關于做好本市社區衛生服務機構重點人群動態服務和新冠救治相關工作的通知
【信息來源:】
【信息時間:2024-01-16 閱讀次數: 】
shixiaquweishengjianshenxinjiankangwei:
yijuguowuyuanwendangwenjianbangongtinglianfangliankongtixi《youguanlejiexinguanzhongdiancunqunzhongdongtaizhanshitiexinyewuhe“shekoukouanyiwei”yunxingdekongzhi》heguowuyuanwendangwenjianbangongtinglianfangliankongtixi、difangxincun𒁏liyunxinglingdaoganbuzhuan༒ban《youguanchuwenjixujiaqiangzaidangxiazhuangkuangxincunlidongnanbuxinxingdeguanzhuangxijunhuanshangfeiyanyiqingfangfanyunxingfanganfanwendekongzhi》wendangwenjianxuqiu,weichanshengtianjinshijiedaohuanjingweishengtiexinyewuqiyewangdiyongtu,jianchixiaqu“zaodezhi、zaogenzhi、zaobinggui”,yufanghesuoduanxinguanxijunhuanshangweizhongyinfa,xianjiulejiezaidangxiazhuangkuangyouguanyunxingkongzhixiamiande:
yi、yanxujiaqiangquyuxinguanzhenzhixingneng
(一)穩步推進特別新冠搶救擴大增能
shizhuchengquhuanbaojiandejiankangweiyaohuijuzhenzhizuogongzuosu𒁏qiu,xieshoushi🌜neiyouguanxigebumen,suoduantuijinxiangmushigongzhuchengqujuweihuihuanbaojianyewubaozhangyewubuxinguanzhenzhichangheshixiankuorongshigong,renzhenzhixingyouguanxideanquansheshiji dengzengnengchanchu,qizhongbaokuoyiliaoquxian、dadiandiquxian、yangliaoquxian、bingqubingqudeng,tiqianzuohaoxindianjianguan、xueyangshujujiance、gongyangdengdeanquansheshiji diaoshi。jiujubeibibeitiaojiandejuweihuihuanbaojianyewubaozhangyewubu,yaobijiaoqianghuactdengji dediaoshi,gulichengzhenjuminshepianjianchachendian。yizhaoguidingyewubaozhangchengzhenrenkoushuliangshuliangtongjide15%-20%gifdongtaichanchuzhongyao、tuireyao、zhikerunfeiyaojikangyuanjiancehuaxueshijiherenyuanpeibei,zhuahaopeixunjigouotcyaopinchanchuliangzongshikongzhizai2zhoujiyishang,chengzhenrenkoushuliangjujiquxiankehuijushijiantishengchanchuliang。
(二)增強小區產生熱量診所服務培訓
dangdigetebiejiankanggongnengpeixunpingtaimeijiduyizhoujunyingzhanshi fashaoyiliaogongnenggongnengpeixun(hanjiejiaqilvyou),bingwanchenganzhuangfashaoyiliaogongnengyeyiyuanmenzhenbu,shixianmubiaofashaoyiliaogongnengyewanding🍒shigongnengpeixun;dangdigetebiejiankanggongnengpeixunfenpingtaimeijiduyizhoujunyingzhanshi fashaoyiliaogongnenggongnengpeixun(hanjiejiaqilvyou),youyijiandekezengsheyeyiyuanmenzhenbu。dangdigetebiejiankanggongnengpeixunzhan、cunjiankangshiyingyifufashaoshaodianmenzhenshi、feixingfashaoyiliaogongnengliuguanqudeng,zuodaofashaodengzhengzhuangpengyoujiuzhenshiyongxuqiu。
er、dalaowanchengzhongdiancunleirenlvseshujujianceyudongtufuwuxiangmu
(一)認真執行要點群眾應管即使
jiezhujiezhen、jucunwei,gexiaoquweishengjiandugongzuogongsiyaojiadatourujijijieru,zaijiezhenjiangzhuzhongyonghunaweiwanggehuagongzuohexinshang,duizhuzhongyonghukaifalvsewendingjiankongyugongzuo。genghaodifahuijiachangzixunshiqudelianxishiminhejijigongzuojiaose,jiadatourutisheng6wusuichaoguozhonglaonianjieduanrenzaixianzaixianqianyuegongzuozhegaimian,hexindachengzhuzhongyong🅠huzaixianzaixianqianyuequanzhegai。caiquyungongzuo、dianhuahaoma、weishang、shipinbofangdengfeipengchuxiguanhuoshangmenlaisuifangdengtanranmiandirengongzuoxiguan,zuoshi“hongꦯ、huang、lv”biaozhibiaoshizhuzhongyonghulvsewendinggongzuo,zuohao“liudashishimingque”。
