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
Medical teams are trained on severe acute respiratory infection (SARI) case management and ambulance teams are trained to transport SARI patients. Specific health facilities are assigned to provide care to patients with SARI in San Marino or in accordance with Italian hospitals, in particular Ospedale Infermi di Rimini in the region of Emilia Romagna. At the moment there is no need to transport patients outside of San Marino.
A response team composed by primary health care workers (doctors, nurses, and social workers) and hospital specialists and nurses work together to visit patients at home and verify compliance with the rules for isolation at home or the need for hospitalization. They also decide the diagnostics and check therapies (chloroquine and antivirals are also being prescribed for care at home).
Since the beginning of March, video, telephone and alternative consultations for health services are available, and since April 6th residents can obtain medical prescriptions directly via the website www.iss.sm.
The Republic’s Pharmaceutical Office and clinical engineering service are focal points for logistics, procurement and supply chain management. These offices are responsible for storage, stock management and for the transport and distribution system.