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: 】
shixiaqushipinweishenglvsejiankangwei:
huianzhaoyunnanshengrenminzhengfulianfangliankongcelve《jiulejiexinguanguanjianxingrenqundangri﷽changdongtaichanpinhe“shekoukouanshangyi”gongzuorenwudetonggao》heyunnanshengrenminzhengfulianfangliankongcelve、zhonggongzhongyangxincunligongzuorenwulingdaoganbuxiaozuyunxingzhong《jiuchuwenzengjiazaidangxiayunxingzhongxincunlidongbeibuxinxingguanbingduhuanshangyounaxieganhuazaiqingyingjichuzhigongzuorenwuguihuadetonggao》xitongwenjianshuaqiu,weiqizhutianjinshishequyewuzhongxinweishengjianduchanpinzuzhijigouwangdixiaoyong,shizhongjianchi“🔯zaozhaodao、zaoyeliao、zaofenpei”,zhiliaohesuoduanxinguanbingduhuanshangyounaxieganhuaweizhongzhengdefasheng,xianjiulejiezaidangxiayunxingzhongxiangguangongzuorenwutonggaoyouyixia:
yi、weichizengqiangjiedaoshequxinguanzhenliaoli
(一)實施小區新冠醫治擴盤增能
shiquneihuanweijiankangdeweiyaojiasheanzhaoqiyizhigangweiyewuxuqiu,licufengjingquneiyouguanbumenguanli,jiaokuailicuquneixiaoquhuanweifuwuyupeixunzhongxinguanyizhichangdikuopanxiangmujianshe,guancheyouguandedesheshixitongdengzengnengzhubei,youyiliaofanwei、guashuifanwei、yangliaofanwei、bingqubingqudeng,zuodaoxindianzhongzhengjianhu、xueyangjiance🥃qi、gongyangdengdedesheshixitongpeizhi。erduiyushiyongqiantidexiaoquhuanweifuwuyupeixun♏zhong,henyaoqianghuactdengxitongdepeizhi,zhidaozhurenshepianpaichachenxiaqu。jiasheanzhaofuwuyupeixunrenkouzongshushujurenshude15%-20%xindongtaizhubeizhongyao、tuireyao、zhikeyaojikangyuanlunwenjiancehuaxuezhijihedazai,quebaozhuangzhihuopinzhubeiliangyizhiyilaidoubaohuzai2zhouzhe,renkouzongshushujujujididuankejiasheanzhaoqishijishangdebuduanzengjiazhubeiliang。
(二)不斷加強街道社區發冷診所服務項目
quxiangejiedaobanjuweihuiganjinghuanweiqingkuangtiexintiexinfuwuguanlixingzhiliangpeixunzhongxinzhandianyitianyizhoujunyingzhanshifatangcaozuotiexintiexinfuwuguanlixingzhiliangpeixun(hanjiegangwan),bingjiezhushejifatangcaozuoyemenzhen,wanchengfatangcaozuobaodaotingchitiexintiexinfuwuguanlixingzhiliangpeixun;quxiangejiedaobanjuweihuiganjinghuanweiqingkuang🌃tiexintiexinfuwuguanlixingzhiliangpeixunfenzhongxin♏zhandianyitianyizhoujunyingzhanshifatangcaozuotiexintiexinfuwuguanlixingzhiliangpeixun(hanjiegangwan),youyigejiandekejianliyemenzhen。quxiangejiedaobanjuweihuiganjinghuanweiqingkuangtiexintiexinfuwuguanlixingzhiliangpeixunzhan、cunganjinghuanweiqingkuangshiyinggoujianfatangshaodianzhenduanshi、duanshifatangcaozuoliuguanqudeng,manzuxuyaofatangdengzhengzhaoderenkanyishengxuyaoliang。
er、zhazhashishizuohaoshengjizhongdianzhongrenjiankangbaojianjianceyudongtaitupianchanpin
(一)落實工作關鍵點消費群應管即便
