Joint Prevention and Control Mechanism General Issue [2023] No. 4
Joint Prevention and Control Mechanism of the provinces, autonomous regions, municipalities directly under the Central Government and Xinjiang Production and Construction Corps, the State Council's joint prevention and control mechanism of the members of the unit:
In order to give full play to the comprehensive management of grass-roots organizations and the role of grass-roots medical and health institutions professional services, adhere to the "early detection, early identification, early intervention, early referral", to prevent and reduce the occurrence of new coronavirus infections serious illnesses, to ensure that the prevention and control of the epidemic "to meet the peaks of the section" smooth and orderly The staff, medicines and equipment of primary health care institutions are in place, and the necessary medicines and equipment are delivered directly to village health offices and community health service stations. We must care for grassroots medical personnel and other front-line personnel in epidemic prevention and control, and ensure that grassroots medical personnel are on duty and that basic diagnosis and treatment services are in order by scientifically arranging shift rotation, temporary recruitment, and organizing second- and third-tier hospitals to send them down to the country, as well as by providing mutual assistance and support. In accordance with the standard of 15%-20% of the service population, the primary health care institutions should be fully equipped with proprietary Chinese medicines for symptomatic treatment of new coronavirus infections, antipyretic medicines, cough medicines, and antigen detection kits, to ensure that the amount of institutional availability is always maintained for more than 2 weeks. According to the actual situation, small molecule drugs for the treatment of new coronavirus infections will be distributed to primary healthcare institutions in due course, ensuring that primary healthcare institutions can carry out community medical treatment under the guidance of higher-level hospitals. The construction of fever clinics has been strengthened, and relevant facilities and equipment have been fully equipped in accordance with standards. In larger residential neighborhoods or villages as well as in public **** facilities, it is important to facilitate residents' access to medicine and health services close to home by setting up mobile service points and other means.
Two, strengthen the key population group package contact
County to strengthen the grass-roots manpower organization scheduling, strengthen the responsibility of the street township government, play the role of grid management, organization and mobilization of villagers' committees and their public **** health committees, social organizations, community workers, volunteers, etc., to the street townships as a unit through the package, the package, the package, the package, etc., to make clear that the grid 65 years of age or older Elderly people, pregnant women, children, persons with disabilities and other key groups contact service package team. The number of people involved in the team should match the number of key groups contacted for service, and each team should designate at least one medical staff member to provide professional guidance. Localities are required to issue "health kits" for the elderly, patients with underlying diseases, and other groups at high risk of serious illness, as well as for children in difficult circumstances, including a certain number of antipyretic, cough suppressant, cold and flu remedies, antigen detection reagents, masks, and disinfectant supplies. Special attention will be paid to empty-nested elderly people and those who live only with their disabled children***, and daily contact will be strengthened.
Three, take the initiative to do a good job of the key population dynamic services
To play the role of the family doctor to contact the masses and active services, the use of cloud services, telephone, micro-letter, video and other non-contact methods or face-to-face services such as door-to-door follow-up, do the red, yellow, and green marking of the key populations of the health services, to achieve the "six implementation of in place ": to the streets and townships as a unit to clarify the community grid package team in place; to complete the three types of key populations survey classification and set up a ledger in place; to institutions and family doctors 24-hour contact telephone advice to key populations or families in place; through a variety of ways of yellow, red identification of key populations in contact with the weekly contact of not less than 2 and 3 times in place; dynamic grasp of the basic diseases of the red identification of key populations in place; to the red identification of key populations in place; to the red identification of key populations in place. Dynamic grasp of the red labeled key populations of underlying diseases and health status in place; key populations infected with the new coronavirus or aggravation of the underlying diseases and other timely guidance on the implementation of the disposal of the red labeled infected persons immediately guide the consultation and referral, yellow labeled infected persons to strengthen the symptomatic medication guidance, health monitoring every day, symptoms continue to aggravate or assessed to be unsuitable for home in a timely manner to the consultation and referral.
Four, expanding oxygen and oxygen monitoring services
Everywhere in the world to primary health care institutions, nursing homes are equipped with a suitable number of oxygen bags, oxygen cylinders and oxygen generators and other equipment, to ensure that they can provide oxygen therapy or oxygen filling services in a timely manner for outpatients, patients with home treatment, and elderly people in nursing homes. Increase the number of finger-clip pulse oximeters, and ensure that each community health service center and township health center is equipped with at least 20 or more, and each community health service station and village health office is equipped with at least 2 or more, so as to carry out timely monitoring of oxygen saturation for outpatients and hospitalized patients. A certain number of finger oxygen meters should be equipped for each family doctor team, key population charter team, nursing institutions and welfare institutions to meet the needs of monitoring on rounds, visiting monitoring and in-situ monitoring. Localities should actively organize the distribution of finger oxygen meters for key populations over 65 years of age who are at serious risk of new coronavirus infections and have limited mobility, and guide the self-measurement of blood oxygen saturation at home.
V. Give full play to the role of traditional Chinese medicine
Insisting on the combination of traditional Chinese and Western medicine and the use of traditional Chinese medicine, accelerating the "three medicines, three parties" and other traditional Chinese medicines in the primary health care institutions and the use of equipment. Each region should be based on the local reality and the use of medication habits, organization research to determine a number of new coronavirus infections suitable for the treatment of patients with traditional Chinese medicine agreement prescriptions for new coronavirus infections, common symptoms, classification of traditional Chinese medicine treatment plan, according to the local conditions, evidence-based treatment. Seize the principle of "early" and "fast", so that the Chinese medicine in the new coronavirus infection in the early stage of early intervention, timely containment of mild patients to heavy, critical development.
