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: 】
geshiquweishengjianlianghaowei:
jiyuguoneibangongtinglianfangliankongxinguize《duibanhaoxinguanzhongdiancunsangaorenqundongtaitupianfuwuhe“daguanlagao”bangongdewenxintishi》heguoneibangongtinglianfangliankongxinguize、zhongyangjunshiweixiangcunbangongyibashouzu《duixiafawenjianjiaquanmiantishengxianjieduanweixiangcunzhongnanbuxinji𒐪shuguanzhuangleibingjunganliangqinliuyingjichuzhibangongfangshidewenxintishi》wenjianjiadeyaoqiu,weifahuixiaoguotianjin🌠shixiaoquweishengjianfuwujigouwangdixiaoguo,chizhiyiheng“zaofaxianle、zaozhongyaozhiliao、zaoguodu”,zhiliaoheyijianshaoxinguanleibingjunganliangweizhongzhengqingkuang,xianjiubanhaoxianjieduanxiangguandebangongwenxintishifangshi:
yi、baochifazhanxiaoquxinguanzhenliaoyewunengli
(一)深入推進社區服務中心新冠急救擴張增能
mingquetichulianghaolianghaoweiyaoyijuzhenzhidegongzuodexuqiu,xietongzuozhanfengjingquneishejidaodebumen,jianmanfazhanzhuchengqushequnshipingonggongweishenglianghaoshouhoufuwuxiangmupeixunzhongxinjuzhanxinguanzhenzhigonggongchangsuokuozhangjichujianshe,guanchezhixingshejidaodejichucuoshiyiqidengzengnengshouchu,baokuozhenzhikongjian、jingmozhushekongjian、yangliaokongjian๊、zhuyuanbubingqudeng,wanchengxindianjianhuren、xueyangpinggu、gongyangdengjichucuoshiyiqifenpei。xiangduifuhetiaojiandeshequnshipingonggongweishenglianghaoshouhoufuwuxiangmupeixunzhongxinjuzhan,haoqianghuactdengyiqidefenpei,shiqingkuangjiayiyindaoqunzhongshepianpaichaqingxie。yizhaoshouhoufuwuxiangmupeixunchangzhurenkougeshugeshude15%-20%dongxiangshouchuzhongyaofangji、tuireyao、zhiliaokesouyaojiꦅkangyuandejiancezhijihepeiyong,zhuashijigouhuopinshouchuliangzongshiquebaozai2zhouyishangneirong,changzhurenkougeshujujichengshikeyijushijijiajushouchuliang。
(二)抓好平臺發冷操作服務
quanqugequyugonggongqingjieweishengfangyijianyewuyuzhuyitian7tianbatianjunyingjubeifagaoshaodeyuanyinhuizhenyewuyu(hanjiejiaqi),bingzaishelifagaoshaodeyuanyinhuizhenyemenzhen,kongzhifagaoshaodeyuanyinhuizhenyelitingchiyewuyu;quanqugequyugonggongqingjieweishengfangyijianyewuyufenzhuyitian7tianbatianjunyingjubeifagaoshaodeyuanyinhuizhenyewuyu(hanjiejiaqi),youyijiandekejubanyemenzhen。quanqugequyugonggongqingjieweishengfangyijianyewuyuzhan、cungonggongqingjieweishengfangyijianshiyingyijufagaoshaodeyuanyinshaodianmenzhenshi、weilefangbianjielafagaoshaodeyuanyinhuizhenliuguanqudeng,wufafagaoshaodeyuanyindenglinchuangzhengzhuangꦯtigaoyidijiuyidexuqiu。
er、henxiagongfuxiehaozhongdiankequnjiankangbaojianjiancexitongyudongxianganquanfuwu
(一)認真執行重點是患者應管哪怕
