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: 】
geshiqugonggongweishengjiankangbaojianwei:
🦩geichuyunnanshengrenminzhengfulianfangliankongzhidu《zhenduizuihaoxinguanzhongxinkehuqunzuixinfuwuxiangmudehe“shekoukouanyiwei”gangweidezhihui》heyunnanshengrenminzhengfulianfangliankongzhidu、junweinongcunjiedaoshequjianfanggangweibanzichengyuanlingdaozu《zhenduiqicaoshuomingzuohaoxianxingnongcunjiedaoshequjianfangdiquhuafenhuanbaoxingxixiaobingshishenmeganhuayiqingbaogaokongfanggangweijiejuefangandezhihui》wenjianxiazaishuaqiu,weiliyongshineijiedaoshequhuanweifuwuxiangmudepingtaiwangdixiaoyong,baozheng“zaobiaoming、zaoyizhi、zaoguodu”,gaishanhetigaoxinguanruchongbingdushishenmeganhuaweizhongzhenghuifasheng,xianjiuzuihaoxianxingzhongyaoxinggangweizhihuiruxiasuoshi:
yi、jixuwanshanshequjuweihuixinguanjiuhuli
(一)落實居委會新冠醫治擴充增能
💖gegequanquananquanjiankangweiyaoxuanzehuizhenshiyeshiyongxuqiu,lianhezhuzhaiqushejidaobumennaizhimeiyiweiyuangong,jiasuzhutuizhuchengququyuyiliaoqingkuanganquanbaozhangjidixinguanhuizhenhuanjingkuodajianzao,luodaoshichushejidaodedesheshizhuangzhidengzengnengbaozhang,shejihuizhenfanweinei、jingmoshuyefanweinei、yangliaofanweinei、bingqubingqudeng,kaizhanxindianjianhuquan、xueyangshujujiance、gongyangdengdedesheshizhuangzhixitongpeizhi。duiwufuheguojiaxianjuetiaojiandequyuyiliaoqingkuanganquanbaozhangjidi,henyaoqianghuactdengzhuangzhidexitongpeizhi,youdaoqunzhongshepianquanmianjianchachendao。yizhaobaozhangzongchangzhurenkoubilide15%-20%xindongtaibaozhangzhongyaofang、tuireyao、zhikerunfeiyaojikangyuanchazhonghuaxueshijiheyou,yibaozhengdanweiotcyaopinbaozhangliangzishizhizhongchixubaochizai2zhouchaoguo,zongchangzhurenkoumijixingshengshikexuanzejutibuduanzengjiabaozhangliang。
(二)帶動社區服務性中心產生熱量醫用服務性
🍬quxiangejiedaobanshichushipingonggongweishengxuexuedezhuzhanmeiyuewutianjunyingzuoweifatangyiliaojigoudebaozhang(hanjiexiuxiri),bingnenggou ruheshezhifatangyiliaojigouyeyiyuanmenzhenbu,chongfenmanzufatangyiliaojigoubaodaotingchidebaozhang;quxiangejiedaobanshichushipingonggongweishengxuexuedebaozhangfenzhuzhanmeiyuewutianjunyingzuoweifatangyiliaojigoudebaozhang(hanjiexiuxiri),youyigejiandekezujianyeyiyuanmenzhenbu。quxiangejiedaobanshichushipingonggongweishengxuexuedebaozhangzhan、cunshipingonggongweishengxuexueshiyingzhenghefatangshaodianbingshi、duanshifatangyiliaojigouliuguanqudeng,chongfenmanzufatangdenglinchuangbiaoxianhuanyoujiuyiliuchengjutixuqiu。
er、zhazhashishizuihaozhongdianxiaofeizhewendingjiancejishuyudongtaitupianfuwubaozhang
(一)抓好突出群眾應管無論怎樣
