(Shanghai War Epidemic Record) Shanghai: Preventing nosocomial feeling is not contradictory with "diagnosing should be opened as much as possible"

  China News Service, Shanghai, April 22 (Zhou Zhuao) Shanghai will carry out nine major actions to clear social aspects from April 22, and strive to achieve social zero as soon as possible.

In response to the concerns of the outside world regarding medical treatment, dispensing and other related issues, the relevant departments responded.

  On the one hand, hospitals are required to open clinics as often as possible, and on the other hand, they are required to strictly guard against nosocomial feeling. Will this lead to some hospitals not daring to open clinics in order to prevent nosocomial feeling?

How to achieve "both"?

  Relevant departments said that, according to the requirements, emergency medical institutions at all levels in Shanghai must be fully open under the premise of standardizing epidemic prevention.

At present, each district has established a docking mechanism between the community and medical institutions, set up special personnel and special classes, and opened up channels for medical treatment.

For critically ill patients, they should contact the 120 ambulance by themselves or the street, town or village committee for transfer. If the 120 ambulance cannot be reached temporarily, the street or town where they are located should arrange a transfer vehicle to send them to the relevant hospital in time.

Each village neighborhood committee collects the needs of key groups such as radiotherapy and chemotherapy, hemodialysis, and pregnant women, and cooperates with the hospitals determined by the health and health committees of each district to do a good job in the medical security work in the closed and controlled areas.

  It should be noted that at present, some medical institutions in Shanghai have been transformed into designated medical institutions for patients with new crown infections to undertake the treatment of infected patients. Some emergency departments are in the stage of temporary elimination due to positive infections, which has resulted in the total number of emergency departments receiving non-infected patients is higher than before. If it is less, it is easy to cause differences in public perception.

In this regard, I urge the public to understand.

  Preventing nosocomial infection is the top priority of hospital epidemic prevention and control, and it is also a bottom line.

The purpose of preventing hospital feeling is precisely to protect people's lives and health, and to ensure the normal operation of the hospital, which is not contradictory to "diagnosis should be opened as much as possible".

We have required medical institutions at all levels to do a good job in preventing nosocomial infection, and have clearly set up "emergency buffer zones" for the needs of special areas such as emergency rooms and special groups of people to see a doctor, so as to open up life channels and guard against the prevention and control of nosocomial infection. The bottom line, strive to achieve "both".

  Due to the long-term closure and control, a large number of residents have demand for dispensing medicines. Health Cloud has opened a dispensing channel. Citizens report that many medicines are still not available, and there is no way to deliver the medicines to their hands.

Are there any further improvements?

  Relevant departments said that after the opening of the dispensing channel of Health Cloud, the number of dispensing drugs was very large, the logistics capacity of dispensing drugs was relatively limited, and the waiting delay was longer than usual.

Relevant parties are making every effort to improve quality and capacity in terms of technology and transport capacity, coordinating postal vehicles to participate in the "green channel" of drug delivery, and "relay" transportation to the terminal with drug logistics warehouses and distribution points in streets and towns, in order to meet the requirements as soon as possible. the needs of citizens.

  At the same time, with regard to dispensing medicines for chronic diseases, patients can use volunteers arranged by the village committee to dispense medicines on behalf of community health service centers, secondary and tertiary hospitals and other medical institutions, or purchase medicines from nearby retail pharmacies.

Shanghai is rapidly promoting the resumption of retail pharmacies and releasing the list to the public in accordance with the requirements of "open as much as possible", striving to release the pharmacy's community drug supply service function.

  We also explicitly require that relevant medical institutions should optimize their service processes and open up green channels, such as general internal medicine, geriatric medicine, general medicine and other departments, or open simple dispensing clinics to provide long-term prescriptions and services for chronic disease patients with multiple diseases. Dispensing needs of citizens during the epidemic.

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