Chinanews.com, January 3. According to the website of the National Health and Medical Commission, the Comprehensive Group of the Joint Defense and Joint Control Mechanism of the State Council issued the "Notice on Doing a Good Job in Dynamic Services for Key Populations of the New Crown and "Moving the Gateway"" (hereinafter referred to as the "Notice") on the 3rd. ").
The "Notice" mentioned that all localities should distribute "health packs" for the elderly, patients with underlying diseases and other severe and high-risk groups, and children in difficulties, including a certain number of antipyretics, cough medicines, cold medicines, antigen detection reagents, and masks. , Disinfection supplies, etc.
The full text is as follows:
All provinces, autonomous regions, municipalities directly under the Central Government, and the Xinjiang Production and Construction Corps' joint defense and joint control mechanism (leading group, headquarters), and the member units of the State Council's joint defense and joint control mechanism:
In order to give full play to the comprehensive management of grassroots organizations and the professional services of grassroots medical and health institutions, adhere to "early detection, early identification, early intervention, and early referral", prevent and reduce the occurrence of severe cases of new coronavirus infection, and ensure that the epidemic prevention and control "turns to the peak" "Steady and orderly, the current notice on the current dynamic services for key groups of people and the work of "moving the gate forward" is as follows:
1. Build a solid defense line for health protection at the grassroots level
The joint prevention and control mechanisms at all levels should strengthen overall coordination, increase organization and scheduling, implement financial guarantees, unblock supply guarantee channels, organize centralized procurement, ensure that grassroots medical and health institutions are equipped with personnel, medicines, and equipment in place, and necessary medicines and equipment go directly to village clinics and community health service stations.
Care should be taken to care for grass-roots medical staff and other front-line personnel in epidemic prevention and control, and ensure the on-duty rate of grass-roots medical staff and the order of basic medical services by scientifically arranging shift rotation, temporary recruitment, organizing second- and third-tier hospitals to dispatch, and mutual assistance.
According to the standard of serving 15%-20% of the population, grass-roots medical and health institutions should be fully equipped with Chinese patent medicines, antipyretics, cough medicines and antigen detection kits for the symptomatic treatment of new coronavirus infection, so as to ensure that the availability of institutions is always maintained at 2 more than a week.
According to the actual situation, small molecule drugs for the treatment of new coronavirus infection will be distributed to grassroots medical and health institutions in a timely manner to ensure that grassroots medical and health institutions can carry out community medical treatment under the guidance of higher-level hospitals.
Strengthen the construction of fever clinics and equip relevant facilities and equipment in accordance with standards.
In large-scale residential areas or villages and public facilities, it is necessary to set up mobile service points and other methods to facilitate residents to obtain medical and health services nearby.
2. Strengthen the bond of protection for key groups
Counties (cities, districts) should strengthen the organization and dispatch of human resources at the grassroots level, strengthen the responsibilities of sub-district and township governments, play the role of grid management, organize and mobilize village (resident) committees and their public health committees, social organizations, community workers, volunteers, etc. , take the streets and towns as units, and specify the key groups in the grid, such as the elderly over 65 years old, pregnant women, children, and the disabled, to contact the service guarantee team through parcels (villages), households, and people.
The number of people participating in the work of the Baobao team should match the number of key populations to be served, and each team should designate at least one medical staff to provide professional guidance.
All localities should distribute "health packs" to elderly people, patients with underlying diseases, and children at high risk of severe illness, including a certain number of antipyretics, cough medicines, cold medicines, antigen detection reagents, masks, and disinfection supplies.
Special attention should be paid to the empty-nester (living alone) elderly and the elderly who only live with disabled children, and strengthen daily contact.