🌊zuzhibaozhangjiezhen、jucunwei,gejiedaoganjinggongzuozhiliangzhongyangyaojiaqiangjujuexietonggongzuo,zaijiezhenjiangzhongzhongzhizhongrendingweiwanggehuafangfadijishang,duizhongzhongzhizhongrenzhuahaoshentijiankangshenghuoshujujianceyufangfa。genghaodifahuidejiatingfukeyishengjieherenminqunzhonghejujuegongzuozhiliangxiaoguo,jiaqiangbianda6wusuiyishangneironglaolingrenrenmaiduangongzuozhiliangzhongdiemian,guanjiankongzhizhongzhongzhizhongrenmaiduanquanzhongdie。linghuoyunyongyungongzuozhiliang、dianhuahao、qqweixin、shipindengfeipengdaocelvehuozhaoshangmensuifangdengtanranmianzhengduimiangongzuozhiliangcelve,zuoshi“hong、huang、lv”logozhongzhongzhizhongrenshentijiankangshenghuogongzuozhiliang,dadao“qigeguanchezhixingwancheng”。
1.yijiezhenweibumen,yikaowanggehuafuwuguanlikaohejizhi,luoshiyigangshuangze“juweisigerenxiaozunei”bangongzhinengzuoyong。
🌠2.sileizhongdiancunrenqundangweishengguanchafenleiguanlifangfamingxianmingle,dongxiangdiaokongbingjiarutaizhangzenmezuo,guanlifangfanvpengyouxinxinximingxianmingle。
ඣ3.shequnhuanbaoshouhoufuwuguanlizuzhi24yixiaoshishouhoufuwuguanlidianhuashunchang,rendafuqulianxiwanfazizhudejiaodaiguanjiansangaorenqun,youjiankangsuoxushiyouxiaofanying。
𒀰4.nenggouzhongfengge,duicezhongquntibeifenzhudongdibaochiqulianxiqilaixiangmuduijie,dui“hongbaise”cezhongquntiyizhoubaochiqulianxiqilaibudiyu3ci,dui“danhuangse”cicezhongqunti,yizhoubaochiqulianxiqilaibudiyu2ci。
5.anshibakongyaodianxiaofeiquntihexinfabingqingkuangbaogaohedejiankangxianzhuang。
𒅌6.duiguanjiandianzhongrenhivbingduxinguanhivbingduhuogenbenchuanranxingjibingjianshaodengxianzhuang,jizaogengjiankangzhuanyezhidao、jiaozhiyuzhuanzhen。
(二)推進重中之重消費群分類方法方法
♋dui“hong、huang、lv”yaodiansangaoqunzhongyicituixing“yi、er、sanjieduanzhiyezigezhengshu”fangfashouhoujingzhunbaozhangguanli,dui“lvhua”sangaoqunzhong,yangezhixing“teteyijishouhoujingzhunbaozhangguanli”,quanmiantishengyingyangyingyangdeyuerjiaoyu,nonghaogerenyingyangyingyangdeanquanfanghuwang。dui“chenghuangse”sangaoqunzhong,zaiyangezhixing“teteyijishouhoujingzhunbaozhangguanli”delilunzhishishang,duikangtiyangxingzhujiakongzhizhigongtuixing“sanjieduanshouhoujingzhunbaozhangguanli”,quanmiantishengkangyuanpanduan、yingyangyingyangdejiancejishushuju、yingyangyingyangdewangluozixun、shiyaozhiyindeng。dui“wanghong”sangaoqunzhong,zaiyangezhixing“yi、sanjieduanshouhoujingzhunbaozhangguanli”lilunzhishishang,tuixing“sanjieduanzhiyezigezhengshushouhoujingzhunbaozhangguanli”,zengfuyingyangyingyangdejiancejishushuju,duihuanzhejianshaodeyingdangzhuanzhenbangzhudao。
san、jingzhunfalizengjinweizhongzhengzaoqianfajue、gaishanyufenke
🏅gegequhuanjingganjingyingyangjiankangweiyaojiezhushi、qujijiuzhuanyerenshizuli,quanmiantishengduixiaoquhuanjingganjinggongnengjigouxianjieyujianyi,shizhongruyi“zaofajue、zaoyeliao、zaofenke”yuanli,genghaodifahuixiaoquhuanjingganjinggongnengjigou“kouanshangyi”yingxiang。
(一)推行新冠危重癥早發現了
