Drug dismantling, sharing of drug racks, priority delivery... Grassroots use their brains to ensure the people's "drug affairs"
2022-12-22
What should we do in the face of the challenge of epidemic situation and the shortage of antipyretic drugs? In Shanghai, many grassroots communities actively use their brains to ensure the people's "drug affairs" and make every citizen in need have drugs available through a variety of ways such as drug dismantling, sharing of drug racks, and priority distribution. The medicine was dismantled and the community health service center of Xietu Street, Xuhui District, Shanghai systematically followed up to provide medical services for more than 70000 permanent residents in the area, including more than 16000 people over 65 years old. At the Community Health Service Center of Xietu Street, the community doctors, on the basis of the existing drug specifications and packaging, limit the amount of antipyretic and analgesic drugs to be issued for three days at a time, such as ibuprofen, aminoephedrine tablets, etc. All packages are divided into two small units, which are distributed uniformly, indicating the usage and dosage. "It is reasonable for medical institutions to unpack and distribute cold medicines. Because cold is a common disease, and most cold medicines are over-the-counter medicines with low prices, the amount of cold medicines packaged usually exceeds the amount needed for a cold treatment. Under specific circumstances, medical institutions provide 1/2, 1/3 or 1/4 of the whole package of cold medicines, which can make better use of current resources and strive to meet the drug needs of more patients in the future." Zhong Mingkang, director of Shanghai Clinical Pharmacy Quality Control Center and chief pharmacist of Huashan Hospital affiliated to Fudan University, said. After the drugs are disassembled, the system settings should also follow. Yan Hua, director of the Community Health Service Center of Xietu Street, told the reporter that because some drugs are divided into two at present, the charging system adjusted the unit price to half of the original price. In addition to the split sales, in order to use drugs more accurately and rationally, the primary medical institutions are also trying to conduct excessive interception. The reporter learned that, first, rational drug use through multi-channel science popularization can alleviate the panic of some residents. The second is that doctors check the door and dispense drugs as needed for patients in the fever sentinel clinic. The third is to set restrictions on the use of febrile drugs through the information system. No matter which doctor visits, the amount of prescriptions issued each time cannot exceed the upper limit. "For vulnerable groups and key groups such as those living alone, disabled, and disabled in the area under their jurisdiction, the streets should take the lead, and the neighborhood committee should be the unit to assign special personnel to take charge of the arrangement and filing of personnel. At the same time, a certain amount of antipyretic and analgesic drugs should be provided as emergency supplies for their health." Yan Hua said that when residents have medical and consulting needs, family doctors will conduct health assessment to ensure rational drug use. If residents are seriously ill, it is recommended to refer them to a higher medical institution to ensure medical safety. Neighbours help each other and share medicine racks. "Which neighbor has any antipyretic medicine? The child suddenly has a high fever and needs to cool down. Thank you!" "When I get home, give your child half a board.". While sharing medicine, experience and mutual encouragement, residents are keeping watch and helping each other, they also explore "drug sharing areas" in the corridor. This year, 75 year old Lou Xingmei lives in No. 4 Village, Shihua Street, Jinshan District. Recently, she took the lead in rebuilding a "shared medicine rack" in the corridor: at the entrance of the first floor, a sign with the words "shared medicine place" was posted on the wall, and medicines such as cold medicine, thermometer, masks were placed on the shelf
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