2021年5月18日 星期二

【中/ENG】疫情嚴峻、前哨醫療、由衷建言 Sincere Advice from the KMT on Outpost Medical Care amid Severe Epidemic

           新 聞 稿         中國國民黨文化傳播委員會        110.5.18


疫情嚴峻、前哨醫療、由衷建言


針對近日國內COVID-19疫情急遽升溫,中國國民黨醫療委員會今(18)日表示,疫情快速擴散之際,第一線醫事人員作為防疫戰場上的哨兵,均面臨極大壓力,其所提出之建言,皆是由衷企盼國內盡快走出疫情低谷,指揮中心自然不應漠視。國民黨醫療委員會強調,現階段保障醫事人員健康、鞏固醫療量能為首要之務,醫療機構內的防疫物資,以及包括外科口罩、N95、手套、隔離衣等個人防護設備不容欠缺,主管機關應優先盤點持續補充,畢竟唯有完善後勤支援,前線醫事人員方能無後顧之憂。


國民黨醫療委員會並表示,主管機關亦應確保醫事人員及時完成疫苗接種,定期提供PCR或快篩檢測,並為其投保醫療保險至疫情結束止,降低醫事人員受疫情之威脅。因為受到本土個案數暴增、國內進入社區感染階段影響,國人近來疫苗施打意願踴躍,但相較於每日接觸與照料患者的醫事人員,醫事人員對於疫苗的需求更為迫切,甚攸關醫療量能是否受到侵蝕。因此,應由各縣市衛生局統籌設置醫事人員疫苗接種專區,一週內定點依序為第一線醫事人員完成接種;此外,亦應每週定期為第一線院所內醫事人員篩檢,確保醫事人員安全、維持整體醫療能量,進而保障民眾健康。


國民黨醫療委員會建議,在社區感染階段後,防疫思維也該做出調整。短時間內儘速找出社區個案,阻絕疫情持續蔓延,便是避免疫情失控的關鍵。因此,依各縣市疫情嚴重程度不同,擴大設置「社區篩檢站」,使有症狀、發燒之民眾「就近」接受採檢,減少其跨區移動,及逕自進入診所、醫院增加傳染風險之機會。分流面對疫情,方是扭轉疫情的正辦。同時,正因目前社區篩檢站未能普及,更致使基層診所接觸確診病人後,動輒遭隔離、停診,如此已動搖基層醫療實力,無助於疫情期間國人宏觀的疾病分流。國民黨醫療委員會認為,指揮中心應制定基層醫療的標準防護規範,當診所人員依規範執行醫療業務,縱使曾接觸確診個案,仍表示其安全無虞,無須隔離、停診。


國民黨醫療委員會更提醒,研議輕重症分流迫在眉睫,大量輕症病患湧入醫學中心等大型醫院,將壓跨國內醫療體系,致使一般急重症傷病患無法獲得適切醫療照護,對國內醫療環境將造成負面且深遠的影響。不僅如此,面對傳染性更強的印度病毒珠,倘若於國內盛行,不分輕重症擠滿專責醫院、病房,亦是徒增院內感染風險。因此指揮中心應儘速召開專家會議,同時跨部會盤點適切空間,思考輕症分流收治策略及地點,提供場所全域收治輕症個案。


總結而論,國民黨醫療委員會指出,疫情發展至今,指揮中心更有必要傾聽醫事人員需求。指揮中心目前所謂的醫療應變,於執行面上應該貼近醫事人員心聲,否則其固然疾呼保全醫療量能,但對第一線「戰士」而言,多會認為政策缺乏對「個人」的關懷,卻是要求醫療機構交出「戰功」。如此心態,並不利於防疫戰線的持續!




Sincere Advice from the KMT on Outpost Medical Care amid Severe Epidemic 


In response to the rapid rise in the domestic COVID-19 infections in recent days, the Kuomintang (KMT) Medical Committee stated today (May 18) that at the time of the rapid spread of the epidemic, front-line medical personnel, as sentinels on the battlefield of epidemic prevention, are under great pressure. They all sincerely hope that the country will emerge from the depths of the epidemic as soon as possible, and the Central Epidemic Command Center (CECC) should not ignore this. The KMT Medical Committee emphasized that protecting the health of medical staff and consolidating the amount of medical treatment is the top priority at this stage. Epidemic prevention equipment in medical institutions, as well as personal protective materials, including surgical masks, N95, gloves, isolation gowns, etc. must not be in shortage, and the competent authority should give priority to supplementing the inventory. After all, only with perfect logistics support can the frontline medical staff work without fears.

The KMT Medical Committee also stated that the competent authority should also ensure that medical personnel complete vaccinations in a timely manner, provide regular PCR or rapid screening tests, and cover them with medical insurance until the end of the pandemic, to reduce the risk of infection. Due to the rapidly increasing number of local cases and the start of the community infection stage, people have recently been willing to get the vaccine. However, compared with the medical staff who contact and take care of patients daily, the medical staff’s demand for vaccines is more urgent and important. Therefore, each county and city health bureau should coordinate the establishment of a special vaccination area for medical personnel and complete the vaccinations at designated points within a week for the first-line medical staff. In addition, the medical staffs in the first-line hospitals should also be screened regularly every week. The government should ensure the safety of medical staffs, maintain the overall medical capacity, and then protect the health of the people.

The KMT Medical Committee suggested that after the infection stage in the community, the epidemic prevention measures should also be adjusted. Finding out community cases as soon as possible and preventing the spread of the epidemic is the key to preventing the epidemic from getting out of control. Therefore, according to the severity of the epidemic situation in each county and city, local governments should expand the establishment of "community screening stations" to enable people with symptoms such as fevers to receive "local" screening, so that cross-regional infections can be reduced, such as entering clinics and hospitals directly, to decrease the risk of infection. At the same time, because community screening stations are currently not popular, primary clinics are often isolated and closed after contacting confirmed patients. This has reduced the strength of primary medical care and will not help the general population of the country when fighting the epidemic. The KMT Medical Committee believed that the CECC should formulate standard protection regulations for primary medical care. When clinic staff perform medical services in accordance with the regulations, even if they have been in contact with confirmed cases, they are still safe and do not need to be isolated or the clinics shut down.

The KMT Medical Committee also pointed out that it is critical to study and discuss the triage of minor and severe cases. The influx of a large number of patients with minor symptoms into large hospitals and medical centers will strain the medical system across the country and prevent severely sick patients from receiving appropriate medical care. This will have a negative and far-reaching impact on the domestic medical environment. Not only that, if the more contagious Indian virus variant spreads to Taiwan, it will only increase the risk of nosocomial infection if patients are crowded in specialized hospitals regardless of severity. Therefore, the CECC should convene expert meetings as soon as possible. At the same time, cross-departmental meetings should be held at appropriate venues to consider strategies and locations for the treatment of patients with less serious symptoms. 

In conclusion, the Kuomintang Medical Committee pointed out that the CECC must listen to the needs of medical staff even more since the situation of the epidemic has worsened. The current so-called medical response of the CECC should pay greater heed to the aspirations of the nation’s medical staff. 

(This is an abridged version of an official KMT Chinese language press release)
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