zhiliyujiezhen、jucunwei,gejiedaobanshichuganjingweishengchanpinxinzhongyaodaidongzhudongdelianjie,zaijiezhenjiangzhuyaoxiaofeixiaofeizheshouruwanggehuajingyingxitongtongchangzhishishang,duizhuyaoxiaofeixiaofeizhekaisheanquanjianceyujingyingxitong。chongfenpingjiejiatingyayiqudelianxizhigongqunzhonghezhudongdechanpingongxiao,zengdazengda64suishangshanglenianjidelaorenrenjieyuechanpinbianjimian,tongchangwanchengzhuyaoxiaofeixiaofeizhejieyuequanbianji。pingjieyunchanpin、dianhua、huixin、shipindengfeilejietujinghuodeyewushangmensuifangdengzhengshimianchanpintujing,zuoshi“hong、huang、lv”biaoshizhuyaoxiaofeixiaofeizheanquanchanpin🐽,zuo“6geluoshigongzuojiuwei”。
1.yijiezhenweidanweimingcheng,chentuowanggehuadebaozhangtixihua,wancheng“shequweishengsigerenzuchang”degongzuozhinengbumen。
2.sanzhongzhongdasangaorenqunshenxinjiankangdiaoyanleibieqingxin,zuixinyouhuabingjianliqitaizhanggeshi,guanlixitongdeduixiangziliaoqingxin。
3.shequnweishengjiandugongzuobaozhangqiye24xiaoshihougongzuobaozhangdianhuajiaotong,jiatingyakeyishengjianligoutongfangshiyingwenbeidongjiaodaituchurenꦡqundang,youwendinggonggeishijinzaoxiangying。
4.shiyongxuduoneirongꦆ,duiguanjiannianlingcengjiamiwenjianxianghujianlilianjieliantong,dui“danhuangse”guanjiannianlingcengbenzhoujianlilianjiebuzhishao3ci,dui“danhuangse”ciguanjiannianlingceng,benzhoujianlilianjiebuzhishao2ci。
5.mashangshuxizhongxinquntigenjibingduqingkuangfashenghelianghaoxitong。
6.duizhuzhongrenqundangganqixinguanbingduyounaxiehuogenbenpifujibingzengduodengqianti,yaojishijiankangfudao、diaokongyuzhuanzhen。
(二)貫徹落實關鍵性人群當的分類控制
ꦕdui“hong、huang、lv”zhuyaohuanzhefenkai luodaoshichu“yi、er、sanjishipinshipin”chulichanpinxingxiangmu,duiജ“huanbao”huanzhe,luodaoshichu“yijichanpinxingxiangmu”,jixutigaoanquandejiaoyuxuexiao,banhaosirenanquandenaihuoban。dui“chase”huanzhe,zailuodaoshichu“yijichanpinxingxiangmu”dejibenkuangjiashang,duichengyangxingjujiazhuangxiuyizhiderenyuanluodaoshichu“erciyuanchanpinxingxiangmu”,jixutigaokangyuanpanduan、anquandejianceshuju、anquandezixun、lianheyongyaojutizhidaodeng。dui“hongbaise”huanzhe,zailuodaoshichu“yi、erciyuanchanpinxingxiangmu”jibenkuangjiashang,luodaoshichu“sanjishipinshipinchanpinxingxiangmu”,tupoanquandejianceshuju,duiyizhongfukejibingjiaoqingdezhuoqingzhuanzhenxiezhuzhixing。
san、zhulizhuahaozhuahaoweizhongwanqifaxianle、zhenzhiyufenke
shixiaquanquanqingkuangshen🌞xinjiankangweiyaojiezhuyushi、quyizhijiaoshouzudongli,tigaoduitebieanquanqingkuangyewuguanlijidiguajieyupingjiabiao,weichi“zaofaxian、🎉zaozhenzhi、zaobinggui”fangshi,chanshengtebieanquanqingkuangyewuguanlijidi“guanzhalagao”yingxiang。
(一)加快推進新冠危重早表明
geshequwangzhanganjingdefuwubumenxietonggongzuojucunwei,daidongduixinguanchuanranzhe꧒de🃏jiankangjiancewangxitong,youqishishizhongdaleirenchuanranzhe,zaiguanchezhixing“yi、er、san”jianquanguanlidejibenshang,yaozhongdadaidongxinguanxianzhuangyujibenxingbingxianzhuangzhuanbiandejiancewangxitong。
