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: 】
shixiaquhuanbaoanquanjiankangwei:
🔥geichuguojialianfangliankongluoji《guanyuxiehaoxinguanzhongyaokequndongtaizhanshifuwuyuxinghe“shekoukouanshangyi”gangweidegaozhishudanduanxin》heguojialianfangliankongluoji、zhongyangzhengfunongcaishenghuogangweiyinlingzhexiangmuzu《guanyufawengaohaoxianjinnongcaishenghuodediqudangxiaguanxinguanbingdumachuanranbingyiqingfangfangangweifanganzenmexiedegaozhishudanduanxin》wendangdeyaoqiu,weiliyongbenshengquyushipinweishengfuwuyuxingzuzhi wangdixiaoguo,chizhiyiheng“zaofaxianle、zaoyizhi、zaoguodu”,yufangcuoshiheyizhixinguanxinguanbingdumachuanranweizhongzhengfasheng,xianjiuxiehaoxianjinyouguanxigangweigaozhishudanduanxinxiamian:
yi、chixushijianjiaqiangjuweihuixinguanzhenliaodenengli
(一)力促社區衛生新冠治療擴存增能
🦄mingquetichuhuanbaoanquanweiyaoxuanzechuzhishiqingsuoxu,xietonggongzuozhuzhaiquyouguandejianguanbumen,huanmantuijinxiangmujichujianshezhenqushequnhuanbaodeanquanfuwupeixunzhuxinguanchuzhichansuokuopanjichujianshe,daoluodaoweiyouguandezhuangzhishengchanyiqidengzengnengzigeilvliangku,fenweiyiliaoanquanfuwupeixunquchengnei、jingmoshuyequchengnei、yangliaoquchengnei、icubingfangbingqudeng,ganhaoxindianjiancejishu、xueyangjiancejishu、gongyangdengzhuangzhishengchanyiqipeizhi。zaifuheguojiayaoqiudeshequnhuanbaodeanquanfuwupeixunzhu,aimianzihuactdengshengchanyiqidepeizhi,jiayiyindaoqunzhongshepianshenhehuixiachendaoyouzhajide。caiyongdeanquanfuwupeixunchangzhuzongrenkoushude15%-20%dongtaihuazigeilvliangkuzhongyaofangji、tuireyao、zhikehuatanyaojikangyuanjianyanshiyanshijihezengpei,quedingjiegouzhijizigeilvliangkuliangshichangbaochizhuzai2zhoushang,changzhuzongrenkoujujidedifangkexuanzexianshizengdazigeilvliangkuliang。
(二)增加社區業務站起熱治療業務
🅷quanguoququgejiedaobanshichuanquanjiankanggongzuozhiliangxingzhongdianyitiandexingqibatianjunyingjubeifatangyiliaogongzuozhiliangxing(hanjieguojiajiejia),bingcaiyongsheshifatangyiliaoyeyiyuan,quebaofatangyiliaoxiawudingshigongzuozhiliangxing;quanguoququgejiedaobanshichuanquanjiankanggongzuozhiliangxingfenzhongdianyitiandexingqibatianjunyingjubeifatangyiliaogongzuozhiliangxing(hanjieguojiajiejia),youyijiandekeshenbanyeyiyuan。quanguoququgejiedaobanshichuanquanjiankanggongzuozhiliangxingzhan、cunanquanjiankangshiyingchongfenfahuifatangshaodianhouzhenshi、duanshifatangyiliaoliuguanqudeng,fuhefatangdengzhengzhuangwomenyidijiuyishichangxuqiu。
er、laokaoxiehaoneirongkehuquntishentijiankangtanceyudongtaitupianfuwuxiangmu
(一)全面落實核心客戶群應管哪怕
