Recently, the number of patients with acute respiratory diseases in China has continued to rise. At present, the pressure of outpatient and emergency departments in some large hospitals has continued to increase, and it is difficult to register and see a doctor slowly. The National Health and Wellness Commission requires all localities to give full play to the role of primary medical and health institutions, so as to facilitate the people to seek medical treatment in an orderly manner nearby.
Give full play to the role of primary medical and health institutions to ensure the demand for medical treatment
At 9 o’clock in the morning, the reporter came to Dahongmen Community Health Service Center in Fengtai District, Beijing. The outpatient hall on the first floor was orderly. The service center now implements rapid appointment and triage. According to the assessment and classification of the condition, patients with severe symptoms directly enter the consultation area for priority treatment.
Among the children who came to see a doctor, many parents took their children to the top three hospitals first, and now they go to the community hospitals for follow-up.
Before the high season of respiratory diseases, basic medical institutions have actually made corresponding preparations, and at present, there are sufficient stocks of drugs for respiratory diseases. Dahongmen Community Service Center posted the QR code of the registration form of the shortage drug solitaire in the pharmacy dispensing window. Patients can fill in their own reports through small programs, and after approval, temporary purchases will be made in the hospital; For patients with chronic diseases, hospitals can also make purchases by signing a family doctor to declare on the internal platform; For drugs with sudden surge in demand, increase the number of purchases to meet the needs of patients.
Xiao Jianbiao, Deputy Director of Dahongmen Community Health Service Center, Fengtai District, Beijing:At present, there are 134 kinds of drugs commonly used in the center for respiratory diseases. At the same time, we also adopt the method of temporary procurement for some drugs in short supply, mainly to unblock this procurement way.
In order to avoid cross-infection, Dahongmen Community Health Service Center has also adjusted the layout of hospitals and the division of consultation rooms, and adopted hierarchical management for different patients. With the increase in the number of children’s visits, three of the eight general clinics are dedicated to pediatrics, and special medical training is organized in advance to improve the ability and level of medical staff to receive respiratory diseases.
Secondary hospitals actively respond to smooth two-way referral channels
Beijing Puren Hospital is a second-class first-class hospital. Since the winter, with the increase of respiratory diseases, especially children, the hospital has added a special screening room at the entrance of pediatric clinic.
Yao Hongmei, Director of Pediatrics, Beijing Puren Hospital:For example, our new patient will give him a list of tests in advance. In this way, he will finish the auxiliary examination while waiting for the station call to see a doctor and optimize the process of seeing a doctor.
As a secondary hospital in the area where it is located, Puren Hospital undertakes the task of two-way referral between large hospitals and community hospitals. The pediatrics department of the hospital undertakes a part of the children referred from the third-class hospitals every day, accounting for about one tenth of the number of pediatric clinics. At the same time, for children with mild illness and need to be treated nearby, doctors will also refer them to community health service centers for treatment after issuing examination results and treatment opinions.
Alina Zhang, pharmacy staff of Beijing Puren Hospital:Because there are so many pediatric patients now, we have enough medicines, such as this anti-inflammatory medicine, which is one box a day. We have stored it for at least one week.
In order to shorten the time for children to see a doctor and meet the needs of more children. The outpatient service time of the hospital was extended from 5 pm to 8 pm, and at the same time, the second infusion area was opened to coordinate the medical staff of other departments to support the pediatric outpatient service.
Give full play to the role of traditional Chinese medicine and improve public awareness of protection
In Beijing Gulou Hospital of Traditional Chinese Medicine, the reporter saw in the waiting area that there were not many people waiting in order, and the medical staff were giving medical explanations on influenza prevention to patients waiting for treatment and taking medicine on the spot. The outpatient hall is also equipped with a preventive prescription for tea replacement for patients to drink.
Since the winter, the number of respiratory clinics in Gulou Hospital of Traditional Chinese Medicine, including pediatrics, emergency and fever clinics, has increased. In view of the fact that this respiratory disease is easy to recur, at present, after the pathogen is detected in the hospital, the patients are diagnosed and treated by combining the treatment methods of western medicine such as infusion and the characteristic diagnosis and treatment methods of Chinese medicine.
Beijing Gulou Hospital of Traditional Chinese Medicine has also strengthened the safety inspection of the hospital docking nursing homes and pension stations, opened a green channel for the elderly in need, and promptly received hospital treatment.
Sun Bo, Director and Chief Physician of Medical Department of Beijing Gulou Hospital of Traditional Chinese Medicine:Ensure that the elderly in nursing homes, including these elderly people, can have a fast admission channel and get good treatment.
The reporter also followed the visiting team members of the hospital and visited the nursing home near the hospital. On the one hand, the hospital guides nursing homes to take precautions, on the other hand, it pays attention to monitoring the health status of the elderly.
Qiao Huixiu, Chief Physician, Department of Preventive Medicine, Beijing Gulou Hospital of Traditional Chinese Medicine:Be sure to strengthen ventilation, and the old man’s room should be disinfected frequently. We also made some prescriptions for this prevention as before. This kind is mainly used when the elderly have a sore throat or a little cough. If there are no symptoms, then the dosage should be small, once a day, and twice a day if there are symptoms.
Source: CCTV News Client of National Health and Wellness Commission
Editor: Chen Xiuchao