1.yijiezhenweixingye,zhiliyuwanggehuakongzhichangxiaojizhi,renzhenluoshi“shequfuwuzhongxinsigerenlingdaozu”gongzuodegangweizhize。
2.jidaleiꦓzhongzhongzhizhongkequndejiankangshididiaochafenleiguanlixitongmingbai,qingkuangdiaokongbingsheliqingdanbiaoge,guanlixitongduixianggerenxinximingbai。
3.shequfuwuyudezhongxinweishengfangyifuwuyudejigou24fenzhongfuwuyudezixunrexianchangtongwuzu,jiachangzhurenyishiqu𓄧delianxixiguanzhudongquanzhijiegaosuzhongyaoleiren,youjiankangbaojianjutixuqiushibu𝕴nengweilexiangying。
4.shixiansanzhongfengge,duizhuzhongxiaofeiquntiwenjianjiamixianghugoutongxianjie🍌,dui“juhongse”zhuzhongxiaofeiquntibenzhougoutongbuduanyu3ci,dui“hongse”cizhuzhongxiaofei🐠qunti,benzhougoutongbuduanyu2ci。
5.suishishulianshengjizhongdianleirentiaojianchangdaojibingshihouhewendingxianzhuangfenxi。
6.duizhongyaoquntizhanranxinguanbingdumahuoyijuyiqingzengduodengqingkuang,jishilianghaozhidaoyijian、xingweijiaozhengyuzhuanzhen。
(二)敲定重心用戶等級分類經營
dui“hong、huang、lv”zhongyaoyonghuqubietuijin“yi、er、3jizhiyezigezhengshu”guanligongzuojingzhuntigongfuwuxingguanliyubaozhang,dui“lvsehuanbao”yonghu,tuijinyigangshuangze“tejijingzhuntigongfuwuxingguanliyubaozhang”,tigaoshentianquanpeiyang,zhuahaobenrenshentianquanfanghuyi。dui“huangbaise”yonghu,zaituijinyigangshuangze“tejijingzhuntigongfuwuxingguanliyubaozhang”dejibenzhishikuangjiashang,duikangtiyangxingjiajuhuanjingzhiliaozhuanyerenyuantuijin“zhongjijingzhuntigongfuwuxingguanliyubaozhang”,tigaokangyuanjiancha、shentianquanpinggu、shentianquanzixun、yongyaomianfeizhidaomianfeizhidaodeng。dui“yanse”yonghu,zaituijinyigangshuangze“yi、zhongjijingzhuntigongfuwuxingguanliyubaozhang”jibenzhishikuangjiashang,tuijin“3jizhiyezigezhengshujingzhuntigongfuwuxingguanliyubaozhang”,tigaoshentianquanpinggu,duishentizhuangkuangzengduo🅺degeiyuzhuanzhenbangmang。
san、zhongdianweiraodalijiaqiangweizhongzhengjiaozaokanjian、gaishanyubinggui
gediganjinglvsejiankangཧweiyaojiezhushi、quzhenliaozhuanyerenyuanzulidu,jinyibuqianghuaduijuweiganjingtigongfuwuyudianjujiajieyu♏jiandu,jiandingbuyi“zaofaxianle、zaoyiliao、zaofenpei”fangshi,chongfenliyongjuweiganjingtigongfuwuyudianju“kouanshangyi”gongxiao。
(一)推廣新冠病情比較重的時候早顯示
geshequwangzhanqingjieweishenggongzuobumenliandongjucunwei,tigaoduixinguanganliangzhedeweishengjiankong,yuefashicezhongkehuqunganliangzhe,zailuoshiyigangshuangze“ꦛyi、er、san♎”jijianguandejichukuangjialilunshang,yaocezhongtigaoxinguanzhengzhaoyujichukuangjialilunxingyiqingzhengzhaozhuanbiandejiankong。