⛎gejiedaobanshichuqingjieweishengshouhoufuwupeixunjigouxietongzuozhanjucunwei,qianghuaduixinguanzhanranzhedelianghaopinggu,shifenshiguanjiandianrenqundangzhanranzhe,zaituijin“yi、er、san”jifangfadedejibentiaojianshang,yaoguanjiandianqianghuaxinguanqingkuangyudejibentiaojianxingbingzhengqingkuangbiandongdepinggu。
𒁃jiadaduixinguanbingduranbingranbingzhiyuantizheyanggongdayuqiuzhuangtaidupingguqi。gejiedaobanhuanweifuwushebeiyaoshebeizuliangdezhijiashijiezouxueyangyi(zuoyousuchengzhiyangyi),shiguanmeigejiedaobanhuanweifuwuzhonghefenzhongyingweishebei20geshang、meigejiedaobanhuanweifuwuzhanhecunhuanweishiyingweishebeiliashang,meigejucunweiyingweishebei3geshang。weilemeigejiajumazuiyishengxiaoshoutuanduishebeibiranbilidezhiyangyi,liantonghaojucunweiqianneng,jiangyanggongdayuqiuzhuangtaidupingguqishoulucezhongrenbingduranbingranbingzhiyuantizhechangjiansuifangyouxineirong。gejiedaobanhuanweifuwushebeiyaozhengjironghejucunwei,wei6sisuishangyouxinguanbingduranbingbingduranbingranbingzhiyuantibingqingbijiaozhongdeshihoufengxiankongzhiqieleitingxingdongkunnandecezhongrenbofuzhiyangyi,dezhidaojiatingshenghuoceshixueyanggongdayuqiuzhuangtaidu。
(二)發展新冠危重早控制
🌠yaoyifushi、qujiuhuzhuanyeyishengzuqianneng,tixianjuweiweishengxueanquanfuwugouzaoduixinguanganhuazhexingzhenduizhiliao,hangaijiankangshiyongde、yangliao、jingmoshuye、xiaofenzishikoufuyaowushiyongde、jianshezhongguojiatingyiyuanbingchuangdeng。
1.增強針對性進行治療。꧙gedishipinqingjiejiankangbaojianweixiangweijiedaotebiedeyewuzhanshipinqingjiegeiyudeyewuxingzhongjiejigoujubeigeshuyiyudekongqizhongdechunyangdai、kongqizhongdechunyangpinggezhongzhiyangjidengzhuangbei,baozhangkuaisuweiyiyuanmenzhenderen、jiajushounashoushudiaoliderengeiyuyangliaohuokongqizhongdechunyangguanzhuangshengchanxiangeiyudeyewuxing。gejiedaotebiedeyewuzhanshipinqingjiegeiyudeyewuxinghexin、fenhexinjunyaoshezhichengyiyuanmenzhen“xiyangqu”;jiedaotebiedeyewuzhanshipinqingjiegeiyudeyewuxingzhanyucunshipinqingjieshibiaozhunshangjunyaochongfenliyongxianjinxunlianchangfazhankongjian,xiankapeizhikongqizhongdechunyangguan,geiyu“yangliao”geiyudeyewuxing,yongyouzhuhufujinyangliaogeiyudeyewuxingdexuqiu。kaishiwuhuaxiruxirushoushudiaoli,gejiedaotebiedeyewuzhanshipinqingjiegeiyudeyewuxinghexin、fenhexinbiaozhunshangjunyaogeiyuwuhuaxiruxirushoushudiaoligeiyudeyewuxing。bingqie,zuodaoweifukebinghuanzheyingyangpindazai,luoshiweishengyingyangjiankangpeixun,anzhengguizuzhikaizhandadiandidengbaozhang,jianxiaoweizhongzhengdefashengweihaixing。
2.即時適用抗蟲劇毒物醫療。🦄duizhuyaorenzhanranzhetongguofengxianpinggu,zaishizhongxinzhuanyerenyuanzujianchajianchazhidaoxia,duimanzutiaojiandezhanranzhe,zhijiejianchajianchazhidaoyunyongkangbinglijuduwu,baozhengzuodaojinkuaideyingdui。
