Copyright
©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
“An integrated system, three separated responsibilities”, a new fever clinic management model, in prevention and control of novel coronavirus pneumonia
Jian Shen, Qiang He, Ting Shen, Zhi-Qiang Wu, Ming-Ming Tan, Yu-Lan Chen, Qin Weng, Liang-Min Nie, Hong-Fang Zhang, Bin Zheng, Jun Zhang
Jian Shen, Qiang He, Zhi-Qiang Wu, Ming-Ming Tan, Yu-Lan Chen, Qin Weng, Liang-Min Nie, Hong-Fang Zhang, Bin Zheng, Jun Zhang, Medical Administration, Zhejiang Provincial People’s Hospital, People’s Hospital of Hangzhou Medical College, Hangzhou 310014, Zhejiang Province, China
Ting Shen, Department of Ophthalmology, Zhejiang Provincial People's Hospital, People’s Hospital of Hangzhou Medical College, Hangzhou 300014, Zhejiang Province, China
Author contributions: Shen J and He Q contributed equally to this article and should be considered as co-first authors; Shen J, He Q, Shen T, Wu ZQ, and Zhang J performed the operation; Tan MM and Chen YL designed this retrospective study; Weng Q and Nie LM wrote this paper; Zhang HF and Zheng B were responsible for sorting the data; all authors actively reviewed and revised the manuscript and approved the finally submitted manuscript.
Supported by the Zhejiang Natural Science Foundation of China, No. LGF18H030009.
Institutional review board statement: The study was reviewed and approved by the Zhejiang Province People's Hospital ethics committee (approval No. 2021QT048).
Informed consent statement: Patients were not required to give informed consent to the study because the analysis used anonymous clinical data that were obtained after each patient agreed to treatment by written consent.
Conflict-of-interest statement: The authors declare that they have no conflict of interest to disclose.
Data sharing statement: No additional data are available.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
http://creativecommons.org/Licenses/by-nc/4.0/ Corresponding author: Jun Zhang, MD, Chief Physician, Medical Administration, Zhejiang Provincial People's Hospital, People's Hospital of Hangzhou Medical College, No. 158 Shangtang Road, Xiacheng District, Hangzhou 310014, Zhejiang Province, China. 19587372@qq.com
Received: May 7, 2021
Peer-review started: May 7, 2021
First decision: June 6, 2021
Revised: June 30, 2021
Accepted: August 9, 2021
Article in press: August 9, 2021
Published online: October 26, 2021
BACKGROUND
Since December 2019, there have been many new cases of coronavirus pneumonia in Wuhan, Hubei Province, which has gradually spread throughout the country.
AIM
To explore our hospital’s innovative management system to ensure the efficient operation of fever clinics during the epidemic, since controlling the spread of disease is an important way to prevent and control the epidemic.
METHODS
In total, 200 outpatients with fever at our hospital between November 2019 and July 2020 were selected and allocated into two groups.
RESULTS
The fever clinic in our hospital operated smoothly, and infection with the novel coronavirus disease (COVID-19) has not been reported in our hospital. Additionally, we did not have any cases of missed diagnosis. The awareness regarding COVID-19 infection sources, transmission routes, early symptoms, and preventive measures was significantly higher in our fever clinic than in those of the pre-management group.
CONCLUSION
"An integrated system, three separate responsibilities" ensured the efficient functioning of our fever outpatient clinic and early screening of COVID-19 cases, which effectively curbed the transmission of COVID-19 and hence prevented COVID-19 pneumonia epidemic in our hospital, ultimately achieving the maximum effect of epidemic prevention and control.
Core Tip: The coronavirus disease 2019 pandemic resulted in a rapid spread of severe acute respiratory syndrome coronavirus 2 in China. It has been the most widespread and difficult to prevent and control among all major public health emergencies experienced in the recent years. We initiated the "wartime" vertical management model and took over the related operation management of the fever clinic in an all-round way.