dalijiaqiangduixinguanchuanranzheyangbaohedushujujianceqi。gequyuganjingganjingshipinweishengjianduxueyewuxiangmuyiliaoxuexiaoyaopeiyouzu꧅liangdezhijiashimoboxueyangyi(xiamianjiandanlaishuojiushizhiyangyi),zhuahaomeijiaquyuganjingganjingshipinweishengjianduxueyewuxiangmujidihefenjiditedingpeiyou20geyinei、meijiaquyuganjingganjingshipinweishengjianduxueyewuxiangmuzhanhecunganjingganjingshipinweishengjianduxueshitedingpeiyouliageyinei,meijiajucunweitedingpeiyou2geyinei。huiweimeijiarenjiayishigongsipeiyoutedingliangdezhiyangyi,xietongzuozhangongzuohaojucunweidingli,jiangyangbaohedushujujianceqinaweiguanjianshikequnꦿchuanranzhezongtisuifangneirong。gequyuganjingganjingshipinweishengjianduxueyewuxiangmuyiliaoxuexiaoyaojishixietongzuozhanjucunwei,wei6wusuiyineiyouxinguanleibingduchuanranweizhongfengxiancunzaiqiexingdongqilaikunnandeguanjianshikequnpaifazhiyangyi,fangtantigangzijidefangziceshixueyangbaohedu。
(二)穩步推進新冠危重癥早控制
yaotuijinshi、quchuzhixiaobianzuhuoli,guanchezhi𓆏xingjuweigonggongwei🌼shenganquanfuwuzuzhijigouduixinguanganranzhiyuantizheliganjianyingzhiliaofangfa,birumeiweidalizhichi、yangliao、jingmozhushe、xiaotuanhuoyaocailiyong、shixianrenyiyuanbingchuangdeng。
1.全面提升對癥下藥冶療。geshiqushipinjiankangjianguanliwendingweihuibangpingtaiyiliaojianshouhoujubeishouhouchanpindexinzhongshipinjiankangjianguanlishouhoujubeishouhouchanpindeyiyuanyouyongliangshidangdeeryanghuatanqidai、eryanghuatanqipinghuoshizhiyangjidengyiqi,baozheng dangjiweimenzhennvxing、jiajudiaolinvxingjubeileyangliaohuoeryanghuatanqizhuangguanshouhoujubeishouhouchanpinde。gepingtaiyiliaojianshouhoujubeishouhouchanpindexinzhongshipinjiankangjianguanlishouhoujubeishouhouchanpindexinzhong、fenxinzhongjunyaosheyoumenzhen“xiyangqu”;pingtaiyiliaojianshouhoujubeishouhouchanpindexinzhongshipinjiankangjianguanlishouhoujubeishouhouchanpindezhanyucunshipinjiankangjianguanlishiyuanlishangjunyaoliyugongyouyundongchangdikongjian,peibeieryanghuatanqiguan,jubeile“yangliao”shouhoujubeishouhouchanpinde,zugoujuzhuzhejiujinjibenzhunzeyangliaoshouhoujubeishouhouchanpindebiaozhun。shenrutuijinwuhuaxiruxirudiaoli,gepingtaiyi💛liaojianshouhoujubeishouhouchanpindexinzhongshipinjiankangjianguanlishouhoujubeishouhouchanpindexinzhong、fenxinzhongyuanlishangjunyaojubeilewuhuaxiruxirudiaolishouhoujubeishouhouchanpinde。tongshi,zhunbeihaoranshangzheyingyangchengfenzhichixitong,zhixingyingyangyinshizhidaoxing,anguidingzhuahaojingmoshuyedengtiexinfuwu,jiangdibingqingbijiaozhongdeshihouhuifashengyinhuan。
2.即時操作身體慢性毒藥物控制。duitebiexiaofeirenqunౠganhuazhelaipinggu,zaizhuzhaiqukeyanpingshenzuyindao♎xia,duitiehetiaojiandeganhuazhe,jishiyindaoyongdaoshentijieyaowu,dadaotiqianjiuzheng。
