3. Providing health services effectively
The section on PROVIDING HEALTH SERVICES EFFECTIVELY describes approaches for service delivery planning and patient pathways for suspected COVID-19 cases. It also considers efforts by countries to maintain other essential services during periods of excessive demand for health services.
3.1 Planning services
Since the beginning of the health crisis, operations and non-urgent medical appointments have been cancelled in order to strengthen the capacities of the establishments in the fight against the epidemic and to limit the risks of contamination.
An organization has been set up between the Principality's three health establishments with the aim of focusing the hospital on the care of patients testing positive for COVID-19 .
The Monégasque Institute of Sports Medicine took charge of orthopedic emergencies and the Monaco Cardio-Thoracic Centre took charge of cardiovascular emergencies.
Two special units reserved for patients with COVID-19 have been set up within the hospital to limit the risks of contamination as much as possible. In addition, due to bilateral agreements with France, it was possible to send a number of cases with extreme symptoms to neighboring French hospitals.
As a result, there has been no episode of hospitals being overwhelmed in Monaco as has been the case in other countries. Whilst a total of 99 people were diagnosed positive for coronavirus by the Principality's medical teams, only 68 of them were resident in the Principality. Some hospital professionals were therefore temporarily sent as reinforcements to French facilities who were experiencing capacity issues.
Generally speaking, the widespread introduction of teleconsultation has enabled healthcare professionals to continue practicing while preserving their own safety and that of their patients. It is used for any patient who does not need to be physically examined by the practitioner, and is therefore conducive to a large number of consultations.