🎉yikaojiezhen、jucunwei,gejiedaoshequanquanjingzhunshouhouanquantiexindefuwupingtaiyaoquanmiantishengfenshouhouquanwufengduijie,zaijiezhenjiangzhuyaokehuqunbeilieruwanggehuakongzhikuangjiashang,duizhuyaokehuqunshenrukaizhanjiankangjiancefanganyukongzhi。fahuichujiatingshenghuoyishigaohaoguanxilaobaixinghefenshouhouquanjingzhunshouhouanquantiexindefuwugongyong,gengdagaibian66suiyishangneironglaonianlvserenzaixianqiandingxieyijingzhunshouhouanquantiexindefuwuhebingmianjimian,genbenjianlizhuyaokehuqunzaixianqiandingxieyiquanhebingmianji。huishouliyongyunjingzhunshouhouanquantiexindefuwu、gudingdianhua、weixinhao、shipinbofangdengfeichujixingshihuoshangmensuifangdengbaituomianjingzhunshouhouanquantiexindefuwuxingshi,zuoshi“hong、huang、lv”biaoqianzhuyaokehuqunjiankangjingzhunshouhouanquantiexindefuwu,tixian“qigeluoshiyigangshuangzemingque”。
1.yijiezhenweiqishiyedanwei,chongfenfahuiwanggehuaguanlizhiduyuanze,tuijin“jiedaobanjirenxiaozuyunxing”yunxinggongneng。
2.sileizhongxinrenjiankangbaojiandiaochafanganhuafenmingle,dongtaitudediaozhengbingjianshezhangbiao,kongzhiwutiziliaomingle。
𝓀3.shequshipinweishengshipinweishenganquanfuwuxiangmupingtai24hanquanfuwuxiangmurexiandianhuachangtongwuzu,jiazuboshidianhualianxiwanfajijizhudonggaozhishuhexinqunti,youjiankangbaojiansuqiushijishijijixiangying。
♑4.shixianhaojizhongjiegou,duicezhongxinkequndangdangjiamijiemizhudongdigaohaoguanxixianjie,dui“huise”cezhongxinkequndangdangmeirigaohaoguanxibubushao3ci,dui“huanglvse”cicezhongxinkequndangdang,meirigaohaoguanxibubushao2ci。
5.zhijieshuxizhangwozhongzhongzhizhongrenqundangjichuzhishipifujibingqingxinghewendingzhuangkuang。
6.duiyaodianxiaofeiqunxijunganranxinguanmumahuogenjijibingzhengzhuangyoufadengqingkuangxia,yaojishishenxinjiankangpingjiabiao、yingduiyuzhuanzhen。
(二)認真執行核心眾人總類工作管理
🅘dui“hong、huang、lv”guanjiandianxiaofeiqunfenkaijinxing“yi、er、3ji”weihushouhouyewu,dui“lvhua”xiaofeiqun,renzhenzhixing“3jishouhouyewu”,kaizhanshenxinzhengchangdejiaoyu,zuihaorenshenxinzhengchanggeli。dui“chase”xiaofeiqun,zairenzhenzhixing“3jishouhouyewu”deyijushangshang,duiyangxingfanyingjujiazhuangxiuliaofashijinxing“wujishouhouyewu”,kaizhankangyuanchace、shenxinzhengchangjiankong、shenxinzhengchangbaozhangzixun、lianheyongyaopeixundeng。dui“hongbaise”xiaofeiqun,zairenzhenzhixing“yi、wujishouhouyewu”yijushangshang,jinxing“3jishouhouyewu”,tishengshenxinzhengchangjiankong,duijibingdezhengzhuanggengzhongdezechengzhuanzhenfuzhu。
san、jingzhunfaliqianghuaweizhongzhengwanqichajue、zhenliaoyuguodu
𝔍gegequgonggongweishengxuexueshentiweiyaochongfenzhanxianshi、qujiuzhuquanweizhuanjiatuanfali,tishengduitebiegonggongweishengxuexueyewuxiangmuzhongxindejulianjieyuzhidaoxing,jianchi“zaochajue、zaogenzhi、zaofenpei”yuanzeyingwen,zhanxiantebiegonggongweishengxuexueyewuxiangmuzhongxindeju“daguanlagao”degongxiao。
(一)實施新冠病情比較重的時候早發覺
🐬gejiedaogonggongweishengdefuwupingtaironghejucunwei,gaohaoduixinguanganliangzhedeyingyangjiankangjiankongjishu,tongchangshizhongxinleirenganliangzhe,zaiquanmianluoshi“yi、er、san”jifangfadejibentiaojianshang,yaozhongxingaohaoxinguanchuqizhengzhuangyujibentiaojianxingdejibingchuqizhengzhuangbutongdejiankongjishu。
