A few days ago, the the State Council Joint Prevention and Control Mechanism Comprehensive Group issued the Notice on Doing a Good Job in the Prevention and Control of Covid-19 Infection and Other Key Infectious Diseases in Winter and Spring, guiding all localities and departments to further do a good job in the prevention and control of COVID-19 and other key infectious diseases in winter and spring to protect people’s health.
At present, the number of cases of children’s respiratory diseases has increased significantly in some places, and the amount of pediatric diagnosis and treatment services has increased. What measures have been taken by various localities to facilitate people’s medical treatment in response to the needs of diagnosis and treatment of respiratory diseases? The reporter conducted interviews in many places.
Expand the supply of pediatric diagnosis and treatment to meet the needs of medical treatment to the maximum extent.
With the successive winter in various places, respiratory diseases have entered the high-incidence season. Medical institutions at all levels around the country actively take a series of measures to meet the needs of patients to the maximum extent.
In the aspect of expanding the supply of pediatric diagnosis and treatment, hospitals actively adopt the methods of extending outpatient service hours, increasing manpower and promoting internet medical care to improve the ability of receiving treatment.
The pediatric team of Renji Hospital affiliated to Shanghai Jiaotong University School of Medicine expanded the day clinic and night clinic according to the maximum number of consultations, and opened more specialist clinics on Sunday; Tsinghua University-affiliated Chang Gung Memorial Hospital in Tsinghua, Beijing opened an infusion and atomization area, adding 60 infusion positions and 10 atomization positions, increasing the capacity of the original infusion room by 160%; The Children’s Hospital affiliated to the Capital Institute of Pediatrics made full use of the Internet medical platform to open a follow-up clinic for respiratory infection … …
The relevant person in charge of Banan Hospital affiliated to Chongqing Medical University introduced that the hospital mobilized medical staff in time, coordinated the deployment of high-quality medical resources in the whole hospital, and implemented flexible scheduling in pediatrics. At the same time, doctors with the ability to diagnose and treat pediatric respiratory diseases in respiratory department, neonatal department and other related departments were sent to pediatric support, and the number of pediatric visiting doctors increased by 40%.
"Chinese medicine hospitals at all levels have carried out a number of preparatory work for the arrival of the high incidence of respiratory infections." Liu Qingquan, president of Beijing Hospital of Traditional Chinese Medicine, said that many Chinese medicine hospitals began to adjust the layout of pediatrics, increase the area of pediatrics, extend the duration of consultation, and adopt one-person and one-side deployment, and introduce non-drug treatment methods such as pediatric massage to give full play to the role of traditional Chinese medicine and improve the curative effect of integrated traditional Chinese and western medicine.
At present, health departments all over the country have published the information of local medical institutions that can provide pediatric diagnosis and treatment services on the official website and government WeChat platform, and updated it in time to further facilitate the people to seek medical treatment in an orderly manner nearby.
Implement graded diagnosis and treatment and give full play to the role of primary medical and health institutions
At the press conference held by the National Health and Wellness Commission a few days ago, Mi Feng, spokesperson of the National Health and Wellness Commission and deputy director of the Propaganda Department, said that large hospitals are crowded, waiting for a long time, and the risk of cross-infection is high. If there are children at home with mild symptoms, it is recommended to go to primary health care institutions or general hospitals for pediatric treatment. According to reports, the National Health and Wellness Commission has instructed all localities to strengthen overall planning, implement a graded diagnosis and treatment system, give play to the role of medical associations, and strengthen technical guidance for primary medical and health institutions.
In the corridor of jiancaoping district Huifeng Community Health Service Center in Taiyuan City, Shanxi Province, several parents with their children are waiting in line for medical treatment and laboratory tests. Liu Haifeng, director of the center, said that with the cooperation of the medical association, the higher-level hospitals have sunk pediatricians into the community to ensure that a pediatrician visits every day, and at the same time, mycoplasma and influenza virus testing services are added, so that mild patients can get active and effective treatment in the community. If the patient’s condition is found to be serious, he will be referred to the superior hospital through the green channel in time.
It is understood that before the end of 2022, township hospitals and community health service centers across the country have realized that fever clinics should be set up and opened. At present, the fever clinics in primary medical and health institutions around the country are operating normally, and timely symptomatic treatment of mild patients and early identification and referral of severe patients are done.
