The epidemic in rural areas entered a period of rapid development Hainan released a list of "ten tasks" for primary health care institutions

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January 1, Hainan Province, the new crown epidemic prevention and control work command medical relief group issued “Hainan rural epidemic prevention and control of grassroots medical and health institutions ten task list” notice, requiring that from January 2 to January 20, 2023, the province’s rural areas, all primary health care institutions must be on duty to stand firm, actively involved in the prevention and control of the epidemic in rural areas, the provincial medical relief group will be appropriate to the work carried out The provincial medical treatment team will conduct random checks on the work carried out.

At present, the epidemic in rural areas of Hainan Province has entered a period of rapid development. Among the specific contents of the list of ten tasks of the primary health care institutions for the prevention and control of the epidemic in rural areas of Hainan are

First, to identify key populations, as a good “investigator”. The primary health care institutions and family doctor team in conjunction with the town and village cadres to find out the combined basic diseases in the area of 65 years old and older permanent residents, migratory elderly, maternity, infants and children, widows and orphans and left-behind children and other population base, and establish a ledger.

Second, strengthen health education, as a good “propagandist”. Full use of video, telephone, WeChat (group) and other means, pay attention to the use of health services and other opportunities to cooperate with town and village cadres to promote and guide rural residents and “two festivals” during the return home to do a good job of personal protection, standard wear masks, wash their hands regularly, try to gather less, less gathering, pay attention to cough etiquette.

Third, the actual family sign service, as a good “service provider”. Primary medical and health institutions have adjusted and optimized the construction of family doctor teams, implemented a system of responsibility for family doctor team leaders (all team leaders are general practitioners), signed family doctor contract service agreements for all elderly people aged 65 and above in their jurisdictions, and classified and graded family contract services.

Fourth, the actual health services, as a good “administrator”. The family doctor team, together with the town and village cadres, will carry out “red reduction” and “yellow reduction” for the qualified high- and medium-risk people aged 65 and above, implement targeted measures such as personalization, combination of all specialties and optimization of treatment, and formulate a specific timetable. To complete the “red” and “yellow” tasks as scheduled.

Fifth, to protect the proximity of medical care, as a good “gatekeeper”. Township health centers, village health offices in accordance with the principle of “should be set up as far as possible, should be opened as far as possible, to protect the needs of” set up fever clinic, strengthen staffing and training, strengthen the provision of drugs and related equipment, strengthen medical quality and safety, to protect the fever patients close to the doctor.

Sixth, strengthen health monitoring, as a good “monitor”. To provide wearable health monitoring equipment, finger clip pulse oximeter and other equipment to carry out blood oxygen monitoring for those who need it after assessment. Family doctor teams provide health monitoring services to high- and medium-risk people aged 65 and above at least three times and two times a week, either online or through home visits. Strengthen maternal, infant and child health monitoring.

Seven, to assist timely referrals, as a good “referrer”. Primary health care institutions or family doctor teams take the initiative to establish green channels with higher-level expert teams and medical institutions, where patients with persistent high fever, respiratory distress, oxygen saturation <93%, etc. are found to immediately assist in referral or emergency medical care, and take emergency measures such as oxygen therapy services.

Eight, strengthen the guidance of medication, as a good “guide”. The family doctor team cooperates with the town and village cadres to strengthen the medication guidance and publicity services for rural residents, provide timely and personalized medication guidance services for people in need, and guide villagers to reasonably choose proprietary Chinese medicine and Chinese medicine tonics to prevent accidents caused by improper medication.

Do a good job in vaccination and act as a “vaccinator”. The family doctor team actively cooperates with the town and village cadres to do the relevant good policy and knowledge promotion and activation work for the elderly and their families, make good assessment, complete the full vaccination and booster immunization for the eligible elderly, and strive to “receive as soon as possible and as much as possible”.

Ten, pay attention to the demands of the masses, as a good “liaison”. Listen carefully to the demands of the masses, improve and enhance their own work in a timely manner, and reflect the concerns of the masses to the party committee and government and relevant departments. Cooperate with the town and village cadres to fully carry out the key people “care action”, with the door-to-door health questions, door-to-door distribution of “health care package” and other work.