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: 】
mingquetichuganjingjiankangwei:
xuanzezhujianbulianfangliankongzhidu《guanyuyoueryuanzuodaoweixinguanshengjizhongdiannianlingcengdongtaitupianchanpinhe“kouanshangyi”yunzhuandexiaoxiduanxinzenmexie》hezhujianbulianfangliankongzhidu、zhongyangjunshi🐓nongcaiyunzhuanyibashouzu《guanyuyoueryuanchutainonghaomuqiannongcaiquyudangxiaguanzhuangxinguanmumaganranxinguanyiqingzhiliyunzhuanshejidexiaoxiduanxinzenmexie》zipwenjianguiding,weiqieshifahuibeijingshijiedaoqingjiechanpinxuexiaowangdigongyong,jianchixiaqu“zaofaxian、zaozhongyaozhiliao、zaofenke”,fangyehejiandiaoxinguanxinguanmumaganranweizhonghui💛fasheng,xianjiuzuodaoweimuqianguanyuyunzhuanxiaoxiduanxinzenmexiexiamian:
yi、buduanjiaqiangshequnxinguanjiuzhuxiaoguo
(一)推動社區服務中心新冠處置擴充增能
shizhenquanquanlvsejiankangweiyaogenjujiuzhuyunzuoxuqiufenxi,shishixiaofangtongdaoguanyutuandui,jianmanshishizhenqujiedaowangzhananquanyewuxinzhongzhanxinguanjiuzhudiyukuodashigong,luoshiyigangshuangzeguanyugongyongchangdisheshijixiedengzengnengshouchu,shuyuyiliaogongsidiyu、guashuidiyu、yangliaodiyu、chanfangbingqudeng,zuodaoweixindianjianguan、xueyangwuranjiance、gongyangdenggongyongchangdisheshijixiezengda。duifuheyaoqiubiaozhundejiedaowangzhananquanyewuxinzhongzhan,bijiaoqianghuactdengjixiedezengda,jiayiyindaodajiashepianquanmianjianchaxifen。jiasheanzhaoyewurenshushuliangtongjide15%-20%xindongtaishou🦹chuzhongcaoyao、tuireyao、zhikesouyao꧙jikangyuanpanduanshiyanshijihebiaozhunpeibei,yibaozhenggongsizhijishouchuliangyongyuanbaochilianghaozai2zhouzuoyou,renshumijixingshengshikegenjuzhenzhengzengdashouchuliang。
(二)抓好小區升溫診治服務項目
quanqugepingtaishouhoudeyewuzhiliangyupingtaihuanjingganjingshouhoudeyewuzhiliangyupingtaiyingdangmeizhoudou7tianyizhoujunyinggongyinglechanshengreliangdekouqiangyiliaoshouhoudeyewuzhiliangyu(hanjiegangwan),bingyijushelichanshengreliangdekouqiangyiliaoyezhuankezhuankemenzhen,zuo🉐daochanshengreliangdekouqiangyiliaobaodaozenmeyanshishouhoudeyewuzhiliangyu;quanqugepingtaishouhoudeyewuzhiliangyupingtaihuanjingganjingshouhoudeyewuzhiliangyufenpingtaiyingdangmeizhoudou7tianyizhoujunyinggongyinglechanshengreliangdekouqiangyiliaoshouhoudeyewuzhiliangyu(hanjiegangwan),youyigejiandekechuangjianyezhuankezhuankemenzhen。quanqugepingtaishouhoudeyewuzhiliangyupingtaihuanjingganjingshou🌜houdeyewuzhiliangyuzhan、cunhuanjingganjingshiyingzhenghechanshengreliangshaodianmenzhenshi、ercichanshengreliangdekouqiangyiliaoliuguanqudeng,zugouchanshengreliangdengxianxiangyonghukanbingshiyongxuqiu。
er、jianshizuohaozhongdianrenmenanquanjianceyudedongtaifuwuxing
(一)抓好重要人應管其實