Sixth, vigorously expand the pre-hospital emergency transport capacity
County to establish a special class of referral and transfer of critically ill patients, expanding the 120 transfer capacity and telephone seats, the implementation of road traffic security, to ensure that emergency calls 24 hours a day to dial through, there are cars to send out the car, out of the car response time than the daily response time is not significantly delayed. Strengthen the township health center, community health service center ambulance equipment, to ensure that each institution at least one, and accept the 120 unified scheduling. The county governments should urge the streets, townships to implement the territorial responsibility, set up a special post, by organizing and guiding the jurisdiction of enterprises and institutions, social organizations, volunteers personal vehicles, the formation of non-emergency transfer fleet, the announcement of a 24-hour hotline, to ensure that the transfer of ordinary patients needs.
Seven, timely referral of people at risk of serious illness
For the elderly combined with basic diseases and other infected people at high risk of serious illness, once the infection is detected, should be promptly referred to a higher level of hospitals with diagnostic and treatment capabilities. For the grassroots first diagnosis of serious illness patients, to quickly and accurately identify, according to the actual situation, timely oxygen supply, take active rescue measures, try to maintain the patient's vital signs stable, accompanied by health care personnel timely referral. Various types of medical and health institutions at all levels to determine the person responsible for referral articulation, simplify the referral process of seriously ill patients, the establishment and smooth referral of seriously ill patients to the green channel, improve the elderly nursing institution medical referral green channel, improve the efficiency of referral.
Eight, strengthen the grass-roots medical personnel training
Everywhere to develop training programs for grass-roots medical personnel, to carry out online, offline, the lead hospital sinking with a variety of training. Make full use of the national, provincial, municipal and other relevant training resources, and actively develop training courses that meet local needs. Strengthen random checks and strict training assessment to ensure the effectiveness of training, so that grass-roots medical personnel can, within a short period of time, master the method of grading and classifying services for key populations in the new crown, observation of infection symptoms, home management and treatment of infected people, Chinese medicine treatment and rehabilitation, early detection of hypoxemia, assessment of respiratory distress and methods of questioning, the use of finger-oxygen meters, important referral indicators, and the indications for and the correct use of small-molecule medicines. The course will also cover the indications for and proper use of small molecule drugs.
Nine, strengthen the medical consortium lead hospitals to support the grassroots
According to the principle of zoning package, the city medical group, county medical **** body lead hospitals to set up by the respiratory, critical care, pediatrics, traditional Chinese medicine and other departments of the chief physician of the technical guidance team, the primary health care institutions to carry out roving guidance, training in the standardized use of small molecule drugs and traditional Chinese medicine The "three medicines and three parties" have helped to improve the ability of the grassroots to prevent serious illnesses. Strengthening the coordination and deployment of health human resources within the medical consortium, and solving the problem of insufficient manpower in primary medical and health care institutions by means of downward medical rounds, personnel postings, and the establishment of a telemedicine collaboration network. Urban tertiary hospitals should support county hospitals, enhance the capacity of county hospitals to treat severe cases of new coronavirus infections, and accept referrals of severe cases from county hospitals.
Ten, strengthen the urban and rural community health education
Implementation of the streets, townships and local responsibility, play the role of village committees, volunteers, etc., for the early detection of the registration of key populations, through the text message prompts, the issuance of "know the card", rural broadcasting in a variety of ways, so that the masses know the basic knowledge of the new Coronavirus infection, Through SMS reminders, distribution of "knowledge cards" and rural radio broadcasts, the public was made aware of the basic knowledge of the new coronavirus infection, the consultation process, and the 24-hour consultation telephone numbers of village cadres and local primary health care institutions. Simple and easy-to-follow operational guidelines for early identification of serious illnesses and guidelines for home treatment have been widely distributed to guide the public to seek timely medical care at healthcare facilities when they are at risk of serious illnesses.
Eleven, real-time grasp of the dynamics of the work
Everywhere to improve the township streets, rural communities to respond to the epidemic and the operation of primary medical and health care institutions and services monitoring mechanism, dynamic grasp of the development of local epidemics, primary medical and health care institutions, fever clinic clinics, the use of medicines and equipment reserves, the medical staff of the infection and attrition, the key populations of the services, etc., the development of local It has made real-time scheduling for places in the province that have problems or are lagging behind in their work. Strengthening statistical analysis of data and helping grassroots to resolve difficulties encountered in their work in a timely manner. Make full use of information technology to improve work efficiency, reduce the burden on the grassroots, and timely report the dynamic data and information needed by the state, provinces and municipalities.
Twelve, strengthen the implementation of responsibility and supervision and assessment
Local joint prevention and control mechanisms to strengthen organizational leadership, layers of responsibility, clear departmental responsibilities and division of tasks, to protect the working conditions. Provincial level to strengthen the city and county levels to carry out the work and supervision of the implementation of responsibility, the establishment of work accounts, the development of task lists, problem lists, responsibility lists, to ensure that everything has someone in charge of, everything has been done, and things do not go overnight. To do a good job at the grass-roots level of the key population dynamic services, strengthen the "health protection, prevention of serious illnesses," the work carried out and the effectiveness of the relevant key work of the assessment, funding allocations, assessment and evaluation of excellence and other links, and effectively play the role of assessment and incentives-oriented.
The State Council Joint Prevention and Control Mechanism Comprehensive Group
January 3, 2023_