China News Service, July 28. In response to the shortcomings and loopholes in the public health system exposed by the new crown pneumonia epidemic, Ou Xiaoli, Director of the Department of Social Affairs of the National Development and Reform Commission, said on the 28th that the next period of time will focus on strengthening the construction of relevant medical and health institutions. , Strengthen the seven capabilities and improve the three guarantees. In terms of improving security, it is necessary to comprehensively consider factors such as population and region to support the transformation and upgrading of 1-3 major epidemic treatment bases in each province, and undertake the task of treating critically ill patients and storing important medical equipment.
The State Council Information Office held a regular policy briefing of the State Council on the 28th. Wang Hesheng, deputy director of the National Health Commission and deputy director of the Secretariat of the State Council’s Medical Reform Leading Group, and relevant persons in charge of the National Development and Reform Commission and the National Medical Security Administration introduced the deepening of medical reform in the second half of 2020 The key tasks related to the situation, and answer reporters' questions.
At the meeting, a reporter asked: After unremitting efforts, China's epidemic prevention and control situation is generally positive. However, this epidemic also exposed some shortcomings and loopholes in China's public health prevention and control and treatment infrastructure. May I ask the next step? What measures will be taken to fill these shortcomings?
Xiaoli Ou responded that the new crown pneumonia epidemic is the most widespread global pandemic encountered by mankind in the past 100 years, and it is a severe test for the whole world. After arduous efforts from all sides, my country's epidemic prevention and control has achieved major strategic results.
"On the one hand, we have seen that China's public health system established over the years has played an important role in the prevention and control of this epidemic. On the other hand, we must also see that this epidemic has exposed the impact of our public health system Some shortcomings and problems.” Ou Xiaoli pointed out that especially compared with the “explosive” demand at the beginning of the epidemic, the admission of fever clinics, beds for infectious disease treatment, important medical equipment and medical supplies, etc., have all appeared in the short term. A certain shortage. In this regard, the Party Central Committee and the State Council have attached great importance to it and made special arrangements. The National Development and Reform Commission, the National Health Commission and the Bureau of Traditional Chinese Medicine have actively implemented them and formulated a public health prevention, control and treatment capacity building plan in a short time. In the next period of time, the focus will be on strengthening the construction of relevant medical and health institutions, strengthening the seven capabilities and improving the three guarantees.
Xiaoli Ou mentioned seven capabilities: First, it is necessary to strengthen the ability to receive fever in fever clinics. All general hospitals above the second level should focus on implementing the requirements of "three areas and two channels", rationally arranging consulting rooms, observation rooms, and waiting areas, and expanding waiting spaces. Complete the facilities and equipment required for screening.
The second is to strengthen the treatment capacity of the convertible infectious disease areas, combine the shortcomings of county urbanization, clarify the requirements for the number of convertible and centralized treatment beds according to the urban population of different sizes, and allocate resources for epidemic prevention, control and treatment hierarchically.
The third is to strengthen the treatment capabilities of the convertible ICU, and clarify that a certain number of negative pressure wards and negative pressure operating rooms must be set up in the ICUs of all levels of hospitals, or conditions for negative pressure transformation should be reserved, and ventilators, Cardiopulmonary resuscitation, extracorporeal membrane oxygenation and other medical equipment.
The fourth is to strengthen the testing capabilities of laboratories, add a batch of laboratories that reach the P3 level, fill the gaps in the prefecture-level P2 laboratories, and improve the ability to detect major infectious diseases.
The fifth is to strengthen the detection capabilities of infectious diseases. All hospitals that undertake the task of treatment must have routine detection capabilities for known infectious diseases, and at the same time, they must give full play to the role of third-party laboratories such as scientific research institutions and enterprises.
Sixth, it is necessary to strengthen medical waste disposal capacity, support prefecture-level cities and larger counties that do not have centralized medical waste disposal facilities to strengthen construction, and support large cities and megacities to double their existing medical waste disposal capacity as an emergency response spare.
Seventh is the emergency rescue capability. It is necessary to greatly increase the call acceptance rate and shorten the response time.
Xiaoli Ou also said that three guarantees should be improved: First, the protection of major epidemics should be improved. It is necessary to comprehensively consider factors such as population and region to support the transformation and upgrading of 1-3 major epidemic treatment bases in each province to undertake the treatment of critically ill patients and important medical equipment. Reserve tasks. The second is the guarantee of emergency medical supplies, and guide medical institutions to prepare medical masks, protective clothing, protective goggles, etc., to enhance the ability to effectively resist the first wave of demand shocks. The third is to ensure the emergency medical supplies activation plan, requiring all localities to fully grasp the distribution map of emergency facilities such as designated hospitals and shelter hospitals and the order of activation.
Ou Xiaoli said that the total amount of investment in public health-related projects in the central budget this year is twice that of last year, and some other special projects have been reduced to focus on supporting the construction of public health. In the next step, we will continue to actively cooperate with relevant departments to guide the local governments to make good use of anti-epidemic special treasury bonds, local government special bonds and other funding channels, complete the construction of public health projects with high quality, and ensure that the prevention, control and treatment capabilities of major epidemics are not left blank or lacking. It provides strong support and guarantee for accelerating the comprehensive restoration of production and living order in the normalized epidemic prevention and control.