3.寬裕發揮用途中成藥醫療用途。shizhongzhongxiyiyidapei、zhongguochuantongyixueyaobingqi,jiakuaituijin“sanyaosanfangxieyishu”dengchengyaozaijuweihuishouhoufuwuxiangmujigoushipinweishengxueshouhoufuwuxiangmuzuzhijigoudezengpeiheshiyong。gejuweihuishouhoufuwuxiangmujigoushipinweishengxueshouhoufuwuxiangmujigouyaoerduixinguanleibingdupifuganranzhongleibingzheng,quyuxiediaofazhan,bianzhengshizhi。dingzhu“zao”“kuai”deyiju,rangzhongyaocaizaixinguanbingdushishenmeyingxiangshihoujinkuaibangzhu𓃲huanjie,jizaodiyuqingzhenghuanbingzhexiangchaozhongxing、weichaozhongxingweilaifazhan。
(三)扎實推進新冠危重早分離
1.馬上配合轉診。duixinguanyoushenmezhengzhuanghuojibenzhishixingchangdaojibinggengzhongdeganranzhe,geshequhuanjingweishenghuanjingweishenggongzuozhongyang、qiyeyishengzhuanjiaguanlituanduiyaohuanhao120jiuhuheไlijiyunmolvsejiedian,tongyibingdubingyonghubunengzhuanzhen。guanyujichushouzhendebingqingbijiaozhongdeshihouyonghu,yaozaiduanshijianjiaozhunzhangwo,butongshishishangqingxing,bunenggongyang,zhidingduofangmianjiuyuananquancuoshi,yimianchangqibaochiyonghurenshenglinchuangzhengzhuangbaochiwending,zaiyihuderenyuanpeihuxiabunengzhuanzhen。
2.連通交叉轉診。geshequfuwubaozhanggongsihuanjingweishengjiandufuwubaozhanggongsiyaoyituoyufanweixinghuanjingweishengyuangongsi、yiliantishangsihuanjingweishengyuan,shunchangxinguanchuzhishuangbianzhuanzhenduanxintongdao,shixiaquhuanjingweishengjiandujiankangshenghuowei、gehuanjingweishengyuanzhuangzhiyaopanbieqinzizerenrenzhuanzhengangweigongzuozhize,jiandanhuawei🔯zhongbinghaozhuanzhenguocheng,zengjinzhuanzhengongzuoxiaolv。tongshi,yaogengjiachongfenpaihuixunxihuachengqi、yongchu,liyongyuanzhanwenzhen、yuanzhanyuanyindengfangfa,yibaozhengbinghaoshouhuohenhaohenhaochuzhi。
duijie🐻daobanshichujuweihuihuanweianquananquanfuwuzhiliangzhongxinshangzhuanxinguanganhuazhe,shifenshineirongrenganhuazhe,lingdaochongwumenzhenyaoxingchengshouzhilansechurukou。zailingdaoꦅchongwumenzhenwanbimanxingqizhenzhihou,zhuangtaipinghengdeganhuazhekexiahuandaojiedaobanshichujuweihuihuanweianquananquanfuwuzhiliangzhongxinzhuyuanbu,jiedaobanshichujuweihuiyiwuzheyaocanyuxingzhuanzhencaozuoliucheng,zuoanquananquanfuwuzhiliangchengban。
gexianquhuan𓂃baoxuejiankangweiyingpinghengzhuchengquneigegedengjigeyangyixueshebeihulichuanghuanjingziyuan,shixianbuyicengciyixueshebeihulichuangxiaoguozhuizongdingwei,baochipingheng、fenleizhenglixuanzedeluoji,yaopinghengzhuangzhizhuchengquneigegedengjigeyangyixueshebeiyiwujishurenyuan,shixianxiapaizhuzha、shenqingduijiedengcuoshi,shiyongjuweihuanbaohuanbaoxuegongnengguanlijigouzhenshigongnengguanli。shelihulichuangdejuweihuanbaohuanbaoxuegongneng♛guanlijigou,jinjieduanzhong,hulichuangxuanzelvyingdacheng95%yixia,weizhuangzhihulichuangdejuweihuanbaohuanbaoxuegongnengguanlijigou,duifuheguojiashoushuzhizhengdezhanranzhe,yingshixianqiyehulichuangmanzulejujiashenghuokongzhixuyaoliang。
si、dalijiaqiangquyuzhongyaosangaorenqunchuzhiziyuanliangtongchouguihuahezuoweizhichengdianyouxiaobaozhang
(一)多方面依賴街鎮網格化維護體系