ౠquanmiantishengduixinguanchuanranzheyanggongdayuqiudutance。gejuweianquanjianduxueshouhoudefuwudexingdaikuangongsiyaoshebeizuliangdezhijiashiguilvxueyangyi(xialeijianchengweizhiyangyi),zhuashiyigejuweianquanjianduxueshouhoudefuwudexingguanligongsihefenguanligongsizuihaobuyaoshebei20gedayu、yigejuweianquanjianduxueshouhoudefuwudexingzhanhecunanquanjianduxueshizuihaobuyaoshebeiergedayu,yigejucunweizuihaobuyaoshebeiyidayu。xiangweiyigejiajuzhuanjiadetuanduishebeikendingliangdezhiyangyi,pingjiabiaohaojucunweiqianneng,jiangyanggongdayuqiudutancerongru shengjicezhongdianzhongrenchuanranzhezhuyaosuifangneibu。gejuweianquanjianduxueshouhoudefuwudexingdaikuangongsiyaolianghaoronghejucunwei,wei6wusuidayuyouxinguanhivbingduchuanranbingqingbijiaozhongdeshihougaofengxianqietongyixingdongkunraodeshengjicezhongdianzhongrenfenfazhiyangyi,pingjiabiaojiajuziceshixueyanggongdayuqiudu。
(二)落實新冠危重早治療方法
🌜yaojiezhushi、qujiuzhujiaoshouzubaofali,guanchezhixingjiedaoshequganjingfuwupeixunshebeiduixinguanzhanranzheduizhengxiayaoyizhi,hangaixianxiangmeiweishipei、yangliao、jingmozhushe、xiaoyuanzizhongliuyaowucaiyong、shuliputongjiatingyiyuanbingchuangdeng。
1.增進合適醫治。🐠gedihuanjinghuanweihuanweiweiweilequyuhuanjinghuanweianquangongzuopeixunpingtaipeifashuliangtongjiyiyudeeryanghuadandai、eryanghuadanpinghuoshizhiyangjidengshebei,weilebaozhengmashangweizhuankezhensuobinghuan、jiajuzhongyaogenzhibinghuangongyingleyangliaohuoeryanghuadanguanzhuangshengchanxiananquangongzuopeixun。gequyuhuanjinghuanweianquangongzuopeixunjigou、fenjigoujunyaoshezhichengzhuankezhensuo“xiyangqu”;quyuhuanjinghuanweianquangongzuopeixunzhanyucunhuanjinghuanweishidejianyijunyaohuishouliyongxianjintianjingchangkongjianquyu,yunxinghuanjingeryanghuadanguan,gongyingle“yangliao”anquangongzuopeixun,wufaqunzhongbenshiyangliaoanquangongzuopeixungonggei。jijikaizhanxiwuzhongyaogenzhi,gequyuhuanjinghuanweianquangongzuopeixunjigou、fenjigoudejianyijunyaogongyinglexiwuzhongyaogenzhianquangongzuopeixun。shihou,zuodaochuanranzheyingyangpinpinguozhichi,shigongdejiankangyingyangshanshijiaoyuzhidao,anzhengquekaizhanyewujingmoshuyedengfuwude,jiandibingqingbijiaozhongdeshihoufashengdekenengxing。
2.隨時施用抵抗慢性毒藥物調理。🧸duizhongyaoyonghufukebingduxiedaizheshishifenxi,zaishineipingshenzuzuminglingxia,duifuheguojiashiyingzhengdefukebingduxiedaizhe,yaojishiminglingshiyongkangbinglijieyaowu,yaozuodaojizaodiaocha。
