Original title: In-depth | Substitute pharmacy + Internet + offline medical treatment, Shanghai makes every effort to open up medical "blocking points"
Wang Dali was originally a project manager of a pharmaceutical company. During the lockdown in Shanghai, he was not idle either. In addition to working online, he recently became a "health ambassador" serving community residents.
During the lockdown period, the problem that some people need to seek medical treatment and dispense medicines gradually emerged.
A reporter from China Business News has learned that at present, pharmaceutical dispensing, "health ambassador" consulting services, online diagnosis and treatment, and hospitals' full guarantee of offline medical treatment have all become ways to open up medical "blocking points".
Queue for 3 hours a day for substitute dispensing
Some of the people who need medical services are suffering from perennial underlying diseases, and they usually go to nearby hospitals for dispensing.
After the closure and control of Shanghai, the needs of these groups are in dispensing medicines.
Yu Dan, who lives in Hongkou, Shanghai, is a post-95s girl. She is a high-end customized travel service provider.
"At present, the tourism industry is affected by the epidemic, and there is not much business for the time being, so I also have some leisure time. I saw that there are many elderly people in the community. They all have some basic diseases all the year round. They don't have to go to the hospital every time, just dispense medicine. So we became volunteers to help them.”
There is a set of procedures for dispensing medicines.
Those who need to buy medicines should submit their own drug demand form, medical insurance card and related certificates to the neighborhood committee in advance, while Yu Dan needs to apply for a 48-hour nucleic acid certificate, and then Yu Dan will handle the relevant procedures at the neighborhood committee with the relevant personal identification certificate and nucleic acid report. Pass.
Yu Dan showed the relevant pass to the first financial reporter, and the certificate is only valid for 2 days, and a new certificate will be issued after that.
"After all, the safety of epidemic prevention is the first priority. In order to ensure that the volunteers who dispense medicines are healthy, they must have a 48-hour nucleic acid certificate and the entry and exit permit expires in 2 days and is updated from time to time."
Now I get up early every morning. After washing up, Yu Dan comes to the neighborhood committee. After getting these documents and certificates, he carries more than 20 residents' medical insurance cards and documents on his back. Yu Dan goes to a nearby hospital and starts to line up after arriving at the hospital. , at about 8 am.
"There are many volunteers like me in the hospital. We have to queue up for registration. Most of these people who need to dispense medicines are internal medicine, but there are also endocrinology departments, such as diabetes. The first step is to meet everyone's needs. Hang up the numbers of different departments, and then go to the relevant department to continue queuing. I am not a patient, so I don't need to ask the doctor again. The doctor will understand after reading the relevant documents and medical insurance card, and then prescribe the prescription. After getting the prescription, continue Wait in line to pay. After the payment is completed, you will wait in line to get the medicine." Yu Dan spent half a day in the queue. It took about three hours from arriving at the hospital at 8:00 to leaving the hospital after dispensing.
Returning to the community at noon, Yu Dan gave the medicine to the neighborhood committee, and the staff would distribute it according to the list.
"Although some people think that going back and forth like this every day will not be risky, in fact, as long as you protect yourself, it is relatively safe. For me, doing travel services is to bring happiness to everyone, and now helping community residents dispense medicine is also a service. I think it is very meaningful to solve the problem for everyone." Yu Dan told the first financial reporter.
In addition to dispensing medicines, the community also has "health ambassadors" for some non-emergency groups.
"My father had a stomach hemorrhage a while ago, and 120 was sent to the hospital for treatment. The process went smoothly. After my father was discharged from the hospital, I always wanted to do something for everyone. I am also an employee of a pharmaceutical company. When I saw the establishment of the WeDoctor platform I became a 'health ambassador' so I joined." Wang Dali told a reporter from China Business News that there is a set of procedures for becoming a "health ambassador", and it is necessary to test personal identity and professional qualifications in medicine, specifically, having received at least 2 doses of the new crown vaccine. , Have the nucleic acid or antigen negative certificate within 48 hours, be able to walk in the community, ensure that the medicine is distributed to the patients in the community, and be willing to help the residents of the community to solve the problem of purchasing medicine.
