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At present, the focus of epidemic prevention and control has shifted from infection prevention and control to medical treatment
.
Communities and rural areas are the last mile of medical and health services, and family doctors and rural doctors are the gatekeepers of people's
health.
On the 15th, the joint prevention and control mechanism of the State Council held a press conference to introduce the relevant situation
of primary medical service protection.
.
Communities and rural areas are the last mile of medical and health services, and family doctors and rural doctors are the gatekeepers of people's
health.
On the 15th, the joint prevention and control mechanism of the State Council held a press conference to introduce the relevant situation
of primary medical service protection.
Key groups are divided into three categories to carry out health services
Nie Chunlei, director of the Department of Primary Health of the National Health Commission, introduced that providing classified and graded services for the elderly with underlying diseases can use limited medical resources for the most needed people, avoid unnecessary waste of medical resources, and improve the efficiency and quality
of medical services.
The classification criteria are mainly based on factors such as age, underlying medical conditions, vaccination or not, and the degree of risk after infection
.
of medical services.
The classification criteria are mainly based on factors such as age, underlying medical conditions, vaccination or not, and the degree of risk after infection
.
According to the above criteria, older people can be divided into three categories
.
One is the general population, that is, low-risk, for this group of people is mainly to strengthen health education, unvaccinated, to mobilize them to timely vaccination
.
The second category is the sub-key population, that is, the group with certain risks, which should strengthen home observation on the basis of first-level services, provide timely medication guidance, and find problems that cannot be solved at the grassroots level, and timely referral.
.
One is the general population, that is, low-risk, for this group of people is mainly to strengthen health education, unvaccinated, to mobilize them to timely vaccination
.
The second category is the sub-key population, that is, the group with certain risks, which should strengthen home observation on the basis of first-level services, provide timely medication guidance, and find problems that cannot be solved at the grassroots level, and timely referral.
The third group of people is mainly people with relatively high risk, older people, over 80 years old, and have underlying diseases, not very stable, may not have strengthened immunization in the past, for this type of population, if the new crown is found, it is necessary to evaluate, as needed to timely transfer to the higher level hospital
.
.
How can primary care cope with the "wave of homecoming"?
Chen Jingjing, director of the Community Health Service Center in Liulimiao Town, Huairou District, Beijing, said that for the upcoming New Year's Day and Spring Festival homecoming tide, rural grassroots medical and health institutions are indeed facing certain pressure
to carry out health management.
to carry out health management.
She introduced that in view of the large number of key groups in rural areas, it is currently mainly relying on the existing family doctor contract service team
.
After several years of construction and tempering, the family doctor service team has achieved the scale of full coverage of the grid in the region, and in the run-in of work, it has also achieved docking with the town and township management grid, and village public health committee members, rural doctors, and volunteers can participate in health management
.
Under the guidance of the family doctor, residents can be given some health consultations, and they can also understand the needs of residents and give timely feedback
.
.
After several years of construction and tempering, the family doctor service team has achieved the scale of full coverage of the grid in the region, and in the run-in of work, it has also achieved docking with the town and township management grid, and village public health committee members, rural doctors, and volunteers can participate in health management
.
Under the guidance of the family doctor, residents can be given some health consultations, and they can also understand the needs of residents and give timely feedback
.
In terms of working methods and methods, we should adapt measures
to local conditions.
For example, residents in her town are more accustomed to "loudspeaker" broadcasting, and when the loudspeaker sounds, all residents can hear it
.
Recently, they've been looping knowledge about medication on loudspeakers
.
In addition, the volunteers and village doctors in the service grid already live in the village, and through the relationship between the villagers, some knowledge can be passed on by word of mouth, and the needs of the residents can be collected and feedback in a timely manner, which is convenient for early response and solution
.
to local conditions.
For example, residents in her town are more accustomed to "loudspeaker" broadcasting, and when the loudspeaker sounds, all residents can hear it
.
Recently, they've been looping knowledge about medication on loudspeakers
.
In addition, the volunteers and village doctors in the service grid already live in the village, and through the relationship between the villagers, some knowledge can be passed on by word of mouth, and the needs of the residents can be collected and feedback in a timely manner, which is convenient for early response and solution
.
The picture shows a citizen passing through the Fang Cabin Fever Outpatient CT Facility
.
Photo by China News Agency reporter Hou Yu
.
Photo by China News Agency reporter Hou Yu
It mainly enhances grassroots response capacity from four aspects
Nie Chunlei said that under the new situation and new tasks, new requirements and challenges
have been put forward for grassroots medical and health institutions.
The grassroots level should be a good health gatekeeper and receive these patients
.
In order to improve the response capacity of the grassroots level, it is mainly considered from the following aspects:
have been put forward for grassroots medical and health institutions.
The grassroots level should be a good health gatekeeper and receive these patients
.
In order to improve the response capacity of the grassroots level, it is mainly considered from the following aspects:
First, local prevention and control leadership mechanisms should play an effective role
.
Mobilize all parties to support the work of community and rural medical and health institutions, especially to strengthen safeguards and form a joint force
for epidemic prevention and control.
.
Mobilize all parties to support the work of community and rural medical and health institutions, especially to strengthen safeguards and form a joint force
for epidemic prevention and control.
Second, it is necessary to provide the necessary equipment conditions
for the grassroots level.
In particular, it is necessary to equip drugs and antigen test kits to the grassroots level and make reserves
in advance.
for the grassroots level.
In particular, it is necessary to equip drugs and antigen test kits to the grassroots level and make reserves
in advance.
The third is to earnestly increase the manpower
at the grassroots level.
It is relatively difficult to cultivate manpower in a short period of time, and in the short term, it is possible to send personnel to support some practices at the grassroots level through the sinking of secondary and tertiary hospitals, and it is also possible to recruit staff who have retired in the past five years to enrich them to grassroots medical and health institutions
.
There are also medical and health personnel in other positions, which can be recruited to enrich grassroots institutions and relieve pressure
.
At the same time, it is necessary to give full play to the role of family doctors, promote contracting services for key groups, strive for full coverage, and ensure that family doctors
can be contacted when needed.
at the grassroots level.
It is relatively difficult to cultivate manpower in a short period of time, and in the short term, it is possible to send personnel to support some practices at the grassroots level through the sinking of secondary and tertiary hospitals, and it is also possible to recruit staff who have retired in the past five years to enrich them to grassroots medical and health institutions
.
There are also medical and health personnel in other positions, which can be recruited to enrich grassroots institutions and relieve pressure
.
At the same time, it is necessary to give full play to the role of family doctors, promote contracting services for key groups, strive for full coverage, and ensure that family doctors
can be contacted when needed.
Fourth, we should actively bring into play the role of
medical alliances and medical communities.
In particular, it is necessary to give play to the role of the leading hospital and strengthen the guidance
on the construction and operation of the fever clinic of members.
It is necessary to coordinate the deployment of personnel within the medical alliance, smooth the two-way referral channel, strengthen technical support and training for the grassroots level, strengthen guidance, and strengthen quality control
.
(End)
medical alliances and medical communities.
In particular, it is necessary to give play to the role of the leading hospital and strengthen the guidance
on the construction and operation of the fever clinic of members.
It is necessary to coordinate the deployment of personnel within the medical alliance, smooth the two-way referral channel, strengthen technical support and training for the grassroots level, strengthen guidance, and strengthen quality control
.
(End)
