The weather is cold, and there is a high incidence of respiratory infections, and pediatric outpatient clinics are ushering in a peak. In Yangpu, the "bottom of the net" function of community health service institutions has reappeared during this period, and all community health service centers in Yangpu District now provide pediatric diagnosis and treatment services. There are good pediatric doctors at the "doorstep" to provide personalized medical plans for children, answer questions for parents, and guide parent-child families to do a good job in daily care and protection.
Professional and convenient, good doctors are in the community
Yinhang Community Health Service Center provides pediatric outpatient clinics all day from Monday to Friday, and Wang Hongying, a full-time deputy chief physician of pediatrics, has worked in tertiary hospitals for more than 20 years and has rich clinical experience. At the same time, the center attaches great importance to the training of pediatric talents, and in recent years, 8 general practitioners have obtained certificates through municipal pediatric training, which has enriched the pediatric diagnosis and treatment force.
In the autumn and winter of this year, the number of children with respiratory diseases in the pediatric outpatient clinic of the center has increased significantly, and 40-50 children are treated every day. To this end, the center has strengthened the promotion and vaccination services of influenza vaccination for children aged 0-14, and added five respiratory virus cards (mycoplasma, chlamydia, syncytial virus, adenovirus, virus serum blood test) and triple card (influenza A, B, and parainfluenza virus) to provide relevant treatment drugs to alleviate the pressure of pediatric visits in the region. In addition, the center has vacated space and equipped full-time medical staff to carry out nebulized inhalation treatment.
Not only that, the center has also cooperated with Xinhua Hospital and Shidong Hospital to open a remote video consultation system to provide solid medical security for the first diagnosis and treatment of pediatrics in the community. In the early stage, the center received a child with infectious mononucleosis (caused by Epstein-Barr virus infection), who was jointly treated by medical, nursing, and medical technology departments, and through remote consultation, the child was transferred to Xinhua Hospital through a green channel in time, so that the child could receive effective treatment.
Intimate and meticulous, so that parent-child families can feel more at ease
"Doctor, my child has been taking azithromycin for three days in a row, and the cough still doesn't get better......" "The child was infected with mycoplasma not long ago, and now he has the flu, what can I do?" The system showed that more than 20 children had already registered in the first hour of the morning.
As early as 2020, under the guidance of the pediatric medical alliance of Shidong Hospital, the new Jiangwan City Community Health Service Center opened an additional pediatric outpatient clinic of the medical alliance. In recent years, it has gradually expanded the detection of respiratory pathogens, increased the allocation of specialized treatment drugs for children and the diagnosis and treatment of children's nebulization inhalation, and assumed the role of "triage" for pediatric treatment.
5-year-old Kiki was infected with Mycoplasma pneumoniae in September this year, and her cough has not improved, and she has recently tested positive for mycoplasma antibodies. Director Ye read the test sheet and asked the child whether he had a fever recently, whether he had irritating dry cough and other problems, and judged that Qiqi had developed bronchitis, and if the course of the disease was allowed to progress, the possibility of pneumonia could not be ruled out. Because the child's long-term cough affects rest and appetite, immunity is reduced, and there may be recurrent infections and multiple infections, for this reason, the doctor prescribes relevant oral drugs for the child's symptoms, supplemented by aerosol inhalation. During this period, Qiqi's mother took out a small note and listed more than 10 questions, including whether to continue to take medicine when the atomization is done and go home, whether to soak the child's feet, can it get better quickly, can you be vaccinated against encephalopathy, etc., the doctor patiently explained one by one, and answered questions professionally to make parents feel more at ease.
Timely follow-up with quality paediatric services at your fingertips
Recently, the parents of the child contacted Dr. Liu Lan, a pediatrician at the Dinghai Community Health Service Center. Previously, they completed the family doctor contract. The parents told Dr. Lau that the child had been coughing with paroxysmal coughs for a week, which was very noticeable during the day and night, and even the skin around the eye sockets had bleeding spots due to the sudden high pressure of the cough. In order to determine the cause, Dr. Liu recommended a face-to-face consultation, and after testing and analysis, the child was diagnosed with a respiratory tract infection caused by Mycoplasma pneumoniae infection.
In response to Tong Tong's condition, Dr. Liu has developed a personalized treatment plan. At the same time, she also advises the child's family to pay more attention to her emotional and mental health during her illness. During the treatment process, Dr. Liu kept in touch with Tong Tong's mother, followed Tong Tong's condition and the evolution of his condition on WeChat, and adjusted the treatment plan in a timely manner according to the situation. She also patiently explained the condition and treatment plan to the mother, so that the parents could better understand the child's health status and treatment.
After Dr. Liu Lan's meticulous treatment and careful care, Tong Tong's condition gradually improved, and the noisy situation due to severe coughing and discomfort at night also eased. Tong Tong's mother said, "The medical treatment at the doorstep has reduced our travel, and the doctor's meticulous and patient explanation of the condition has also made us no longer anxious." We feel very relieved and satisfied with this convenience. ”
According to the director of the Dinghai Community Health Service Center, at present, the center can conduct routine blood tests, C-reactive protein, Mycoplasma pneumoniae IgM antibody, Chlamydia pneumoniae IgM antibody, influenza A virus IgM antibody, influenza B virus IgM antibody, coxsackievirus group B IgM antibody, respiratory syncytial virus IgM antibody, adenovirus IgM antibody and other laboratory tests, basically within 30 minutes can issue a report, and equipped with chest X-ray examination and children's nebulization therapy. In order to cope with the current high incidence of respiratory diseases in children, such as influenza A, influenza B, mycoplasma infection, etc., the center has been equipped with a sufficient amount of relevant children's drug reserves to effectively meet the needs of children's diagnosis and treatment. At present, the pediatric department of the center has outpatient clinics from Monday to Friday all day, and the center's full-time pediatric attending physician Liu Lan sits in for consultation, which can provide diagnosis and treatment services for common childhood diseases and child health related problems in the community.
The Yangpu District Health Commission actively implements and guides all community health service centers to fully tap pediatric diagnosis and treatment resources, improve the capacity of pediatric diagnosis and treatment services, and further alleviate the pressure of pediatric treatment in large children's specialized hospitals and general hospitals.
In Yangpu District, all community health service centers provide pediatric diagnosis and treatment services. All units have the ability to detect respiratory pathogens, including respiratory five-link detection and influenza triple detection, and strengthen the allocation of antipyretic analgesics, antimicrobial drugs and antiviral drugs for children.
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