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Since January 8, China has officially implemented "Class B tube"
for new coronavirus infection.
With the Spring Festival approaching, the number of urban migrant workers returning to their hometowns has increased, and the medical service capacity of grassroots health institutions has received widespread attention
.
How to improve the treatment capacity of patients in primary health institutions in China and the treatment capacity of severe new crown disease in rural areas? In response to the hot issues of public concern, Jiao Yahui, Director of the Department of Medical Administration of the National Health Commission, gave an answer.
Q: How to improve the treatment capacity of patients in primary health institutions?
A: First, we should stabilize and expand the staff of grassroots medical and health institutions by scientifically arranging shift rotation, temporary recruitment, organizing the dispatch of
second- and third-level hospitals, and mutual aid support.
Formulate the Guidelines for Primary Diagnosis and Treatment of Novel Coronavirus Infection (First Edition), strengthen the training of grassroots medical staff, and focus on improving the ability of
early identification and early referral.
The second is to establish a monitoring and scheduling mechanism, dynamically grasp the drug reserves and use of township health centers, timely report and remind them, and urge the strengthening of drug allocation
.
At present, the drug allocation situation of township health centers continues to improve
.
The third is to strengthen the allocation and use
of instruments and equipment such as oxygen bags, oxygen cylinders, oxygen generators, and finger pulse oxygen in primary medical and health institutions.
In conjunction with relevant departments, each village clinic was equipped with 2 finger oxygen free of charge, distributing a total of 1.
17 million.
The fourth is to establish a special class for the transport of critically ill patients in the county, and each township health center is equipped with at least one ambulance, and a non-emergency transport fleet is set up to ensure the transfer needs
of ordinary patients.
Q: How to improve the capacity of severe treatment of new crown disease in rural areas?
A: Rural two-level medical and health institutions are the first line of defense and the most important foundation
for rural epidemic prevention and control and medical treatment.
Focusing on "early detection, early identification, early disposal, and early referral", we mainly take the following measures:
First of all, give full play to the leading role of county hospitals, prepare beds, equipment, facilities and personnel, and improve the ability
of severe treatment.
Secondly, relying on the counterpart support mechanism of urban and rural hospitals that has been formed, all urban tertiary hospitals have established one-to-one support relationships with county hospitals, requiring urban tertiary hospitals and county hospitals to connect telemedicine services
24 hours a day.
During special periods, such as the Spring Festival, urban tertiary hospitals should send medical staff to designated points in county hospitals
.
In addition, we will increase the intensity of roving and patrolling rural areas, and detect changes in the physical health status of key groups, especially the elderly with underlying diseases, at an early stage, to ensure that they can be sent to the hospital in a timely manner
.
Establish support and referral mechanisms and green channels between cities and counties to ensure that critically ill patients in rural areas can be referred and admitted in
a timely manner.
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