After the review, Wang Dali became the "health ambassador" of his community - assisting residents in the community to purchase medicines online, distributing the medicines delivered to the gate of the community to specific patients, and using his medical knowledge appropriately to help residents .
"I really hope to help everyone. I am a person in the pharmaceutical industry. I also hope that through the service work of the 'pharmaceutical ambassador' during this period, I can further understand the overall chain from pharmaceuticals to user terminals, and better serve more people in the future. "Wang Dali said.
Some volunteers proposed that the needs of some residents can be met by dispensing medicines, but there are still some areas for improvement. For example, some hospitals currently need to make an appointment in advance, and the nucleic acid certificate and entry and exit card of volunteers are only valid for 2 days. If there is no appointment, you need to go through the process again, which will delay some time.
Therefore, it is hoped that the hospital will have better communication and docking, and improve the efficiency of drug dispensing.
Internet medical service
In addition to the help of volunteers and "medical ambassadors," residents in need of dispensing and medical services can also use Internet channels.
It is reported that 1pharmaceuticals.com has officially launched the "Shanghai Chronic Disease Drugs and Epidemic Prevention Materials Purchase" service, which solves the problem of "difficulty in drug use" for community residents by launching a centralized processing solution for community drug orders.
According to the distribution rules, within 10 kilometers of the self-pickup point, the community will be used as a unit for unified purchase and distribution, and each community needs to assign a docking person for demand collection and subsequent distribution. Conditional communities and individuals can also arrange by themselves or by themselves. The rider goes to the pickup point to pick up the goods.
Since the launch of the above-mentioned services, the average number of orders received by 1Pharmaceutical.com per day is around 1,000 to 2,000. Among these orders, more than 80% are prescription drugs, mainly for the treatment of cardiovascular system diseases, endocrine system diseases, and nervous system diseases. Drugs for chronic diseases such as diseases, rheumatism and immune diseases.
After receiving the drug purchase order, 1Pharmaceutical.com will arrange a special car and a special person from Shanghai every day to go to the company's East China operation center in Kunshan to pick up the package through the green channel from Kunshan to Shanghai, and then return to Shanghai the same way, and will follow All orders for the car will be sent to the self-pickup points set up by 1pharmaceuticals in Puxi and Pudong respectively according to the delivery address.
Recently, the Internet medical platform Huiyixia launched the "medicine emergency delivery" service, and cooperated with O2O cooperative pharmacies to solve the difficulty of purchasing medicines for patients with chronic diseases.
In addition to cooperating to launch O2O pharmacy delivery services, Huiyi Tianxia is also one of the first Internet hospitals to try to resume direct delivery of B2C medicines in Shanghai.
In addition to solving the "last mile" distribution problem, online consultations of various Internet medical platforms and Internet hospitals played a key role during the epidemic.
According to the current situation, Medical Chain Health urgently launched the online consultation and dispensing project on April 10, and it was officially launched on April 13.
According to the relevant person in charge of Health Chain Health, during peak hours, the platform can inquire up to 1,500 people a day, and nearly half of them need to dispense medicines. After the consultation, the nearby Yifeng Pharmacy can dispense medicines directly to their homes.
At present, 35 municipal hospitals in Shanghai have set up Internet hospitals. Citizens can enjoy the Internet through Internet hospitals, such as appointment registration, online specialist consultation, online follow-up consultation, online prescription, online medical insurance payment, and home delivery of medicines. medical service.
Offline medical treatment guide
Some patients, especially acute patients, need to go to the hospital for treatment. How should they be handled?
A reporter from Yicai.com learned that for patients who need 120 first aid, there will be new crown negative and new crown positive, and the emergency measures taken during treatment will also be different.
For the emergency situation of positive patients, the fastest way to get treatment is to report to the neighborhood committee, and the neighborhood committee will report it at every level until it reaches the Shanghai Municipal Health Commission.
Due to the shortage of hospitals and beds that can receive positive patients, the Shanghai Municipal Health and Health Commission has established a medical demand group, which can receive medical needs in each street and town, and then dispatch orders expeditiously according to the needs, and non-positive patients can be reported. Neighborhood committee members can also call 120 directly.
