the vade-mecum for the medical continuityà health care (formerly medical guard), which was presented yesterday at the national congress of the Italian Federation of general practitioners (Fimmg), for the management of the pandemic virus A/H1N1 by doctors who are in the front line having to respond to the emergency, with home visits, outpatient treatment, but mainly requests for information on how to avoid infection or to overcome infection.
The handbook – explain the white coats of the Fimmg – wants to be a tool for a quick consultation to support the activitiesà of health education, clinical management, and consulting the doctors of the continuityà care will always be più urgently called to face.
The signs were put in place – it is stated in a note – through the summary of the contents of the più significant of the scientific literature, national guidelines and the regulatory provisions published in the last few weeks.
The brochure provides, in particular: – the use of the analytical cards of the evaluation are differentiated for the adult patient and the child, in order to ensure the intervention of the più appropriate (phone call, visit, and treatment); – the adoption of the Pandemic Medical Early Warning Score (PMEWS), quoted by national guidelines for the management of influence as a criterion for deciding on hospitalization and, above all, as a tool of communication with the family physician and the pediatrician in charge of the patient.
In the case of a possible pandemic, to optimize the use of human resources – explain the doctors of the Fimmg – represents the point of strength for the overcoming of the period of maximum diffusion.
For the Fimmg the research of a coded system of management of the interventions, especially with regard to the patient – the proposal made by the union at the unità of the crisis – is the only possible solution to strengthen the collaboration between the different sectors of the sanità, and reduce the conflittualità between the welfare systems of territorial and hospital.
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the Page was published on 14 October 2009