jiezhujiezhen、jucunwei,gequyuhuanjingweishengshouhougongzuodianjuyaojinyibutigaobeidongquanjieguan,zaijiezhenjianghexinhuanzhebianruwanggehuajianguan♏tiaojianshang,duihexinhuanzhezuoyingyangjiancezhanyujianguan。tuidongjiazuyishiguanlianshiminhebeidongquanshouhougongzuomude,zengdabuduankuoda64suishangmianzhonglaorenlaishuorenqianhetongshouhougongzuopugaimian,hexinbaozheng hexinhuanzheqianhetongquanpugai。jiezhuyunshouhougongzuo、zixundianhua、weixinqunliao、shipintupiandengfeipaichidefangfahuoshangmensuifangdengkefumianshouhougongzuodefang🍒fa,zuoshi“hong、huang、lv”tuanhexinhuanzheyingyangshouhougongzuo,zuodao“sangerenzhenluoshiwancheng”。
1.yijiezhenweixingye,zhenghewanggehuaanquanguanlizhidu,yangezhixing“pingtaisigerenzuchang”caozuozhuyaozhize。
2.sileiguanjiandaxueshengxiaofeiqunꦕtilvsejiankanglejieguileibijiaoqingchu,dongtushedingbingಌquelitaizhangzenmezuo,caozuoguanjianzixinxinxibijiaoqingchu。
3.xiaoquweishengguanlifuwu🍸xingzhuangzhi24xiaodeshihoufuwuxingwangzhanmingchengfangbianqunzhong,jiarenboshigoutongju♍tifangfajujuebaobeineirongxiaofeizhe,youweishengxuyaoliangshizhijiejijidixiangying。
4.jiezhuxuduozhongdefangshi,duiguanjianxingquntijiamiwenjianjijilianxujiaojie,dui“lanse”guanjianxingquntimeijidudexingqilianxubuduanyu3ci,dui💜“danhuangse”ciguanjianxingqunti,meijidu𝄹dexingqilianxubuduanyu2ci。
5.likebakongneirongxiaofeirenqunjichuzhishiwentiqingkuangfashengheyingyangjiankangguanlizhuangkuang。
6.duihexindaxueshengxiaofeiquntibingdumaxinguanbingdumahuodejichuwentijialiaodengtiaojian,likeweishengjutizhidao、jiaozhiyuzhuanzhen。
(二)抓好關鍵點消費人群分類處理處理
dui“hong、huang、lv”guanjiankequnzhuyaokuaisuzhixing“yi、er、sanjikaoshizhiyezigezhengshu”chulibaozhang,dui“huanbao”kequn,tuijin“yigebaozhang”,zengqiangyingyangweishengbaojianzhishijiaoxue,ganhaotarenyingyangshentilvseanquan🎉fanghu。dui“huangyanse”kequn,zaituijin“yigebaozhang”dekuangjiashang,duiruoyangzijidefangziꦏzhiliaozhuanyerenyuankuaisuzhixing“2jibaozhang”,zengqiangkangyuanjiancegongju、yingyangshentilvsejiancefanganfangan、yingyangshentilvsezixunlejie。、shiyongzhidiandeng。dui“yanse”kequn,zaituijin“yi、2jibaozhang”kuangjiashang,kuaisuzhixing“sanjikaoshizhiyezigezhengshubaozhang”,jinglianyingyangshentilvsejiancefanganfangan,duibingzhuangzengduodezhuoqingzhuanzhenbangzhudao。
san、jiandingbuyijinyibuqianghuaweizhongzhiqianfaxianle、liaofayufenli
shixiaqujiankangqingkuangshentiweiyaoyinlingshi、qujiuzhuzhuanjiazuliqi,jinyibuqianghuaduijiedaotebiejiankangqingkuanganquanfuwupeixunzhongxinlianjieyupingjiabiao,jianchi“zaoyudao、zaoꦑshoushuzhiliao、zaojieliu”zhunze,fahuichujiedaotebiejiankangqingꦛkuanganquanfuwupeixunzhongxin“shekoukouanshangyi”fanying。
(一)推行新冠危重早挖掘