On the evening of April 18, Zhang Qin's mother suddenly had difficulty breathing and needed urgent treatment, but he was isolated in the cabin and could only find a way to seek medical treatment online.
That night, after the 120 he contacted received the old man, because the hospital had no extra beds, he could only be relieved in the 120 car and sent back to the community.
Fortunately, on the second day, the patient was successfully transferred to the hospital for treatment through various efforts.
In the "Notice on the Medical Procedures for Shanghai Citizens During the Epidemic Prevention and Control Period" issued by the Shanghai Municipal Office of Prevention and Control recently, it is mentioned that all medical institutions should transfer and properly handle critically ill patients in a timely manner, and unblock the green channel for first aid. Patients should be treated in time.
In a critical situation, patients can also check whether the hospital has closed the hospital through the application. For the specific medical requirements of open medical institutions, the latest information officially released by the hospital shall prevail.
Taking the latest news released by Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine on April 24 as an example, a negative nucleic acid report is not required to enter the hospital, but if you encounter a patient who needs to take off the mask or undergo other invasive procedures, you must provide the information within 48 hours. Standard nucleic acid negative report or certificate, some outpatient surgeries or high-risk operations require a standard nucleic acid negative report from a Shanghai tertiary hospital within 24 hours.
For patients who need first aid, medical staff will first rescue them and complete rapid and standard nucleic acid tests at the same time.
For hospitalized patients, before registering for admission, they must hold a negative report certificate of "standard nucleic acid test" in a tertiary hospital in this city within 24 hours.
"In very urgent and life-threatening situations, all procedures will be completed directly according to the protection level of positive patients to ensure the fastest process. Of course, plans such as nucleic acid rapid screening and buffer wards will also be adopted to deal with different emergencies. Patients." Bian Liuguan, director of neurosurgery at Ruijin Hospital affiliated to Shanghai Jiaotong University School of Medicine, told Yicai.com that all the measures currently taken to prevent hospital feeling are actually contingency plans that have been formulated before the epidemic.
On the morning of April 24, Shanghai held the 163rd press conference on the prevention and control of the new crown pneumonia epidemic.
Wang Xingpeng, director of Shenkang Hospital Development Center, said at the meeting that there has been a relatively large increase in the outpatient and emergency services in municipal hospitals recently.
Compared with the beginning of April, the outpatient volume of the 36 municipal hospitals increased by 103%, and the emergency department volume increased by 65%.
In 36 municipal hospitals, 33 emergency medical treatment points have been opened to ensure the supply of emergency emergency services and the smooth flow of emergency green channels.
Recently, it has also ensured smooth communication channels with citizens by adding dedicated personnel to answer the call and setting up voice reminders.
"For special groups such as pregnant women, radiotherapy and chemotherapy patients, and hemodialysis patients, many hospitals have also explored some personalized health management measures. Some hospitals organize 'mothers' through WeChat groups, and obstetricians are in the group. Interact with everyone, solve doubts in a timely manner, and reasonably arrange medical needs. Some municipal hospitals arrange for doctors in charge to connect with patients undergoing radiotherapy and chemotherapy in outpatient clinics, and rationally arrange patients' arrival time according to the course of treatment. We are also actively facing these good practices. We have also added 26 emergency hemodialysis points in 18 municipal general hospitals to provide services for hemodialysis patients with special requirements. Recently, municipal hospitals have also made efforts to carry out limited and elective surgeries for inpatients. Focus on sorting out and giving priority to operations for various diseases such as malignant tumors (limited operations). Judging from monitoring data, the number of inpatient operations in municipal hospitals has been increasing recently, and the number of operations this week has doubled compared to the beginning of April. " Wang Xingpeng said that in the treatment of critically ill patients in this round, three principles are adhered to, namely, prevention of mild to severe and severe treatment, equal emphasis on new crown treatment and basic disease treatment, and Chinese and Western medicine treatment. For severely ill patients, centralized management and comprehensive treatment are implemented.
(Wang Dali, Yu Dan and Zhang Qin are all pseudonyms in the text)