Two successive waves of AZ vaccines have recently arrived, and it is expected that they will be opened to the ninth and tenth groups for vaccination. However, because the ninth category covers a wide range, many people go to the outpatient clinics to ask the doctors if they are ninth. Object of the class. However, some people did not seek medical treatment in the past, or doctors judged the main diagnosis to be other diseases, which resulted in cases where people who were clearly at high risk could not be vaccinated.
Why is “I am a hypertensive patient” not in the ninth category?
Many patients are actively striving to get the vaccine as soon as possible, but which diseases are in the ninth category? According to the official website of the Department of Disease Control, the new crown pneumonia vaccination “Disease codes for high-risk chronic patients“Including ten categories including infectious diseases, respiratory diseases, circulatory diseases, and digestive diseases.
But the most common people’s question “I am a hypertensive patient” is not the ninth category? Hongming Kang, the home doctor of the Rongxin Clinic, said: “According to the announcement, it should not contain simple hypertension (diagnosis code I10). Hypertension is required for heart disease, chronic kidney disease, etc., but it is not clear that the appointment will be kicked out. It is uncertain whether the inoculation unit will determine if it is not eliminated.”
The main diagnosis code may not reflect the patient’s physical condition!
Furthermore, “The main diagnosis code of the health insurance card does not necessarily fully reflect the physical condition of the person. The patient may look at other diseases at the same time, and the second and third diagnosis codes may meet the ninth category, but the main diagnosis does not match, so It won’t be displayed on the health insurance card, and there is such a problem.” Kang Hongming said.
In this regard, Dr. Hong Huifeng from the Department of Cardiology at Shin Kong Hospital also pointed out that a patient had “chest pain” and “diabetes” at the same time, but considering that the diagnosis of simple diabetes belongs to primary care patients, the proportion of medical centers should not be too high. Otherwise, it will affect the health insurance payment, so “chest pain” will be the main diagnosis, and diabetes will be the second diagnosis.
However, the main diagnosis of “chest pain” does not belong to the ninth category of high-risk chronic diseases, which leads to patients who clearly have diabetes but cannot be vaccinated. It seems that the diagnosis code is used to determine whether or not to be vaccinated. There are still too many conditions that cannot be considered.
The ninth ethnic group is estimated to have 3.875 million people!See what diseases are included at one time
Although the ninth category has been clearly defined, people who do not seek medical attention or have no medical records will be excluded. According to the estimates of the Department of Disease Control, there are at least 3.875 million ethnic groups that meet the ninth category. The conditions are as follows:
Infection: Human immunodeficiency virus disease or infection
Blood and hematopoietic organs and diseases involving immune mechanism: Immune Deficiency, Sarcoidosis and Others
Endocrine, nutritional and metabolic diseases: Diabetes, obesity, amyloidosis
Diseases of the nervous system and sensory organs: The sequelae of central nervous system inflammatory diseases, Parkinson’s disease, Alzheimer’s
Disease and other neurodegenerative diseases, multiple sclerosis, epilepsy and recurrent seizures, transient ischemic attacks and cerebrovascular diseases
Caused by cerebrovascular syndrome, myasthenia gravis, polyneuropathy, other and unspecified myopathy
Circulatory system disease: Rheumatic fever and chronic rheumatic heart disease, hypertension, angina pectoris and other ischemic heart disease, pulmonary heart disease, valve disease
Circulatory system disease: Cardiomyopathy, cardiac conduction disease, heart failure and others, non-traumatic cerebral hemorrhage, cerebral infarction, other cerebrovascular diseases or their sequelae, atherosclerosis, aneurysm, other vascular diseases
Respiratory diseases: Bronchitis and other chronic obstructive pulmonary diseases, bronchiectasis, pulmonary deposition, and lung diseases caused by external causes, and other lung diseases
Digestive system diseases: Chronic Hepatitis and Cirrhosis
Musculoskeletal system and connective tissue diseases: Rheumatoid arthritis, systemic autoimmune syndrome, other connective tissue diseases
Genitourinary system diseases: Renal inflammation syndrome, renal disease syndrome, chronic renal failure and renal failure unspecified, renal atrophy
Congenital malformations, deformities and chromosomal abnormalities: Congenital or acquired spleen defect
Kang Hongming mentioned: “Although the health insurance card is very public and consistent in use, the information it does present is not completely complete. Some ethnic groups with a BMI greater than 30 will rarely put “obesity” on the main diagnosis code.” I am afraid how to include all the high-risk objects, I am afraid I have to think more about supporting them.
【Doctor Kang Hongming’s Profile】
- Current position: Family Medicine, Rongxin Clinic
- Expertise: Preventive Medicine, Diagnosis and Treatment of General and Chronic Diseases, Weight Loss Medical Consultation, Weight Management Services
Text, Wang Qianling/Picture, He Yiting