gaohaoduixinguanchuanranzheyangbaohezhuangtaizhuangtaidushujujianceshuju。gejiedaoganjingshouhouchanpinjigouyaoshebeizuliangdezhijiashixinmoxueyangyi(xiamingzijianchengzhiyangyi),querenmeiyigejiedaoganjingshouhouchanpinguanlizhongxindianhefenguanlizhongxindianyouyidingshebei20gezhishang、meiyigejiedaoganjingshouhouchanpinzhanhecunganjingshiyouyidingshebeilianggezhishang,meiyigejucunweiyouyidingshebei4gezhishang。huiweimeiyigejiatingzhuzhiyishengxiangmutuanduishe🐬beiyouyidingzongliangdezhiyangyi,xianjiehaojucunweiyizhi,jiangyangbaohezhuangtaizhuangtaidushujujianceshujudingweiguanjianxingkehuquntichuanranzhezhuyaosuifangfangmian。gejiedaoganjingshouhouchanpinjigouyaojijixingdongjihualiandongjucunwei,wei6liusuizhishangyouxinguandiannaobingduchuanranweizhongzhengweixian qiexingdongjihuaqingliangjiedeguanjianxingkehuquntishenqingzhiyangyi,minglingjushiziceshixueyangbaohezhuangtaizhuangtaidu。
(二)加快推進新冠病情比較重的時候早診治
yaoyifushi、qu🔯zhenzhi🙈zhuanjiajiaoshouzubaofali,daoluodaoweishequfuwuyujianduweishengjiandufuwuyuzhongjiejigouduixinguanjiaochaxiedaizheduizhengzhenzhizhenzhi,baokuomeiweishipei、yangliao、dadiandi、xiaotanyuanzixingyaowuzaishiyong、chuanglirenyiyuanbingfangdeng。
1.加大針對性改善。geshiqugonggongganjingjiandujianduqingkuanglvsejiankangweihuiweiquyugong♌gongganjingjiandujianduqingkuangtiexinanquandeshouhoufuwuguanliyuguanliyuzhuangzhipeifazhanbiweiyidechunyangdai、chunyangpinghuoshizhiyangjidengsheshi,baozhangjinzaoweiyiyuanmenzhenaimeizhe、jujiayanglaotiexinanquandeshouhoufuwuguanliyuguanlizhongyaohuanjieaimeizhezhanshiyangliaohuochunyangzhuangguantiexinanquandeshouhoufuwuguanliyuguanliyu。gequyugonggongganjingjiandujianduqingkuangtiexinanquandeshouhoufuwuguanliyuguanliyupingtai、fenpingtaijunyaosheshiyiyuanmenzhen“xiyangqu”;quyugonggongganjingjiandujianduqingkuangtiexinanquandeshouhoufuwuguanliyuguanliyuzhanyucungonggongganjingjiandujianduqingkuangshijibenzhunzeshangjunyaogenjugongyoudifangshineikongjian,xitongpeizhichunyangguan,zhanshi“yangliao”tiexinanquandeshouhoufuwuguanliyuguanliyu,chongfenkaolvyonghufujinyangliaotiexinanquandeshouhoufuwuguanliyuguanliyuyewuxuqiu。kaifaxiwuzhongyaohuanjie,gequyugonggongganjingjiandujianduqingkuangtiexinan✱quandeshouhoufuwuguanliyuguanliyupingtai、fenpingtaijibenzhunzeshangjunyaozhanshixiwuzhongyaohuanjietiexinanquandeshouhoufuwuguanliyuguanliyu。yiqi,jinxinggandongzheyingxiangjianrong,tuixingyingyangjiankangyingyangshanshifudao,anbiaozhunhuafazhanguashuidengjingzhunfuwu,jiandiaobingqingbijiaozhongdeshihouhuifashengfengxianfenxi。
2.按時采用身體慢性毒藥物的治療。duituchuquntiganqizhequkaizhan,zaishizhongxinquzhuanyezujianduxia,duishiheshiyingzhengdeganꦏqizhe,lijijiandushiyongdikangduwuwu,zuojinkuaiji🎃zaoganshe。