According to the relevant person in charge of the Department of Grassroots Health of the National Health and Wellness Commission, from the monitoring data of various places, the situation of drug allocation in township hospitals and community health service centers has been continuously improved, and more than 95% of the primary medical and health institutions in urban and rural areas have been equipped with three kinds of drugs: Chinese medicine, antipyretic and cough-relieving, which have reached the reserve for more than two weeks. More than 90% of primary medical and health institutions refer to oxygen meters, oxygen generators and other equipment equipped with standards. As a whole, the materials for prevention and control of virus infection in primary medical and health institutions are kept at a reasonable level.
In the community, influenza vaccination for key populations such as "one old and one small" is also progressing in an orderly manner. Sun Li, deputy director of Cuigezhuang Community Health Service Center in Chaoyang District, Beijing, said that medical staff actively provide free influenza vaccination for the elderly over 65 years old and primary and secondary school students in the jurisdiction, and take home vaccination for the elderly with mobility difficulties. At the same time, connect with the school, vaccinate students as soon as possible, and establish an immune barrier.
Vaccination is the most economical and effective preventive measure. At present, influenza and other popular respiratory diseases have corresponding types of vaccines, which can effectively reduce infection and reduce the risk of developing into severe illness and death. Experts said that key groups such as the elderly and children should be vaccinated as soon as possible, do a good job of personal protection, maintain good hygiene habits, insist on wearing masks, wash their hands frequently, and keep indoor ventilation.
Optimize medical service process, reduce waiting time and improve medical experience.
At the triage desk of pediatric outpatient department of Beijing Tongren Hospital, when the children see a doctor, the medical staff evaluates their condition at the same time, and the children who meet the requirements can prescribe blood routine and other related tests in advance. "Let the children have a laboratory test first, and then the outpatient doctor will diagnose and treat them after the results come out, reducing the number of queues and greatly shortening the waiting time." Tian Wei, director of the outpatient department of Beijing Tongren Hospital, said.
The reporter saw in Liuzhou People’s Hospital of Guangxi Zhuang Autonomous Region that despite the large number of children, under the guidance of volunteers and medical staff, the waiting for medical treatment was orderly. Ms. Wei, a citizen, came to see a doctor with a child who was coughing. Volunteers guided Ms. Wei to the pre-consultation area. Through preliminary inquiry and examination, the medical staff will guide them to the corresponding district for waiting according to the severity of the illness.
Since November this year, Liuzhou People’s Hospital has optimized the layout of the hospital’s outpatient and emergency departments. The processes of triage, treatment, payment, blood drawing and infusion can be completed in one area of pediatric outpatient and emergency departments, and parents and children do not need to run back and forth and up and down.
In order to reduce the waiting time of patients and improve the medical experience, hospitals around the country have launched a number of warm-hearted services to make medical treatment more efficient and convenient. For example, implement time-sharing appointments, increase the number of numbers, and make appointments accurate to half an hour; Set up a TV screen in the emergency waiting area to play short videos of medical science to relieve patients’ anxiety; Install air disinfection machine and air conditioner in the observation area to improve air quality and temperature comfort & HELIP; …
"Hangzhou has improved service processes such as registration, inspection and medicine collection, and minimized unnecessary links." Ying Xuyu, deputy director of the Hangzhou Municipal Health and Wellness Committee, said that some hospitals settle accounts after seeing a doctor first and implement credit payment to reduce the waiting time for patients to see a doctor. Increase the allocation of medical auxiliary personnel, maintain medical order, and at the same time do a good job of answering questions and doubts for patients to improve the efficiency of medical treatment.
According to Ying Xuyu, patients can also check the information of fever clinics at the service entrances of major online platforms such as "Zheli Office", check the registration of hospitals and the number of people waiting in line in real time, and support one-click navigation to facilitate people to choose medical institutions with relatively short medical treatment time nearby. Through digital technology, community health service centers in Hangzhou can choose superior hospitals through the "cloud" to open up hospital bed resources.
(Our reporters Wang Xinyue, Zheng Yangyang and Zhu Jiaxuan participated in the writing)







△ Gray seal in the movie "Rainbow Shining"




