geshequnweishengjianjianbaozhangfuwuguanlizhiliangpingtaiyaozhudongdelianjiegejiezhen、jucunwei,youliyikaojiezhenwanggehuazhilifangfazhiduhua,fahuichujiezhen、jucunweihexinshiyong𝓀,guanchekaizhanduicezhongzhongzhizhongdaxueshengxiaofeiquntishequnzhilifangfa,zhuahaojiankangshujujianceyudongtaizhanshibaozhang。yikao“shequnsangerenxiaodui”yunxingzhiduhua,guanchekaizhanduicezhongzhongzhizhongdaxueshengxiaofeiquntidebaobaoqudegaohaoguanxi。geshequnweishengjianjianbaozhangzuzhiyaojiehejiezhen,douanzhaoquguankongbanyunxingbushu,zhuahaoduigaolinglaozhe、yougenjixingchangjianꦍjibingpengyoudengbingqingbijiaozhongdeshihougaoweixianyinsudaxueshengxiaofeiquntihekunjingshaoerdengdaxueshengxiaofeiqunti“jiankangbao”paifa,xinxihuajucunwei,jinyibujiaqiangduikongchaolaozhe、jinyubingcanpeiouhuxiangruzhulaonianxingrendemeitiandequdegaohaoguanxi。
(二)進一步強化區域環境醫遼成本社會統籌支持
mingquetichushipinanquanqingkuanggengjiankangweiyaotongdengquyunei🎶dangxiayiyongqiyeyiwurenshi,shixianchendaoxunzhen、renshipaizhu、zujianyuanchengkongzhiyiyongxietonghezuowangdengdefangshi,bimianjibenzuzhiyiyongshipinanquanqingkuangqiyerengongrenlibugouyixiewenti,qieshibaozhangtebiexinguanzhiliaoshouhoutigongfuwuxiangmushunchangtuijin。yijiayituoyushigongsiquyoujizhiliaoxiaobianzuheshangjibumenyiyongqiyeyouguandexunhuijiaoyumianfeizhidaoguize,duitebieshipinanquanqingkuangshouhou♉tigongfuwuxiangmuqiyetuijinjishujiaoyumianfeizhidao,jishupeixunjibenzuzhiyiwurenshiguifanledongyongxiaofenzishiyaohezhongxiyao“sanyaojifangmian”,yitishengjibenzuzhifangbingqingbijiaozhongdeshihouxiaoguo。jinyibutigaoyiyongqiangjiuziyuantongdeng,zenggaoyiyongqiangjiuxingshiyuyongqixuanpei,weitebieshipinanquanqingkuangshouhoutigongfuwuxiangmugongsi、jiatingshizhurenyishiguanlituanduizujianshouxuanzhuanyunqingsuantongdao。
(三)增強基成醫務專業人員培訓教育
chentuoshineiyoujijijiulingdaoxiaozuzu,zhidingduiwuqunzhongyiwugongrenxunliankechengxuexiaobanguihua,kaizhanyewuwangshang🌞yingxiao、qudao、tonglixiezuosanjiayiyuanwangxiachendaijiaodenghaojizhongxunliankechengxuexiaoban。nenggouchongfencaiquguojiade、shilidengyouguanxixunliankechengxuexiaobanziyuan,jijixiangshangjujiqunzhongyiwugongrendaochangxunliankechengxuexiaoban。zuohaochouyangjiance,yangedexunliankechengxuexiaobanpanduan,baozheng xunliankechengxuexiaobanshijuexiaoguo,shiqunzhongyiwugongren(juyoumeilixiangcunyishi)zaiyuqixianneishulianchengduxuehuixinguancezhongxiaofeizhefenji𓂃zhidufenjitigongfuwujiqiao、yingxiangzhengzhaolejie、yingxiangzhejujiashenghuofuwuguanliheyeliao、zhongyizhenjiuyaojijiuheshuhoukangfuyiliao、diyangxuezhengzaoyudao、huxixitongnanguandekaizhanhechuzhenjiqiao、zhiyangyideshiyong、hexinzhuanzhenshiyongzhenghexiaofenzijiegouzhijideshiyongzhengheqiadangshiyongjiqiaodeng。
(四)全面提升新冠處置資源保護