3.有效充分的發揮出來中藥茶中藥治療用處。♛zhuiqiuzhongwaiyidapei、zhongyizhenjiuyaoheyong,tisheng“sanyaojifangmian”dengcaoyaozaixiaoqugonggongweishengfangyitigongyewujiegoudexuanpeiheliyong。gexiaoqugonggongweishengfangyitigongyewuzhongjianyaozhenduiyuxinguanmumabingdubingduchangkaobingzheng,quyuxiediaofazhan,bianzhengshizhi。zhuadao“zao”“kuai”dedeyuanze,rangyaocaizaixinguanbingduyounaxieranshangqianqizhijiejierushoushuzhiliaofangfa,zhijieezhiqingzhengbinghuanzhexiangdaxing、weidaxingdefazhan。
(三)穩步推進新冠病情比較重的時候早過渡
1.盡早請求轉診𝕴。duixinguanzhengzhaohuojichutiaojianxingfukejibingyanzhongdeganqizhe,gepianquqingjieweishengyewuzhongxinzhan、jiatinghushijishutuanduihuiyonghao120jiuhuyuanzeyunshucuilvsejiedian,xiezhuzhixinggandongzhejizaozhuanzhen。xiangduibiaocengshouzhendeweizhongzhengnvxing,yaoduanshijianqueqiebianren,huianzhaoshijidexianzhuang,jizaogongyang,xuanzejijijinqujiuyuandejuticuoshi,yimiandadaonvxingshengmingtupianzhengxiangwending,zaiyihuchengyuanreqingjiedaixiajizaozhuanzhen。
2.暢順雙相轉診。🀅geshequwangzhangonggongweishengxuefuwudedaikuanjigouyaojiezhuyudiyuxingzhengxingqixiedaikuanjigou、yiliantishangjilingdaoyiyuankouqiangke,fangbianqunzhongxinguanqiangjiujiaochazhuanzhenguodao,gegequgonggongweishengxuejiankangdewei、gezhengxingqixiedaikuanjigouyaopanduanrenyuanfouzezhuanzhenzhiwu,jiandanweizhongzhengaimeizhezhuanzhenfangan,tisheng zhuanzhenzhiliang。yibing,yaochongpeifahuiduanxinhuazhizhuyiyi,heliliyongyuanjulicaozuoyingzhen、yuanjulicaozuochengdudengcelve,weilequebaoaimeizhedejianjishixingzhiyouxiaoqiangjiu。
♋duishequweishengwangzhanwangzhanhuanjinghuanbaojingzhungongnengzhongyangshangzhuanxinguanganqizhiyuantizhe,huanshibijiaoshizhuzhongleirenganqizhiyuantizhe,lingdaoyiliaoyaoquelishouzhishenlvrukou。zailingdaoyiliaowanchengrenwufashengjixingzhengzhuangfangfahou,wentipingjingdeganqizhiyuantizhekexiayizhishequweishengwangzhanwangzhanhuanjinghuanbaojingzhungongnengzhongyangzhongzhengjianhushi,shequweishengwangzhanwangzhanyiwurenshuyaocanyudezhuanzhenliuchengtu,zhunbeihaojingzhungongnengguanli。
🎐shishequnyingyangyingyangweiyingchengxiangyiliaoganjingqixieshebeibaoxianshequnneigexiangsizhongyiliaoganjingqixieshebeipeixundaikuanpingtaidanchuangziyuanxing,suizhubuyileibieyiliaoganjingqixieshebeipeixundaikuanpingtaidanchuangxingnengweizhi,shulichengxiangyiliaoganjingqixieshebeibaoxian、changjianxuanzedejizhihua,yaochengxiangyiliaoganjingqixieshebeibaoxianjutianpaishequnneigexiangsizhongyiliaoganjingqixieshebeipeixundaikuanpingtaiyiwujishurenyuan,anzhaoxiapaiqianzhi、weipaijieshoudengcuoshi,dezhichishequnyingyangbaozhangpeixunzhongxindianjudezhuyuanbubaozhangpeixun。peiyouhulichuangdeshequnyingyangbaozhangpeixunzhongxindianjude,jinjieduanzhongdanchuangxuanzelvyingtigao95%zhishang,weibuzhihulichuangdeshequnyingyangbaozhangpeixunzhongxindianjude,duishihetiaojiandezhanranzhe,yinganzhaohunyinhulichuanggoumanzujushihuanjiesuoxu。
si、jiadajuweizhongyaokehuquntizhenzhinengyuantongdengheweihuweihu
(一)足夠依據街鎮網格化管理制度機能
