“An 8-year-old child in a control community in Hepingli Street had sudden breathing difficulties, a body temperature of 37.6°C, and a sore throat.” At 5:31 a.m. on March 18, community staff in Hepingli Street issued an emergency assistance message. Wang Xuhong, deputy director of the Health and Health Commission, responded in the work group within 1 minute and made work arrangements, coordinated the fever clinic of Beijing Sixth Hospital to prepare for admission, and asked community staff to call 120 immediately. At 5:41, Beijing The fever clinic of the Sixth Hospital is ready for admission. After the patient was transferred from the 120 closed-loop to the fever clinic, the Beijing No. 6 Hospital immediately screened the child for the new crown. After excluding the new crown infection, symptomatic treatment was given in time, and the 120 closed-loop transported home.
On March 24th, a 57-year-old patient with a history of diabetes and high blood pressure in the closed control area needed to treat the wound. He received a task list from the Medical and Political Department of the Health and Health Commission. Sun Sun, head of the Medical Department of Beijing Hepingli Hospital Xun quickly coordinated, and the surgical doctor on duty, Tong Xichen, put on protective clothing and entered the patient’s home for wound treatment. Because the patient had diabetes with various comorbidities, there were multiple wounds on his right lower extremity. Tong Kaichen was immediately given iodophor disinfection to remove surface necrotic tissue, and sterile gauze was applied externally. The whole dressing change process lasted more than 20 minutes. “Ensuring the normal diagnosis and treatment of patients in the closed area is also an essential work for epidemic prevention and control,” said Tong Sichen.
Hepingli Hospital’s night shift of medical staff treats hemodialysis patients in the control area
Since the first confirmed case in 2022 occurred in Dongcheng District on March 14, Dongcheng District has been doing a good job in epidemic prevention and control, and has actively done a good job in ensuring medical services for people in closed areas, control areas and home isolation. To meet the basic medical service needs of the masses. As of March 26, the District Health Commission has made special medical arrangements for 274 patients who need continuous diagnosis and treatment for acute abdominal pain, high fever in children and other emergencies, hemodialysis, tumor chemotherapy, etc.
The medical staff in the fever clinic of Peking Union Medical College Hospital are treating patients
Tongren Hospital is conducting telemedicine consultation for patients in the control area
The reporter learned that such an efficient and fast guarantee benefits from the medical service guarantee mechanism established in Dongcheng District.
Since the outbreak of the new crown epidemic in 2020, the medical service guarantee mechanism in Dongcheng District has been operating efficiently. By establishing a medical treatment network with the street supervisor leading the WeChat work group as the main line and each hospital medical treatment team as the branch line, feedback from the group has been established. Medical appeals can be dealt with as soon as possible. “There are 156 people in the group, and they are on duty 24 hours a day to respond, which greatly improves the efficiency of resolving medical demands.” Zhang Guiqin, head of the medical and political department of the District Health and Health Commission, introduced that there will be patients in the group who report feedback from various streets at any time. Multiple departments in the district cooperated and cooperated to form a closed-loop process of “patient appeals – community collection – street feedback – district health and health committee coordination – hospital processing – patient appeal resolution”.
Medical Service Guarantee WeChat Work Group
By finding out the situation of various key groups such as long-term dialysis patients and tumor radiotherapy and chemotherapy patients, the community established a planned medical demand ledger and reported it to the district health and health committee. Play the work ahead of schedule. For patients who have the need to go out for medical treatment reported by the community, the district health and health committee establishes a daily demand ledger, and actively coordinates with the district’s designated hospitals, tertiary hospitals in the district, and other relevant district health and health committees to ensure daily medical needs. To ensure that medical complaints received are resolved in a timely manner.
In the early stage, the Dongcheng District Health and Health Commission took the lead to fully consider the problems that may be encountered in the medical service guarantee during the epidemic prevention and control period, and formulated the “Dongcheng District Medical Service Guarantee Work Plan during the Epidemic Prevention and Control Period”. According to the functions of the department and the actual needs of medical treatment, the work responsibilities of each department are clearly defined according to the classification of acute and critical illness, continuous diagnosis and treatment, pregnant women, newborns, and centralized isolation personnel. According to the content and quantity of medical needs, coordinate and coordinate high-quality resources such as Peking Union Medical College Hospital, Beijing Tongren Hospital, Beijing Traditional Chinese Medicine Hospital, etc., and smooth the green channel for hospital treatment. At the same time, a district-level medical security expert group for quarantined personnel was established to provide technical support for the medical treatment of quarantined personnel.
The medical staff at the Min’an Community Health Service Station in Beixinqiao Street came to treat the home quarantined people
The medical staff of the Sixth Hospital are non-stop 24 hours a day, diagnosing and treating patients in isolation points and control areas.
Combined with the actual construction of community health service institutions in the jurisdiction, Dongcheng District divided 154 family contracting teams into districts to realize grid management in the whole district. Basic medical services such as common diseases and frequently-occurring diseases are guaranteed. On the basis of the remote guidance of the family medical team and the in-room diagnosis and treatment, the medical security work for those who really need to go out for medical treatment is carried out.