3.充足樹立草藥療法效果。𝕴shizhongzhongwaiyidapei、zhongyifukeyaobingqieyong,cujin“sanyaosanfangxieyi”dengzhongchengyaozaijiedaobanshichuhuanjingqingjietigongtiexinfuwuzuzhi depeiyouhebianyong。gejiedaobanshichuhuanjingqingjietigongtiexinfuwujigouyaogongxingxinguanbingjunfukeganranzuichangjianqingkuang,fabudezhengce,bianzhengshizhi。jianliwanshanzhidu“zao”“kuai”defangshi,rangxiyaozaixinguanhong7.bingduganranzhiyuantichuqijishibangzhuzhenzhi,jishiyizhiqingzhengzhuyuanbingrenxiangqingxing、weiqingxingfazhanfangxiang。
(三)推廣新冠危重早分離
1.按時輔助轉診🐽。duixinguanbingzhuanghuodijixingbingyuelaiyuezhongdezhanranzhe,gejuweiweishengjianfuwubaozhangxinzhong、jiatingshizhurenyishengtuanduishiyonghao120shijiuxianzhuanhuayoujilutongdao,bangzhudaozhanranzhejishizhuanzhen。tantanjicengyuangongshouzhendeweizhongderen,yaogengkuaiweizhunpanbie,jiyushijishangxianxiang,jishigongyang,zunxunzhudongxingshijiuyufangcuoshi,yaohuifuderenshengmingzhizhengxiangwenbu,zaiyiwurenyuanguanlipeihuxiajishizhuanzhen。
2.通行雙相轉診。😼geshequnanquanjianshouhoufuwuzhongxinyaojiezhuxingzhengdiyuxingshequyiliaoshebeizhongxin、yiliantishangjiazhensuo,tongxingxinguanzhiliaoshuangxiangzhuanzhentonglu,geshiquanquanjianlvsejiankangwei、geshequyiliaoshebeizuzhi yaorendingqinzichengdanzerenzhuanzhengangweigongzuozhize,huanjianhuabingqingbijiaozhongdeshihoupengyouzhuanzhenhuanjie,shenggaozhuanzhenqiaoyonglv。detongshi,yaochedideyinlingxinxinhuadezhichengshiyong,qiaoyongqqyuankongjiezhen、qqyuankongjiancedengbanfa,zhuashipengyouyingdejishiyoujiaozhiliao。
🍨duijiedaobanshichuganjingbaozhangxingxuexiaoshangzhuanxinguangandongzhe,tebieshishizhongdianyonghugandongzhe,shangsibumensanjiayiyuanzhuanjiayaoshulishouzhishenlvanquantongdao。zaishangsibumensanjiayiyuanzhuanjiadaoweimanxingqizhiliaohou,qingkuangxiawenbudegandongzhekexiazhuandaojiedaobanshichuganjingbaozhangxingxuexiaoicubingfang,jiedaobanshichuyiwuyuangongyaocanruzhuanzhenbuzou,nonghaobaozhangxingguanli。
🐈shipianquganjingfangyilvseweiyingchengxiangyiyuanbaoxianpianquneigegedangweigexiangyiyuanpingtaiyiyuanyiyuanbingfangcailiao,kegenjubutongyucengmianyiyuanpingtaiyiyuanyiyuanbingfanggongnengmokuaiweizhi,goujianchengxiangyiyuanbaoxian、leibieyingyongdezhidu,yaochengxiangyiyuanbaoxiananpaipianquneigegedangweigexiangyiyuanpingtaiyiwuzhuanyerenyuan,shixianxiapaijinzhu、xiezhudayadengfangan,yunyongshequnganjingfangyijingzhunjingzhunfuwupeixunbaozhangguanlizhongyangdebingqujingzhunjingzhunfuwupeixunbaozhang。yongyouyiyuanbingfangdeshequnganjingfangyijingzhunjingzhunfuwupeixunbaozhangguanlizhongyangde,jinjieduanxingyiyuanyiyuanbingfangyingyonglvyingkedadao95%zhishang,weiruanjianshezhiyiyuanbingfangdeshequnganjingfangyijingzhunjingzhunfuwupeixunbaozhangguanlizhongyangde,duibaohanyuanzederanbingzhe,yingshixianjiazhongyiyuanbingfangxuqiuliangjiatingzhuangxiukongzhixuqiuliang。
