The Joint Prevention and Control Mechanism of the State Council issued the "Overall Plan for the Implementation of "Class B and B Management" for Novel Coronavirus Infection" yesterday (26th).
After the adjustment from "Class B Regulation A" to "Class B Regulation B", the corresponding prevention and control measures will be adjusted. After the adjustment, can the storage and supply of relevant drugs in medical institutions meet the medication needs of patients?
Guo Yanhong, director of the Medical Emergency Department of the National Health and Health Commission, said in an exclusive interview with a reporter from the headquarter that medical institutions have made corresponding arrangements and arrangements for the preparation of medicines, and must do their best to ensure adequate supply and fair access to medicines.
Guo Yanhong, director of the Medical Emergency Department of the National Health and Health Commission: We require hospitals above the county level to dynamically prepare drugs according to the three-month usage of commonly used drugs. These drugs include traditional Chinese medicine and antiviral small molecule drugs involved in the treatment of new crown infection. And medicines for symptomatic treatment, such as antipyretic and cough-relieving medicines.
For grassroots medical and health institutions, we require that 10% to 20% of the population of the service area be prepared to prepare medicines. If it is a densely populated area, the proportion can be increased appropriately.
Recently, due to the sharp increase in the number of infected people, there has been a shortage of drugs in some areas and some areas. Relevant departments have attached great importance to it and have tried everything possible to promote the rapid expansion of production capacity and production of enterprises to expand the production and supply of key drugs, and priority has been given to medical institutions. to alleviate the shortage of key drugs.
Finally, it is especially important to emphasize the importance of rational and safe drug use. We require medical institutions at all levels and medical personnel to increase publicity, education and popularization of science in various forms, so that ordinary people can effectively ensure the safety of drug use during the treatment process, and realize rational drug use. Medication, safe medication.
Coordinate the preparation and use of national medical resources
After the implementation of "Class B and B Control", how to effectively prevent the run on medical resources?
Reduce the incidence of severe illness and death?
Jiao Yahui, director of the Department of Medical Affairs of the National Health Commission, said in an exclusive interview with a reporter from the headquarter that recently, the demand for diagnosis and treatment of fever clinics has increased rapidly, and the contradiction between supply and demand has become more prominent.
The growth rate of demand for general outpatient and inpatient medical services is relatively stable, and the utilization rate of the entire medical resource is within a safe and controllable range. The National Health and Medical Commission will take a series of measures to meet the needs of patients for diagnosis and treatment.
Jiao Yahui, director of the Department of Medical Affairs of the National Health Commission: We require that hospitals above the second level should set up fever clinics and open them as much as possible. In addition, primary medical and health institutions with conditions should also set up fever clinics or fever clinics.
Judging from what we know now, there are more than 15,000 fever clinics in hospitals above the second level across the country, and more than 35,000 fever clinics or fever clinics in grassroots medical and health institutions, and they are all increasing. Consulting rooms, increase the strength of medical staff, and try their best to meet the diagnosis and treatment needs of patients.
Provinces such as Beijing, Shanghai, Anhui, Jiangsu, and Shandong have also set up temporary fever clinics in facilities such as shelter hospitals or gymnasiums, further improving the efficiency of fever clinic visits.
The National Health and Medical Commission has established a daily scheduling system to coordinate and schedule the preparation and use of medical resources across the country every day.
All localities are required to promote hierarchical diagnosis and treatment, promote Internet medical services, issue corresponding prescriptions for patients with new crown symptoms, and provide corresponding drugs through offline third-party distribution.
The National Health and Medical Commission requires medical institutions to provide 24-hour online consultation, medication guidance, and scheduled diagnosis and treatment services to reduce the peak of medical institutions' instantaneous visits, reduce the gathering of people, and reduce the risk of cross-infection in offline visits.
Relevant departments are strengthening the production, distribution, and supply of new crown-related therapeutic drugs, so that more patients can obtain drugs through multiple channels such as retail pharmacies and Internet drug purchases, and reduce the pressure on medical institutions for diagnosis and treatment.
At present, the whole country is stepping up investigations on the health status of the elderly, implementing hierarchical management, and grassroots medical and health institutions have passed health monitoring. For the elderly with underlying diseases that may turn into severe diseases, once the health status changes, they no longer require level-by-level referrals. , To open a green channel, direct referral to a tertiary hospital for treatment.
Medical institutions should classify and treat patients according to their diagnosis and treatment needs
Jiao Yahui, director of the Department of Medical Affairs of the National Health and Health Commission, also said that after the implementation of "Class B and B Management", the responsibilities of medical institutions will change. Classification and treatment.
Jiao Yahui introduced that after Class B and B control, all types of medical institutions at all levels must admit nucleic acid positive patients, and adopt classification and classification according to the patient's diagnosis and treatment needs.
Medical institutions no longer triage patients based on negative or positive nucleic acid, but seek medical treatment according to the patient's diagnosis and treatment needs.
Under such circumstances, the positive role of the urban and rural three-level medical and health service network is more emphasized, and medical institutions are required to implement their own functional positioning and perform their own duties and responsibilities.
Jiao Yahui, Director of the Department of Medical Affairs of the National Health Commission: In order to achieve the goal of hierarchical and classified admissions, we also require all medical institutions to optimize and adjust the layout of consulting rooms and the process of medical services.
All general outpatient clinics of medical institutions should be divided into nucleic acid positive diagnosis and treatment areas and nucleic acid negative diagnosis and treatment areas. In the emergency department, general diagnosis and treatment areas and buffer zones should be set up. There are some buffer wards or isolation wards in the wards, and there can also be special independent wards or an independent one. Buildings to treat nucleic acid positive patients.
Therefore, various medical institutions have also carried out corresponding process optimization and transformation. At the same time, we also require all medical institutions to strictly implement the system of first-diagnosis responsibility and emergency rescue, and do not shirk or refuse these patients, especially the elderly. People may become critically ill patients.
(CCTV news client)