China News Service, March 14th. According to the website of the National Health and Medical Commission, in order to further standardize and strengthen the work of isolation management, re-examination and re-examination, health monitoring, rehabilitation and medical treatment of patients with new coronary pneumonia after discharge, to achieve full-process management and promote discharged patients Comprehensive rehabilitation, the General Office of the National Health and Health Commission organized the formulation of "Health Management Plan for Patients with New Coronary Pneumonia Discharge (Trial)".
The following is the full text of the management plan:
Health management plan for discharged patients with new coronary pneumonia (trial)
This plan is specifically formulated to further improve the work of isolation management, follow-up and follow-up visits, health monitoring, and rehabilitation medical treatment for patients with new coronary pneumonia after discharge from hospital, to achieve full-process management, and to promote the full recovery of discharged patients.
I. Division of responsibilities
Health and administrative departments in various places should strengthen the overall coordination and coordination of health management of patients with new coronary pneumonia after discharge from hospitals, designated hospitals, isolation places, rehabilitation medical institutions, and grass-roots medical institutions to cooperate closely, strengthen information communication, and coordinate the management of post-hospital isolation, Follow-up visits, health monitoring, rehabilitation and other work. After patients with new coronary pneumonia are cured and discharged, they should continue to be isolated for medical observation and health management for 14 days.
Preparation before discharge
The designated hospitals shall strictly implement the discharge standards of the "New Coronavirus Pneumonia Diagnosis and Treatment Plan (Seventh Edition)" and precautions after discharge. Before discharge, patients should be comprehensively evaluated for clinical symptoms, signs, laboratory and imaging results, and follow-up follow-up items should be clearly defined. A 2 to 4 week follow-up visit plan should be arranged for discharged patients.
Third, discharge and transfer
After leaving the hospital, home isolation was the main method. The designated hospitals shall promptly push out the discharged patient information to the patient's jurisdiction or residence committee and the primary medical institution. The primary medical institution shall guide the discharged patients and their families to do isolation management and self-health monitoring as required. In areas such as Wuhan City, Hubei Province, where there is a centralized isolation point, the administrative department of health shall direct the designated hospitals to connect with the centralized isolation point and primary medical institutions.
Fourth, isolation management
Discharged patients should be strictly separated from their homes, living in well-ventilated single rooms as much as possible, and reducing close contact with their families. Achieve meals and meals, do good hand hygiene and daily cleaning, and avoid going out. In areas such as Wuhan City, Hubei Province, where there are concentrated isolation points for discharged patients, medical observation, rehabilitation, and care services for discharged patients should be provided during isolation.
V. Follow-up visits and health monitoring after discharge
Discharged patients should be re-examined in designated hospitals according to the follow-up plan, usually in the 2nd and 4th week after discharge. Relevant medical institutions and centralized isolation points should pay close attention to the health status of discharged patients. The elderly and discharged patients with basic diseases should be particularly strengthened to monitor their health status. Once clinical symptoms such as fever and cough are found in discharged patients, they should be transferred as soon as possible Go to the designated hospital for further treatment.
Six, rehabilitation management
All localities should provide rehabilitation medical services in accordance with local conditions and in accordance with the "Rehabilitation Program for Patients with New Coronary Pneumonia Discharge (Trial)". In areas where patients are concentrated, primary medical institutions should be arranged to undertake community rehabilitation tasks.
Application Information Technology and Platform
All localities should rely on regional health information platforms to strive to achieve information sharing and business collaboration among residents' health files, electronic medical records, and discharge health monitoring, to achieve a seamless connection between clinical diagnosis and treatment and health management of patients with new coronary pneumonia. General practitioners and rural doctors must use family doctors to sign APPs, cable TV networks and other means to carry out information interaction with discharged patients managed in their jurisdictions, and provide health management services to discharged patients through "Internet +" and other forms. (Finish)