Notice on printing and distributing the work plan of health service for key populations in COVID-19

All provinces, autonomous regions, municipalities directly under the Central Government and Xinjiang Production and Construction Corps should respond to the joint prevention and control mechanism of novel coronavirus epidemic, and the State Council should respond to the joint prevention and control mechanism of novel coronavirus epidemic:

In accordance with the requirements of further optimizing and implementing the prevention and control measures of COVID-19 epidemic situation, in order to do a good job in health service for key populations in COVID-19 and ensure people's life safety and health, the State Council has studied and formulated the Work Plan for Health Service for Key Populations in COVID-19. Is issued to you, please seriously implement the actual.

The State Council deals with novel coronavirus.

Comprehensive group of epidemic prevention and control mechanism

65438+February 9, 2022

Work plan of health service for key population in COVID-19

According to the Notice of the Comprehensive Group of the State Council Joint Prevention and Control Mechanism on Carrying out Health Survey of Key Populations in COVID-19, the vaccination situation of the elderly with basic diseases and their COVID-19 was investigated and classified and registered. In order to do a good job in the health service of registered key population, this plan is formulated.

First of all, clear the principles of developing health services.

Adhere to the principle of classification and emphasis, according to the basic diseases, vaccination situation and post-infection risk in COVID-19, it is divided into three categories: key population, sub-key population and general population, which are marked with red, yellow and green respectively, with different colors and different service contents.

Second, carry out classified and graded services.

First class service.

1. Serve the public. Ordinary people.

2. Service content.

The community is responsible for mobilizing publicity, and guiding those who have not completed the intensive immunization and meet the vaccination conditions as assessed by doctors to be vaccinated as soon as possible.

Give full play to the role of streets, community neighborhood committees and their public health committees, grassroots medical and health institutions and family doctors, strengthen health education, advocate healthy lifestyles, and do a good job in personal health protection.

Provide consulting services related to COVID-19. The community publicizes the current prevention and control policies of Xinguan pneumonia through small speakers, a letter, WeChat, SMS and APP. , and inform the families of each key population by the telephone number of primary health care institutions or family doctors to help carry out health education.

Secondary service.

1. Serve the public. Sub-critical population.

2. Service content. Carry out secondary services on the basis of primary services.

Infected people who are asymptomatic or have mild symptoms treated at home should take the initiative to report to the community and contact the grassroots medical and health institutions in their jurisdiction. Grassroots medical and health institutions should guide antigen detection and health monitoring through the internet, video, telephone, remote or offline, and provide health consultation and medication guidance. After evaluation, wearable health monitoring equipment and finger-clip pulse oximeter were provided for the infected people in need, and health monitoring such as persistent high fever, dyspnea and finger oxygen saturation was carried out.

The community helps implement the management of family treatment for infected people, provides guidance on routine medical needs, and assists in providing services such as drug purchase and distribution.

Three-level service.

1. Serve the public.

Key population.

Key groups with urgent medical needs.

Other people with urgent medical needs, such as babies and pregnant women.

2. Service content. Carry out three-level services on the basis of two-level services.

Disabled elderly people or elderly people with mobility difficulties shall be evaluated by the expert group determined by the county health department or the superior hospital to decide the treatment method. For those who can stay at home after assessment, under the guidance of higher-level hospitals, basic medical and health institutions provide necessary health consultation, health guidance, health monitoring, antigen detection and other services. If it is not suitable for home after assessment, the primary medical and health institutions will guide and assist in referral.

Infected people in key populations and people with urgent medical needs, community and grassroots medical and health institutions assist in referral, and people with urgent medical needs can also see a doctor through emergency treatment.

Third, strengthen organizational guarantee.

Clear division of responsibilities. The joint prevention and control mechanism of all localities takes the lead, and the relevant departments implement it separately according to their responsibilities. At the prefecture level, the health department determines designated medical institutions, sets up superior institutions and professional teams to provide technical support for primary medical and health institutions, guides medical and health institutions to provide health management and medical treatment for key populations according to their division of labor, strengthens training of relevant institutions, and carries out classified and graded services. The civil affairs department is responsible for guiding nursing homes, child welfare institutions and other key places to strengthen management, mobilizing communities to do a good job in key population management services under the unified leadership of the local epidemic prevention and control mechanism, guiding neighborhood committees to cooperate with primary medical and health institutions to provide drugs and antigen testing, and contacting superior hospitals around high-risk groups such as the elderly. Relevant departments should implement the funding guarantee for key population surveys, graded health services and necessary equipment.

