Beijing News (reporter Dai Xuan) Since the diagnosis of "Uncle Xicheng" on June 11, Beijing has reported a total of 318 confirmed cases of new coronary pneumonia in 18 days. During the normalization of epidemic prevention and control, the medical services of various hospitals have been adjusted. The Beijing Municipal Health Commission said today that non-emergency appointments will implement a normalized mechanism to encourage online services.
Tips in some hospitals: patients without appointments cannot see a doctor
"Our hospital implements non-emergency comprehensive appointments. Please make an appointment in advance and see the doctor in an orderly manner according to the appointment time period."
A reporter recently discovered that many large hospitals in Beijing have issued reminders for appointment registration on the online registration platform. Today, the Beijing Municipal Health and Fitness Commission introduced that during the normalization of epidemic prevention and control, Beijing's appointment diagnosis and treatment services will be further optimized.
This move is intended to improve the order of outpatient clinics and guide patients to seek treatment at different peaks. According to reports, Beijing's medical institutions above the second level implement the normalization mechanism of non-emergency comprehensive appointments, by making precise appointments by time, adjusting the ratio of the source of the morning and afternoon, promoting inspection and inspection appointments, and expanding the appointment channels.
As a result, some hospitals have adjusted their number withdrawal policies. According to Beijing Anzhen Hospital, patients who have made an appointment for registration can withdraw their numbers online. For patients who did not arrive during the epidemic, Jingyitong can automatically handle the number refund for the next day and cancel the contract.
Some hospitals canceled on-site registration that day. For example, Beijing Tongren Hospital clearly stated in its online registration channel: "Our hospital cancels on-site registration on the day and implements appointment registration. Patients who have not made an appointment should not come to the hospital." The first child clinic also said that the hospital canceled window registration and there was no emergency consultation Patients in need should make an appointment in advance.
Online service "upgrade" can increase medical insurance payment hospitals
During the epidemic, many hospitals in Beijing have successively opened Internet diagnosis and treatment services. Such as Beijing Xuanwu Hospital, Beijing Shijitan Hospital, Beijing Chaoyang Hospital, Beijing Children's Hospital, First Children's Hospital, etc.
The Beijing Municipal Health and Fitness Commission said today that medical institutions are encouraged to conduct online follow-up consultations on some common and chronic diseases, and to provide online prescribing, online settlement, and drug delivery services to meet the diverse needs of patients.
Many hospitals have already launched these services. For example, patients in Beijing Children's Hospital can use the mobile phone to conduct online follow-up visits and prescribe medicine. Children in the first child's school can enjoy one-stop Internet diagnosis and treatment services such as online follow-up consultation, prescription issuance, and home delivery.
In addition, some hospitals continue to improve online services.
Beijing Shijitan Hospital opened its Internet clinic on April 29. All patients (except pregnant women) who have been diagnosed and treated in the same department of the hospital within 12 months (except pregnant women) can be revisited through the Internet clinic. At present, 14 departments including Endocrinology, Cardiology, Gastroenterology, Urology, Gynecology, and Allergy (Allergic) Response have been opened.
Recently, the hospital's Internet diagnosis and treatment services have also been included in medical insurance payments. Patients who revisit chronic diseases and common diseases can obtain doctors' accurate diagnosis and treatment online and prescribe prescriptions. Beijing medical insurance patients can take medical insurance cards to the hospital to collect medicines after settlement.
Need to show "green code" before admission to limit the number of patient escorts
During the epidemic, many hospitals strengthened the management of admitted patients.
Beijing Friendship Hospital requires that, in order to reduce cross-infection, patients should search Beijing Healthbao before making an appointment to confirm their health status. No abnormality (green) can be registered, and yellow and red results are forbidden. According to prevention and control requirements, appointments can only be made after the quarantine is over. Try to reduce the number of escort doctors, and the escort doctors should also check the health status.
Beijing Shijitan Hospital requires that before entering the outpatient clinic, in addition to showing the green code, it is also necessary to cooperate with the completion of the "outpatient clinic and family registration screening form" for temperature testing. Wear a mask throughout the day of the treatment, maintain a distance of more than one meter, and accompany no more than one family member.
For those who return to Beijing for medical treatment in other areas, the hospital has not yet fully opened. As proposed by the Beijing Hospital of Traditional Chinese Medicine, people returning to Beijing from overseas and in high-risk areas should observe the isolation observation requirements and make appointments for treatment after 14 days of isolation.
Carrying out nucleic acid detection and screening for dialysis patients
For hemodialysis patients, critically ill patients, patients with interventional diagnosis and treatment, etc., the Beijing Municipal Health Commission also put forward the focus of medical services.
For hemodialysis patients, it is necessary to establish a coordinated and coordinated service mechanism between the hospital and the community health service organization for the hemodialysis patients, to do a good job inquiring about the epidemiological history of hemodialysis patients, and to conduct nucleic acid testing and screening for dialysis patients; When patients with new coronary pneumonia or patients in isolation in middle and high-risk areas undergo hemodialysis, appointments are made, special time zones and special areas are set up, and special people are connected to do medical service work; each community health service agency conducts screening and screening for patients in isolation in their jurisdictions. Check, transfer and docking of special vehicles, do terminal disinfection of doctors and patients to ensure the safety of hemodialysis patients.
It is necessary to 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 surgical treatments to improve the protection level of medical staff and prevent the risk of doctor-patient infection.
Strengthen interventional treatment services. Strengthen the risk classification and evaluation of interventional diagnosis and treatment of cardiovascular and cerebrovascular, endoscopic, etc., and promptly treat patients with acute and critical illness and malignant tumors, and give priority to the development of interventional diagnosis and treatment of acute myocardial infarction and other critically ill patients, threatening the safety of patients, and affecting the long-term quality of life of patients operating.