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This is what the memorandum of understanding signed today between the Puglia region, general practitioners and pediatricians of free choice offers.
“The Puglia Region – declares President Emiliano – classifies general practitioners and pediatricians in the fight against covid. They will be in charge of following patients who are in home care, the Region will also support them through telemedicine and together, the Region, general practitioners and pediatricians of free choice, will build the new hospital model that is decentralized in citizens’ homes, not only for covid but more generally for all manageable situations at home that require treatment and assistance. “
For the Councilor for Health Policies, Pier Luigi Lopalco “As of today we have thousands of doctors in the field who know their patients, the territory, and could be decisive to contain the pandemic and limit hospitalizations, providing buffers, quarantines and bringing home care. I thank the doctors for their commitment, which will be a great step forward in the fight against the virus and will also bring some relief to colleagues in the Prevention Departments.
“The agreement signed today – explains the director of the Department of Health Policies, Vito Montanaro – recognizes the national agreement and complements it by foreseeing actions that allow basic doctors and pediatricians to play a fundamental role in the management of the pandemic and carry out tests the new model of territorial assistance that will also use telemedicine.
«The agreement signed today – declares Donato Monopoli, Fimmg – represents an evolution of general medicine in the area, it gives a wide margin of activity and cohesion within the region. Therefore, it allows citizens to benefit from a series of services provided by the GP, free up some bureaucratic ties and continue to be followed, as we have done so far, by their GP ”.
«This agreement – declares Luigi Nigri, pediatricians at Fimp – is important for all the citizens of Apulia. Everyone sees what we are living, a dramatic moment. We could not contain ourselves and we did it with conviction. For us a great assumption of responsibility, greater than we have ever had. We ask for the collaboration, above all, of citizens and parents, because we are pediatricians and we want our children to have a more peaceful future. We are close to his parents and especially his grandparents “”
For Anna Lampugnani, from “Intesa”, “at this very serious time, we are of the opinion that general medicine must fully fulfill its role, with the collaboration of all parts of the system and respecting the competences of all”.
With the memorandum of understanding it was decided to strengthen the territorial response to the emergency situation faced, enhancing the professional contribution of General Medicine and PLS, as the first contact of the patient, and the capillarity of medical studies, implementing the territorial network of surveillance, diagnosis, and home therapy for COVID-19 patients to contain infections and reduce pressure on hospitals.
For this reason, guidelines have been issued for the diagnosis of Sars Covid 19 also before the arrival of seasonal flu, for the treatment of patients and the identification of Covid cases and close contacts. The activities will be: clinical care of the symptomatic patient, reserve of tampons for symptomatic patients, strengthening actions and support for public health actions, execution of rapid tampons for asymptomatic close contacts after 10 days of quarantine.
Once the diagnosis of a suspicious case has been made, the doctors and pediatricians, through the computer platform, will reserve the molecular diagnostic swab or in “drive in” mode or for fragile or non-transportable patients, they will notify the competent service.
Doctors and pediatricians will have a positive swab result, the isolation start and end period also for their patients in cases of close contact. Physicians and pediatricians will also ensure that the rapid antigen swab is performed, in their own offices or in other facilities identified by the ASL through local conventions. The supply of the pads will be in charge of the extraordinary Commissioner for the emergency of the covid, through the autonomous civil protection that will also provide the necessary PPE.
The patient target for rapid tests refers to, among other things, patients in care “asymptomatic close contacts” at the end of 10 days of isolation identified by the GP or PLS, or patients in care “contacts near asymptomatic “at the end of the 10 days of isolation identified and reported by the Prevention Department pending rapid swab or suspected case of contact that the GP or PLS has to visit and who decides to undergo a rapid test.
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