Reducing the burden on healthcare will increase the amount of planned care, said the mayor of Moscow Sergey Sobyanin. In a blog on his personal website, the mayor wrote that in the coming weeks about 5 thousand beds in the city and Federal hospitals, temporarily converted for the treatment COVID-19, will be returned to the normal operating mode. According to Sobyanin, hospitalization for scheduled patients will be conducted in compliance with the maximum precautions. So, in the first days of the patients will be placed in individual observation chambers, they will pass the full course of surveys on coronavirus infection. Planned treatment will begin only after receiving negative tests, said the mayor. Sobyanin pointed out that at the same time will be maintained a sufficient stock of coronavirus beds, which can be used in case of deterioration of the epidemiological situation. Let us add that the situation with the spread of novel coronavirus infection have stabilized and started to improve. Every day the city hosts more than 50 thousand PCR tests. Detection of infection is about 2-3 thousand cases a day. This is 2 times less than it was at the peak of the pandemic. Of the total number of 24 thousand beds in the city hospitals, which were allocated to patients with COVID-19, currently employs only 16 people. In these circumstances, the city health can increase the provision of routine medical care for other profiles of diseases. This question Sobyanin discussed with the chief doctors of city hospitals. Following the discussion, was adopted a number of decisions. So, during a pandemic the provision of routine inpatient care in urban hospitals will be carried out according to a time Standard (the rules). Residents who previously received a referral for hospitalization, but had to postpone it because of the pandemic, will be able to receive inpatient care without re-registration of the documents and passing new tests. All previously obtained documents will be in effect. If necessary, all necessary tests will spend in the hospital after admission. Also get treatment in a hospital will not only in the clinic, but in any of consultative and diagnostic departments (MLC) multidisciplinary clinics. Moscow residents do 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 approach will allow to avoid many visits to doctors, when the risk of infection and the clinic work in the mode of increased load. In addition, KDO has no territorial consolidation and visit these offices may any Muscovite with a MHI policy. During hospitalization patients will be provided a full range of diagnostic studies on coronavirus infection in medical insurance. The analysis is performed on novel coronavirus infection PCR (smear from the naso – and oropharynx), ELISA test (blood from the veins) for the presence of antibodies and computed tomography of the chest. To avoid the risk of spread of infection before receiving results of diagnosis for the coronavirus, the patient will be in a small room. Examinations are free under the MLA. Planned in-patient treatment starts after receipt of negative test results COVID-19. Within the framework of observance of requirements of sanitary-epidemiological security is expected to implement zoning profile departments for routine and emergency parts. Moreover, the entrance flows the patients will be divided according to disease profile. In hospitals it is assumed the observance of the rules of social distance and the mask mode while a patient in the waiting area. All patients and accompanying persons will measure the temperature and to carry out an initial inspection. The interval between the reception of patients should be no mthe less 15 minutes, with the holding winding and the current disinfection of the premises. At discharge, the patient will be valid special rules. So, the day before discharge the patient will hold the PCR test with the further notification of the polyclinic at the place of residence on the results of the test.Home patient takes medical transportation hospital compliance with all anti-epidemic measures.
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