3. Take the initiative to do a good job in dynamic services for key groups
Give full play to the role of family doctors in contacting the masses and providing active services, use cloud services, telephone, WeChat, video and other non-contact methods, or face-to-face service methods such as door-to-door follow-up visits, to implement health services for key populations with red, yellow and green signs, and achieve "six implementations in place" : Take the streets and townships as the unit to clarify that the grid guarantee team in each community is in place; complete the investigation and classification of the three key groups of people and establish a ledger to put in place; inform the institutions and family doctors of the 24-hour contact consultation phone number to the key groups or families to put in place; Contact yellow and red key populations no less than 2 times and 3 times a week respectively in various ways; dynamically grasp the basic disease conditions and health status of red key populations; implement key populations infected with new coronavirus or basic diseases In case of aggravation and other situations, timely guidance and treatment should be put in place, and those infected with the red mark should be immediately instructed to see a doctor and referred to the doctor, and those infected with the yellow mark should be strengthened with symptomatic medication guidance, and health monitoring should be carried out every day. .
4. Expand oxygen inhalation and blood oxygen monitoring services
All localities should equip grassroots medical and health institutions and elderly care institutions with an appropriate number of oxygen bags, oxygen cylinders, and oxygen concentrators to ensure that they can provide oxygen therapy or oxygen filling services for outpatients, patients treated at home, and elderly people in elderly care institutions in a timely manner.
Increase the number of finger-clip pulse oximeters (hereinafter referred to as finger oximeters) to ensure that each community health service center and township health center is equipped with at least 20, and each community health service station and village clinic is equipped with at least 2 , Carry out blood oxygen saturation monitoring for outpatients and hospitalized patients in a timely manner.
It is necessary to equip each family doctor team, insurance team for key groups, pension institutions, and welfare institutions with a certain number of oximeters to meet the needs of patrol monitoring, visit monitoring, and on-site monitoring.
All localities should actively organize the distribution of finger oxygen meters to key groups over the age of 65 who are at risk of severe COVID-19 infection and have limited mobility, and guide self-testing of blood oxygen saturation at home.
5. Give full play to the therapeutic effect of traditional Chinese medicine
Adhere to the combination of traditional Chinese and Western medicine and the combined use of traditional Chinese medicine, and speed up the provision and use of traditional Chinese medicine such as "three medicines and three prescriptions" in grassroots medical and health institutions.
All localities should organize research to determine a batch of agreed prescriptions of traditional Chinese medicine suitable for the treatment of patients with new coronavirus infection according to local conditions and medication habits, and propose traditional Chinese medicine treatment plans for common symptoms of new coronavirus infection, and adjust measures according to local (county, township, village) conditions. Treatment based on syndrome differentiation.
Grasping the principle of "early" and "fast", let Chinese medicine intervene in the treatment of the new coronavirus as early as possible in the early stage of infection, and promptly curb the development of mild patients to severe and critical ones.
6. Vigorously expand the capacity of pre-hospital emergency transportation
In the county (district, city) area, a special class for referral and transfer of critically ill patients should be established, 120 transfer capacity and telephone seats should be expanded, road traffic security should be implemented, and emergency calls can be dialed 24 hours a day, and the response time for dispatching a car is shorter than usual. Significantly delayed.
Strengthen the allocation of ambulances in township health centers and community health service centers, ensure that each institution has at least one ambulance, and accept 120 unified dispatch.
The governments of all counties (cities) should urge the subdistricts and towns to implement their territorial responsibilities, set up dedicated personnel and posts, organize and guide enterprises, institutions, social organizations, and volunteers in their jurisdictions to set up non-emergency transfer fleets, and announce 24-hour hotlines to ensure the safety of ordinary people. Patient transport needs.
7. Timely referral of persons at risk of severe illness
For infected persons with high risk of severe illness such as advanced age and underlying diseases, once infection is found, they should be referred to a higher-level hospital with diagnosis and treatment capabilities in a timely manner.
For critically ill patients who are first diagnosed at the grassroots level, it is necessary to quickly and accurately identify them, supply oxygen in a timely manner according to the actual situation, take active rescue measures, try to keep the patient's vital signs stable, and refer them in time accompanied by medical staff.
Medical and health institutions at all levels and types should designate special personnel to be responsible for referrals, simplify the referral process for critically ill patients, establish and smooth green channels for referrals for critically ill patients, improve green channels for medical referrals for elderly people in nursing homes, and improve referral efficiency.
