• It is a process that must take care of the health of the workers and the patients themselves, not the end of the conversion: Zoé Robledo.
• COVID-19 has not won us over for the care of other chronic conditions: Dr. Víctor Hugo Borja.
• It is essential that the beneficiaries go to the medical units in a safe environment: Dr. Raúl Peña Viveros.
The Mexican Institute of Social Security (IMSS) presented its institutional plan to give continuity to medical services, which is based on three axes: security of facilities, recovery of work areas and reorganization in the operation of services that were suspended by the COVID-19 pandemic, according to the “Continuity Guide to guarantee services in the medical units of the Federal Public Administration in the New Normal”.
In this sense, the general director of the Institute, Maestro Zoé Robledo, pointed out that this guide should not be understood as the end of the reconversion, “it is a process that must take care of the health of the workers and also of the patients themselves.”
In a press conference and accompanied by directors of the medical area, he pointed out that to address the health emergency, the Institute carried out a historic reconversion by having a huge amount of human, financial, technical, physical and infrastructure resources.
Zoé Robledo indicated that as the number of confirmed infections and the demand for a hospital bed decrease, hospitals will return to normal.
He affirmed that the objective of guaranteeing Mexicans a hospital bed, care or the use of a ventilator when they require it has been achieved, and that is reflected in the fact that the hospitals in the country that the IMSS provided have not been saturated.
At the time, the director of Medical Benefits, Dr. Víctor Hugo Borja, commented that the reconversion of Social Security meant allocating 16,074 beds for COVID patients in the stage where it was most needed, in addition to 4,645 ventilators and the integration of 2 thousand 535 response teams, which translate into 40 thousand 491 doctors and nurses in charge of these patients.
He added that “the human resources that were dedicated to caring for patients with suspected COVID were more than 60,000, but we additionally hired 20,868 health workers, including doctors and nurses, to care for this pandemic.”
Dr. Borja explained that since the beginning of the epidemic, IMSS workers were provided with Personal Protection Equipment (PPE), to whom more than 30 million N95, KN95 or N99 respirators have been delivered; more than 35 million triple layer masks; 1.8 million masks; almost 2,600,000 goggles; more than 27 million gloves; 24 million gowns and three million overalls.
In the comparison of services provided between January and August 2019 and 2020, it indicated that the number of family medicine, emergency and specialty consultations were reduced, in addition to hospitalizations, surgeries, prescribing, cesarean sections, deliveries and clinical analysis studies. Meanwhile, the granting of refill prescriptions increased by 372 percent.
He assured that with the actions carried out by Social Security “COVID has not won us over for the care of the rest of the population and that is why we urgently want to return to attend to these other chronic, cardiovascular and metabolic diseases; cancer patients continued their treatment, and 80 to 85 percent of the consultations of IMSS beneficiaries that occur in the first level of family medicine, were maintained ”.
For his part, the coordinator of Comprehensive Second Level Care, Dr. Raúl Peña Viveros pointed out that “it is essential that our beneficiaries when they present themselves to the medical units, present themselves in a safe environment, hence the strategy that refers to security to the facilities ”.
He explained that 13 IMSS Representation Offices in the states have medical units that are already operating scheduled services that were deferred, in total there are 446 Family Medicine Units, 38 hospitals and a High Specialty Medical Unit.
This in Campeche, Chiapas, Chihuahua, Guerrero, Morelos, Oaxaca, Quintana Roo, Sonora, Tabasco, Tamaulipas, Tlaxcala, North Veracruz and South Veracruz.
He indicated that as of September 1, the services that were deferred have begun to recover by providing more than 20 thousand consultations of specialties, more than 2 thousand surgeries that were not regularly being performed at the time of maximum COVID care; more than 120 thousand diagnostic studies.
He said that there are services that have not been suspended, at the red traffic light they are working with extreme security in emergency situations and with people suffering from COVID. “Family Medicine is an example where we have not suspended services, in general terms, so that the eligible population can have access to their own needs.”
Regarding operational reorganization, Dr. Peña Viveros indicated that it is extremely important to use all institutional capacity to be able to recover services as quickly as possible.
He commented that second and third level hospitals will have COVID and non-COVID services, respiratory emergencies, consultation at unusual hours, special surgical days, laboratory studies and radiodiagnosis on weekends.
During the press conference, a minute of silence was observed in memory of the people who lost their lives due to COVID-19, and in the same way, a minute of applause was given in recognition of the medical personnel who are facing this pandemic. .
Present at the press conference were doctors Juan Manuel Lira Romero, Head of the Medical Attention Unit; Dr. Manuel Cervantes Ocampo, Coordinator of Comprehensive First Level Health Care; and Dr. Efraín Arizmendi Uribe, Coordinator of High Specialty Medical Units.