yituoyujiezhen、jucunwei,geshequwangzhananquanjingzhungongzuobaozhangbaozhangzhuyaobuduanjiaqianghuiqujijizhudongguajie,zaijiezhenjiangce𒁃zhongsheqingminyilieruwanggehuadeguanligongzuojichushangshang,duicezhongsheqingminyikaizhandiaoyanshenxinshentipingguyudeguanligongzuo。huifarenmazuiyishenggaohaoguanxisheqingminyihehuiqujijizhudongjingzhungongzuobaozhangbaozhangbangzhu,zengqiangbianda64suizuoyoulaorenmenrenqiandingxieyijingzhungongzuobaozhangbaozhangkuodamian,jichudachengcezhongsheqingminyiqiandingxieyiquankuoda。he🐽liliyongyunjingzhungongzuobaozhangbaozhang、dadianhua、qqweixin、shipindengfeizhanrancuoshihuoshanghaishangmensuifangdengkefumianjingzhungongzuobaozhangbaozhangcuoshi,zuoshi“hong、huang、lv”biaopaicezhongsheqingminyishenxinshentijingzhungongzuobaozhangbaozhang,dadao“jigeguancheluoshihege”。
1.yijiezhenweibiaozhun,yifuwanggehuachulizhiduhua,yangezhixing“shequnerrenxiaodui”degongzuozhuyaozhize。
2.3leizhongdianshiquntianquanjiankangdiaoyanleibieqingxin,dongtaihuadiaozhengbingchuangjiantaizhanggeshi,zhilirendexinxiqingxin。
3♔.juweihuihuanweianquanfuwuyiyuan24xiaoshihouanquanfuwudianhuahulianhutong,hunꦰyinboshidianhualianxijutifangfabeidongzhijiegaosuzhongyaoxiaofeiqun,youlianghaoshichangxuqiushixunsufanying。
4.genjusanzhongxingtai,duishengjituchuzhongrenwenjianjiamijishilianjiehezuo,dui“hongbaise”shengjituchuzhongrenmeirilianjiebuxiaoyu3ci,dui“lanse”cisheng❀jituchuzhongren,🌊meirilianjiebuxiaoyu2ci。
5.likebakongzhongxinqunzhongtiaojianfukejibingzhuangtaiheanquanjiankangshili。
6.duitebiequnzhongbingduyounaxieganranxinguanbingduyounaxiehuojichulilunfabingyan✃zhongdengjutiqingkuang,suishijiankangbaojianjianchazhidao、gansheyuzhuanzhen。
(二)貫徹落實省級重點人們劃分控制
dui“hong、huang、lv”zhuzhongqunzhonggeyongbanbu“yi、er、3jifenxiao”kongzhianquanfuwu,dui“lvsede”qunzhong,guanchezhixing“tejianquanfuwu”,gaohaolianghaojiaohuang,tiqianzuohaozishenlianghaokangyanghua。dui“jinse”qunzhong,zaiguanchezhixing“tejianquanfuwu”degenjishang,duikangtiyangxingjujiashenghuogaishanzhebanbu“2jianquanfuwu”,gaohaokangyuanjiancegongju♈、lianghaoshujujiancezhan、lianghaozixun、yongyaoliangkaohepingjiadeng。dui“hongyanse”qunzhong,zaiguanchezhixing“yi、2jianquanfuwu”genjishang,banbu“3jifenxiaoanquanfuwu”,shengxinglianghaoshujujiancezhan,duibingqingyanzhongzengjiazhongliangdeyingyuzhuanzhenfuzhu。
san、xiagongfuquanmiantishengweizhonghanqiwajue、zhiliaofangfayujieliu
gedihuanbaoanquangonggongweishengweiyaotuidongshi、quchuzhizhuanyerenshizudongli,tigaoduishequwangzhananquangonggongweishenghuan♛baogongnengyuzhongjujieruyufangtantigang,shizhong“zaofajue、zaozhongyaozhiliao、zaofenpei”guize,chongfendiaodongshequwangzhananquangonggongweishenghuanbaogongnengyuzhongju“guanzhayiဣwei”mude。
(一)穩步推進新冠危重癥早感覺
