The experience of organizing an observatory for monitoring patients with a new coronavirus infection on the basis of a social protection institution

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Abstract

The first case of COVID-19 infection in Russia was recorded on March 1, 2020. The Government of the Russian Federation and the executive authorities of the constituent entities of the Federation, as well as health authorities, have taken unprecedented measures to prevent the spread of a new coronavirus infection in the country, but it has not been possible to fully avoid mass infection of the population.

The epidemic of coronavirus infection required large-scale decisions from the authorities of all countries to ensure the safety of the population. In conditions of limited time and material resources, flexible organizational models were needed that combined the efforts of healthcare and social protection of the population. All health care resources were involved. New permanent and temporary “covid” hospitals were put into operation as soon as possible. A significant number of health care facilities were repurposed to provide medical care to patients with a new coronavirus infection. Stationary institutions of social protection of the population have become an important reserve for the deployment of observators to monitor convalescents and contact persons in the city of Moscow. Observators were deployed at their base to isolate contact persons. The specifics of the contingent planned for placement in observatories and the organizational features of social protection institutions have led to a number of significant differences from similar departments in healthcare institutions.

Within 19 days, an observatory for 241 beds was organized and equipped on the basis of a large institution of social protection of the population of the city of Moscow of the State Budgetary Institution “Scientific and Practical Rehabilitation Center”. In the first wave of the rise in morbidity, 759 patients were observed in the observatory.

We present a detailed plan for the deployment of the observatory developed by the headquarters of the State Budgetary Institution “Scientific and Practical Rehabilitation Center”, which ensured its implementation and further functioning.

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About the authors

Bela Alichanovna Sirnikova

Scientific and Practical Rehabilitation Center

Email: rcdi35@yandex.ru
ORCID iD: 0000-0001-6131-4845

MD, Dr. Sci. (Med.), Professor

Russian Federation, 15 Abramtsevskaya str., 127572, Moscow

Dmitry V. Storozhenko

Scientific and Practical Rehabilitation Center

Email: rcdif2@yandex.ru
ORCID iD: 0000-0001-9788-2457
SPIN-code: 4813-4184

MD, Cand. Sci. (Med.)

Russian Federation, 15 Abramtsevskaya str., 127572, Moscow

Khetag V. Temirov

Scientific and Practical Rehabilitation Center

Author for correspondence.
Email: rcdi35@yandex.ru
ORCID iD: 0000-0002-5308-0652
SPIN-code: 9249-6045
Russian Federation, 15 Abramtsevskaya str., 127572, Moscow

References

  1. Weekly epidemiological update on COVID-19, 30 March 2021. Available from: https://www.who.int/publications/m/item/weekly-epidemiological-update-on-covid-19---31-march-2021. Accessed: 15.02.2021.
  2. Haldane V, Zhitong Z, Abbas RF, et al National primary care responses to COVID-19: a rapid review of the literature. BMJ Open. 2020;10(12):e041622. doi: 10.1136/bmjopen-2020-041622
  3. Dubel EV, Chernyakova EV How to organize an observatory in a hospital. Step-by-step algorithm and documents for work. Healthcare. 2020;(7) [Internet]. (In Russ). Available from: https://e.zdravohrana.ru/823833. Accessed: 02.15.2021.
  4. Sanitary rules SP 3.1.3597-20 “Prevention of new coronavirus infection (COVID-19) 08.04.2020”. (In Russ). Available from: https:// www.rospotrebnadzor.ru/files/news/0001202005270006.pdf4. Accessed: 02.15.2021.

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