Village doctor visits, sinking diagnosis and treatment, preparation of medicines... Frontline knowledge of rural epidemic prevention in many places

Xinhua All-Media+｜Village doctor visits, sinking diagnosis and treatment, preparation of medicines... Frontline knowledge of rural epidemic prevention in many places

　　Xinhua News Agency, Beijing, January 19.

　　Xinhua News Agency reporters Wang Kun, Hou Wenkun, Lin Bifeng

　　As the Spring Festival approaches, the number of people returning home from all over the country has increased, and communities and rural areas have become the "front line" of medical and health services.

The reporter found in interviews that some places have stepped up visits by village doctors, strengthened guidance for grassroots treatment through on-site diagnosis and treatment, and remote consultations.

Village doctor visits, sinking free clinics and health care gates moved forward

　　Village doctors have become the main force in the frontline of rural epidemic prevention.

In the village before the Spring Festival, they can be seen busy from time to time.

　　In the past few days, Li Hui, a village doctor in Huanglongmiao Village, Lilou Town, Laohekou City, Hubei Province, has been busy. Every day, she will "send doctors and medicines to the door" for key groups.

　　"I have high blood pressure, and Dr. Li often comes to see me to measure my blood pressure and blood sugar." Xiao Yuqin, a 68-year-old villager, said that she would come over in time for emergencies.

　　Having worked as a village doctor for more than 30 years, Li Hui can call out the names of all the villagers, who suffers from intractable diseases and who needs special care. She has a detailed ledger in her heart.

"Old people generally have underlying diseases. We visit the households again and again to keep abreast of changes in the health status of key populations in the village, so that the villagers can celebrate the New Year in good health."

　　For Wu Jianghua, a village doctor in Chenjiabukou Village, Lilou Township, the festive festivities are also busy.

The villagers have returned to their hometown one after another, and more people have come to the clinic to see a doctor in the past few days.

"There are also a lot of consultation calls, many of which are for consultation on medication. A patient talk on the phone for three to five minutes can calm everyone down."

　　At present, Laohekou City has established 136 family doctor service teams with 545 medical staff. By strengthening daily health services, it highlights the management of key groups and protects the health of the masses.

　　Xibai Village, Chishuiyuan Town, Zhenxiong County, Yunnan Province has a permanent population of over 10,000 people.

Song Dezuo, the person in charge of the village clinic, said that grid-based management has been carried out for more than 800 special groups in the village. Village doctors regularly visit households to make rounds, and send doctors and medicines to people with limited mobility.

　　In Linxi County, Hebei Province, in addition to organizing village doctors to conduct blood pressure and heart rate tests and health education at the villagers' homes on a regular basis, the medical team has also stepped up medical team tours and inspections, and organized 16 free clinic teams through county and township medical institutions to achieve early detection and early treatment. .

　　In Xinanyuan Village, Yanshan County, Hebei Province, medical staff adopt a convenient medical method of village head consultation and on-site guidance, and use smart mobile medical vehicles to provide blood sugar and blood pressure measurement, color Doppler ultrasound and electrocardiogram examination and other services for the masses.

　　Villager Li Jincai said: "The old man is getting old, and it is inconvenient to go to the hospital to see a doctor. Now that doctors come to the village to check up, our children feel more at ease."

Remote consultation and on-site diagnosis and treatment help the grassroots to treat critically ill patients

　　In many places, through remote smart medical treatment, regular on-site inspections and other methods, high-quality medical resources have been submerged to help the grassroots do a good job in the treatment of critically ill patients.

　　"It is recommended to strengthen oxygen therapy and focus on monitoring the patient's blood oxygen saturation..." "Ensure the patient's water, electrolyte and acid-base balance, and pay close attention to the occurrence of complications"... Early in the morning on January 17, the lung disease of Xiangyang Hospital of Traditional Chinese Medicine, Hubei Province The director of the department, Zuo Mingyan, led the doctors in the department to "connect" with the Baokang County Hospital of Traditional Chinese Medicine, more than 100 kilometers away, to conduct remote consultation and ward rounds, and guide the grassroots hospitals to do a good job in the treatment of severe patients with new crowns.