ge🌸jiedaobanshichuhuanjingweishengfuwuxingzhuangzhiyitihuajucunwei,jinyibuqieshijiaqiangduixinguanranbingzhe𓃲dedejiankangjianceqishuju,zhenduishiguanjianxingleirenranbingzhe,zaiguancheluoshi“yi、er、san”jideguanlidejibenzhishishang,yaoguanjianxingjinyibuqieshijiaqiangxinguanbingzhengyujibenzhishixingpifujibingbingzhengzhuanhuadejianceqishuju。
zhuahaoduixinguanhuanshangzheyangchengxianbaohediandianzhuangtaidujianceshujushuju。getebieqingjiehuanbaochanpinzuzhiyaoxuanyongzuliangdezhijiashimoboxueyangyi(yineijianchengyingwenzhiyangyi),qieshibaozhang4getebieqingjiehuanbaochanpinpingtaihefenpingtaiyidingchengduxuanyong20gezhexie、4getebieqingjiehuanbaochanpinzhanhecunqingjiehuanbao♓shiyidingchengduxuanyong2zhexie,4gejucunweiyidingchengduxuanyong9gezhexie。xiangwei4gexiaojiatingyiyuanyishengjingyingtuanduixuanyongyidingchengdushudezhiyangyi,guajiehaojucunweiliqi,jiangyangchengxianbaohediandianzhuangtaidujianceshujushujulierutebiesangaoqunzhonghuanshangzhezongtisuifangwangzhanneirong。getebieqingjiehuanbaochanpinzuzhiyaojijitaiduxinxihuajucunwei,wei6wusuizhexieyouxinguanbingduganqihuanshangbingqingbijiaozhongdeshihoudefengxianqiejucuokunnandetebiesangaoqunzhongpaifazhiyangyi,pingjiabiaojiajuhuanjingziceshixueyangchengxianbaohediandianzhuangtaidu。
(二)發展新冠病情比較重的時候早控制
yaotuidongshi、qujiuhuyouguanlingdaoxiaozuyali,zhuahaoshequnweishengfangyishouhoufuwuzhuangzhiduixinguanbingdubingduxiedaizheduizhengzhiliaozhiliao,youxianxiangmeiweikeyizhichi、yangliao、jingmoshuye、xiaotuanhuolei♒yaowuyunxing、shulihunyinyiliaochuangdeng。
1.增加對癥下藥緩解。quxiananquanwendingweihuibangjuweigongnengzhongjiananquangongnengzuzhijigoujubeizongliangyideeryanghuadandai、eryanghuadanpingbingqie zhiyangjidengdeshebei,querenmashangweizhuankemenzhenbuzishen、zaijiazhenliaozishengongyingyangliaohuoeryanghuadanguanzhuanggongneng。gejuweigongnengzhongjiananquangongnengzhongjian、fenzhongjianjunyaosheyouzhuankemenzhenbu“xiyangqu”;juweigongnengzhongjiananquangongnengzhanyucunanquanshiyaosushangjunyaoyingyongyiyouxianchangfazhankongjian,fenpeieryanghuadanguan,gongying“yangliao”gongneng,yongyoujumingfujinyangliaogongnenggezhongxuqiu。fazhanzuowuhuaxiruzhenliao,gejuweigongnengzhongjiananquangongnengzhongjian、fenzhongjianyaosushangjunyaogongyingzuowuhuaxiruzhenliaogongᩚᩚᩚᩚᩚᩚᩚᩚᩚ𒀱ᩚᩚᩚneng。erqie,xiehaobingduzheyingyangjiankangshipei,kuaisuzhixingyingyangjiankangyingyangjiankangjiaoyuzhidao,anyaoqiuzuzhikaizhanguashuidengfuwuxing,jidajianshaoweizhongzhengtufafengxiancunzai。
2.適時施用抗蟲毒物物控制。duice♏zhongdianhuanzhehuanshangzhetongguopinggu,zaichengquzhuanjiazujutijianyixia,duimanzuyuanzedehuanshangzhe,lijijutijianyidongyongdikangjibingjuduwu,zuodaojinkuaijizaozhenzhi。
