Author: Qian Tongxin

  In the recent period, the demand for diagnosis and treatment of fever clinics has increased significantly, so many medical staff have been unable to come to work due to infection with the new crown, and the contradiction between supply and demand in medical institutions has become prominent.

In this context, how medical institutions divert patients through hierarchical diagnosis and treatment, Internet consultation, etc. has become an important factor for the success of "breakthrough".

  Hospital emergency medical team to be expanded

  At the press conference of the joint prevention and control mechanism on December 20, the National Health and Medical Commission further emphasized the need to ensure the medical treatment of the masses, expand the supply of medical services on multiple platforms, increase the supply of related medicines, quickly divert mild patients, and expand severe treatment resources. .

  Professor Fang Bangjiang, Director of the Critical Care Institute of Shanghai University of Traditional Chinese Medicine and Director of the Emergency Department of Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, said in an interview with a reporter from China Business News on December 20: "The current peak of the epidemic is coming, and hospitals affected by the epidemic It has also been clearly felt that the number of outpatient and inpatient visits for other non-acute diseases has begun to decline. For example, some non-emergency elective surgery patients do not come. In addition, the hospital can coordinate more departmental resources to deal with the surge of fever patients and the treatment of severe new crown patients that may occur in the future."

  Fang Bangjiang said that it is possible to quickly train some personnel including internal medicine and other redundant departments to expand the strength of front-line fever clinics and emergency personnel, and effectively form the support of a sustainable emergency medical team; community and other grassroots medical institutions In order to ensure the emergency treatment of new crown patients For medical safety, the smooth transition of medical treatment in special periods can be achieved through medical alliances and specialist alliances "hand in hand", so as to alleviate medical pressure such as insufficient technical force.

  For fever clinics, in addition to ensuring sufficient medical resources, the guarantee of medicines is the fundamental problem.

Shanghai released a few days ago on its official account in response to netizens' concerns about the stocking of fever clinic medicines, saying: "We are tilting fever diagnosis and treatment medicines to the community to ensure that residents' needs for fever diagnosis and treatment are met."

  The Shanghai release also advocates that if residents find symptoms such as fever, they can choose to go to the nearest community health service institution for medical treatment as soon as possible.

  Increased pressure on primary medical institutions

  Xu Min (pseudonym), the person in charge of a community health service center in Southwest Shanghai, told Yicai Global: "Most of the patients who come to see a doctor now have fever symptoms or spare antipyretics at home. Although we still have some spare antipyretics , but it has also begun to disassemble the supply, originally a box of two boards, now disassembled and provided with one board, which can ensure the patient's supply for at least 3 days."

  Xu Min told the first financial reporter that Shanghai's announcement to encourage residents with fever symptoms to seek medical treatment at community health centers has received an enthusiastic response.

"Our community health service center only received 7 fever patients from January to November this year, and today more than 30 positive fever patients came." He told the first financial reporter, "The pressure on the front-line medical staff is indeed relatively high."

  Although the community health service center is facing a shortage of manpower, Xu Min said that after medical staff are infected with the new crown, in order to care for medical staff, we still require them to stay at home.

"Some of our colleagues, considering that the department is busy with work, want to come to work when their symptoms are slightly relieved, but we still ask them to wait until they have basically recovered and the nucleic acid or antigen turns negative before returning to work." He said.

  In response to the current challenges of grassroots epidemic prevention, Xu Min said that on the one hand, it is the pressure of insufficient personnel, but it is currently actively responding; on the other hand, the drug reserve is yet to be implemented.

"We predict that the peak of infection may come in the second half of the week. If there are more medical staff who continue to be infected, the shortage of manpower will be a problem." He told the first financial reporter, "On the other hand, the current preference of drug reserves to the community has yet to be further implemented. .”

  The community health service center where Xu Min works has nearly 200 on-the-job staff, and doctors account for about 30%. They need to be responsible for daily outpatient clinics, health stations, more than 100 inpatients, and health services for nearly 100,000 residents in the jurisdiction.

"We hope that everyone can spread the virus in an orderly manner, but this is impossible to prevent. Many medical staff are infected by their family members, not at work. We are currently adopting level-1 + protection." He told China Business News Reporter said.

  In terms of drug storage, Xu Min said that the community health service center had previously stocked up with half a month's inventory, and it is still able to guarantee the use of drugs to patients who come to see a doctor.

  Therefore, he suggested that if the patient is not particularly high fever, such as below 38.5 degrees, there is no need to use antipyretics. You can drink more water and observe. people in need.

  Xu Min also pointed out that after experiencing the epidemic in Shanghai in the first half of this year, more patients with chronic diseases have prepared sufficient medicines in advance, which also made it impossible for community health service centers to have patients with chronic diseases before the peak of infection. A run on dispensing.

  "Our peak outpatient visits last week reached 2,400, and the busiest outpatient visits on Monday yesterday fell back to around 1,500, which shows that residents have already anticipated the arrival of the peak of the epidemic in advance, and prepared the medicines in advance to prevent infection. When the peak comes, there will be a large area of ​​cross-infection." Xu Min told the first financial reporter.