A few days ago, the Comprehensive Group of the Joint Prevention and Control Mechanism issued the "Notice on Doing a Good Job in the Prevention and Control of New Coronavirus Infection and Other Key Infectious Diseases in Winter and Spring" to guide all localities and departments to further do a good job in the prevention and control of new crown and other key infectious diseases in winter and spring, and protect the health of the people.
At present, the number of cases of respiratory diseases in children has increased significantly in some places, and the number of pediatric diagnosis and treatment services has increased. In response to the needs of diagnosis and treatment of respiratory diseases, what measures have been taken to facilitate the masses to seek medical treatment?The reporter conducted interviews in many places.
Expand the supply of pediatric diagnosis and treatment to meet the needs of medical treatment to the greatest extent
As winter progresses into various places, respiratory diseases have entered a high incidence season. Medical institutions at all levels in various regions have actively adopted a series of measures to meet the needs of patients to the greatest extent.
In terms of expanding the supply of pediatric diagnosis and treatment, hospitals have actively adopted methods such as extending outpatient hours, increasing staff, and promoting Internet medical care to improve their reception capacity.
The pediatric team of Renji Hospital, affiliated to Shanghai Jiao Tong University School of Medicine, expanded the capacity of day and night outpatient clinics according to the maximum number of consultations, and opened additional specialist outpatient clinics on SundaysBeijing Tsinghua Chang Gung Hospital affiliated to Tsinghua University has added infusion and nebulization areas, adding 60 infusion levels and 10 nebulization positions, increasing the capacity of the original infusion room by 160%.The Children's Hospital Affiliated to the Capital Institute of Pediatrics has made full use of the Internet medical platform to open a follow-up outpatient ...... for respiratory tract infections
According to the relevant person in charge of Banan Hospital affiliated to Chongqing Medical University, the hospital mobilized medical staff in a timely manner, coordinated the deployment of high-quality medical resources in the hospital, and implemented flexible scheduling in pediatrics. At the same time, the number of pediatric doctors on call increased by 40% by dispatching physicians from respiratory departments, neonatology departments, and other related departments with the ability to diagnose and treat pediatric respiratory diseases to the pediatric department.
Traditional Chinese medicine hospitals at all levels have carried out a number of preparations for the arrival of the high incidence period of respiratory tract infection. Liu Qingquan, president of Beijing Hospital of Traditional Chinese Medicine, said that many traditional Chinese medicine hospitals began to adjust the layout of pediatrics, increase the area of pediatrics, expand the duration of treatment, and adopt one-person, one-side, temporary deployment, and the introduction of non-drug methods such as pediatric massage, give full play to the role of traditional Chinese medicine, and improve the efficacy of the combination of traditional Chinese and Western medicine.
At present, health departments across the country have published the information of local medical institutions that can provide pediatric diagnosis and treatment services on the official ** and government WeChat platforms, and updated them in a timely manner to further facilitate the masses to seek medical treatment in an orderly manner nearby.
Implement hierarchical diagnosis and treatment, and give full play to the role of primary medical and health institutions
At a press conference held by the National Health Commission a few days ago, Mi Feng, spokesperson of the National Health Commission and deputy director of the Publicity Department, said that large hospitals are densely populated, the waiting time is long, and the risk of cross-infection is high. According to reports, the National Health Commission has instructed all localities to strengthen overall planning and scheduling, implement a hierarchical diagnosis and treatment system, give full play to the role of medical alliances, and strengthen technical guidance for primary medical and health institutions.
In the corridor of the HSBC Community Health Service Center in Jiancaoping District, Taiyuan City, Shanxi Province, several parents with their children are queuing up for medical treatment and laboratory tests. Liu Haifeng, director of the center, introduced that with the cooperation of the medical alliance, the superior hospital sinks pediatricians to the community to ensure that there is a pediatrician every day, and at the same time adds mycoplasma and influenza virus testing services, so that patients with mild symptoms can get active and effective in the community. If the patient is found to be in serious condition, he will be transferred to a higher-level hospital through the green channel in a timely manner.
It is understood that by the end of 2022, township health centers and community health service centers across the country will realize that fever clinics "should be set up and opened as much as possible". At present, the fever clinics of primary medical and health institutions in various regions are operating normally, and the early identification and early referral of symptomatic patients and severe patients with mild symptoms and severe cases are done in a timely manner.