si、buduanjiaqiangpianqutuchurenmenchuzhijiaoyuziyuanchengxiangyiliaobaoxianhezhichengjiaweihu
(一)充分地借助街鎮網格化管理制度新機制
▨geshequnganjingyewuzhongyangyaozhudongxingjiaojiegejiezhen、jucunwei,nenggouchongfenyijiapingjieyujiezhenwanggehuaguankongzhidu,jifajiezhen、jucunweizhuyaoyongchu,guanchezhixingduizhongdianshishixiaofeikehuquntishequnguankong,zuodaojiankangbaojianbaojianjiankongyujishuxingyewu。yijiapingjieyu“shequnliurenlingdaozu”yewuzhidu,guanchezhixingduizhongdianshishixiaofeikehuquntidebaobaoguanlian。geshequnganjingyewuzhongjiejigouyaoxiediaojiezhen,zunxunquzhilibanyewuyanjiubushu,zuodaoduidalinggugualaotou、youjibentiaojianxingjitigaozhedengweizhongzhengtangshailinjiefengxianyinhuanxiaofeikehuquntihejiongjingxiaoxingdengxiaofeikehuqunti“jiankangbaojianbaojianbao”shouqu,xietonggongzuojucunwei,jixujiaqiangduidujushenghuogugualaotou、jinyuzhicanpeiouyitongjuzhufangnianlingjiaodaderendeshouzeguanlian。
(二)搞好領域醫療保健環境資源城鄉醫療保險承受
ဣquxiananquanhuanweifangyishentijiankangweiyaoshehuitongchouguihuajuminqudangxiayixuegouzaoyishiguanli,genjuxiahuaxunzhen、renguanlipaizhu、jiansheyuanchengdiannaoyixuexietonggongzuowangdengfangfa,gaodingbiaocengyixueanquanhuanweifangyigouzaolaodonglibugouguzhang ,tishengrenshipianquwangzhanxinguanzhenliaojingzhunyewuguanliquyuwendingzhuahao。yinlingxianchengerjizhenliaoquanweipingshenzuheshangjilingdaoyixuegouzaoxiangyingxunhuizhiyinzhiduhua,duipianquwangzhananquanhuanweifangyijingzhunyewuguanligouzaozhuahaojishuxingzhiyin,xuexibiaocengyishiguanliyuanzedongyongxiaotuanhuoyaohechengyao“sanyaochengbaofang”,yitishengbiaocengfangweizhongtexing。jinyibuqianghuayixuejiuhuziranziyuanshehuitongchouguihua,zengqiangyixuejiuhujidongcheyulifenpei,weipianquwangzhananquanhuanweifangyijingzhunyewuguanlizhongxinju、putongjiatingzhurenyishixiaoshoutuanduijianshexianyunshutongchang。
(三)帶動基本醫務職工專業培訓
𒉰tuijinchengquduojiyizhiquanweizhuanjiatuan,zhidingjihuaerduixiajicenggongzuoyiyuanyiwuyuanzhidaojihua,jinxingxianshangjiaoyu、shiji、jiadajigoulingdaodeyiyuanchenxiaqudaijiaodengzhongzhidao。jijixiangshanggenjuguojia、shengjidengguanyu zhidaowuzi,jijixiangshangjigouxiajicenggongzuoyiyuanyiwuyuancanyuzhidao。jiadachayan,yangedezhidaokaohebiao,quebaoanquanshengchanzhidaoxiaoyong,shixiajicenggongzuoyiyuanyiwuyuan(baokuomeilixiangcunzhuzhiyisheng)zaiduanshijianneishulianchengduxuehuixinguanzhuyaonianlingcengjibiehuafenjidaleidefuwubuzou、chuanranxianxiangfenxi、chuanranzhejiajuhuanjingweihuhezhiyu、laozhongzhiyaoyizhihequanyuzhiliao、diyangxuezhengwanqichajue、qixiwentidefengxianpingguhechuzhenbuzou、zhiyangyideyong、zhiguanzhongyaozhuanzhenshoushuzhizhengyiqixiaotuanhuozhiliaoyaowudeshiyinghuanjingzhenghezhengquewuwuyongbuzoudeng。
(四)提高新冠診治工程設備服務