8. Strengthen the training of all grassroots medical staff
All localities should formulate training plans for grassroots medical staff, and carry out various trainings such as online, offline, and leading hospitals.
Make full use of national, provincial, municipal and other relevant training resources, and actively develop training courses that meet local needs.
Strengthen spot checks, conduct strict training assessments, ensure the effectiveness of training, and enable grassroots medical staff (including rural doctors) to be proficient in grading and categorizing service methods for key groups of new crowns, observation of infection symptoms, home management and treatment of infected people, traditional Chinese medicine treatment and rehabilitation diagnosis and treatment in a short period of time , early detection of hypoxemia, assessment and consultation methods for dyspnea, use of oxygen devices, important referral indications, indications and correct use of small molecule drugs, etc.
9. Strengthen the support of the hospitals leading the medical consortium to the grassroots
In accordance with the principle of sub-divided medical treatment, the leading hospitals of urban medical groups and county-level medical communities should establish a technical guidance group composed of directors (deputy directors) of departments such as respiratory department, intensive care department, pediatrics department, and traditional Chinese medicine department to carry out tours to primary medical and health institutions Guide, train and standardize the use of small molecule drugs and traditional Chinese medicine "three medicines and three prescriptions" to help improve the ability of the grassroots to prevent severe diseases.
Strengthen the overall planning and deployment of health human resources within the medical consortium, and solve the problem of manpower shortage in grassroots medical and health institutions through sinking inspections, personnel stationing, and establishing a telemedicine collaboration network.
Urban tertiary hospitals should support county-level hospitals as counterparts, improve the ability of county-level hospitals to treat severe cases of new coronavirus infection, and accept severe patients referred by county-level hospitals.
10. Strengthen health publicity and education in urban and rural communities
Implement the responsibilities of streets and townships, give full play to the role of village (neighborhood) committees and volunteers, and let the masses know about the new crown virus through various forms such as SMS prompts, issuance of "awareness cards", and rural broadcasting for key groups of people who have been screened and registered in the early stage Basic knowledge of infection, medical treatment process, village (neighborhood) cadres and local primary medical and health institutions 24-hour consultation telephone.
Widely distribute simple and easy operation guidelines for early identification of severe illnesses and home treatment guidelines, and guide the masses to seek medical treatment in a timely manner when there is a risk of severe illness.
11. Real-time grasp of work dynamics
All localities should improve the epidemic response in townships, streets, rural communities, and the monitoring mechanism for the operation and service of grassroots medical and health institutions, and dynamically grasp the development of local epidemics, the reception of fever clinics in grassroots medical and health institutions, the use of medicines and equipment reserves, and the reduction of medical staff infection. Situation, service situation of key groups, etc., real-time dispatch to places where there are problems or work lags behind in the province.
Strengthen the statistical analysis of data to help the grassroots solve the difficulties encountered in the work in a timely manner.
Make full use of information technology to improve work efficiency, reduce the burden on the grassroots, and timely report the dynamic data and information needed by the state, provinces and cities.
12. Strengthen responsibility implementation and supervision and assessment
The joint prevention and control mechanism in various places should strengthen organizational leadership, consolidate responsibilities at all levels, clarify departmental responsibilities and task division, and ensure working conditions.
The provincial level should strengthen the supervision of the implementation of work and the implementation of responsibilities at the city and county levels, establish a work ledger, and formulate a list of tasks, lists of problems, and lists of responsibilities, so as to ensure that everything is managed and everything is in place, and the work will not be done overnight.
It is necessary to link the progress and effectiveness of the current work of doing a good job in dynamic services for key groups at the grassroots level, strengthening "health protection, and preventing severe illness" with the assessment, fund allocation, and evaluation of priority and priority of related key tasks, so as to effectively play the guiding role of assessment and incentives .
Comprehensive Group of Joint Defense and Control Mechanism of the State Council
(Stamp of the National Health Commission)
January 3, 2023