Hospitals above the second level in Jiangsu will fully implement appointment diagnosis and treatment.

In order to strengthen hospital infection control, shorten the waiting time of patients in hospital, reduce the risk of cross infection, cut off the route of epidemic transmission, and ensure people's health and safety, Jiangsu Provincial Health and Wellness Committee issued the Notice on Full Implementation of Appointment Diagnosis and Treatment during COVID-19 Epidemic, and decided to implement non-emergency comprehensive appointment diagnosis and treatment service during COVID-19 Epidemic.

The "Notice" requires that from March 12, except for emergency and fever clinics, all general clinics, specialist clinics and expert clinics in hospitals above the second level in the province will be fully implemented by appointment, and on-site registration will be cancelled. It is necessary to provide necessary help for elderly patients who have difficulty in making an appointment to register and assist them in normal diagnosis and treatment. Encourage other qualified medical institutions to refer to the implementation.

Expand the appointment registration methods, and provide online registration, mobile APP appointment, telephone appointment, SMS appointment, outpatient appointment, outpatient on-site self-service appointment, community referral appointment and other appointment registration methods. , and through the website, the media, posting notices, distributing leaflets and other forms to publicize the appointment registration method, and steadily promote the refinement of various measures.

Focus on ensuring the diagnosis and treatment services for patients with critical and complex diseases, stop setting up convenience clinics, and gradually reduce chronic disease clinics and general clinics. The emergency departments of hospitals at all levels should effectively protect the needs of emergency patients, strengthen the management of emergency pre-examination and triage, and avoid patients without emergency indications from visiting the emergency department.

All hospitals above the second level should strengthen refined management, scientifically divide the diagnosis and treatment periods according to the number of outpatients, doctors and the peak of follow-up visits in the same period of last year, reasonably arrange the sources of treatment in each period according to different specialties and experts, determine the number of patients in each period, and reduce the risk of cross-infection caused by the gathering and crowding of people in the hospital. It is necessary to strengthen the management of medical order, strictly regulate the time of doctors' visits, make advance notification, guidance and alternative arrangements for temporary suspension of medical treatment, and give priority to ensuring the timely arrival of patients' medical needs. Effective measures should be taken to further strengthen the management of breach of contract.

Outpatients with chronic diseases can extend the prescription dose to 3 months depending on the condition; For drugs urgently needed by patients but not yet purchased, patients' drug demand can be met through temporary procurement, logistics distribution and door-to-door delivery. All primary medical institutions can equip and use drugs outside the national essential drugs list according to patients' drug demand, and speed up the connection with drugs used by medical institutions above the second level.

Grassroots medical institutions should improve the ability to treat patients with common diseases, chronic diseases and frequently-occurring diseases and patients in the recovery period of surgery by opening joint wards, chronic disease clinics and convenience clinics. Encourage grass-roots medical institutions to rely on the team of family doctors, and provide on-site and family sickbed services in conjunction with experts from superior hospitals of medical associations to effectively solve the medical difficulties of difficult groups such as mobility difficulties. For patients living in closed management areas, home delivery, "internet plus nursing" and online diagnosis and treatment are adopted to ensure the needs of patients for home treatment.

By means of face comparison and identity information verification, the authenticity, integrity and consistency of patients' medical information are ensured, which provides a basis for tracking the close contact population of COVID-19 infected people and taking timely prevention and control measures. If you can't come to the hospital for medical treatment due to operational difficulties and entrust others to take medicine, you need to provide a power of attorney and valid identity documents of both parties. Accelerate the construction of Internet hospitals, give full play to the unique advantages of Internet diagnosis and treatment services, provide "internet plus" outpatient medical services for patients with common diseases and chronic diseases, and reduce the risk of cross-infection of patients seeking medical treatment.

The circular requires health departments and medical institutions at all levels to make a comprehensive appointment for diagnosis and treatment from the following three aspects:

Strengthen outpatient safety management, make full use of "Su Kang code" to query patient safety information, and implement classified management. Strictly implement "one person, one consulting room and one room", and keep the distance between patients not less than 1 m in the waiting, settlement, medicine taking and other links. It is necessary to strengthen the management of pre-examination triage and fever clinic, do a good job in the investigation of patients with fever, cough and asthma, and transfer suspected cases of new coronary pneumonia to designated hospitals in strict accordance with the requirements for transfer of suspected cases. Resolutely crack down on illegal and criminal activities that disrupt the order of diagnosis and treatment during the COVID-19 epidemic, and maintain the normal order of diagnosis and treatment and social stability.

Second, strengthen supervision and supervision, adopt the "four noes and two straights" approach to supervise medical institutions, and keep abreast of the development of appointment, outpatient adjustment, grassroots acceptance, pre-inspection and triage, and hospital infection prevention and control in various medical institutions under their jurisdiction. If the prevention and control measures are not implemented in place, which leads to the gathering of people in the hospital and the cross-infection and spread of infectious diseases in the hospital, the relevant responsible persons should be investigated according to law and discipline.

Third, pay attention to publicity and guidance, strengthen policy propaganda such as making an appointment to see a doctor, seeing a doctor by time, and registering a doctor in real-name registration system, and guide the public to make an appointment to register, take the number by time, see a doctor on time, and reduce the waiting time. All localities should give full play to the role of public media, widely publicize the knowledge of disease prevention and treatment, and promote patients to establish the concept of scientific and orderly medical treatment.

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