🧜mingquetichuanquanjianduyingyangweiyaobiaomingtebieanquanjiandujingzhunjingzhunbaozhangwangzhande、cunanquanjiandushijingzhunjingzhunbaozhangrenkoushumu、yaodianyonghudishudengxianxiang,peizujiuhucailiaofangxungongchengwuzicaigou,baohanqirediaolibaojianyaopin、zhongyaopeifang、kangyuanchaceweishengwupeiyangji、kangbingxingduwuwu、zhiyangyideng,bingzuhetebiegandongzheshumubianhuaguilv,dongtaishujugaibianbaozhang,baozhangcailiaofangxungongchengwuzicaigoubaozhang。gaozhongdilixuanzhipianpi、gonggongjiaotongbubianyudetebieanquanjiandujingzhunjingzhunbaozhangwangzhande、cunanquanjiandushiyaoshixianbeizudiaolikoufuyaowuhemianyijiezhongcailiaofangxungongchengwuzicaigou。yikaojieban、jucunwei,yuyiliaoweishenggongsi、yaodiandengzhidafuwurexian,biaomingshijidouyaojinkenengxiangnongminweizhipianyichangjiazhixiaojiuhucailiaofangxungongchengwuzicaigou。
(五)城市熱力圖控制工作的動向
🐟geshiquhuanjingganjingweishengyingyangweiyaojiezhuzuohaoshequnhuanjingganjingweishengfuwuxiangmudebaozhangzuzhijigouxingshi、fuwuxiangmudebaozhangyuanyinhezengrongyuanyindengrichangdongtaizhanshijiancexitong,suishishipinbakongshequnbiantangyiliaofuwuxiangmuyuanyin、yaowuhehuanbaoshebeishouchuyongyuanyin、zhongyaokehuquntifuwuxiangmudebaozhangyuanyindeng,duizhuchengqushiyezhongshanglaiyuanyuyuanyinhuoshiyezhongshangjiaochadediqusuishishipinyunying。chedidecaiyongqiyedashujuyingyongjishushuiping,zengjiashiyezhongshanggaoxiaolv,yijianshaojibenfuhe,jizaozhibaoguojiade、shengjidouyaoderichangdongtaizhanshishujuheqiyexinxinxi。
(六)進一步強化社區服務站醫務者考慮喜愛
♈gegequjiankangjianduwendingweiyaojinlirenzhenrenzhenzhixingguoduheshanghaiyeneizhuxiangganenyiwuzhuanyegongrenjuticuoshi,quanmiantishengduipianqujiankangjianduyoubaozhangcuoshizhongxinjudezhichengzhuyoubaozhangcuoshi。helirangrangyufenpeipianquyiwuzhuanyegongren,kaizhanyiwuzhuanyegongrenyishizhuxingyoubaozhangcuoshihehouqinbumenyoubaozhangcuoshi。anguidingrenzhenrenzhenzhixingduipianquyiwuzhuanyegongrenbutieshenqingshuyurenjiahushiqianshuyoubaozhangcuoshifeiyixiaxingzhuantizuobangongzijinfangjin,jifapianquyiwuzhuanyegongrenzhouxinqingfangjinpianquxinguanqiangjiuzuobangong。
(七)增進擔責完成和監督檢查考察
🔯gexianquweishengqiantiyingyangweiyaodaidongzujianlingdaoceng,zishangerxiayashixishuyiwu,queqietuanduiyiwuhedemubiaomingquefengong,anquanbaozhanggangweitiaojian。yaodaidongduiqujigangweijinxingqiantiheyiwushishiqiantideducha,sheligangweitaizhang,bianxiedemubiaotongzhidan、maobingtongzhidan、yiwutongzhidan。yaojiangmougeganhaojicengdangzuzhicezhongdiansangaorenqundongtaihuafuwu、wuqiduanzao“baoyingyang、fangweizhongzheng”meixianggangweijinxingqiantiherenzhenzongjieyuguanliancezhongdiangangweideceshi、benjinpeizi、pingxianpingxuanxianjindengxiangkakou,zhenshiqiceshibiaoyangshichangdaoxiangyong。
xianshiweishengqingkuangweishenglianhehuihui
𒆙 2023nian1yuefen8ri