Analysis on the advantages of“General practice+”medical community mode in the prevention and control of COVID-19
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摘要: 2020年初新型冠状病毒肺炎疫情暴发,这次疫情是新中国成立以来在我国发生的传播速度最快、感染范围最广、防控难度最大的一次重大突发公共卫生事件,全国上下均大力开展疫情防控工作。佛山市里水镇位于广东省佛山市南海区东北部,紧邻广州,辖区面积148.28 km2,虽然行政区划是镇,但地处珠江三角洲,且是工业重镇,辖区内中小企业多,流动人口密集,湖北籍人员超过2万人。随着春节结束,不少企业复工复产,许多外来人员返回里水,在楼盘、工厂、企业等地聚集,疫情防控压力巨大。然而截止2020年3月5日,佛山市里水镇仅有10例输入性病例,实现本地“人传人”新冠肺炎“零记录”。成功阻断病毒在社区的传播,得益于里水镇布局多时的基于“全科医学+”医共体的区域网格化管理模式,该模式以南方医科大学和当地政府的支持与资源配置为基础,通过大力发展全科医学,按照“医防融合”的目标统筹社会行业力量,旨在为社区居民提供全方位、全生命周期健康服务。在此次疫情时期构建全覆盖的新冠病毒肺炎社区防控体系,充分发挥基层全科医生的积极作用,有序有效开展社区疫情防控,主动高效加强重点人群管理,减轻政府防控压力,提高疫情防控效率,并为区域经济正常运行提供必要医疗卫生保障,值得推广与应用。Abstract: The outbreak of COVID-19 in early 2020 is a major public health emergency with the fastest spread, the widest range of infection and the most difficult prevention and control since the founding of the People's Republic of China. The whole country has been vigorously carrying out epidemic prevention and control work. Lishui Town located in the northeast of Nanhai District, Foshan City, Guangdong Province, is close to Guangzhou, with an area of 148.28 square kilometers. Although the administrative division is only a town, the Lishui is located in the Pearl River Delta, and is an important industrial town. There are many small and medium-sized enterprises and floating population in the area, with more than 20 000 people from Hubei province. With the end of the Spring Festival, many enterprises employees returned to work and production, and many migrants personnel returned to Lishui and gather in real estate, factories, enterprises and other places, which putted great pressure on epidemic prevention and control. However, there were only 10 imported COVID-19 cases and no local COVID cases in Lishui Town as of March 5, 2020. The success in blocking the spread of the virus in the community was benefited from the long-term layout of regional grid management mode based on the "general medicine +" medical community, which was based on the support and resource allocation of the Southern Medical University and the local government through developing general medicine, coordinating the forces of the society and industry according to "medical prevention integration", aiming to provide community residents with a full range of health services throughout the life cycle. During this epidemic period, a full coverage community prevention and control system for new coronavirus pneumonia was constructed in Lishui Town, which giving full plays to the positive role of basic-level general practitioners, orderly and effectively carries out community epidemic prevention and control, actively and efficiently strengthens the management of key populations, reduces the pressure of government prevention and control, improves the efficiency of epidemic prevention and control, and provides necessary medical and health protection for the normal operation of regional economy. It is worthy of popularization and application.
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Key words:
- COVID-19 /
- Medical community /
- General practice /
- Grid management /
- Epidemic prevention and control
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