geshiquganjingjiankanglvseweiyaoanzhaoquyuganjingjiankangjingzhunfuwuzhande、cunganjingjiankangshijingzhunfuwurenkouzongshu、zhongyaoxiaofeiqundishudengqingxing,peizuchuzhiyingjiyouliao,huanbaokuobiantanghuizhenfeichufangyao、zhongyao、kangyuanjianyanhuaxuezhiji、kangbingxingjiezhongliuyaowu、zhiyangyideng,bingyunyongquyuyingxiangzhezongshuliangbianไqian,dongxiangzhenggaibaozhang,baozhangyingjiyouliaobaozhang。dixingqihoudingweipianpishengfen、jiaotongchuxingbubianyudequyuganjingjiankangjingzhunfuwuzhande、cunganjingjiankangshiyaotizaobeizuzhiliaoꦰzhongliuyaowuheweishengfangyiyingjiyouliao。chongfenfahuixiandao、jucunwei,yuzhiliaojigou、zhongyaofangdengkuaijiedianyu,anzhaoxianshidebixuyaoxiangdangxiangzhejiangnongcunshengfenqingxiejiaochanshengchuzhiyingjiyouliao。
(五)城市熱力圖了解事業動態數據
shizhuchengquganjinganquanweishengjiankangshenghuowei🙈yaolikebanhaojiedaoganjinganquanweishengchanpinzuzhi kaijiyunxing、chanpindeshiqinghekuocundeshiqingdengdongtaizhanshixingjiankong,shishishipingengxinbakongjiedaofagaoshaocaozuodeshiqing、chufangyaohejixiechanchushiyongdeshiqing、zhuzhongzhongrenchanpindeshiqingdeng,duizhuchengqugongzuojubeishiqinghuogongzuojiaochadequyushishishipingengxindiaoduyuan。youliliyonggongyehuafangfa,jiaqianggongzuoxishoulv,yijianshaojicengzuzhiewaide🤪fudan,xunsubaosongguo、shilixudededongtaizhanshixingdashujuheshuju。
(六)提高特別醫務人群著想關懷
geshiquanquanjiankanglianghaoweiyaoquanxinquanyikaizhanbuweiheshineiguanyiguanzhuhehuyiwuxiangguangongrendecuoshi,zhunbeihaoduijiedaobanwangzhantigongfuwuxingguanlizhananquanjiankangtigongfuwuxingguanlizhongdiandexiechengdanbao。kexuehelianzhuangyudiaozhijiedaobanwangzhantigongfuwuxingguanlizhanyiwuxiangguangongren,zhunbeihaoyiwuxiangguangongrenhuotigongꦬfuwuxingguanlihehouqinbudanbao。anzanxingguidingkaizhanduijiedaobanwangzhantigongfuwuxingguanlizhanyiwuxiangguangongrenbutiejinyudejiatingzhurenyishihezuotigongfuwuxingguanlifeilianxuxingzhuanyegongzuozhongrenwujingfeiyusuan✅,jifajiedaobanwangzhantigongfuwuxingguanlizhanyiwuxiangguangongrenhunshenxinlingtoujinjiedaobanwangzhantigongfuwuxingguanlizhanxinguanchuzhigongzuozhongrenwu。
(七)增強責任義務嚴格執行和督導檢查考核制度
gegequweishengjianduyingyangweiyaozengjiazuzhihualaoban,qiaodingdeyiwuhangshideyiwu,zhimingjigoudeyiwuherenwurenhezuoyou,baozhangjizhibangongshenghuotiaojian。yaozengjiaduiqujibangongzuzhijinxingqingkuanghedeyiwuqiaodingqingkuangdegongzuojiancha,chuanglibangongtaizhangzenmezuo,shedingrenwumingxibiaobiaoge、guzhang mingxibiaobiaoge、deyiwumingxibiaobiaoge。yaojiangzhiqianzhizuohaoqunzhongtuchushixiaofeiquntidongtufuwupeixun、zengqiang“baoyingyang、fangweizhong”mouxiangbangongzuzhijinxingqingkuangheyewuchengxiaoyuyouguantuchushibangongdekaoheneirongneirong、xianjinzuoyou、pingxianbiaozhangdengxianglianxi,gengjiachanshengkaoheneirongneirongဣjilicengmianbangzhu。
xianshiweishengguanliyingyanglishihuihui
&n🔯bsp; 2023nian10yue8ri