ĐÁNH GIÁ KHẢ NĂNG ỨNG PHÓ CỦA CÁC CƠ SỞ THU DUNG, ĐIỀU TRỊ BỆNH NHÂN COVID-19 TRÊN ĐỊA BÀN TỈNH LONG AN THEO MÔ HÌNH THÁP 3 TẦNG

Abstract

Objectives: In order to evaluate the response ability of health facilities which collected and treated COVID-19 patients in Long An province.
Subjects and methods: Medical facilities are assigned the task of admitting and treating COVID-19 patients according to the 3-storey tower model in Long An province from August 2021 to December 31,2021. Cross-sectional - descriptive study.
Results and conclusions: There were a total of 40 health facilities assigned the task of admitting and treating COVID-19 patients according to the 3-floor tower model with 11,179 hospital beds, of which the 1st floor had 18 facilities, the 2nd floor had 17 facilities, and the 3rd floor had 5 facilities. Regarding organizational structure: the 1st and 3rd floors had all the required departments, many facilities on the 2nd floor lacked departments for intensive care, nutrition, surgery - anesthesia, obstetrics and gynecology. Regarding human resources, only the 3rd floor had 4 crews in the departments: Treatment for patients with
underlying diseases, Intensive resuscitation, Caring and treatment of moderately ill patients. Regarding essential medical equipment, the number and type ratio of essential medical equipment on three floors was low: floor 1 (5.6% - 25%), floor 2 (52.2% - 69. 6%), level 3 (72.4% - 89.7%) depending on the type of
medical equipment, the important thing was the lack of SpO2 meter, RT-PCR system and artificial kidney. In particular, no facility had an ECMO system. Regarding essential consumables, the response rate of medical facilities was also low. Regarding essential drugs, the 1st floor has 3 hospitals (20%) that could
meet 50 - 57.1%, the 2nd floor had 6 units (35.3%) that could meet ≥ 70% of the sufficient number of drugs per bed. Compared to the existing drug list of each facility, the 3rd floor also did not meet the number of drugs per patient bed compared to the existing drug list of each facility. Our research is useful in proposing appropriate epidemic prevention solutions for dangerous epidemics in the future.