[EXPERIENCE OF FORMING OPERATIONAL AREAS OF OPERATION OF THE CHILDREN'S POLYCLINIC DURING THE PANDEMIC COVID-19]

Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2021 Jun;29(Special Issue):708-712. doi: 10.32687/0869-866X-2021-29-s1-708-712.
[Article in Russian]

Abstract

The article presents the experience of the city children's polyclinic No. 133 of the Moscow Department of Health in a difficult epidemiological situation associated with a new infection COVID-19. A description of the stages of the organizational work of a polyclinic in a pandemic is given, including such areas as: a) conducting lectures and webinars for doctors and nurses of a medical organization, introducing recommended methods for diagnosing and treating COVID-19, creating and observing conditions for the personal safety of employees; b) the formation of tools and a database for analytical work; creation of registers of patients and employees of the polyclinic in order to monitor and evaluate the effectiveness of work; characteristics of the structures of age-specific morbidity in children who have undergone a new coronavirus infection and community-acquired pneumonia with substantiated confirmation for them of compulsory dispensary observation and rehabilitation measures; description of the development of routing of healthy and sick children, operational identification and continuous analysis of difficulties in the work of the polyclinic during this period; c) the formation of distance technologies in treatment and prophylactic work with patients, organized group and individual exercise therapy classes, including respiratory rehabilitation gymnastics for children who have undergone a new coronavirus infection; development of an organizational algorithm for the formation of medical and nursing teams for visiting patients with COVID-19 at home and individual teams for visiting patients for patronage. The organization of this treatment and prophylactic work was approved and a confirmation was received from the Ministry of Health of the Russian Federation of the right to replicate the experience gained from the work of the polyclinic in the conditions of COVID-19.

Keywords: COVID-19; characteristics of the organization and forms of work; children's clinic; morbidity; routing.

MeSH terms

  • COVID-19*
  • Child
  • Humans
  • Moscow / epidemiology
  • Pandemics* / prevention & control
  • Pediatrics / organization & administration*
  • Russia / epidemiology