3.足夠引領中藥茶治愈用。jiandingbuyizhongxifangyijinmilianxi、yixueyaoranhouyong,tuijin“sanyaojifangmian”dengzhongyaocaizaijiedaoanquanweishengjianjingzhunfuwuyuqiyededazaiheyunyong。gejiedaoanquanweishengjian🅘jingzhunfuwuyuzhongxinzhanyaozaochengxinguanbingduyangbengandongshuxibingzhuang,renjinqicai,bianzhengshizhi。zhuozhu“zao”“kuai”deyiju,rangzhongyaofangzaixinguanbingdushishenmeganqichengchangqijinkuaijizaojieruzhongyaozhiliaozhongyaozhiliao,jinkuaiezhiqingzhengbinghuanzhexiangdaxing、weidaxingzhuangda。
(三)實施新冠危重早過渡
1.盡快請求轉診。duixinguanzhengzhuanghuodejichuxingpifujibingzengjiazhongliangdeyingxiangzhe,gequyugonggongweishengfuwuxingzhongjian、renjiahushichuangyetuanduixuyonghao120jinjijiuyuanshouxianzhuanhuahuanglvseanquantongdao,peihepifubingyonghuanshizhuanzhen。zaijicengyiyuanshouzhendeweizhongzhengyonghu,yaosudukuaijingquedupanbie,suizhu👍heliqingkuang,anshigongyang,xuanzejijitaidujiuyuanjizhi,buyingtishengyongꦚhushengmingdeyiyilinchuangbiaoxianpingheng,zaiyihurenqunchushizhengjianxiaanshizhuanzhen。
2.連通正向轉診。geshequfuwuguanlizhanhuanbaofuwuguanlizixunxinzhongyaopingjiequyuzhongxingyiyongqixiezixunxinzhong、yiliantishangyijiyiyuankeshi,liuchangꦦxinguanqiangjiushuangxiangzhuanzhenqudao,shixiaquhuanbaoweishengwei、geyiyongqixiejiegouyaopanduanzerenrendanfuzhuanzhengangweigongzuozhize,huanjianhuabingqingbijiaozhongdeshihouzishenzhuanzhenchengxu,yanchangzhuanzhenshengchanlv。shihou,yaoduofangmianqieshifahuiziliaohuachengqi、degongxiao,ꦦqiaoyongyuanchengcaozuocaozuojiuzhen、yuanchengcaozuocaozuojiuzhendengfangfa,jiaqiangzuzhilingdaozishenyingdejishiyouxiaolvqiangjiu。
duipianquanquanfuwuguanꦇliguanlizhanhuanweianquanfuwuguanliguanlixinzhongdeshangzhuanxinguanyingxiangzhe,youweishicezhongdiandaxueshengxiaofeiquntiyingxiangzhe,shangsizhensuoyaoshulishouzhiyoujiduanxintongdao。zaishangsizhensuodadaomanxingqijinxingzhiliaohou,qingxingnengbaochiwendingdeyingxiangzhekexiahuandaopianquanquanfuwuguanliguanlizhanhuanweianquanfuwuguanliguanlixinzhongdezhenshi,pianquanquanfuwuguanliguanlizhanyiwurenshuyaojiaruzhuanzhenliuchengtu,nonghaoanquanfuwuguanliguanliduijie。
mingquetichuganjingyingyangweiyingshehuichengxiangfangfabaoxianfangfabaoxianguanquneigegedengjisizhongfangfayiyuanshebeidanweidanchuanghuanjingziyuan,yizhaoduozhongjibiefangfayiyuanshebeidanweidanchuangzhinengqueding,chenglishehuichengxiangfangfabaoxianfangfabaoxian、dingyishiyongdecuoshi,yaoshehuichengxiangfangfabaoxianfangfabaoxianzhidingguanquneigegedengjisizhongfangfayiyuanshebeidanweiyiwushi,shunliwanchengxiapaizhuru、𒁏xinlaiyijiaodengfangshiyingwen,dazaishequnganjinganquanfuwuzhiliangdedehexinjianhushianquanfuwuzhiliangdede。xiasheyiyuanbingfangdeshequnganjinganquanfuwuzhiliangdedehexin,jinhuanjiedanchuangshiyonglvyingfuhe95%zhexie,weizhidingyiyuanbingfangdeshequnganjinganquanfuwuzhiliangdedehexin,duifuhetiaojiandeganliangzhe,📖yingshunliwanchengjiatingyiyuanbingfangzuodaoshenghuofangfayewuxuqiu。
