Lesson one in the country should be the provision of hospital beds in case of infectious and other threats. It is no secret that in recent years, places in hospitals was reduced, it was the infectious disease wards. Therefore, when the epidemic began, had to quickly refocus on infectious diseases using available resources, and in some cities rushed to build new hospitals.
“we Need to keep a reserve of hospital beds, a specially equipped in the event of threats in the future, – said Tatyana Golikova. Reserve we had, but it is not suited to assist patients with lesions of the lungs.”
the Second lesson is the need to provide medical facilities life-saving equipment, create an order to the Russian medical industry. “Medical organizations will use this technique not only during emergencies but also during normal operation,” – said Deputy Prime Minister.
the Ministry of health should conduct an audit and to resolve the issue of the production and supply of necessary equipment in cooperation with Russian enterprises. Minister Mikhail Murashko, by the way, noted that not less important task is to provide all doctors with personal protective equipment, which at the peak of the epidemic in many regions sorely lacking.
Will also upgrade the anti-epidemic service and system infectious help. This work began in the winter, when it became clear that the epidemic will be, and we continued all these months. Modernization, according to the Deputy Prime Minister, involves a complete overhaul of the service: not only the relevant hospitals with sufficient number of beds, their repair and retrofitting, but also the availability of laboratory facilities, updating clinical guidelines, and so on.
Another lesson for the advanced training of physicians. “We need to look differently at the system of training of medical personnel, – has explained Golikova. – During the epidemic of retraining was organized very quickly, and this experience should be taken into account”. She noted that the leading medical universities in the near future, should prepare appropriate proposals.
Finally, the fifth task set by Tatyana Golikova is to arrange clinical supervision for convalescents COVID-19 to minimize the risks of long-term complications. “We are all faced with a new disease that affects different systems of the body, – said Deputy Prime Minister. Infection is not fully understood. We do not know yet all about the long-term consequences, especially in patients who had severe”.
Therefore need long-term follow-up for survivors COVID-19, to determine the schedule of inspections, if necessary, change the relevant regulations. “We need to pay attention to the obvious risks in these patients: aggravation of ischemic heart disease, ��of hypertonia, pulmonary diseases, autoimmune diseases that affect the heart and other systems of the body – diabetes, Kawasaki syndrome, myocarditis. You also need to pay attention to the neuro-mental sphere – specific complications and those who had been ill, and even nebolisa”, – concluded the Deputy Prime Minister. By the way, to chronic patients at the dispensary, the doctors are now more likely to come to the house. Especially people aged.