How Do Chronic Patients Spend The Epidemic Period: Hospitals Switch To Long Prescription Online To Buy Medicine Or Break Through?

In the battle to cope with the pneumonia outbreak of new coronavirus infection, the chronic disease patients and their medication problems have attracted much attention. CDC points out that compared with the general population, patients with chronic diseases are infected with the new crown virus, the disease progresses faster, the severity is higher, and the risk of death is greater.

In February 2nd, the national health insurance agency issued a notice to relax the dosage of prescription drugs for chronic diseases in Beijing, Shanghai and other places.

At the same time, in order to reduce the cross infection risk of other patients under the line, the state also encourages Internet healthcare to provide more convenience for patients with chronic diseases. According to the twenty-first Century economic report reporter, Internet health care companies including Ali health are also in action. In February 6th, Alibaba's Ali health on Taobao App line "buy medicine not to go out" service, through online inquiry, prescriptions, drug distribution to the home internet access mode, so that patients with chronic diseases can buy the drugs they need at home without leaving home.

In order to reduce the risk of cross infection among other patients, the Internet is also encouraged to provide more convenience for patients with chronic diseases. Song Wenhui diagram

Patients with chronic diseases are at greater risk.

In February 4th, Jiao Yahui, deputy director of the state health and Health Commission, said at a news conference that by analyzing the death cases, more than 80% of the elderly were over 60 years old. Over 75% of them had one or more underlying diseases. These basic diseases were cardiovascular, cerebrovascular diseases, diabetes, and some patients had underlying diseases such as cancer.

According to the twenty-first Century economic report, according to the small sample size survey, there were many chronic diseases among the deaths of new crown virus patients. Of the 490 deaths reported at 24 hours in February 4th, 48 had disclosed details of the deaths. According to the statistics of the reporters, 30 of the 48 cases died of chronic underlying diseases, accounting for 63%.

In the case of confirmed cases, deaths, suspected cases and other data is still rising, chronic disease patients as a special group, the protection of this epidemic is particularly important.

In this regard, China CDC has also made special hints that patients with chronic diseases should minimize the number of visits to hospitals, which can be used remotely and online for medical consultation. Those who must go to hospital for treatment or treatment need to make appointments and preparations before seeking medical treatment, select nearby medical facilities that can meet their needs, understand the situation of visiting hospitals and the process of visiting doctors online or telephone, reduce the visiting time and visiting departments, and try to avoid going to hospitals with large flow of people, so as to avoid visiting clinics such as fever clinics and emergency departments, and reduce accompanying patients.

Zhong Nanshan, academician of the Chinese Academy of engineering, said in an interview that the risk of new coronavirus infection among middle-aged and elderly people with underlying diseases has increased.

Long prescription, online buying medicine

As a chronic disease patient, continuous medication is the key.

On February 3rd, at the meeting of the national health and Health Committee, Yang Fude, Secretary of Beijing Hui Long Guan Hospital Party committee, stressed that patients with chronic diseases should be prescribed according to the law, and should not be allowed to reduce their medication or stop their medication so as not to cause fluctuations and relapse. Wang Hailian, deputy director of the pharmacy department of Beijing Xuanwu hospital, also stressed that patients with chronic diseases need regular medication and regular review. They must not adjust their medication or stop their medication without any delay, so as not to aggravate the disease.

"Most of the drugs used by parents can last for a week, they need to go to the hospital to take medicine again, but it is inconvenient for them to carry out closed management in our community, and I also worry that they will increase the risk of infection if they go to hospitals." In February 6th, a Hangzhou resident at home said to the twenty-first Century business reporter.

In February 2nd, the National Health Insurance Bureau issued the notice of the office of the national medical insurance agency on optimizing the medical care service to promote the prevention and control of pneumonia in the new coronavirus infection. It explicitly implemented the "long prescription" reimbursement policy, supported the medical institutions to increase the dosage of the single prescription according to the actual situation of the patients, and extended the prescribed dosage of the patients with chronic diseases such as hypertension and diabetes to 3 months, so as to ensure the long-term medication demand of the insured patients.

As early as January 26th, Du Xin, deputy director of the Beijing Municipal Medical Insurance Bureau, once said that during the period of the new coronavirus infection pneumonia outbreak, under the condition of ensuring the safety of drugs, the basic medical insurance personnel in Beijing had chronic diseases, and the dosage could be appropriately extended according to the needs of the patients.

In February 4th, a series of news conferences on the prevention and control of pneumonia of new coronavirus in Shanghai in February 4th, Cao Junshan, deputy director of the medical insurance bureau of the city, introduced that in order to reduce the frequency of dispensing for patients, the hospital could prescribe long prescriptions for patients with chronic diseases according to the actual situation of the patients. For patients with stable and well diagnosed chronic diseases, the dosage of prescription can be relaxed appropriately.

At the same time, Shanghai continues to implement the "long prescription" policy, that is, the residents with chronic diseases, who have definite diagnosis, stable condition, and need to take long-term therapeutic drugs, can meet the demand for medication. The "extended prescription" policy should continue to be implemented, that is, referral of family doctors through community health service centers to the contracted residents who return to the community after attending the higher medical institutions, and family doctors can continue the same drugs in the long-term medication orders of the higher medical institutions, so as to further facilitate the residents to seek medical treatment.

Long term prescriptions are good news for patients with chronic diseases, but not all districts have implemented long prescriptions. A resident in Taizhou wrote a message board to Cui Honggang, Secretary of the Tai'an Municipal Committee of the people's website, saying: "can the dosage of chronic diseases be adjusted from one month to three months during the epidemic? This prevents patients from going to hospital for a cross infection of pneumonia virus. The Beijing area has been implemented. "

It is understood that in addition to the "long prescription", the state is also encouraging online inquiry, chronic disease re visit and drug delivery services.

In February 5th, the National Health Protection Commission issued a document saying that it is necessary to actively organize medical institutions at all levels to carry out online voluntary consultation and home medical observation guidance services for pneumonia with new coronavirus by means of "Internet +", expand the online medical service space, guide patients to seek medical treatment orderly, and relieve the pressure of outpatient service under the line. We should give full play to the unique advantages of Internet hospitals and Internet diagnosis and treatment, and encourage online development of some common diseases, chronic diseases, re visit and drug delivery services, so as to reduce the risk of cross infection under other patients.

It is understood that in addition to regular hospital dispensing, 1 drug nets, health, Ali health, Jingdong pharmacy as the representative of the Internet companies also launched online services. In February 6th, Ali health of Alibaba was on the line of Taobao App to buy medicine not to go out. Liu Henghao, the head of the project, said that the old people themselves are weak in resistance, especially those with chronic diseases such as diabetes and other basic diseases. Once cross infection occurs, the risk is even greater. "Based on this, we rely on Internet technology to help launch this service."

In fact, China's relevant departments have been cautious about online prescription, and have not completely released it. "It is dangerous for patients with chronic diseases to break drugs. Now, under special circumstances, the state gives more channels for benefiting people, but the key difficulty lies in the current logistics and distribution problems."