Strengthen the reserve of drugs and antigen detection kits in primary medical and health institutions. All localities should strengthen the supply guarantee, and ensure that grass-roots medical and health institutions dynamically reserve Chinese medicine, antipyretic and antitussive drugs and antigen detection reagents according to the Chinese medicine catalogue recommended by the state and the province and 15-20% of the total population, and densely populated areas can increase them as appropriate. County health departments should organize pharmacists to provide patients with medication guidance such as contraindications, compatibility and precautions.

Improve the service level of primary medical and health institutions.

First, strengthen the equipment configuration and upgrading of primary medical and health institutions. Accelerate the construction progress of fever clinics in township hospitals and community health service centers, and strive to increase the coverage rate to about 90% by the end of March 2023. Improve the equipment configuration, including oxygen therapy equipment, portable lung function instrument, finger clip pulse oximeter, wearable health monitoring equipment, etc. Upgrade the electronic health record information system and encourage the provision of intelligent health stations for densely populated communities or remote villages.

The second is to effectively increase the manpower of primary medical and health institutions. It is necessary to establish a system that doctors in relevant departments of second-and third-class hospitals in cities go to the grassroots level, and leading hospitals of medical associations should send doctors to sink to the grassroots level. According to the increase of service population and service volume, the staffing of primary medical and health institutions will be strengthened in a timely manner, and medical staff who have retired for nearly five years and other health professional and technical personnel will be temporarily rehired to enrich primary medical and health institutions. Township hospitals and community health service centers are allowed to hire people or entrust non-medical and health service tasks to them through third-party services. It is necessary to establish and improve the telemedicine service network, and extend the high-quality medical services of secondary and tertiary hospitals to the grassroots through telemedicine.

The third is to do a good job in the signing service of family doctors in key groups. Accelerate the improvement of the coverage of contracted services for the elderly over 65 years old, realize the full coverage of contracted services for the elderly with basic diseases, and do a good job in health management and health monitoring according to the principle of classification and grading. Strengthen the contact between family doctors and contracted elderly people to ensure that they can contact family doctors in time when they need medical treatment.

Implement the management responsibility of the community for key groups. Give full play to the positive role of grass-roots governments, residents' committees and their public health committees, and assist in the daily publicity, education and service of key groups. Establish a direct hotline between the community, medical institutions and pharmacies, configure or update medical vehicles in cities with streets and villages as units, and guide and assist in referral.

Strengthen the health management of key population in rural areas. All localities should strengthen the guidance, support and dispatch of health investigation and management of key rural population. Determine the designated medical institutions listed at the prefecture level, and clarify the process and path of referral from township hospitals to designated medical institutions. County-level medical institutions lead hospitals to provide necessary support such as manpower, technology and equipment to township hospitals and village clinics under their jurisdiction, and provide services for key populations. Villagers' committees and their public health committees should coordinate with village clinics, mobilize social organizations, social workers, volunteers and social charity resources, assist in the procurement and delivery of drugs, and assist in the medical referral of key populations in their respective jurisdictions; Guide villagers to improve their personal health awareness and do a good job of self-protection.

Strengthen the management of key institutions such as nursing homes and child welfare institutions. All localities should guide nursing homes and child welfare institutions to formulate classified and graded service plans in hospitals with reference to this plan, establish cooperation mechanisms with medical and health institutions and pharmacies under their jurisdiction, and clarify the referral process. Medical staff in nursing homes and child welfare institutions with medical institutions or medical and health institutions that have established cooperative relations with them provide classified and graded services for key personnel. Nursing homes and child welfare institutions should dynamically reserve traditional Chinese medicine, antipyretic and antitussive drugs and antigen detection reagents.

Give play to the role of medical association. Give full play to the role of medical association as the lead hospital, and strengthen the technical guidance for the construction and operation of fever clinics in its member units. To co-ordinate the deployment of personnel in the medical association, dispatch professional strength, guide and support the daily diagnosis and treatment of fever clinics in primary medical and health institutions. Smooth the two-way referral channel, do a good job in the connection of graded diagnosis and treatment, lead the hospital to set up a professional rescue team composed of respiratory, pediatric, intensive care, Chinese medicine and other related departments, and strengthen technical support, training, guidance and quality control for the grassroots.

Encourage social forces to participate. Coordinate all forces, encourage and guide social forces to participate in primary medical service guarantee, expand medical service resources, and meet the people's demand for medical and health services.