si、zuohaopingtaitebiexiaofeiqunqiangjiudeziyuanshehuitongchouhezhichengzhubaozhangjizhi
(一)加以依賴街鎮網格化的管理機能
gepianquanquanqingjieshouhoufuwuzhiliangyuzhongyangyaozi🌱zhuwufengduijiegejiezhen、jucunwei,chongpeijiezhujiezhenwanggehuayewuguize,jifajiezhen、jucunweizhutixiaoying,zhuahaoduiguanjianzhongrenpianquyewu,kaizhanjiankangjiancefanganyuzuixinshouhoufuwuzhiliangyu。jiezhu“pianqujirenyewuzu”yewuguize,zhuahaoduiguanjianzhongrendebaobaogaohaoguanxi。gepianquanquanqingjieshouhoufuwuzhiliangyugouzaoyaozhenduijiezhen,anqukongfangbanyewutoufang,kaizhanduidalinglaofu、youjichulilunxingjibingyuanzhedengweizhongzhenggaoweixianyinsuzhongrenhefazhanpingjingyoutongdengzhongren“jiankangbao”fenfa,fengongxiezuojucunwei,zengqiangduidujushenghuolaofu、jinyuzhi𒊎ticanjizhixiqinshuhuxiangshenghuochangzherenderichanggongzuogaohaoguanxi。
(二)搞好位置醫疔資源英文城鄉醫療保險支撐體系
gexianquqingjielvseweiyaozonghefengjingquneigegezhengxingpeixunbanpeixunbanzhongjiegouzaoyiwushi,yongxiayixunzhen、shipaizhu、baochikuawangzhengxingxietongzuozhanwangdengxingshi,jiejuechuliqunzhongzuzhizuzhizhengxingqingjiepeixunbanpeixunbanzhongjiegouzaorenliziyuanliangbudaowei🐎dewenti,qie♋shibaozhangjuweixinguanzhenliaotigongtiexinjingzhunfuwuwendingkaishediaoyan。yinlingquneiduojizhenliaoxiaobianzuhelingdaozhengxingpeixunbanpeixunbanzhongjiegouzaoxiangyingxunhuipingjiabiaochangxiaojizhi,duijuweiqingjietigongtiexinjingzhunfuwupeixunbanpeixunbanzhongjiegouzaokaishediaoyanjishuxingpingjiabiao,peixunbanqunzhongzuzhizuzhiyiwushiguifanbiaozhunbianyongxiaoyangfenziyaohezhongcaoyao“sanyaoliangfang”,yitigaolequnzhongzuzhizuzhifangbingqingbijiaozhongdeshihougongneng。daidongzhengxingjiuhuziyuanliangzonghe,yanchangzhengxingjiuhubimianyufalipeizhidan,weijuweiqingjietigongtiexinjingzhunfuwuhexin、zhongguojiatinghushijingyingtuanduibaochiyouxianxuanzeyunsonghuanchongqu。
(三)進一步加強基層工作醫務員培訓學習
yifuzhuchengquliangjiyiliaozhuanjiajiaoshouzu,jihuagongxingjibenzheyiwuzhejiaoyuxuexixuexishejifangan,kaizhanyewuxianshangqudao、xianxiatuiguang、tonglixiezuoyiyuankouqiangkehuixiachendaoyouzhajidedaijiaodengduozhongbutongjiaoyuxuexixuexi。jijizhudongzhudongcaiyongguojiade、shilidengguanyijiaoyuxuexixuexiziyuande,jijizhudongcehua jibenzheyiwuzhecanjiaguojiaoyuxuexixuexi。tishengchouyan,yanlijiaoyuxuexixuexijiangcheng,baozhangjiaoyuxuexixuexitiyan,shijibenzheyiwuzhe(baokuomeilixiangcunzhurenyishi)zaiduanqijihuaneidexinyingshoushulianxinguanzhuyaokehuqunfenjifenweifenweibaozhangjiqiao、ganliangyoushenmezhengzhuangꦿtongguoguancha、ganliangzhejiatingzhuangxiuguanlixitongheyizhi、zhongyixueyaoyiliaohekangfuyiliao、diyangxuezhengguoqufazhan、xihukunjingdejiandinghechuzhenjiqiao、zhiyangyideyunxing、zhuzhongzhuanzhentiaojianxiangyingxiaodafenziyaodeshiyingnenglizhenghezhengqueheliyunxingjiqiaodeng。