3.完全充分調動中藥才控制目的。jianchixuexidongxifangyirongru、zhongyiyishengyaozaiyong,tuijin“sanyaosanfangxieyishu”dengzhongyizaijuweijiankangyewubumendechangbeihezaishiyong。gejuweijiankangyewuzixunzhongxinyaoduiwuxinguanbingdupifuganranpifuganranjiaoweichangjianlinchuangzhengzhuang,quyuxiediaofazhan,bianzhengshizhi。xiyin“zao”“🅺kuai”dedeyuanze,rangzhongxiyaozaixinguanbingduꦚyounaxieranshangqianzhongqizhuajinshijianbangzhushoushuzhiliao,jishixingyazhiqingzhengquefaxiangdaxing、weidaxingkaifa。
(三)實施新冠病情比較重的時候早分配
1.即使委托轉診。duixinguanbiaoxianhuojichushangxingyiqingjialiaodechuanranzhe,gejiedaobanganjingtiexinfuwuxuexiao、jiachangzhurenyishiduiwuyaohuanhao120jinjijiuyuanzhongyaoyunshushengtaijiedian,weituoyingxiangzhezhijiexingzhuanzhen。jiuqunzhongshouzhendeweizhongzishen,yaoduanshijianjingqueshibie,anzhaoqiqi♍shideqingkuang,zhijiexinggongyang,xuanyongtigaorenshijiuyuandejuticuoshi,jinliangyongyixiehuifuzishenshengwuxianxiangquyuwending,zaiyihugongrenpeibanxiazhijiexingzhuanzhen。
2.方便群眾雙邊轉診。geshequfuwuzhanlvsefuwuzhongyaotuijinbuweixingyiliaozhong、yiliantishangsiyiyuanmenzhen,liantongxinguanyizhishuangxianzhuanzhenhuanchongqu,mingquetichulvselvsewei、geyiliao🌠daikuanjigouyaokendingrenyuanzhuyaofuzezhuanzhengangweishang,jianyibingqingbijiaozhongdeshihoutangniaobingtangniaobinghuanzhezhuanzhenliuchengtu,shangshengzhuanzhengongzuoxiaolv。tongyishijian,yaozuohaoqizhuxinxineironghuazhichigongneng,jinxingyuanchengshipinshipinjiuzhen、yuanchengshipinshipinchubupanduandengxiguan,weilequebaotangniaobingtangniaobinghuanzhehuoqujinkuaikexingওyizhi。
duishequfuwupeixunzhongxinweishengdefuwupeixunqingkuangdefuwupeixunbaozhangzhuanquanweishengqingkuangdefuwupeixunbaozhangzhushangzhuanxinguanranbingzhe,gengshiyaogewaizhongshishineirongdaxueshengxiaofeiquntiranbingzhe,shangsisanjiadeyiyuan🔯yaochuangjianshouzhicaolvsechurukou。zaishangsisanjiadeyiyuandadaoyaaizibingchuangkouqigaishanhou,shijiqingkuangshichangpingwenderanbingzhekexiazhuandaoshequfuwupeixunzhongxinweishengdefuwupeixunqingkuangdefuwupeixunbaozhangzhuanquanweishengqingkuangdefuwupeixunbaozhangzhuzhongzhengjianhushi,shequfuwupeixunzhongxinweishengdefuwupeixunqingkuangdefuwupeixunbaozhangzhuyiwushiyaojinxingzhuanzhenbuzouliucheng,zhunbeihaodefuwupeixunbaozhangtoubiao。
shishizhuchengquganjinghuanweijianjiankangde𝔉weiyingtongdengyiyaobaoxianguihuashizhuchengquneixianjiteshuyiyongqiyedanrenjianshuwuzi,yaogenjuqitadengjiyiyongqiyedanrenjianshuxingnengweizhi,baochitongdengyiyaobaoxianguihua、fenleizhengliyunxingdegongshijizhi,yaotongdengyiyaobaoxianguihuajutianpaishizhuchengquneixianjiteshuyiyongqiyeyiwuren,jiezhuxiapairuzhu、weituorenjieshoudengdefangfa,pinguozhichijuweihuiganjinghuanweijiantigongdechanpingongsichanfangtigongdechanpin。junyouyiyuanbingfangdejuweihuiganjinghuanweijiantigongdechanpingongsi,jindeshihoudanrenjianshuyunxinglvyingkeda95%jiyishang,weikuaisushezhiyiyuanbingfangdejuweihuiganjinghuanweijiantigongdechanpingongsi,duianzhaotiaojiandebingduzhe,yingjiezhujiatingyiyuanbingfangshixianjiatingzhuangxiuyiliaoxuyao。
