Source: Beijing News
Author: Ocean
On January 8th, the coronary virus infection was officially adjusted to the "Class B tube".The China State Council ’s joint defense and control mechanism emphasized that the implementation of the“ Class B and B ”is by no means liberalized, focusing on strengthening services and guarantee.
On the basis of the overall plan and series of supporting documents released by the State Council's joint prevention and control mechanism, Fujian, Chongqing, Tianjin, Guangxi, Beijing and other places have introduced implementation plans or opinions in accordance with local conditions.In some places, new measures are released for nucleic acid testing, health management of key groups, prevention and control of rural areas, and new crown medical insurance policies.Under the new situation, what are the focus of "control"?How to ensure the smooth and orderly implementation of the "Class B tube"?
Most of the specific prevention and control measures for the elderly group
The management services of key groups and key institutions are the top priority after the "Class B tube" of the crown disease.Based on the general plan, Beijing has released prevention and control and service plans for pension institutions and key groups.In terms of prevention and control of pension institutions, admission personnel are required to check the 48 -hour nucleic acid negative proof and on -site antigen detection negative results.During the open management of the agency, the staff of the elderly institutions detected negative proof of 48 -hour kernel acidic acid and the antigen detection negative results on the day.If a positive infection is found in the elderly institution, under the guidance of professional assessment, immediately adjust the partitions and density of personnel, implement measures such as transferring residence, classification diagnosis and treatment, and ending disinfection, and immediately carry out all -employed nucleic acid or antigen testing.
In terms of services in key groups, Beijing requires the implementation of the "double touches" mechanism of the health and health department and the community, and the community neighborhood committee will uniformly issue contact service cards to key groups to establish and improve the WeChat group of key groups of service guarantee;Green channels refer to the referral service for people with emergency medical needs.
Fujian proposes that all localities must continue to set up measures such as green channels, temporary vaccination points, and mobile inoculation vehicles through the establishment of the elderly, to maximize the convenience of vaccination for the elderly.Inoculation service.Chongqing proposed that a "health package" for free for the elderly over 60 years old.
Strengthen medical resources equipment, build intensive care unit
In terms of strengthening medical resources, Tianjin requires that the city's existing "seven major theater" is used in the city.Classified categories and treatment to jointly ensure the needs of key groups of medical services.According to "Jinyun News", according to the current situation, Tianjin has established seven major theater.Among them, Heping District and Baodi District are the first theater, and the General Hospital of Tianjin Medical University, as the central hospital of the first theater, played a leading role in the leader.The central hospitals of each theater should be distributed for graded medical management and medical resources, and patients with the treatment of respiratory systems in secondary hospitals and grassroots hospitals should be diagnosed and guided.
Guangxi is clear that choosing a suitable independent area (hospital area, ward building, ward or ward), build a group of convertible severe care unit, is not less than 4%of the total number of beds in this hospital, and replace high -flow oxygen transmission oxygen transmission.Pipelines, prepare bottle oxygen for spare, equipped with basic severe treatment equipment such as ventilator and guardians to ensure that severe care resources within 24 hours are increased by two to four times.
Guarantee supply of rural drugs and medical equipment
The prevention and control capacity of the epidemic in rural areas is relatively weak. Sichuan requires to implement the "five packages and one" service contract security team to contact township cadres, village cadres, public security policemen, medical workers, and grid members.High -risk personnel will minimize the intensive rate.All localities must ensure that each township health center and community health service center must be equipped with at least 20 finger -type blood oxygen instruments; village clinics and community health service stations are equipped with at least two finger -type blood oxygen instruments;Bags, oxygen cylinders, and oxygen making equipment.
Chongqing proposed that the implementation of the responsibility of the secretary at all levels to grasp the prevention and control of the epidemic in rural areas, ensure the supply of rural drugs, establish a three -level hospital division and work responsibility system, and unblock the rapid and critical illness referral channels.
Adjust nucleic acid testing, crown infection, medical treatment costs
Shanghai further adjusts nucleic acid testing policies. From January 8, nucleic acid testing will no longer continue the free policy.The staff of the elderly institutions, nursing homes, and social welfare institutions still perform nucleic acid testing in accordance with regulations.Scientifically set the sampling point in each district, and continue to do a good job of nucleic acid testing services for citizens with demand.Beijing cancels the mixed pipe test, and the single -person single -man pipe is implemented. It is required to set up three to five citizen nucleic acid samples in each street (town).
Jiangsu optimized the medical security policy on January 7 to expand medical security from fixed -point treatment medical institutions to all medical institutions.As long as the patients are in accordance with the medical expenses that meet the diagnosis of coronary virus infection in the medical institution, they will be paid by basic medical insurance, major illness insurance, and medical assistance.Temporary expansion of the medical insurance drug directory will temporarily include some drugs used for the treatment of new crown infection into the scope of medical insurance payment.At the same time, the medical insurance fund provides medical insurance mobile payment settlement services in accordance with the principles of consistent online and offline. The cost of retraining medical services provided by the original Internet hospital only expands to the first diagnosis and retraining medical service costs.
In addition, when Beijing stipulates that when the epidemic is popular, key institutions such as pension institutions, social welfare institutions, and other key institutions restrict clustering activities, in principle implement closed management, and regularly carry out nucleic acid or antigen testing.The institution can take temporary suspension measures in the short term.When the epidemic is serious, the number of people who control business places and restaurants will be controlled, and the business hours are appropriately shortened under the premise of ensuring life supply; and social liquidity is reduced.
