "classified disposal, priority for  serious illnesses", "green channels, personalized arrangements", "buffering  isolation, strengthening protection" for the normalization of epidemic  prevention and medical services.

  During the normalization of epidemic prevention and control, the medical  service work should be focused on the following measures.

  The first is to strengthen the treatment of acutely and critically ill  patients.

  On the basis of good protection, medical institutions establish green  channels for the treatment of critically ill patients, and set up emergency  isolation areas and buffer zones for emergency treatment of critically ill  patients waiting for nucleic acid test results. A green channel for nucleic acid  detection was established for critically ill patients for faster test results.  Qualified medical institutions can use the rapid nucleic acid detection  technology that has been approved for marketing to shorten the detection time of  critically ill patients and facilitate rapid treatment. Each district shall  designate a regional medical center as a hospital for the treatment of residents  in medium and high-risk areas, and shall send out medical teams to take the  initiative to provide services to the communities (villages) that have adopted  the control measures.

  The second is to strengthen hospitalization management.

  The tertiary general hospitals should strictly implement the relevant  requirements for normalization of epidemic prevention and control, establish  comprehensive transition (buffer) wards for inpatients, and conduct classified  screening based on the patient's condition to reduce the potential risk of  cross-infection in the hospital. Ordinary wards adopt the "skip bed" or a single  room for one patient to ensure the effective treatment of patients.

  The third is to strengthen emergency surgery and other treatment  management.

  Establish emergency mechanisms for acute cerebral hemorrhage, acute  myocardial infarction, severe trauma, gastrointestinal hemorrhage, high-risk  pregnant women, aortic dissection and other surgical treatment of critically ill  patients and improve the protection level of medical staff to prevent the risk  of doctor-patient infection.

  The fourth is to strengthen interventional diagnosis and treatment  services.

  It is necessary to strengthen the classification and assessment of the risk  of interventional diagnosis and treatment such as cardiovascular and  cerebrovascular intervention, endoscopy, etc. and promptly treat patients with  acute critical illness and malignant tumors, and give priority to the  development of interventional diagnosis and treatment of acute myocardial  infarction and other critically ill patients, of illness threatening the safety  of patients, and affecting the long-term quality of life of patients.

  The fifth is to provide better services for hemodialysis patients.

  It is required to establish a coordinated service mechanism between the  hospital and the community health service organization for the hemodialysis  patients, do a good job of inquiring the epidemiological history of hemodialysis  patients, and carry out nucleic acid testing and screening for dialysis  patients. Patients in the middle or high-risk area and patients in isolation  should take appointments in special period and special areas, and hospitals  should arrange special staff to provide medical services. Each community health  service agency should screen patients in isolation in their jurisdictions, and  transfer patients with special vehicles. The terminal disinfection of doctors  and patients should be conducted to ensure the safety of hemodialysis  patients.

  Sixth, medical institutions should implement mutual recognition of nucleic  acid detection results.

  The test results issued by medical and health institutions with COVID-19  nucleic acid detection capabilities across the city achieved mutual recognition  throughout the city. In principle, the nucleic acid test should not be taken  repeatedly within 24 hours, and the patients with results beyond 24 hours should  be comprehensively diagnosed by the medical institution based on the patient's  epidemiological history and symptoms. The Municipal Center for Diseases Control  and Prevention and Medical Inspection and Quality Control Department shall do a  good job of quality control and supervision and inspection of nucleic acid  testing laboratories in medical institutions to ensure the quality of  testing.

  The seventh is to optimize appointment for diagnosis and treatment and  Internet + medical services.

  Non-emergency comprehensive appointments in medical institutions above the  second level implemented a normalized mechanism. By making precise appointments  by time, adjusting the ratio of source numbers in the morning and the afternoon,  advancing inspection and examination appointments, expanding appointment  channels, improving the order of outpatient clinics, and guiding patients to  avoid peak hours. Medical institutions are encourage to conduct online follow-up  consultations on some common and chronic diseases, and provide online  medication, online settlement, and drug delivery services to meet the diverse  needs of patients.

  The eighth is to strengthen the services for non-emergency and  non-critically ill patients in primary medical and health institutions.

  It is necessary to give full play to the role of grassroots community  health service institutions. While making long-term prescriptions for patients  with chronic diseases, online consultation and medical guidance, as well as  on-site delivery services, family doctors should play the role of "health  guards" and take the initiative to contact and communicate with contracted  service people to acquire their health status, make good health tips and  follow-up interviews, to grasp the physical health status of residents in the  jurisdiction, and provide targeted health services.

  At the same time, it is required to further improve hospital infection  prevention and control and supervision guidance, implement 16 measures of  hospital infection prevention and control details and continue to strengthen the  management requirements of hospital infection prevention and control, increase  supervision and inspection, and effectively guarantee the quality of medical  services and safety of patients.