si、jiadajuweihuiguanjianxingquntichuzhiziyuanchengxiangyiliaobaoxianhezhichengjiaquebao
(一)做好襯托街鎮網格化管理方法工作機制
gejiedaopianquanquangongnengjiandugongnengxinzhongyaozhudongdijieguangejiezhen、jucunwei,jijizhudongjiezhujiezhenwanggehuaanquanchulichulitizhi,shulijiezhen、jucunweiweizhudaoyongtu,yangeyangeluoshiduihexinkehuqunjiedaopianquanquananquanchuli,kaizhanyingyangyingyangwuranjianceyuqingkuanggongneng。jiezhu“jiedaopianquanquanwurentuandui”zuoyechulitizhi,yangeyangeluoshiduihexinkehuqundebaobaolianxi。gejiedaopianquanquangongnengjiandugongnengzuzhijigouyaojijipeihejiezhen,yiquyingjichuzhibanzuoyegoujian,kaizhanduigaoshoulaorenren、youlilunzhishixingjibingren🐼zhedengweizhongfengxianjiaodadefenxikehuqunhejumianhaizi dengkehuqun“yingyangyingyangbao”xiafa,yitihuajucunwei,quanmiantishengduiduzishenghuolaorenren、jinyucanji🅺zhengqinshengzinvgezijuzhudilaorenrenderichangdelianxi。
(二)開展區域內醫學市場統籌規劃維持
quxianhuanbaolvsejiankangweiyaozonghejuminqugezhongyizhiyiyuanyiwugongzuoyuan,pingjiewangxiachenxunzhen、gongzuoyuanpaizhu、xingchengshoujiyuanchengyizhixietonggongzuowangdengdefangshi,huajienongcunmiancengzuzhiyizhihuanbaoyiyuanrencaibudaoweiwenti,baozhengjiedaobanshichuxinguanzhenzhianquangongzuowendinggaohao。yilaizhuzhaiquerjizhenzhizhuanjiatuanzuheshangjiayizhiyiyuanxiangguanxunhuijutikaohepingjiagongzuojizhi,duijiedaobanshichuhuanbaoanquangongzuoyiyuangaohaojishuyingyongjutikaohepingjia,jishupeixunnongcunmiancengzuzhiyiwugongzuoyuanguifanbiaozhunyunxingxiaoyuanziyaoheyaocai“sanyaoliangfang”,yitishengnongcunmiancengzuzhifangweizhongzhengxiaolv。tishengyizhijiuyuan✃wuzizonghe,zengduoyizhijiuyuangaicheliangyuyaliyingjianpeizhi,weijiedaobanshichuhuanbaoanquangongzuoxuexiao、qiyezhuzhiyishengkaifatuanꦆduixingchengxianxingzhuanyungongsilvsetongdao。
(三)做好下基層醫務考生學習
zhengheshineierjiyizhijiaoshouzu,nidingzhongshiqunzhonggongzuoyiwushipeishunguihua,shenrukaizhanxianshangditui、ditui、lingtouqingdaoboshizhengxingyiyuanyiyuanchenxiaqudaijiaodengduoyangpeishun。chongpeibianyongdeguonei、shengjidengyouguanpeishunziyuanyingwen,guanjiantuantiqunzhonggongzuoyiwushitianjiapeishun。zengjinhecha,congjinpeishunjixiaokaoping,baozhengpeishuntexiao,shiqunzhonggongzuoyiwushi(shejixiangxiayiyuanyisheng)zaiduanqijihuaneichunshuzhidaoxinguanshengjizhongdianxiaofeizhedengjigeleigeleigongnengzuijiandandefangshi 、ganranchuqizhengzhuangliuyi、ganranzhejiajuhuanjingzhiliheliaofa、yixueyaoyizhihefuyuanzhensuo、diyangxuezhengqianmianganjue、shenhuxiyou🌟nandudepinggufang♎shi hehuizhenzuijiandandefangshi 、zhiyangyidebianyongde、hexinzhuanzhenshoushuzhizhenghexiaofenzijiegouyongyaodeshiyongzhengheduibianyongdezuijiandandefangshi deng。
(四)強化新冠救助運輸得到保障
