北京协和医院新型冠状病毒感染基层诊疗建议多学科专家组. 北京协和医院新型冠状病毒感染基层诊疗建议(2023)[J]. 协和医学杂志, 2023, 14(1): 60-74. DOI: 10.12290/xhyxzz.2023-0014
引用本文: 北京协和医院新型冠状病毒感染基层诊疗建议多学科专家组. 北京协和医院新型冠状病毒感染基层诊疗建议(2023)[J]. 协和医学杂志, 2023, 14(1): 60-74. DOI: 10.12290/xhyxzz.2023-0014
Multi-disciplinary Expert Team for Primary Care COVID-19 Practice, Peking Union Medical College Hospital. Practical Recommendations of Peking Union Medical College Hospital for Assessment and Management of COVID-19 in Primary Care (2023)[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(1): 60-74. DOI: 10.12290/xhyxzz.2023-0014
Citation: Multi-disciplinary Expert Team for Primary Care COVID-19 Practice, Peking Union Medical College Hospital. Practical Recommendations of Peking Union Medical College Hospital for Assessment and Management of COVID-19 in Primary Care (2023)[J]. Medical Journal of Peking Union Medical College Hospital, 2023, 14(1): 60-74. DOI: 10.12290/xhyxzz.2023-0014

北京协和医院新型冠状病毒感染基层诊疗建议(2023)

Practical Recommendations of Peking Union Medical College Hospital for Assessment and Management of COVID-19 in Primary Care (2023)

  • 摘要: 随着疫情防控政策的科学调整,越来越多的临床医生尤其基层医生已面临接诊新型冠状病毒感染患者的情形。北京协和医院秉承“以人为本、全人照顾”的理念,依据世界卫生组织等国际指南、国家卫生健康委员会最新发布的《新型冠状病毒感染诊疗方案(试行第十版)》及《关于对新型冠状病毒感染实施“乙类乙管”总体方案》,坚持循证、简明、临床可操作的原则,编写了《北京协和医院新型冠状病毒感染基层诊疗建议(2023)》。对于目前尚缺乏循证医学证据的关键临床问题,结合北京协和医院一线工作经验及多学科专家意见,给出了相应诊疗建议。本诊疗建议强调在社区筛查重症高危人群,并尽早予以药物以及加强营养、心理治疗、睡眠支持等非药物干预,构筑家庭、社区、医院三道防线,以期实现“保健康、防重症”的总体目标。

     

    Abstract: Following the recent adjustments to coronavirus disease 2019 (COVID-19) prevention and control policies, an increasing number of medical staffs, especially those in primary care facilities are confronted with rapid growth of COVID-19 patients. Peking Union Medical College Hospital (PUMCH) has therefore compiled this recommendation for COVID-19 primary care practices based on a patient-centered perspective and following recommendations from domestic and international guidelines as well as the latest Chinese government policies. Further, PUMCH's conception and compilation of this recommendation strictly adhere to evidence-based, concise and clinically applicable principles of practice. For the critical clinical questions with insufficient medical evidence, the recommendation offers insights on the basis of experience from PUMCH multi-disciplinary expert team and first-line medics' practices. Emphasizing on screening community residents with higher risk of severe illness, implementing early interventions including pharmaceutical treatment, enhancing nutritional support and improving sleep quality, we aim to construct a "Household-Community-Hospital" tertiary defense, with the hope of promoting health and reducing severe cases.

     

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