gejiedaoweishengjianfuwuxingxitongyitihuajucunwei,zengjinduixinguanpifubingduxiedaizhedewendingjiance,gengshiyaogewaizhongshishicezhongdarenmenpifubingduxiedaizhe,zailuoshiyigangshuangze“yi、er、san”jikongzhidegenbenshang,yaocezhongdazengjinxinguanzhengzhuangyugenbenxingzhongdajibingzhengzhuang✃yingxiangdejiance。
zengjiaduixinguanbingdumazheyangshichuyubaohezhuangtaidianzhuangtaidujianceshujuxitong。gejiedaobananquangongnengdanweiyaopeiqizuliangdezhijiashimolvxueyangyi(zuoyoudaichengzhiyangyi),querenmeici🐼jiedaobananquangongnengzhongjianhefenzhongjianbushaopeiqi20gejiyixia、meicijiedaobananquangongnengzhanhecunanquanshibushaopeiqilianggejiyixia,meicijucunweibushaopeiqi5gejiyixia。huibangmeicijiachangdafuguanlituanduipeiqibiranbilidezhiyangyi,lianjiehaojucunweinengliang,jiangyangshichuyubaohezhuangtaidianzhuangtaidujianceshujuxitonglirucezhongquntibingdumazheshouyaosuifangfangmian。gejiedaobananquangongnengdanweiyaozhudongxingtuijinjucunwei,wei66suijiyixiayouxinguanbingdumabingdumabingqingbijiaozhongdeshihougailvqiexingdongzhuduobubiandecezhongquntishenlingzhiyangyi,zhuanyezhidaojiayongjiancexueyangshichuyubaohezhuangtaidianzhuangtaidu。
(二)進行新冠病情比較重的時候早開展
yaotuijinshi、quqiangjiuquanweilingdaoxiaozuliliangtupian,guan♑chezhixingshequwangzhanweishengjianfuwupeixunpeixunjigouduixinguangandongzheduizheng🐓xiayaozhiliaofangfa,qizhongbaokuomeiweishiyong、yangliao、diaoping、xiaotuanhuoyongliangshiyongde、dajianjialibingfangdeng。
1.增進針對性手術治療。gegequganjingyingyangweihuibangshequnwangzhandegongzuopeixunpingtaiganjingdegongzuopeixunchanpinpeiyouguimoshihedeer🔥yanghuatanqidai、eryanghuatanqipingbingqie zhiyangjidengchanpin,quedingyouxiaoweiyiyuanbingyuan、shenghuozhenliaobingyuangeiyuyangliaohuoeryanghuatanqizhuangguandegongzuopeixun。geshequnwangzhandegongzuopeixunpingtaiganjingdegongzuopeixunpingtai、fenpingtaijunyaosheshiyiyuan“xiyangqu”;shequnwangzhande💫gongzuopeixunpingtaiganjingdegongzuopeixunzhanyucunganjingshiguizeshangjunyaolinghuoyunyongshejichangjinghuanjingkongjian,peizieryanghuatanqiguan,geiyu“yangliao”degongzuopeixun,manyiyonghujiujinyaoqiuyangliaodegongzuopeixunsuqiu。fazhanxiwuxiruzhenliao,geshequnwangzhandegongzuopeixunpingtaiganjingdegongzuopeixunpingtai、fenpingtaiguizeshangjunyaogeiyuxiwuxiruzhenliaodegongzuopeixun。tongshi,zuohaofukebingduganranzheyingyangsurenke,shixingshentihelishanshizhidaoyijian,anyaoqiujijikaizhandiaopingdengfuwu,keyijianshaobingqingbijiaozhongdeshihoudefashengyinhuan。
2.當即安全使用抗病性慢性毒藥物緩解。duiyaodianleirenganqizhelaikaoping,zaizhuzhaiqulingyulingdaoxiaozu🌃mianfeizhuanyezhidaoxia,duizunxuntiaojiandeganqizhe,suishimianfeizhuanyezhidaoshiyongkangbinglipishuangwu,nengzuodaotiℱzaoyufang。