mingquetichuganjingzhengchangweiyaojiyuquyuganjinganquanbaozhangxinghexin、cunganjingshianquanbaozhangxingrenkoubili、guanjiandianxiaofeizhedishudengqingkuangfasheng,peizuzhenzhiwuzhi,baohanbiantangzhenliaoguifanfeichufangyao、zhongcaoyao、kangyuanzaixianjiancehuaxueyaopin、dikangjibingmanxingdukoufuyao、zhiyangyideng,bingxiangjiehequyuzhanranzhecishubian♍hua,jingtaidiaozhengchubeiliangku,weihuwuzhichubeiliangku。diyudiweibianyuanguojia、liuliangbulianghouguodequyuganjinganquanbaozhangxinghexin、cunganjingshiyaotizaobeizudezhiliaokoufuyaohefangyuwuzhi。tuijinjiebian、jucunwei,yuyixuejigou、wangshangyaodiandengzhidafuwurexian,jiyushishishangyinggaishidangdexiangcunliguojiapianyixianhuogongyingzhenzhiwuzhi。
(五)24小時了解操作動向
gexianqushipinshipinweishengjiankangbaojianweiyaomashangzuohaoxiaoqushipinshipinweishengbaozhangzhongjiejigouzi♒dongyunxing、baozhangshijiqingkuanghezengrongshijiqingkuangdengdejingtaijianceqi,leidahuibotulijiexiaoqufarezenmebanzhenzhishijiqingkuang、baojianyaopinhezhuanyongshebeizhubeishiyongshijiqingkuang、zhongdianshikehuqunbaozhangshijiqingkuangdeng,duiguanxiaqucaozuoyouxianxianghuocaozuoyouyidingdezhihouxingdedidianleidahuibotudiaoduzhongxin。chediliyonglvxinxinhuajishuyingyong,gaishancaozuosu🦋du,shaojicenggongzuodefudan,jinkuailuruouzhouguojia、shengjibixuyao dedejingtaishujubiaogehexinxin。
(六)進一步加強社區衛生醫務員尊重關愛留守兒童
gegequhuanbao♈jiankangshenghuaweiyaozhuliguanchezhixingzuguohebendiguangankaolvfengxianaixinyiwurenshikongzhicuoshi,dalijiaqiangduipingtaihuanbaojingzhunfuwuguanlixingpingtaidezhichiyouxiaojibenbaozhang。youxiaokexueanpaiyudiaopeichupingtaiyiwurenshi,yaozuohaoyiwurenshishenghuajingzhunfuwuguanlixinghehouqinbuyouxiaojibenbaozhang。anshedingguanchezhixingduipingtaiyiwurenshibuzhukuanyujiatinghuanjinghushijieyuejingzhunfuwuguanlixingfeiqixianxingzhuantibangongzhongzhuanxiangzijin,jijingpingtaiyiwurenshizhengtixintoujinpingtaixinguanjiuzhubangongzhong。
(七)開展擔責抓好和督察考核方案
quxianhuanjingweishenganquanweiyaozengꦍjinqiyerenyuan,jingguocengcengdeyashixishudanzeshu,henmingquebudanzeshuhezhuxiangongzuozhongshangzhizefengong,baozhengyunxingjutidezhengzhuang。yaozengjinduiqujiyunxingzuzhizhankaijutidezhengzhuanghedanzeshuluoshiyigangshuangzejutidezhengzhuangdedudaojiancha,shuliyunxingtaizhang,quedingzhuxiangongzuozhongshanghuizongbiao、shiqinghuizongbiao、danzeshuhuizongbiao。yaojiangmouxielejiejicenggongzuozhongshangzhongyaonianlingduangeshigeyangfuwuguanli、tigao“baoanquan、fangweizhong”xiangguanneirongyunxingzuzhizhankaijutidezhengzhuanghequdechengxiaoyuxiangguanneirongzhongyaoyunxingdezonghejixiaokaohe、xiangmuzijinpeizhi、pingxianpingxiandengxiangguagan,tigaosixiangrenshiyinlingzonghejixiaokaohejiliyuangongdaoxiangxingyongtu。
suzhoushiganjingweishengjiankangxiehuihui
&nbsꦜp;  🌠; 2023nianyiyue8ri