ꦇgeshequngengjiankangfangyidegongnengdianjuyaojijijierugejiezhen、jucunwei,chongpeiyinlingjiezhenwanggehuachulicuoshi,fahuiyongchujiezhen、jucunweizhudaozheyongchu,yangeguancheduiyaodianzhongrenshequnchuli,zuogengjiankangshenghuoshujujianceyugifdongtaidegongneng。yinling“shequn3renxiaozuchang”shiyecuoshi,yangeguancheduiyaodianzhongrendebaobaogoutong。geshequngengjiankangfangyidegongnengdanweiyaopipeijiezhen,,binganzhaoqufangzhibanshiyetuijin,zuoduigaolinglaorenjiajia、youjichuzhishixingjibingyuanzhedengbingqingbijiaozhongdeshihougaoanquanyinhuanzhongrenhefazhanpingjingyoutongdengzhongren“gengjiankangshenghuobao”fenfa,xietongzuozhanjucunwei,zengjiaduiduzhulaorenjiajia、jinyuzhiticanjijizinvgongtongdezhuzhailaolingrendepingchanggoutong。
(二)增強領域醫藥自然資源統等支撐力
🦂gedihuanweilianghaoweiyaozongheyiliaobaoxianzhuzhaiqusizhongyiliaozuzhixitongyiwushi,yijuxiacengxunzhen、shipaizhu、shuliyuanchengdiannaoyiliaoxietongwangdengshouduan,yingduidicengyiliaohuanweizuzhixitongrenlichengbendabudaodewenti,zhuahaojuweihuijuweihuixinguanqiangjiujingzhunbaozhangshichangpingwenjinxing。chentuozhuchengquerjiqiangjiuzhongyizhuanjiatuanheshangjilingdaoyiliaozuzhixitongzhongyaoxingxunhuikaohepingjiachangxiaojizhi,duijuweihuijuweihuihuanweijingzhunbaozhangzuzhixitongjinxingjishukaohepingjia,xuexidicengyiwushiguichengdongyongxiaoyuanziyaohezhongyaocai“sanyaosanfangxieyishu”,yixinzengdicengfangweizhongxiaolv。buduanjiaqiangyiliaojiuzhicailiaozongheyiliaobaoxian,xinzengyiliaojiuzhicheliayudinglixiankapeizhi,weijuweihuijuweihuihuanweijingzhunbaozhangzixunzhongxin、renjiayishengzhuanjiatuanduishulixianxingzhuanyuntonglu。
(三)進一步強化群眾醫務成員培訓學校
༒yijiayituoyuzhuzhaiquduojilinchuangzhuanjiazu,jihuazhenduixingmiancengdangzuzhikaizhanyiwuxiangguanrenshixunlianfangansheji,jinxingwangshangyingxiao、xianshangxianxia、daitoudeyiyuanchendiandaijiaodenghenduozhongxunlian。jijizhudongtongguoguojia、dishijidengmiqiexiangguanxunliannengyuan,jijizhudongzuzhikaizhanmiancengdangzuzhikaizhanyiwuxiangguanrenshidaochangxunlian。zhuahaochoujian,yangedexunlianjiancha,yibaozhengxunlianliaoxiao,shimiancengdangzuzhikaizhanyiwuxiangguanrenshi(zhuyaobaokuocuntunyakeyisheng)zaizhongchangqiqianqieyaoshulianzhidaoshebeizhidaoxinguancezhongxiaofeirenqunfenjiageleifuwuzhiliangxingshi、gandongfanyingjiancha、gandongzhejiatingshenghuoweihuhezhiliao、zhongyizhenjiuyaolinchuanghekangfuzhanlinchuang、diyangxuezhengqianmiankandao、chuanqidekunnandegupinghezhenzhixingshi、zhiyangyidedongyong、gengzhongyaozhuanzhenyuanzebingqie xiaodafenzikangdianxianyaowudeshiyongzhenghezhengquededongyongxingshideng。
(四)進一步強化新冠搶救原材料設備質量保障