　　According to reports, the Department of Pulmonary Diseases conducts a remote consultation with Baokang County Hospital of Traditional Chinese Medicine every 3 to 5 days. So far, it has provided treatment guidance for 85 severe patients with new crowns and 12 critically ill patients admitted to Baokang County Hospital of Traditional Chinese Medicine. They have been cured and discharged. 92 people.

　　Recently, a patient in Jia Village, Luzhai Town, Linxi County, Hebei Province was admitted to Linxi County People's Hospital due to severe pneumonia.

Under the guidance of the "multidisciplinary diagnosis and treatment team" of the county hospital, after three days of comprehensive treatment, the symptoms gradually improved.

　　Sun Jian, president of Linxi County People's Hospital, said: "For patients with more complicated conditions, we rely on the remote consultation platform to conduct online consultations with experts from 36 cooperative hospitals including Beijing and Tianjin in real time."

　　Linxi County People's Hospital, as the main battlefield for receiving critically ill patients in the county, selects doctors with professional qualifications to conduct on-site inspections in township health centers to prevent mild cases from turning into severe cases.

Open 24-hour remote guidance service to help the grassroots do a good job in the referral and treatment of critically ill patients.

　　Zhenxiong County, Yunnan has established a hierarchical diagnosis and treatment service network, relying on the county people's hospital and the county hospital of traditional Chinese medicine, two leading units of the county medical community, to coordinate the resources of 398 existing medical institutions at the county, township, and village levels.

Weng Dadong, president of Zhenxiong County People's Hospital, said that relying on the "provincial management and county use" counterpart assistance mechanism of high-quality medical resources, the hospital has increased investment in information technology construction, further strengthened communication with group-type assistance hospitals, and brought into play "Internet +" Advantages, realize remote consultation for difficult and critical patients, and maximize the time for treatment.

Sufficient equipment and medicines are prepared to ensure that they are medicinal and usable

　　At present, primary health and medical institutions in various places are strengthening the preparation of medicines and emergency equipment to ensure that they are available for medicinal purposes.

　　In the pharmacy of Luguan Town Health Center, Nanpi County, Cangzhou, Hebei, there are sufficient stocks of antipyretics, cough and phlegm medicines, etc.

"The Chinese New Year is coming soon, and the township health center and every village clinic in the jurisdiction have stockpiled 2 to 3 times the usual dosage. The anti-coronavirus drug Azivudine Tablets is also well prepared and administered on demand according to the village doctor's application. "Pharmacist Xu Wenjing said.

　　The reporter saw that the emergency rooms and general wards of the hospital are equipped with oximeters, oxygen cylinders, oxygen bags, etc.

Nurse Tang Yajie said: "The medical equipment in the hospital is relatively well-prepared at present, such as finger-clip oximeters, one for each clinician, and one or two for each rural clinic."

　　Laohekou City, Hubei Province has equipped 10 township health centers (community health service centers) in the city with oxygen bags, oxygen bottles and oxygen supply equipment, and has equipped a total of 1,848 finger-clip oximeters for medical institutions and nursing homes at all levels in the city.

　　In order to effectively prevent and treat severe diseases, Laohekou City has purchased more than 2,200 boxes of Azvudine tablets since mid-December 2022, and allocated them to each township health center (community health service center), and ensured that the dynamic storage is not less than 30 box.

　　At present, Zhenxiong County, Yunnan Province reserves more than 50,000 copies of traditional Chinese medicine decoctions, and more than 20,000 boxes of 6 categories of severe and critical medicines; defibrillators, ventilators, vehicle-mounted mobile CT, ECG monitors and other equipment are fully prepared.

The People's Hospital of Zhenxiong County has stockpiled more than 360 boxes of Azvudine tablets to ensure the medical treatment of the masses.

　　In addition to making medical preparations, many places have stepped up publicity on epidemic prevention. Through grassroots cadres' visits and loud speakers in rural areas, they have publicized the knowledge of epidemic prevention and control, and guided everyone to do a good job in self-health monitoring and health management, and try their best to ensure the health of the masses during the New Year.

(Xinhuanet)