Xinhua News Agency, Shanghai, April 24 Question: Emergency, outpatient, medication... How is the medical treatment of patients outside of Shanghai's new crown?
Xinhua News Agency "Xinhua Viewpoint" reporters Yang Jinzhi and Yuan Quan
Recently, the Shanghai Municipal Health Commission issued information to clarify the medical procedures for patients other than the new crown, requiring medical institutions not to use the nucleic acid negative certificate as a restriction on entering and leaving the community for medical treatment, transferring patients, and receiving medical consultations; all medical institutions should transfer and properly dispose of them in a timely manner. For critically ill patients, unblock the green channel for first aid, and treat patients in need of emergency treatment in a timely manner.
Are citizens’ emergency and outpatient medical treatment smooth?
Can medication needs be met in a timely manner?
"Xinhua Viewpoint" reporters visited many hospitals in Shanghai for follow-up interviews.
Emergency: Is it okay to have no nucleic acid test report?
The reporter learned from the Shanghai New Coronary Pneumonia Epidemic Prevention and Control Press Conference held on the 24th that compared with the beginning of April, the number of outpatient visits in 36 municipal hospitals recently increased by 103%, and the number of emergency departments increased by 65%.
In 36 municipal hospitals, 33 emergency medical treatment points have been opened to ensure the supply of emergency emergency services.
On the evening of April 16, outside the emergency hall of Zhongshan Hospital Affiliated to Fudan University, although it was approaching 12 o'clock at night, there were still many citizens who came to the emergency department for medical treatment.
The reporter observed that about 15 patients entered the emergency room within an hour, and some of them were in wheelchairs or lying on stretchers and needed to be urgently sent to the "buffer" for treatment.
The reporter found that, affected by the lockdown and control measures, many citizens seeking emergency medical treatment could not guarantee that their nucleic acid test reports within 48 hours would be "continuously filed".
"Can I go to the emergency room without a nucleic acid report?" is one of the questions that some citizens are most concerned about before seeking medical treatment.
Recently, Shanghai has made it clear that if emergency patients need immediate emergency treatment, medical institutions should activate emergency plans and transfer patients to a special isolation buffer area; if emergency surgery is required, immediate surgical treatment should be carried out in a dedicated operating room.
During the whole process, refusal or delay in treatment should not be excused on the grounds of waiting for nucleic acid test results.
"Doctor, she may have acute gastroenteritis, can you please let us go in and take a look?" Outside the emergency room, Mr. Xiang from Zhuanqiao Town, Minhang District, looked at his wife who was unable to stand with unbearable abdominal pain. sweat.
"Don't you have a nucleic acid test report within 48 hours?" Facing Da Bai's question, Mr. Xiang carefully checked his mobile phone and found that the nucleic acid test just finished at noon had not yet yielded results.
"Then can we go in first?" Mr. Xiang asked.
"Yes, you can take priority at the nucleic acid test window on the opposite side. You don't need to wait for the results. You can go in and see the doctor with the test receipt."
Two "big whites" who were on duty at the entrance of the emergency hall told reporters that they often encountered similar situations during their nearly 8-hour duty hours every day.
How to ensure normal admissions and prevent nosocomial infections?
Striking a balance is not easy.
The doctor at the scene told reporters that the word "urgent" should be grasped in the emergency department. After confirming the emergency, the medical staff will step up the treatment according to the policy.
Due to the shortage of medical resources, for some ordinary patients who wish to stagger the daytime outpatient clinics and see the emergency department at night, we will explain that the emergency department has a high risk of infection due to the relatively relaxed epidemic monitoring scale, and persuade them to try their best to be safer during the day. See a doctor.
On April 2, Shanghai made it clear that the emergency departments of medical institutions at all levels in the city have been opened under the premise of standardizing epidemic prevention.
However, the reporter learned that due to the transformation of some medical institutions in Shanghai into designated medical institutions for new coronary pneumonia to undertake the treatment of infected people, some emergency departments are in the stage of temporary elimination due to positive infections, and the total number of emergency receptions has significantly decreased compared with the past.
At the same time, due to the severe and complex epidemic situation in Shanghai recently, medical institutions have a high risk of positive infection, which has brought a greater impact on emergency services.
"All hospitals are making dynamic adjustments and doing their best to treat emergency patients," said a medical staff member.
General outpatient clinic: Is non-emergency medical treatment smooth?
"My girlfriend has had a sore throat for a long time, can she be seen in the outpatient clinic now?" Mr. He from Jiading District asked the medical staff at the Shanghai Tenth People's Hospital.
"The outpatient clinic is open normally, and she can see it in the general outpatient clinic." The medical staff said.
Mr. He said that he had taken his girlfriend to two nearby hospitals before, and the outpatient clinics had been suspended, so he had to take his girlfriend to see a doctor across the district.
