Take many measures to facilitate children to see a doctor and let the people enjoy convenient medical services at their doorstep.
CCTV News:Winter is the season of high incidence of respiratory diseases. Recently, in Yongchuan District, Chongqing, the number of outpatient and emergency departments in major pediatrics is at a high level, and various measures have been taken to effectively do a good job in the diagnosis and treatment of respiratory diseases in children.
In Yongchuan District People’s Hospital of Chongqing, recently, the daily average number of pediatric outpatient and emergency departments is about 800, of which more than 70% are children’s respiratory diseases. The hospital expanded wards, increased beds, and opened night clinics for children to facilitate children to seek medical treatment in time.
Wang Jun, Head of Medical Administration Department, Yongchuan District Health and Health Committee, Chongqing:Fever clinics in primary health care institutions should be fully opened, service hours should be extended, weekend clinics should be increased, 12 teams should be set up to help 23 primary health care institutions improve their ability to diagnose and treat respiratory diseases, and various measures should be taken to increase the supply of pediatric medical services, optimize the allocation of medical resources, and improve the ability of pediatric emergency services.
High incidence of respiratory diseases, multi-measures to deal with the peak of pediatric visits
At present, respiratory diseases have entered a period of high incidence. The number of people with cold, fever, cough and other symptoms has increased significantly in many parts of the country, especially many children infected with respiratory diseases, which not only worries parents, but also increases the number of diagnosis and treatment services in many pediatric hospitals.
Recently, the General Office of the National Health and Wellness Commission issued a notice to guide grassroots medical and health institutions to do a good job in health services for respiratory diseases in winter and spring, and put forward measures such as doing everything possible to tap resources to carry out pediatric diagnosis and treatment services and strengthening the support of general hospitals for grassroots medical and health institutions.
At 9: 40 in the morning, in the South Campus of Shuangqiao Hospital in Chaoyang District, Beijing, the number of children and parents waiting at the entrance of the pediatric clinic began to increase. Shuangqiao Hospital is a second-class general hospital in Beijing, with 27 clinical departments. The pediatric setting has continued since the establishment of the hospital. Now there are 4 pediatricians, which can meet the basic medical needs of children around the hospital.
According to the monitoring data of the hospital, in September, 2023, the average daily outpatient volume of pediatrics in the hospital was 74. After entering October, the data curve increased obviously.
Although the number of recent visits has tripled or quadrupled compared with daily visits, the reporter saw here that even during the peak hours of children’s visits, the number of people waiting at the entrance of the pediatric clinic never exceeded 12, and children and parents were basically divided into two clinics within half an hour.
In order to cope with the peak of respiratory diseases in autumn and winter in 2023 and reduce the stay time of patients in the hospital, Shuangqiao Hospital optimized the treatment process.
In the registration process, the outpatient hall dynamically adjusts the number of manual registration windows, every morning at 8: 00 — At 5: 00 pm, the pediatric registration is not limited. After the registration, you can wait outside the clinic.
Outside the clinic, the medical staff who are asking about the illness of the children are full-time medical assistants specially set up for pediatric outpatient clinics in the hospital.
Before the child sees a doctor, the doctor can get the basic information of the child from the doctor’s assistant. After a preliminary judgment, the parents of the child can take the test items prescribed by the doctor and take the child for further examination. In this link, the hospital has also carried out dynamic optimization.
In order to reduce the time for patients to wait for results, the number of hospital inspection personnel is also dynamically adjusted with the demand.
In addition to optimizing the medical treatment process, in order to cope with the epidemic peak of respiratory diseases, many primary hospitals have increased the number of consultation places and opened weekend clinics. At present, Shuangqiao Hospital has implemented holiday-free clinics in the south and north hospitals, and both hospitals are equipped with the same inspection and testing items.
Relieve the pressure of hospital treatment through community health service center
In order to cope with the long waiting time in pediatrics and the overload of some children’s specialized hospitals, the National Health and Wellness Commission has previously instructed all localities to publicize the information of medical institutions that can provide pediatric diagnosis and treatment services in the region, so as to facilitate patients to seek medical treatment nearby. Not long ago, Chaoyang District published a list of primary medical and health institutions providing pediatric services in its jurisdiction on the Healthy Chaoyang WeChat official account. Cuigezhuang Community Health Service Center is one of them. Recently, there have been more calls to consult pediatrics.
Sun Li hasn’t been idle since she took the office phone with her colleagues at 8 am. Most of the calls these days are for consultation with pediatrics.
At the same time as the other party consulted, Sun Li also made a preliminary understanding and judgment on the situation of the child.
In order to cope with the peak of respiratory diseases in the winter of 2023, Cuigezhuang Community Health Service Center began to optimize the consultation process as early as October and implemented pediatric holiday-free outpatient service. In order to make children infected in the community find out and treat them early, medical staff also make full use of the family doctor signing system to answer questions for the surrounding residents in the WeChat group.
Residents and doctors in the WeChat group are familiar with each other. Usually, when residents have a headache, they will directly ask for medicine in the group. For a long time, the two sides have established close ties. In such a special period, this close relationship will play a huge role.
In the winter of 2023, although a variety of respiratory diseases were prevalent, no new pathogens appeared. For doctors, these respiratory diseases are common diseases that have to be dealt with every autumn and winter. There is little difference in the diagnosis and treatment of mild children, whether they go to a specialized hospital or stay in the community.
Set up a hospital outpatient department in the community to facilitate children to see a doctor
In order to facilitate people to see a doctor in primary medical institutions, some general hospitals have also set up hospital outpatient departments in the community, and doctors have been stationed for a long time.
Recently, Ren Yumei, a pediatrician in the First Affiliated Hospital of Henan University of Traditional Chinese Medicine, was sitting in the Provence Community Hospital in Zhengzhou.
Ren Yumei, Deputy Chief Physician of Pediatrics, First Affiliated Hospital of Henan University of Traditional Chinese Medicine:Our community clinics have 1-mdash all the year round; Two specialists are stationed here. At the same time, according to the high incidence season of respiratory infection this year, the hospital sent 5-mdash; Six senior doctors, basically every day we have 2-mdash; Three specialists and general practitioners are together to jointly maintain primary diagnosis and treatment. At present, the community can realize the synchronous diagnosis and treatment process with the hospital, and can do basic blood routine, mycoplasma and influenza, including pulmonary ultrasound imaging, which can completely help us complete the preliminary diagnosis and treatment of common epidemics, infectious diseases and respiratory diseases.