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Severe and emergency patients are treated at large hospitals, mild patients are treated at dual hospitals and clinics.

Armed Forces Hospital emergency room opened to the public, public hospital treatment extended

When the situation worsens, non-face-to-face treatment is opposed by doctors, and expansion is planned to include ‘first consultations on weekdays’.

Ministry of Health and Welfare, “Issuance of treatment maintenance order to all residents”

Ministry of Health and Welfare, “Issuance of treatment maintenance order to all residents”

(Seoul = Larose.VIP) Reporter Kim Jan-di and Kim Byeong-gyu = As the ‘medical crisis’ became visible due to the mass resignation of residents protesting the expansion of medical school seats, the government decided to mobilize all public medical institutions and military hospitals.

In the long term, non-face-to-face treatment, which doctors are opposed to, will be fully permitted.

On the 19th, the Ministry of Health and Welfare disclosed these emergency treatment measures in preparation for collective action by doctors, including residents, at a briefing at the ‘Doctors’ Collective Action Central Accident Control Headquarters’.

The Ministry of Health and Welfare provides rapid transport and transfer support to ensure smooth operation of 409 emergency medical institutions across the country.

First, in consultation with the National Fire Agency, it was decided that critically ill and emergency patients would be transferred to large hospitals such as regional emergency medical centers, and mild and non-emergency patients would be transferred to local emergency medical institutions or nearby hospitals and clinics.

It was decided to operate four metropolitan emergency rooms, which were scheduled to open in stages by May of this year, early and to check whether emergency medical institutions operate emergency rooms 24 hours a day.

In order to prepare for the disruption of residents’ work, the government is also promoting a plan to shift the treatment system of large hospitals to focus on emergency and severe patients, and to transfer mild and non-emergency patients from tertiary general hospitals to general hospitals.

The purpose is to reduce the burden on the overall medical system while allowing patients to receive treatment quickly.

It was decided to expand weekday treatment hours at 97 public health care institutions, including local medical centers and hospitals under the Korea Workers’ Compensation and Welfare Service, and also provide treatment on weekends and public holidays.

A plan was also prepared to open the emergency rooms of 12 military hospitals to the public.

The head of the Central Emergency Medical Countermeasures Situation Center of the Ordinance of the Ministry of Justice said, “The degree of departure of residents or the degree of disruption to medical treatment may vary in each region, so each city or province will take the lead in deciding on a specific plan.”

If the gap in treatment spreads at clinic-level medical institutions due to collective action by private practitioners, public health centers will also promote extended treatment, and public health doctors and military doctors will also be deployed to major medical institutions.

If the situation of collective action by doctors continues for a long time, we will also pursue a plan to allow non-face-to-face treatment at all types of medical institutions, including hospitals, regardless of whether it is the first or returning patient.

Non-face-to-face treatment is currently centered on clinic-level medical institutions and returning patients, but as an exception, it is allowed from the first visit in medically vulnerable areas, on holidays, and at night, and is only allowed in a very small number of hospital-level medical institutions or higher.

Last December, the regions and times eligible for non-face-to-face treatment exceptions were significantly expanded.

However, at the hospital level and above, non-face-to-face treatment was strictly limited to the extent that only those patients with rare diseases for whom hospital-level treatment was inevitable (within 1 year) among repeat patients and those who needed continuous management (within 30 days) after surgery or treatment were allowed.

If non-face-to-face treatment is allowed to a large extent due to this situation, it means that non-face-to-face treatment will be possible not only for ‘weekday first visits’ but also at ‘hospitals’ beyond the clinic level.

Is there a mass resignation of majors...  Conflict between government and medical community peaks

Is there a mass resignation of majors… Conflict between government and medical community peaks

Director Jeong said, “The timing of allowing non-face-to-face treatment will be decided based on the extent to which collective action spreads.” “I will judge,” he explained.

At the same time, it was made clear that the expansion of non-face-to-face treatment is intended to appropriately distribute limited medical resources in the event of prolonged collective action.

Park Min-soo, the second vice minister of the Ministry of Health and Welfare, said, “Tier general hospitals mainly handle severe and emergency patients, and if mild patients, etc., are handled by secondary hospitals such as general hospitals, the demand for outpatient treatment may increase, so this means allowing non-face-to-face treatment at this time.” He added, “We are not planning to provide non-face-to-face treatment for seriously ill or emergency patients at general hospitals.”

The Ministry of Health and Welfare plans to relax the standards for manpower management at medical institutions to enable flexible manpower management during the collective action period for doctors. This is to ensure that medical institutions that participate in emergency treatment are not disadvantaged in various evaluations.

The Ministry of Health and Welfare decided to expand the ‘Emergency Medical Response Situation Room’ to closely monitor the emergency medical treatment situation at emergency medical institutions and public hospitals across the country.

Local governments and related ministries also plan to manage the situation at public hospitals in the area according to emergency treatment measures established in advance.

The Ministry of Health and Welfare repeatedly emphasized that it will maintain the severe emergency treatment system as much as possible even during the doctors’ collective action period and minimize gaps in care in essential medical fields.

We are also pursuing a plan to utilize the ’emergency medical information system’ so that the public can identify medical institutions available to them in real time, and to provide guidance using wired, online, emergency disaster text messages, and broadcast subtitles.

jandi@yna.co.kr

Report to KakaoTalk okjebo 2024/02/19 19:53 Sent

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