At the Shanghai Tenth People's Hospital, the reporter learned that the current outpatient opening hours are the same as before the epidemic. They are open from Monday to Saturday, and they are basically open in all departments.
An outpatient staff member told reporters that with the dynamic adjustment of the "three districts" division, the number of patients who came to see a doctor on their own has increased. There is a certain increase, but there is still a certain gap compared with before the epidemic.
In view of the fact that most of the citizens who seek medical treatment mainly focus on seeing chronic diseases and dispensing medicines, the hospital has specially deployed strengths from various departments to increase the number of general outpatient departments, so as to meet the needs of patients for "one-stop" medical treatment and dispensing, and reduce the flow of personnel in the hospital.
"I heard that the general outpatient clinic needs to be dispatched this time, and I signed up as soon as possible." Wang Zhen, the deputy chief doctor of the Department of Traditional Chinese Medicine, told reporters that this week he received more than 100 consultations every day.
"My lover's pregnancy is already 39 weeks, and it is estimated that he will be admitted to the hospital next week to prepare for delivery." Outside the obstetrics and gynecology clinic, Mr. Chen, who drove his private car from Baoshan District to the Tenth Hospital, was taking his wife for the final round before hospitalization. A pregnancy test.
"At present, she and the fetus are in good condition. I am very excited to be a father soon," said Mr. Chen.
The reporter learned that at present, most of the medical institutions in Shanghai's outpatient clinics are operating normally under the premise of epidemic prevention and control, but there are still some medical institutions that suspend medical services due to cooperation with the epidemic investigation work.
For institutions that have suspended medical services, the Shanghai Municipal Health Commission will publish the list in "Shanghai Publishing".
The reporter learned that due to the limitation of medical resources and transport power, for some patients, especially some special groups and patients without private vehicles, the problem of medical treatment still exists.
Medication: Can the residents' medication list be complete?
During the epidemic, due to the insufficient logistics capacity for dispensing drugs, and some drugs need to be adjusted according to the specific situation of the patient and then issued, offline dispensing is still the main choice for many patients, especially elderly patients.
At present, Shanghai has made clear requirements that relevant medical institutions should open up green channels to serve citizens' dispensing needs during the epidemic.
During the interview, some patients reported to reporters that although "Healthy Cloud" has opened an online dispensing channel, the waiting time for dispensing is long.
In this regard, the relevant parties in Shanghai said that they are making every effort to improve, improve quality and capacity in terms of technology, transportation capacity and other aspects, coordinate postal vehicles to participate in the "green channel" of drug delivery, and "relay" with drug logistics warehouses and distribution points in streets and towns. Transport to the terminal to meet the needs of citizens as soon as possible.
At the same time, Shanghai is promoting the resumption of retail pharmacies and releasing the list to the public in accordance with the requirements of "opening as required", striving to release the drug supply service function of the pharmacies in the community.
In Shanghai Tongren Hospital, Bo Lumei, a clerk of the hospital, pushed a full cart through the outpatient hall.
The reporter saw that the trolley contained bags of medicines that had been packaged.
"Is xxx there? Your medicine is ready." Outside the outpatient hall, Bo Lumei and her colleagues distributed the prepared medicine to the citizens waiting outside.
Bo Lumei told reporters that she had to repeat this "once and again" more than 30 times a day.
During the epidemic, Tongren Hospital's offline dispensing service has continued to operate.
In order to prevent crowds from gathering and facilitate environmental disinfection, the hospital set up tents on the square outside the outpatient hall and set up temporary "simple outpatient clinics".
After the staff completes the delivery of documents and the collection of medicines indoors, the medicines are distributed outdoors.
Considering the difference in the number of prescriptions for different groups of people, the hospital also divides the outdoor area into a reception area for volunteers with large orders for "purchasing on behalf of others" and a reception area for small orders for "individual customers".
"Doctor, this is the order from our community. Can you see if you can get it?" In the "daigou" large order reception area, Park Hanhe, a community volunteer from Changzheng Town, Putuo District, pulled a folding cart in one hand. Handed over 140 residents' medical insurance cards and medication demand sheets to doctors.
Park Han-hyuk told reporters that the demand list contains the name of the drug user, the symptoms, and the name of the drug.
The day before he came to the hospital, he and several volunteers mapped out the drug needs of community residents, and spent half a day filling in the demand form.
"Because the community is still closed and controlled, many residents are inconvenient to go out. After learning that medicine can be dispensed here, we applied to the community to go out, hoping to buy all the residents' medicines at one time today." Park Hanhyuk said.
Dai Yun, director of the outpatient office, said that due to the recent dynamic adjustment of the "three districts" division, more and more citizens can come out of the community to dispense medicines, and some citizens report that the queue time is too long, and the queue order should be further standardized.
In the follow-up, the outpatient clinic will be further adjusted and optimized, and some indoor spaces will be gradually opened to divert patients.