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COVID-19 定点社区医院的经验总结及其运行模式。

Experience summary of a COVID-19 designated community hospital and its operation model.

机构信息

School of Medical Technology and Nursing, Wuhan Polytechnic University, Wuhan, China.

Renmin Hospital, Wuhan University, Wuhan, China.

出版信息

Panminerva Med. 2023 Dec;65(4):527-534. doi: 10.23736/S0031-0808.20.03908-7. Epub 2020 Apr 14.

DOI:10.23736/S0031-0808.20.03908-7
PMID:32290643
Abstract

The aim of this study was to summarize the administration model of a COVID-19 designated hospital transformed from a community hospital to improve the emergency capacity of community hospitals and the efficiency of diagnosis and treatment of medical staff in the COVID-19 pandemic. This study analyzed the surrounding environment, ward layout, area management, treatment process, medical staff, and patient management of the designated community hospital. From February 5, 2020, to February 18, 2020, the designated community hospital has received 198 COVID-19 mild and general patients (including 41 in the hospital at the beginning of the period). Among them, 39 were transferred to module hospitals, 131 were discharged, and 28 were in the hospital at the end of the period, and none of them became severe. There were 41 medical staff, and none of them had COVID-19 infection. We have achieved excellent results in the prevention and control stratagems implemented in this new community-designated hospital that specializes in treating patients with COVID-19. Its diagnosis and treatment model has completed the treatment of COVID-19 patients successfully. After adjustment, this community hospital can shoulder the critical task of being a designated hospital for COVID-19, which includes admission, isolation, and therapy of suspected and mild COVID-19 patients, reducing the medical burden of superior hospitals. Our experience provides concepts for community hospitals to temporarily undertake medical responsibilities to reduce the spread of COVID-19 during the pandemic.

摘要

本研究旨在总结将社区医院转变为 COVID-19 定点医院的管理模式,以提高社区医院的应急能力和 COVID-19 大流行期间医务人员的诊治效率。本研究分析了指定社区医院的周边环境、病房布局、区域管理、治疗流程、医务人员和患者管理。从 2020 年 2 月 5 日至 2020 年 2 月 18 日,指定的社区医院共收治了 198 例 COVID-19 轻症和普通患者(包括发病初期住院的 41 例)。其中 39 例转至模块医院,131 例出院,28 例在住院末期,均未转为重症。有 41 名医务人员,无一例感染 COVID-19。我们在这个专门收治 COVID-19 患者的新社区定点医院实施的防控策略中取得了优异的成绩。其诊治模式已成功完成了 COVID-19 患者的治疗。调整后,这家社区医院可以承担起收治疑似和轻症 COVID-19 患者的隔离和治疗任务,减轻上级医院的医疗负担。我们的经验为社区医院在大流行期间临时承担医疗责任以减少 COVID-19 的传播提供了概念。

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