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.
