In the capital, can increase the volume of provision of routine medical care. This was reported by Sergei Sobyanin during a conference call with the chief doctors of city clinical hospitals, which discussed the organization of work in pandemic conditions.
So, every day the city hosts more than 50 thousand PCR tests. Per day identify two or three thousand cases, which is two times less than it was at the peak of the pandemic. Of the 24 thousand beds in the city hospitals, which were allocated to patients with COVID-19, currently there are only 16 thousand.
“My colleagues usually, when talking about the lifting of restrictions, the transition to the first and second phases usually mean mean service sector, household, hairdressing, beauty services and so on. In fact, much more meaningful, an important transition is the disclosure of the health system, providing services in the field of medicine. This is the most important story for a huge number of people, almost every person,” said the Mayor.
He stressed that in the last eighteen months, the city focused on the fight against coronavirus infection. It had invested considerable resources healthcare.
“By and large two thirds of this capacity was deployed to fight СOVID-19. And it helped us to save thousands of life of Muscovites. Tens of thousands of people have recovered thanks to your efforts, and it was done absolutely correctly,” — said Sergey Sobyanin.
following the meeting, the Mayor approved the temporary standard provide routine medical care in a pandemic.
According to the regulations of the Muscovites, who had previously been sent to the hospital, but it was postponed because of the pandemic, will be able to get inpatient care without re-registration of documents and the delivery of new tests. If necessary, all additional tests will spend in the hospital after admission.
get a referral to hospital treatment will not only in the clinic, but in any of consultative-diagnostic departments (KDO) multidisciplinary clinics. Does not need to visit his clinic at the place of attachment, it is enough to come for a consultation at BWW, where the doctor will determine whether there are indications for hospitalization, and to sign all necessary documents for the treatment. This will avoid numerous visits to clinics. Furthermore, MLC does not have territorial consolidation and visit them maybe every Muscovite with a MHI policy.
During hospitalization, the patients will carry out a full range diagnostic tests for coronavirus MHI policy. It includes analysis of the new coronavirus infection by PCR (smear from the naso – and oropharynx), ELISA test (blood from the veins) for the presence of antibodies, and computer a CT scan of the chest.
to eliminate the risk of spread of infection before receiving results of diagnosis for the coronavirus patients will be placed in small house. Surveys are carried out free of charge within the compulsory health insurance.
“In the context of the ongoing epidemic we must learn to continue to operate and provide planned care. This, of course, we should work together to determine clear criteria, precise approaches to work in these conditions. Obviously, we must ensure the safety of both patients and doctors,” added Sergei Sobyanin.
Planned hospital treatment will begin only after receiving a negative results analyses COVID-19. Provides for the strict requirements of the sanitary-epidemiological security.
to distribute the flows of patients, site profile departments will be divided into routine and emergency parts. Moreover, the entrance flows the patients will be divided according to the profile of the disease.
In hospitals observe the rules of social distance and mask mode in the waiting area. All patients and their carers will measure the temperature and to carry out an initial inspection.
the interval between the reception of patients should be at least 15 minutes — during which time the room will be ventilated and fumigated.
Separate rules will apply, and if extract. One day before this patient will conduct PCR testing, notification of results will come later in the clinic by place of residence.
to Transport patients home will be on the ambulances of the hospital in compliance with all anti-epidemic measures.
in addition, Alexei Khripun offered to provide planned care in buildings that are repaired or put into operation during a pandemic, but not yet opened for patients.
“We have a lot of buildings during an outbreak, repaired, commissioned, and they work. Now output several medical diagnostic units, which we open in a few days, and we offer them to adapt already planned under serious medical help,” he said.
the meeting was attended by Elena Vasilieva, chief doctor of city clinical hospital named after I. V. davydovskiy, Valery Vechorko, chief doctor of city clinical hospital № 15 named after O. M. Filatov, Dmitry Kanner, chief physician of Moscow city Oncology hospital # 62, Maryana Lysenko, chief doctor of city clinical hospital No. 52, Alexander Myasnikov, chief doctor of city clinical hospital named after M. E. Radkevich, Sergei Petrikov, Director of the research Institute of emergency care named after N. In. Sklifosovsky, Alex Paganin, chief doctor of city clinical hospital № 50 named after S. I. Spasokukotskywow, Denis Protsenko, chief doctor of city clinical hospital № 40 “Kommunarka”, Igor Katkov, Director of the Moscow clinical research and practical centre named after A. S. Loginov, Alexei Shabunin, chief doctor of city clinical hospital named after S. P. Botkin, and the heads of other city hospitals.
Doctors noted that in the period of the pandemic, along with the provision of care for patients with COVID-19, urban hospitals were able to maintain, and in some cases even increase the volume of medical care for other types of diseases. In addition, it was provided 100 percent of the required emergency assistance: “This assistance was carried out in our high-tech clinics that have remained outside kalidnay system. Moreover, we continued to provide planning assistance in areas such as Oncology, neurology”, — said Sergey Sobyanin.
In particular, the volume of routine cancer care has increased by 27 percent compared to the year 2019. In April of specialized medical care in the profile “Oncology” received 22 785 people — 4891 man more than a year earlier.
the Volume of Oncology high-tech medical care increased by 30 percent. In April 2020 it got 1406 patients (in April 2019 984 patients). Chemotherapy received 34% more patients: 11 739 in April of last year and 15 of 760 in April of this year.
did Not stop to render emergency and outpatient care to patients with hematological diseases, said chief freelance specialist hematologist of the city, Deputy chief physician of Hematology the city hospital named after S. P. Botkin Vadim Ptushkin. Thus, the load on planned and emergency hospitalization took the Botkin hospital, Moscow clinical scientific practical center named after A. S. Loginov.
“it took some time for the organization to fully test all patients who were hospitalized for elective indications, and the establishment of observational units for patients arriving at emergency, — said Vadim Ptushkin. — Recently planned hospitalization was joined by 81-I and 40-I of the hospital.”
the volume of outpatient care has not decreased, patients received the drugs for a longer period. In the near future to fully restore the help on Hematology for all needing.
Chief physician of city clinical hospital No. 52 Maryana Lysenko added that renal assistance was also provided Moscow with all patients regardless of the presence of coronavirus.
“We also continued out-patient counseling in net outpatient building, where they had specialists who did not attend the “red” zone, she said. — We tried without the need for patients to call itself, and, of course, pain��the second part of the staff consultative Nephrology Department were involved in remotely, if there was a need — went to the house.”
following the meeting, the Mayor has decided to gradually return the separate hospital building, previously prepared for the reception of patients with COVID-19, to normal mode of operation. As a first step, one of the buildings of the clinical hospital № 50 named after S. I. Spasokukotskogo will start to accept patients who require surgical treatment according to the specialization “urology”. It is planned that this building will conduct robot-assisted surgeries with the use of “Da Vinci”.
Sergei Sobyanin added that the city continues combating the spread of coronavirus infection. In hospitals remain 16 thousand patients with COVID-19 in serious condition, the daily reveal a large number of new cases. Clinics that have been redesigned to help patients with the coronavirus will continue to work on this profile. However, you cannot defer the provision of routine assistance to the Muscovites.