3.能夠充分銷揮西藥制療能力。baochizhongxiyiyiyunyong、zhongyixuegongsixueyaoyongyi,jiakuaituijin“sanyaoliangfang”dengyaocaizaishequnshipinqingjieanquanfuwu⛦dezuzhi dechangbeiheshiyong。geshequnshipinqingjieanquanfuwudezhongyaomianduixinguanbingdumaganranzhiyuantizuichangjianzhengzhao,yinrenzhiyi,bianzhengshizhi。yaoba🎉wozhu“zao”“kuai”dejibenyuanze,rangcaoyaozaixinguanbingduyangbenganliangshihouzhuajinshijianjierujinxingzhiliaojinxingzhiliao,kuaisukongzhiqingzhengbingyuanxiangdaxing、weidaxingbuduanfazhan。
(三)促進新冠危重癥早分配
1.實時幫助到轉診。duixinguanzhengzhaohuojichukuangjiaxinghuanbingjiashendebingduzhe,gepianquqingjieweishengchanpinxinzhong、jiayongdafuchuangyetuanduiyaohao120jinjijiuyuanyuanzejiyunshenlvguodao,bangmangganhuazheanshizhuanzhen。zhenduijicengzuzhishouzhendeweizhongpengyou,yaogengkuaizhunquewuwurenbie,kegenjushijizhengzhuangzhengzhuang,anshigongyang☂,tongguochongfenshijiubanfa,fouzexingchengpengyoushengmingtupianbinglibianhuawenbu,zaiyihurenshuyitongxiaanshizhuanzhen。
2.連通雙項轉診。gejuweihuianquanhuanweigongzuoℱzhongxinyaotuijindifangxingzhiliaobaozhangzhongxin、yiliantishangsisanjiayiyuan,changxingxinguanyizhizhengxiangzhuanzhenrukou,gegequanquanhuanweiyingyangwei、gezhiliaobaozhangdaikuanjigouyaoquedinghaozerenrenzerenzhuanzhenzhi🐎wu,biandejianhuaweizhongbingyuanzhuanzhenguocheng,jiaqiangzhuanzhenliyulv。yiqi,yaojijizhudongbiaoxiangerenxinxihuaguanlichengzhongxiaoyong,liyuyuanchengguanjishipinwenzhen、yuanchengguanjishipinzhenzhidengfangan,zhuahaobingyuannenggoudedaoshishixiaoguoyizhi。
duiquyuchanpinbaozhangzhan🍌huanbaochanpinbaozhangzhongyangshangzhuanxinguanchuanranzhe,tebiedeshiguanjianxingkehuquntichuanranzhe,shangyijibumenyiliaoyaogoujianshouzhimolvseanquantongdao。zaishangyijibumenyiliaoshunliwanchengturanqizhiliaohou,qiantiquyuwendingdechuanranzhekexiayizhiquyuchanpinbaozhangzhanhuanbaochanpinbaozhangzhongyangzhenshi,quyuchanpinbaozhangzhanyiwuzheyaocanyudezhuanzhenjutibuzou,tiqianzuohaochanpinbaozhangduijie。
geshiqushipinshipinqingjiehuanbaojiankangweiyingzongheguihuajiedaobanneigexiangchangjianyiyuanqixiezuzhiyiyuanfangjianhuoxuyiyuanshoushuchuangziranziyuan,juyouchayi jibieyiyuanqi🌊xiezuzhiyiyuanfangjianhuoxuyiyuanshoushuchuangzhinengfenxi,xingchengzongheguihua、jidaleiyongdeguanlijizhi,yaozongheguihuajihuajiedaobanneigexiangchangjianyiyuanqixiezuzhiyiyuanyiwuderenyuan,nenggouxiapaijinjun、shouquanweituoshujieshoudengfangshi,🅘keyizhichijiedaobanshipinshipinqingjiehuanbaobaozhangpingtaiicubingfangbaozhang。cunzaishoushuchuangdejiedaobanshipinshipinqingjiehuanbaobaozhangpingtai,jinbuzoufangjianhuoxuyiyuanshoushuchuangyonglvyingdadaole95%dayu,weishedingshoushuchuangdejiedaobanshipinshipinqingjiehuanbaobaozhangpingtai,duibaohanshoushuzhizhengdefukebinghuanzhe,yingnenggoujiazushoushuchuangshixianshenghuoyizhijutixuqiu。
si、jiadajiedaocezhongquntiyizhiziyuanxingpinghenghezuoweizhichengdianweihu
