Chongqing Rural Epidemic Prevention: Graded and Classified to Strengthen Services for Key Populations

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Sitting in the village health office in the morning and conducting health monitoring at home in the afternoon for key populations mapped out is the daily work of village doctor Jiang Long in Guanyin Village, Sanquan Town, Nanchuan District, Chongqing during this period. “Recently the number of fever patients we see every day has dropped significantly compared to the middle and end of December last year, but as the Spring Festival approaches and more people return to their hometowns, the service for key rural people still cannot let up.” Jiang Long said.

Jiang Long (right), a rural doctor, makes a follow-up visit to a villager’s home in Sanquan Town, Nanchuan District, Chongqing, on Jan. 4.

There are more than 400 people over 65 years old in Guanyin Village, accounting for about a quarter of the resident population, many of whom suffer from basic diseases such as hypertension and chronic obstructive pulmonary disease, while others have mobility problems. In order to take care of these key people, Jiang Long set aside more free afternoon hours to go door-to-door to measure everyone’s blood pressure and monitor blood oxygen saturation using the finger clip oximeter distributed by the district to grasp everyone’s physical condition and identify risky people in time.

“After the optimization and adjustment of the epidemic prevention and control policy, we improved the health files and ledgers of key rural people through the grid-based package, divided the district’s population over 65 years old according to red, yellow and green according to the level of risk, and set up 24 medical teams consisting of district medical units and family doctors to implement daily health monitoring for 8,054 red people, to Among them, 387 people who are not vaccinated and have mobility problems are issued additional finger clip oximeters, and do their best to serve the key people.” Shen Guoliang, director of Nanchuan District Health Committee, said.

In response to the weaker medical conditions in rural areas, Nanchuan District also plays the role of the medical community, relying on the region’s one tertiary hospital, two second-class hospitals, the formation of three areas of medical community to carry out graded treatment, to enhance rural medical security capacity. In Nanchuan District Shuijiang Central Health Center, the reporter saw that the CT taken here can be transmitted to the district people’s hospital through the Nanchuan District Intelligent Health Platform in time for the relevant doctors to make a diagnosis and send it back. “Not only does it allow the public to experience the services of a tertiary hospital at their doorstep, it also helps us to detect patients with a tendency to be seriously ill in a timely manner.” Chen Ning, director of Shuijiang Central Health Hospital, said.

Medical staff at Shuijiang Central Health Center in Nanchuan District, Chongqing, treat patients on Jan. 4.

The smooth referral channel for acute and critical illnesses is one of the key links to guarantee medical treatment for the elderly in rural areas. Bishan District, Chongqing City, has established a green channel for referral to diagnose the health condition of patients, and immediately start the green channel for referral when encountering serious cases that cannot be treated by primary medical institutions, and send them to district hospitals for treatment at the first time. The 78-year-old villager Peng, who had a long cold, a cough for more than 1 week and a basic disease in Guojia Village of Dalu Street in Bishan District, was transferred to the emergency department of the district people’s hospital with the help of the community health service center and received timely treatment.

“During this period of time, we have enhanced training for doctors in the hospital and rural doctors, instructed them to use the critical illness scoring form to improve the identification, treatment and classification and grading of health services for high-risk key populations such as elderly people, pregnant women, widows and orphans and left-behind children with combined underlying diseases in the village group.” Zhang An quill, head of Jiangkou Town Central Health Center in Yunyang County, Chongqing, said rural doctors can combine the actual situation to strengthen health guidance, monitoring and guidance on medication, antigen testing and other services for people under home treatment and observation through telephone, video, WeChat or offline follow-up visits.

Antipyretic and analgesic antipyretic drugs, antipyretic and detoxifying Chinese medicines, medical surgical masks …… recently, Chongqing City, 60 years of age or older have received a “health package”, the order of distribution in accordance with the rural areas after the city, first senior (80 years old or older) after the lower age (60 years old or older) At present, 2.448 million “health kits” have been ordered in each district and county. In Yunyang County, the local “health kits” are equipped with oxygen bags for some elderly people suffering from respiratory diseases such as chronic obstructive pulmonary disease, in addition to the distribution of regular drugs. More than 100,000 copies.

The person in charge of the Chongqing Health Care Commission introduced that the city’s district and county village health offices and township health centers have a certain stockpile of all kinds of major therapeutic drugs, the first consultation and transfer of serious patients is smooth, medical resources can generally meet the needs of patients, is to further refine the city’s rural areas epidemic prevention and control measures, to protect the lives and health of the people in rural areas.