According to the relevant person in charge of the Primary Health Department of the National Health Commission, from the monitoring data of various places, the drug allocation of township health centers and community health service centers has continued to improve, and more than 95% of the three types of drugs of traditional Chinese medicine, antipyretic and cough suppressants in urban and rural primary medical and health institutions have reached the reserve of more than two weeks. More than 90% of the primary medical and health institutions refer to the oxygen meter, oxygen concentrator and other equipment up to standard. From the perspective of the whole country, the allocation of materials for the prevention and control of virus infection in primary medical and health institutions has remained at a reasonable level.
In the community, influenza vaccination for key groups such as the "old and young" is also progressing in an orderly manner. Sun Li, deputy director of the Cuigezhuang Community Health Service Center in Beijing's Chaoyang District, said that medical staff actively carried out free influenza vaccination for the elderly over 65 years old and primary and secondary school students in the district, and adopted a home-based vaccination method for the elderly with limited mobility. At the same time, it will connect with schools to vaccinate students as soon as possible and establish an immune barrier.
Vaccination is the most economical and effective means of prevention, and there are corresponding types of vaccines for epidemic respiratory diseases such as influenza, which can effectively reduce infections and reduce the risk of severe disease and death. Experts said that key groups such as the elderly and children should be vaccinated as soon as possible, do a good job of personal protection, maintain good hygiene Xi, insist on wearing masks, washing hands frequently, and ventilating indoors.
Optimize the medical service process, reduce waiting time, and improve the medical experience
At the pediatric outpatient triage desk of Beijing Tongren Hospital, when the child is treated, the medical staff will evaluate his or her condition at the same time, and the child who meets the requirements can prescribe blood routine and other related examinations in advance. "Let the child have a laboratory test first, and then the outpatient doctor will diagnose it after the results are available**, which reduces the number of queues and greatly shortens the waiting time. Tian Wei, director of the outpatient department of Beijing Tongren Hospital, said.
The reporter saw in the Liuzhou People's Hospital of Guangxi Zhuang Autonomous Region that despite the large number of children, under the guidance of volunteers and medical staff, the waiting for treatment was orderly. Ms. Wei, a citizen, came to the clinic with a coughing child, and volunteers guided Ms. Wei to the pre-consultation area. Through the initial questioning and examination, the medical staff will guide the patient to the corresponding area according to the severity of the condition.
Since November this year, Liuzhou People's Hospital has optimized the layout of the hospital's outpatient and emergency department, and the processes of triage, medical treatment, payment, blood drawing, and infusion can be completed in one area of the pediatric outpatient and emergency department, so that parents and children do not need to run back and forth, up and down.
In order to reduce the waiting time of patients and improve the medical experience, hospitals around the country have launched a number of heart-warming services to make medical treatment more efficient and convenient. For example, the implementation of time-based appointments, increase the number of numbers, and make appointments accurate to half an hour;Set up a TV screen in the emergency waiting area, and the medical science is short to relieve patients' anxietyInstall air disinfection machines and air conditioners in the observation area to improve air quality and temperature comfort ......
Hangzhou has improved the service process such as **, inspection and medicine pick-up, and minimized unnecessary links. Ying Xumin, deputy director of the Hangzhou Municipal Health Commission, said that some hospitals will see a doctor first and then settle the payment, and implement credit payment to reduce the waiting time of patients. Increase the number of medical auxiliary personnel, maintain medical order, and at the same time do a good job of answering patients' questions and solving doubts, so as to improve the efficiency of medical treatment.
Ying Xumin introduced that patients can also query the information of fever clinics at the service entrance of major network platforms such as "Zheli Office", view the hospital** and the remaining number of people in line in real time, and support one-click navigation, which is convenient for the masses to choose the nearest medical institution with a relatively short treatment time. Through digital technology, community health service centers in Hangzhou can select higher-level hospitals through the "cloud" and open up hospital bed resources.
Our reporters Wang Xinyue, Zheng Yangyang, and Zhu Jiaqi participated in the writing).
People** December 06, 2023 14th edition).
*: People's Daily Online, People**.
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