☂gexianqugonggonghuanjingweishengqingkuangjianduweishengfangyilvseweiyaoanzhaoxiaoqugonggonghuanjingweishengqingkuangjianduweishengfangyichanpinxiangmuguanlizhongxinzhan、cungonggonghuanjingweishengqingkuangjianduweishengfangyishichanpinxiangmuchengshirenkou、zhongzhongzhizhongxiaofeiqundishudengxianzhuang,peizuyizhiyingjigongchengshebei,hangaidireyiyongyizhiyaopin、zhongcaoyao、kangyuanjiancemianyishiji、kangbingliduwuwu、zhiyangyideng,bingjieheshijixiaoquzhanranzheshujubianhuan,jishuxingxiuzhengchanchu,youbaozhangyingjigongchengshebeichanchu。zirandituweizhiyuan、chengshijiaotongbufangbiandexiaoqugonggonghuanjingweishengqingkuangjianduweishengfangyichanpinxiangmuguanlizhongxinzhan、cungonggonghuanjingweishengqingkuangjianduweishengfangyishiyaotiqibeizukongzhikangdianxianyaowuheweishengfangyiyingjigongchengshebei。yikaojiedaoban、jucunwei,yuyizhizuzhi 、yiyaoliansuodengzhiliandianhuo,anzhaoshijiyinggaiyouxiaoxiangcunlididuanqingjiaopishouyizhiyingjigongchengshebei。
(五)實時時間熟練工作的動態信息
ꦗmingquetichujiankangjianjiankangshenghuoweiyaoyiranjiaqiangjiedaobanshichujiankangjiantigongyewuzuzhiyunzuo、tigongyewutiaojianhezengrongtiaojiandengdongxiangjiancexitong,leidahuibotulijiejiedaobanshichufagaoshaozhenliaoguifantiaojian、feichufangyaohejiqizigeilvcaiyongtiaojian、zhuyaoleirentigongyewutiaojiandeng,duizhuchengqucaozuoyouzhudawentihuocaozuoshoudaozuaidequchuleidahuiboturenwudiaodu。youxiaochongfendeyongxinxineironghuafangfa,tisheng caozuorexiaolv,jianxiaoqunzhongewaidefudan,yaojishibaosongdeguojia、dishijixuqiudedongxiangdongtaishujuhexinxineirong。
(六)繼續加強社區居委會醫務工作員考慮關爰
♎gediqingjieqingjieyingyangjiankangweiyaoquanliyifuwanchengzhengfuheshineiguangyuzhuzhongguanailiushouertongyiwuyuangongcuoshi,jinyibujiaqiangduitebieqingjieqingjieshouhoushangbanrenwuyugongsidedezhichengbaojiahuhang。helixingfenpeiyudiaopaitebieyiwuyuangong,zuohaoyiwuyuangongjiajushenghuoshouhoushangbanrenwuyuheneiqinbaojiahuhang。anshedingwanchengduitebieyiwuyuangongzhengfubutieyujiajuyayizaixianqianyueshouhoushangbanrenwuyufeiyibianxingduchatongzhishangbanrenwufeiyong,jifatebieyiwuyuangonghunxingxinlitoujintebiexinguanjijiushangbanrenwu。
(七)增加擔責認真落實和監督檢查考評
♛shixiaquhuanweilianghaoweiyaotigaozuzhijigoubanzichengyuan,zhujiyashixishusunshixin,mingquehuashejibumensunshixinheshenqirenwufengongfuze,jibenbaozhanggongzuozhongqiantitiaojian。yaotigaoduiqujigongzuozhongzhankaixianzhuanghesunshixinyangezhixingxianzhuangdezhuanxiangducha,chuangjiangongzuozhongtaizhanggeshi,zhidingfanganshenqirenwumingxibiao、huatimingxibiao、sunshixinmingxibiao。yaojiangdangjinzuodaojicengrenyuanzhongzhongzhizhongrentiaojianfuwuguanli、tisheng“baolianghao、fangbingqingbijiaozhongdeshihou”meiyixianggongzuozhongzhankaixianzhuanghequdedechengjiyushejizhongzhongzhizhonggongzuozhongdejiangchengpingjia、xindaizijindiaozheng、pingxianpingxuandengxiangkakou,zhenshifahuichujiangchengpingjiajifajieguodaoxiangyongtu。
dongguanshihuanweiwendingguanweihuihui
🗹 2023nian2yue8ri