Joint prevention and control mechanism of the State Council: tertiary hospitals should hold the bottom line of medical treatment
2022-12-23
Recently, with the increase of the number of people infected with COVID-19, the treatment of severe patients has aroused social concern. On December 21, the medical treatment team of the joint prevention and control mechanism of the State Council held a national teleconference to emphasize that tertiary hospitals should hold the bottom line of medical treatment and life support, and do their best to provide medical treatment for the elderly and children with severe diseases. County hospitals should hold the key to the health of rural residents. At the same time, we should pay close attention to key places such as nursing homes, 120 first aid and other key links to ensure the orderly development of medical treatment. Jiao Yahui, Director of the Department of Medical Affairs of the National Health Commission, said that in order to strengthen the recent national medical treatment work, especially the medical treatment of severe patients, tertiary hospitals should give full play to the role of strong comprehensive treatment capacity, not only to strengthen the treatment of severe patients with COVID-19, but also to strengthen the treatment of severe patients with nucleic acid positive combined with basic diseases. "For the young children and the high-risk population of the elderly with basic diseases, they should be directly transferred to the tertiary hospital, and there is no need to carry out the level by level transfer through the classification of admission." Jiao Yahui stressed that the tertiary hospital should do a good job in the connection between the fever clinic, emergency and ward, and ensure that the severe patients in the fever clinic, especially those admitted in the emergency department, can be sent to the ward in time for special treatment, Or be admitted to the comprehensive ICU for rescue. Jiao Yahui introduced that the meeting made it clear that all regions should establish the responsibility system of the three-level hospitals, the corresponding support relationship between the three-level hospitals and the county hospitals, the corresponding cooperation relationship between the hospitals above the second level and the nursing homes, and the main responsibility of the leading hospitals should be compacted. Any hospital should not shirk responsibility or reject patients with severe diseases transferred from other regions on the basis of the division of regions. "Divisional film packaging is relative, that is to say, the general hospital should not refuse patients without being within the designated area. The tertiary hospital should implement the responsibility for the first diagnosis and the admission of critical patients, and the transferred patients should be admitted unconditionally." To ensure the treatment of critical patients, The medical treatment team of the joint prevention and control mechanism of the State Council has established a relevant system - to assess and assess the situation of the treatment of severe patients in tertiary hospitals, and has established a daily reporting system and a regular notification system. In this regard, Jiao Yahui said that hospitals that perform the responsibility of severe care better will be included in the red list and regularly praised; The third level hospitals that are not well received will be included in the white list. It is not only necessary to report the situation nationwide, but also to feed back the reception situation to the local leading group and headquarters, and urge the local authorities to supervise these third level hospitals to rectify immediately. With the New Year's Day and the Spring Festival approaching, personnel mobility will increase, which will increase the pressure on rural epidemic prevention and control. "Therefore, we should plan ahead. On the one hand, drugs can be distributed, and on the other hand, rural patients with severe diseases, especially elderly patients with severe diseases, should be able to be transferred in time. It can be said that the county hospital level is the most important gateway to do a good job in rural medical treatment." Jiao Yahui pointed out that to give full play to the role of the counterpart support mechanism of urban and rural hospitals, the third level hospitals should pack tablets in different areas, We should establish a one-to-one support relationship with county hospitals. At the same time, the county hospital should make corresponding preparations, including beds, equipment and facilities, as well as personnel. In the near future, the national primary medical and health institutions for the elderly in the community
Edit：qihang Responsible editor：xinglan
Source：http://health.people.com.cn/n1/2022/1223/c14739-32592273.html
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