“Self-burden skyrocketed at the sudden notice of discharge”… Unprepared ’20-day quarantine release’

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On the 22nd, Corona 19 medical staff at the Ilsan Hospital of the National Health Insurance Corporation in Goyang-si, Gyeonggi-do, a hospital dedicated to Corona 19, are monitoring patients. yunhap news

Paradoxically, the government, which ignored the persistent demands of civil society groups and health care workers for the expansion of ‘public health care’ after the COVID-19 outbreak, stuck to ‘public health care’ in a crisis situation. Concerns are rising over the government’s announcement that the National Medical Center, Seoul Medical Center, Veterans Hospital, and Industrial Accident Hospital will be introduced to take care of only COVID-19 patients. This is because the responsibility for government policy failure is being passed on to public hospital medical staff, patients, and the socially vulnerable. Officials agree that even now, private medical institutions should be more active in treating COVID-19 patients and share the pain.

“I don’t even know where I’m going, and I hear the voice telling me to go home unconditionally to get out of the intensive care unit.” A’s father was hospitalized in the Corona 19 intensive care unit at a university hospital in Gyeonggi-do. On the 21st, the hospital suddenly received a notice through the mother that the father could be transferred on the 22nd. It was only about five hours after I heard from my doctor that I needed more treatment for fungal pneumonia. On the 22nd, Mr. A said, “Recently, it is a dangerous situation in which the ventilator cannot be removed due to a tracheostomy operation, but everyone is anxious.” It’s frustrating not having,” he said. Since the government revised the guidelines for releasing quarantine for confirmed COVID-19 patients to ’20 days after symptom onset’, more and more patients and medical staff are complaining of difficulties. It is an unavoidable measure to improve bed efficiency in a situation where there are not enough beds to treat patients with severe COVID-19, but the explanation was insufficient in the process and the confusion caused by the lack of beds for all patients (step-down). Previously, the government revised the guidelines so that patients who had passed 20 days after the onset of symptoms of Corona 19 were released from isolation in the hospital room regardless of the presence or absence of symptoms, went into effect on the 17th. This is because it was judged that it was difficult to transfer critically ill patients with reduced infectiousness to a semi-intensive care ward or a unilateral ward, etc. Patients who are suddenly notified of release from quarantine must be transferred to another hospital bed or another hospital, but this part is not properly prepared, so there is growing anxiety that the guardian will have to check the bed or receive treatment at home. B, whose mother is hospitalized in the Corona 19 intensive care unit at a hospital in Osan, Gyeonggi-do, said, “(Although the infection power is low, it is said to be transferred), it will be difficult to find another hospital because the voice has not come out yet.” If my mother needs to be discharged immediately, I have to take a vacation to look after her, so I can’t wear a protective suit and treat myself,” he said.

B, whose mother is hospitalized in the Corona 19 intensive care unit of a hospital in Osan, Gyeonggi-do, received the 'Certificate of all long-term inmates who have been released from quarantine for Corona 19' at the hospital on the 21st.  provided by B

B, whose mother is hospitalized in the Corona 19 intensive care unit of a hospital in Osan, Gyeonggi-do, received the ‘Certificate of all long-term inmates who have been released from quarantine for Corona 19’ at the hospital on the 21st. provided by B

It is pointed out that while the government’s revision of the guidelines can give breathing room to the critically ill beds that are lacking immediately, it will increase the burden on the medical staff. A nurse at Seoul National University Hospital, who takes care of the ward for the critically ill patients with COVID-19, said, “About half of those who are seriously ill with COVID-19 are subject to release. It has changed, but the situation has not been decided what to do with everyone.” Lee Jae-gap, a professor at Hallym University’s Gangnam Sacred Heart Hospital (Department of Infectious Diseases), said, “In a situation where the number of general intensive care beds has been reduced, patients who have left the intensive care unit for COVID-19 may make the situation worse if they go to the general intensive care unit. It also creates a fight between the patient and the medical staff in the field,” he pointed out. For the parents of patients who are actually subject to release from quarantine, the burden of treatment costs for quarantine and hospitalization, which the government has subsidized so far, is heavy. According to the Central Quarantine Countermeasures Headquarters ‘Corona 19 quarantine and hospitalization treatment cost support plan’, hospitalization treatment costs are supported only from the date of quarantine and hospitalization treatment start to the date of release for the purpose of “preventing the spread of infectious diseases to others and efficiently using medical resources” it is to be done In the case of negative pressure isolation room admission fees, the self-pay rate is 10%, but patients who need a ventilator or ECMO (extracorporeal membrane oxygenation device) have to pay up to 30 million won per month. B said, “If you do not leave the intensive care unit today, you will be fined 1 million won, but considering the expenses you will have to pay later, it is better to pay 1 million won.” Minister of Health and Welfare Kwon Deok-cheol at a briefing on the same day said, “When transferring (patients) to a general hospital (not a hospital dedicated to Corona), we are providing considerable incentives and creating a separate bed for those who have been released from quarantine. Reporters Kwon Ji-dam and Jang Hyun-eun [email protected]



Reference-www.hani.co.kr

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