China News Service, Beijing, June 29 (Reporter Du Yan) The Beijing Municipal Health Commission said today that in order to do a good job in medical services during the normal prevention and control of epidemics in Beijing, medical institutions throughout the city adhere to "classified disposal, priority for severe illnesses", The three principles of "green channel, individual arrangement" and "buffer isolation, strengthen protection" strengthen the treatment of acute and critically ill patients, strengthen hospitalization management, implement mutual recognition of nucleic acid detection in medical institutions, and optimize appointment diagnosis and treatment and Internet + medical services.
Strengthen the treatment of critically ill patients
The Beijing Municipal Health Commission stated that on the basis of good protection, medical institutions should establish green passages for the treatment of critically ill patients, and set up emergency isolation areas and buffer zones for emergency and critically ill patients who have not yet obtained nucleic acid test results. Emergency treatment.
Beijing wants to establish a green channel for nucleic acid detection in critically ill patients and issue test results expeditiously. Qualified medical institutions can use the rapid nucleic acid detection technology that has been approved for market to shorten the detection time for 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 patrol and actively serve the communities (villages) that have adopted closed control measures.
Strengthen hospital management
The third-level general hospitals in Beijing strictly implement the requirements for normalized epidemic prevention and control, set up comprehensive transition (buffer) wards for in-patients, and do a classified screening based on the patient's condition to reduce the potential risk of cross-infection in the hospital. Ordinary wards adopt the "separate bed" or a single person and other treatment methods to ensure the effective treatment of patients.
Strengthen emergency surgery and other disposal management
Beijing medical institutions should establish an emergency mechanism for the treatment of acute cerebral hemorrhage, acute myocardial infarction, severe trauma, gastrointestinal hemorrhage, high-risk pregnant women, aortic dissection, and other surgeries to improve the protection level of medical personnel and prevent doctor-patient infections risk.
Strengthen interventional treatment services
Medical institutions in Beijing should strengthen the classification and evaluation of the risk of interventional diagnosis and treatment of cardiovascular, cerebrovascular, endoscopic, etc., and promptly treat patients with acute critical illness and malignant tumors, and give priority to acute critically ill patients such as acute myocardial infarction, threaten the safety of patients, and affect the long-term impact of patients Interventional diagnosis and treatment of quality of life.
Do a good job in hemodialysis patients
Beijing needs to establish a coordinated service mechanism for the hemodialysis patients who are responsible for the division of labor between the hospital and the community health service agencies, and make a good enquiry on the epidemiological history of hemodialysis patients, and carry out nucleic acid testing and screening for dialysis patients; for patients who have not yet ruled out new coronary pneumonia Or when the patients in isolation in middle and high-risk areas conduct hemodialysis, take appointments, set up special time periods and special areas, and connect them with people to do well in medical services; each community health service agency will screen patients in isolation in their jurisdictions, carry out screening, and special vehicles Transfer and docking, do a good job of terminal disinfection of doctors and patients to ensure the safety of hemodialysis patients.
Medical institutions implement mutual recognition of nucleic acid testing
The test results issued by medical and health institutions with the ability to detect nucleic acid in new coronary pneumonia in Beijing should achieve mutual recognition across the city. In principle, the nucleic acid test should not be repeated within 24 hours. The results beyond 24 hours will be synthesized by the medical institution based on the patient’s epidemiological history and symptoms. Research judgment. The Municipal Department of Disease Control and Medical Inspection and Quality Control shall carry out quality control and supervision and inspection of nucleic acid testing laboratories in medical institutions to ensure the quality of testing.
Optimize appointment diagnosis and treatment and internet + medical service
Non-emergency medical departments in Beijing's second-level or higher medical institutions must make full appointments to implement the normalization mechanism. By making precise appointments by time, adjusting the ratio of the source of the morning and afternoon, promoting inspection appointments, expanding appointment channels, improving the order of outpatient clinics, and guiding patients to go to the clinic for peaks. Encourage medical institutions to carry out online consultations on some common and chronic diseases, and provide online medication, online settlement, and drug delivery services to meet the diverse needs of patients.
Strengthen the services of non-emergency and critically ill patients in primary medical and health institutions
The Beijing Municipal Health and Health Commission stated that 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 drug delivery services, family doctors play the role of "health gatekeepers" and take the initiative Contact and communicate with contracted service clients to understand their health status, make good health tips and follow-up follow-up, to ensure that they can grasp the physical health status of residents in the jurisdiction and provide targeted health services.
The Beijing Municipal Health and Health Commission pointed out that it is necessary to further improve hospital sense prevention and control and supervision guidance, implement 16 measures for hospital sense prevention and control details and continue to strengthen the requirements of hospital sense prevention and control management, and increase supervision and inspection efforts To effectively guarantee the quality of medical services and the safety of medical treatment. (Finish)