(四)繼續加強新冠醫治工程設備與物資的保險
geshiquhuanweijiandujianduanquanweiyaozhinengyijujuweihuihuanweijiandujiandufuwuyufuwudiandian、cunhuanweijiandujiandushifuwuyurukou、tebiexiaofeirenqundishudengqingkuang,peizushoushuzhiliaoyunshu,yijishengwenyiliaoguanlijinkouyaopin、zhongyaocai、kangyuanpanduancaixueguan、kangbingxingpishuangwu、zhiyangyideng,bingqiehejuweihuiranbingzherenshufazhan,richangdongtaidiaokongzhubei,☂anquanbaozhangyunshuzhubei。jutiweizhijutiweizhipianpi、gonggongjiaotongbutuodejuweihuihuanweijiandujiandufuwuyufuwudiandian、cunhuanweijiandujiandushiyaoyanhoubeizushoushuzhiliaokangdianxianyaowuhefangzhiyunshu。yilaichengshi、jucunwei,yuyiliaoguanlizhengxingjigou、wangshangyaodiandengkuaijiedianhua,zhinengyijushijianxuyaoshifenxiangshandongnongcundiduanzhichitigongshoushuzhiliaoyunshu。
(五)隨時撐握本職工作各式各樣
gedihuanweijiankangshenghuoweiyaojianchikaizhanpianqujingzhunshouhoushiyezhanhuanweijingzhunshouhoushiyepingtaishiye、jingzhunshouhoushiyekunnanhekuo🎃chongkunnandengxinxitujiancezhan,sui൲shizhidaopianqujingzhunshouhoushiyezhanfarezenmebanyiliaoshiyekunnan、feichufangyaoheji cunchucaozuokunnan、zhongxinsangaorenqunjingzhunshouhoushiyekunnandeng,duizhenqushiyechanshengkunnanhuoshiyeshizhidediersuishixitongdiaodu。kuanyupingjiegerenhulianwangjianshedejishu,shangshengshiyenengli,cainengjianshaojibendefudan,lijizhibaodifang、shengjiyinggaidexinxitudeshujuhegerenxinxi。
(六)進一步提高街道辦醫務的人員關心的話關爰
gediqingjiehuanweijiankangbaojianweiyaodaliguanchezuguohebenshengxiangguandeyingwenguanxindehuaguanyuanyiwushicuoshi,tigaoduijiedaoqingjiehuanweibaozhengjigoudechengzaibaozheng。youxiaozuzhiyufenpeijiedaoyiwushi,gaohaoyiwushihuobaozhenghexingzhenghouqinbaozheng。anzanxingguidingguancheduijiedaoyiwushibutieshenqingshuyu🅷putongjiatingzhurenyishixinqianbaozhengfeiyicijiuxingzhuanxiangjihuayewulaowufei,jianglijiedaoyiwushixiabanshenxinlingtourudaojiedaoxinguanyizhiyewu。
(七)切實加強主責實施和監督檢查考核方案
zhidaotichuhuanbaoshentiweiyaodaidongzushilingdaoceng,yicengcengjipeisuishizhuze,zhidaoxingyezhuzehedechengjiuanpai,baohuyewuchengjiushuiping。yaodaidongduiqujiyewuchengjiukaishitiaojianhezhuzerenzhenzhixingtiaojiandezhuanxiangducha,baochiyewuchengjiuzhangbiao,cehuadechengjiutongzhidan、nantitongzhidan、zhuzetongzhidan。yaojiangdangxiazhizuohaojicengzuzhicezhongxiaofeiquntidongtaixinganquanfuwu、jiaqiang“baoshenti、fangweizhong”yixieyewuchengjiukaishitiao✱jianheyuqixiaoguoyuyixiecezhongyewuchengjiudejixiaokaopingneirong、chengbenfentan、pingxianbiaozhangdengxiangguakou,tigaosixiangrenshichongfenfahuijixiaokaopingneirongbiaoyangzhiyinyiyi。
nanjingshianquanjiankangyixuehuihui
&nb🐟sp; 🌄 2023nian4yue8ri