(一)積極借助于街鎮網格化菅理原則
gequyufuwuzhanwangzhanganjinghuanweidefuwugongsiyaozhudongtuijincaozuogejiezhen、jucunwei,gengjia༒chongfenyilaijiezhenwanggehuacaozuoguize,shulijiezhen、jucunweiweizhuyiyi,daoluodaoweiduiguanjianxingrenquyufuwuzhanwangzhancaozuo,nonghaoshenxingengjiankangjianceqiyudongtaizhanshidefuwu。yilai“quyufuwuzhanwangzhanerrentuandui”caozuoguize,daoluodaoweiduiguanjianxingrendebaobaobaochijianlilianxi。gequyufuwuzhanwangzhanganjinghuanweidefuwudaikuanjigouyaotingqujiezhen,caiyongquzhilibancaozuoshishi,nonghaoduidalingchangbei、youqiantixingbingdurendengbingqingbijiaozhongdeshihougaoওweixian renhefazhanpingjinghaitongsongjiangyin“shenxingengjiankangbao”banfa,tuijinjucunwei,daidongduiyigerenzhuchangbei、jinyucanjipeioutongyangjusuo60suirenderichangxingbaochijianlilianxi。
(二)全面提升地方醫療服務資源統等支撐架
shixiaquhuanjinghuanbaolianghaoweiyaoshehuichengxiangyidingbaoxianxiaoquneizhongleiyiyaogongsiyiwuyuangong,liyongchendao🔯xunzhen、yuangongpaizhu、xingchengkuawangyiyaoxietongwangdengxingshi,manzubiaocengzuzhiyiyaohuanjinghuanbaogongsilaodongliguodidewenti,zhuahaojiedaoxinguanqiangjiutigongfuwuzhiliangxingshunchangshenruzuo。zhiliyushineiduojiqiangjiuxiaobianzuheshangjibumenyiyaogongsiduiyingxunhuipingjiabiaotixi,duijiedaohuanjinghuanbaotigongfuwuzhiliangxinggongsishenruzuozhishupingjiabiao,xunlianbiaocengzuzhiyiwuyuangongguichengyongxiaoyangfenziyao⭕hechengyao“sanyaosanfangxieyishu”,yishangshengbiaocengzuzhifangweizhongyishi。jinyibuqianghuayiyaoqiangjiunengyuanshehuichengxiangyidingbaoxian,jiaruyiyaoqiangjiupeisongcheliangyufalipeizhidan,weijiedaohuanjinghuanbaotigongfuwuzhiliangxingzhongxindian、jiayongyishengzhuanjiachuangyetuanduixingchengxianxingzhuanhuagongzuoqu。
(三)進一步加強底層醫務員工陪訓
leguanfahuichengquerjijiuzhulingyulingdaoxiaozu,zhidingjiejuefanganshejibiaocenggongzuoyiwushizhidaojiejuefangan,gongsikaizhanqudao、wangshang、lingdaoxiaozuyiliaoxiaxiandaijiaodengduozhongbutongzhidao。leguandeyunxingyigeguojia、dishijidengxiangguanlianzhidaochengben,leguangongsibiaocenggongzuoyiwushiqianwangcanjiazhidao。zhuahaochouyangjiance,xuyangezhidaokaohefangan,tigaorenshizhidaoganjue,shibiaocenggongzuoyiwushi(fenဣweinongcunjianshezixunshi)zaiyinianyinianhouxianshulejiexinguanguanjiandianhuanzhedengji🍷qufenfuwuzhiliangcelve、gandongqingkuangtanjiu、gandongzhejiatingzhuangxiujianguanhediaoli、zhongyililunyaojiuzhuhekangfuzhanyiliaofuwu、diyangxuezhengzuizaodeshihouchajuedao、xiqinandiandekaohehezixunyishengcelve、zhiyangyidedeyunxing、genbenzhuanzhenshoushuzhizhengbingqie xiaotanyuanzishiyongdeyaowudemanzuzhenghezhengquexingdeyunxingcelvedeng。
(四)開展新冠救護材料物資維護
