The Rural Medical Club has issued 5 concerns after the Ministry of Public Health started the first day (March 1) to treat Covid patients with mild symptoms as outpatients “see-give-end”. slack control measures Hospitals are unable to obtain expenses from the central budget. just a head budget
Today (1 March 2022), Dr. Suphat Hasuwanakij, director of Chana Hospital President of the Rural Medical Club posted on facebook Dr. Suphat Hasuwanakij About the issue of “see-give-finish”, which is the first day that the Ministry of Public Health (MoPH) began to treat coviral patients. The Rural Medical Club states that the main idea is Treating asymptomatic or mild symptoms of COVID-19 mean that green patient Let hospitals treat the OPD case, which means that if an infected person is found, they have to pay for the medication and then go home to take medication to take care of themselves and self-isolate. (without having to enter the Home isolation system) with staff to take care
And in the dispensing section, there are 3 drug classes, which is favipiravir. For patients with severe symptoms Andrographis paniculata For patients with mild symptoms and symptomatic medications such as fever medicine, cough medicine, and nasal decongestants for asymptomatic patients
Read more Starting on the first day of March 1, NHSO distributes ATK Phase 2 through the Tao Tang app.
5 recommendations of the Rural Medical Club
- rural medical club agree with the Permanent Secretary The Ministry of Public Health for the concept of “see-give-finish” and “3 levels of drug dispensing” are guidelines that correspond to coexistence. reduce the burden of service establishments Reduce government expenditures that require budget from loans. It is also another approach that corresponds to the outbreak of omikron, where most of the infected people have mild symptoms.
- rural medical club I would like the Ministry of Public Health to clearly communicate that “Meet-Give-End” approach is another alternative approach for treating OPD cases, but it must not be the primary or the only approach for caring for COVID patients. To prevent misunderstanding or lack of clear communication When this happens, it will make the care of Thailand’s covid patients. will consist of admitting to the hospital CI field hospital HI or OPD case treatment (see-give-finish) at the discretion of the doctor or the health profession. to be consistent with the context of both the patient, the outbreak, and the adequacy of beds and manpower in hospitals.
Worried about seeing – giving away – finishing loosen control measures
- An important concern of the “see-give-end” approach is the reduction of disease control measures. Because allowing patients to go back to self-isolate and take care of themselves for 10 days is like a common flu. There may be some people who are less serious about quarantine. Or some people have limited accommodation restrictions. causing a higher chance of spreading the disease Therefore, in areas with less outbreaks Quarantine in a CI or HI supervised by a health worker may be required. This will help reduce the outbreak more than using the “see-give-end” approach.
- The main obstacle of the “see-give-end” approach is that when this approach is an OPD case treatment, hospitals cannot claim the cost of caring for COVID-19 from the government’s central medical budget. Must use the budget from the per capita allocation according to the health insurance rights of the hospital’s own outpatient fund treatment for this group of patients Although the cost of the drug is not much But the cost of the PPE package, including wages, compensation for officials It is an additional expense from the normal system. Therefore, the Ministry of Public Health should discuss the matter with various agencies in order to determine how to reimburse the hospital in a fee for Schedule manner.
- If the Ministry of Health confirms that we must live with covids (It should be) by declaring COVID an endemic disease instead of an epidemic. The Ministry of Health had to talk to the Prime Minister. in order to cancel the use of the Royal Decree on Public Administration in Emergency Situations in the control of COVID because it is no longer necessary and removing covids from being a dangerous contagious disease will make it reasonable Otherwise there will be confusion at both the principle and the practical level.
“See – give away – end” is another option to take care of those who are infected with covids. but must not emphasize until it becomes the only main way
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Starting today, treating covids as an outpatient asymptomatic group no risk