During the prevention and control of the new coronavirus pneumonia epidemic, in order to guide the primary medical and health institutions to do daily medical and health services for the elderly and patients with chronic diseases, combine the "National Basic Public Health Service Specification (Third Edition)" and the National Health and Health Commission. As for the policy measures for epidemic prevention and control, the Grassroots Department of the National Health and Health Commission has formulated the “Guidelines for Primary-level Medical and Health Institutions to Provide Medical and Health Services for the Elderly Chronic Disease Patients during the Prevention and Control of New Coronary Pneumonia Outbreaks (Trial)” (hereinafter referred to as “Guide”)
Primary-level medical and health institutions should strengthen internal prevention and control measures in accordance with the Guidelines to prevent nosocomial infections. In the process of providing medical and health services, they should fully consider the actual needs of epidemic prevention and control, and actively adopt the "advance appointment, peak-peak treatment" approach. Try to avoid queuing and gathering of patients, rationally optimize the service process, and reduce the risk of contact between patients in the process of receiving services. The "Guide" provides guidance on providing services such as on-site visits, family medicine replacement, and long-term prescriptions for disabled, elderly, and chronically disabled patients.
The "Guide" proposes that grassroots medical and health institutions give priority to the use of informatization methods to provide health management services for the elderly and chronically ill patients, track and understand the health of the elderly and chronically ill patients, and provide health guidance. Primary medical and health institutions may suspend the arrangement of annual medical examinations for the elderly and patients with chronic diseases according to the Guidelines.
Primary-level medical and health institutions should strengthen the propaganda and education of the prevention and control of the elderly and patients with chronic diseases in accordance with the Guidelines, guide the elderly and patients with chronic diseases to understand and master the relevant information of new coronary pneumonia, do personal protection, and avoid going out as much as possible. Primary-level medical and health institutions should specially remind the elderly and chronically ill patients to report to the relevant units immediately when they are suspected of being infected with new coronary pneumonia, and to carry out isolation control, and promptly refer to the doctor.