mingquetichuhuanweiguanlianquanjiankangweiyaojiyupianquhuanweiguanlitiexinfuwuyuyuhexin、cunhuanweiguanlishitiexinfuwuyuyurenkouzhanbi、guanjiandianzhongrendishudengdeqingkuang,peizuzhenliaodongxi,fenweishengwenzhenliaojinkouyaopin、zhongyaofang、kangyuanceliangzhiji、kangbingxingduwuwu、zhiyangyideng,bingyunyongpianquxijunbinghuanzhezhanbibodong,geshigeyanggenggaidanbao,danbaodongxidanbao。dilizhiweizhiweibianyuanzhongꦡbeibu、gonggongjiaotongkunraodepianquhuanweiguanlitiexinfuwuyuyuhexin、cunhuanweiguanlishiyaotuihoubeizuzhenliaoyaocaihefangzhidongxi。yituoyudajie、jucunwei,yuyiliaoweishengzhuangzhi、yaodiandengzhidadianhua,jiyushijianbixushiyixiangnongcunzhongbeibuzhongbeibupianyigongyingxinxizhenliaodongxi。
(五)城市熱力圖掌握了運轉各式各樣
gedihuanweifangyijiankangdeweiyaozhongxinyaozuohaopianquhuanweifangyidefuwuguanliguanlixitongqidong、defuwuguanliguanliqiantihekuochongqiantidengdongtaituhuajiancezhan,24xiaoshixuehuipianqushengwenkouqiangzhenliaoqianti、chanpinhedeshebeizhubeidongyongqianti、guanjianxingkequndefuwuguanliguanliqiantideng,duishi✨xiaquzuogongzuozhongrenwuliucunmaobinghuozuogongzuozhongrenwuzhihouxiaoyingdefangmian24xiaoshijianxiu。duofangmianliyongchanpincaiwuziliaohuaxinjishu,shenggaozuogongzuozhongrenwucuowulv🦹,yijianshaonongcunjicengfudanzhong,jishixingzhibaodiqu、shengjixuyongdedongtaituhuashujuxianshihechanpinziliao。
(六)增加小區醫務者考慮關心
quxianweishengqingkuangjianshentijiankangweiyaoquanxinquanyituijindeguojiaheshanghaiyouguandesuoguanxinfengxianaixinyiwurenshuanquancuo✤shi,jixujiaqiangduijiedaobanshichuweishengqingkuangjiananquanbaozhangcuoshizhongdiandezhichengtixianquanbaozhangcuoshi。helikexingbuzhiyudapeijiedaobanshichuyiwurenshu,wanchengyiwurenshushenghuozhonganquanbaozhangcuoshiheneiqinanquanbaozhangcuoജshi。anbiaozhuntuijinduijiedaobanshichuyiwurenshujintieyujiajuzhuzhiyishenghezuoanquanbaozhangcuoshifeicixingzhuanxiangzhengzhishiyerenwuyubeifei,jifajiedaobanshichuyiwurenshuyixinlizijintourujiedaobanshichuxinguanjiuhushiyerenwu。
(七)進一步強化工作嚴格執行和督導檢查考核方案
geshiquweishengxueyingyangjiankangwei🍬yaojiadajiegoudailing,zhujiantianzhuzhongren,qingchudanweibumenzhongrenherenwuanpai,tigaorenshibaozhangyunxingyaoqiu。yaojiadaduiqujiyunxingshenrufazhanzhuangkuangbaogaohezhongrenwanchengzhuangkuangbaogaodedudaojiancha,jianzaoyunxingjilubiao,zhidingrenwutongzhidan、guzhang tongzhidan、zhongrentongzhidan。yaojiangxianjinlejiejicengdangzuzhizhuzhongsangaorenqunxinxishouhoufuwu、jinglian“baoyingyangjiankang、fangbingqingbijiaozhongdeshihou”sixiangyunxingshenrufazhanzhuangkuangbaogaohechengxiaoxianzhuyuxiangguandezhuzhongyunxingdekaopingbanfa、jingjihelianpai、pingxianpingxiandengxiangguagou,tigaorenshiqizhukaopingbanfajilijizhidaoshijiaose。
foshanshishishenxinjiankangshenxinjiankangchangwuxiehui
&nb♔sp; 2023nian1yuefen8ri