关于做好本市社区卫生服务机构重点人群动态服务和新冠救治相关工作的通知
【信息来源:】
【信息时间:2024-01-16 阅读次数: 】
gegequqingjieweishengshentijiankangwei:
🥀anzhaoguojiafagaiweilianfangliankongtixihua《guanyuxiehaoxinguanzhuyaoxiaofeiquntidongtaixingfuwuhe“shekoukouanlagao”renwudetongzhishufanwenduanxin》heguojiafagaiweilianfangliankongtixihua、zhongxinnongcunshequnjiansherenwurenyuanduiwu《guanyuxiudingjixujiaqiangxianrujinnongcunshequnjiansheweizhixinkuanguanzhuangleidiannaobingduganqixinguanfeiyankongfangrenwufanganshejidetongzhishufanwenduanxin》wenjianxiazaibiaozhun,weichongfenfahuitianjinshishequnhuanweifuwuzuzhi wangdiyongtu,zhuiqiu“zaokanjian、zaoliaofa、zaofenli”,fanghejianxiaoxinguanleidiannaobingduganqibingqingbijiaozhongdeshihoutufa,xianjiuxiehaoxianrujinshejidaoderenwutongzhishufanwenduanxinyixiajidian:
yi、chixubaochitigaozijixiaoquxinguanjiuhugongzuonengli
(一)发展片区新冠诊疗扩大增能
🔴mingquetichuweishengqingkuangfangyijiandujiankangweiyaojiyuchuzhirenwudexuqiu,shenhuashiminxiaoquxiangyingneirongbufen,biankuaishenhuaquneishequdegongzuozhandegongzuoguanlizhanweishengqingkuangfangyijiandudegongzuoguanligongsixinguanchuzhihuodongchangdikuocuntoujian,quanmianluoshixiangyingneirongyouyanjinghuaqideshengchanjixieshebeidengzengnengcunchuliang,qizhongbaokuohuizhendiyu、jingmaishuyediyu、yangliaodiyu、bingqubingqudeng,zhizuohaoxindianjianhuren、xueyangjiancewang、gongyangdengyouyanjinghuaqideshengchanjixieshebeishezhi。zheiduiyushiyonghuanjingdeshequdegongzuozhandegongzuoguanlizhanweishengqingkuangfangyijiandudegongzuoguanligongsi,henyaoqianghuactdengdeshengchanjixieshebeideshezhi,yindaohebangzhushiminshepianchangguijianchaqingxie。jiasheanzhaodegongzuoguanlichengshichengzhenrenkouzongliangde15%-20%gifdongtaicunchuliangzhongyao、tuireyao、zhikeyaojikangyuanchazhongshenghuashijihepeifa,shiguanyiliaojigouyiliaoyaopincunchuliangliangzhongjiujianchizai2zhoushangshu,chengshichengzhenrenkoujizhongshengfenkejiyuxianshiqingkuangzengqiangcunchuliangliang。
(二)不断加强社区服务于中心产生热量诊所服务于
🐟xianqugejiedaojiedaoganjingchanpindezhiliangguanlichanpindezhiliangzhubenzhoubatianjunyingjichuqirezhenzhichanpindezhiliang(hanjieguojiachunjiejiaqi),bingcaiyongpeizhiqirezhenzhiyezhuankeyiyuanmenzhen,baozhengqirezhenzhiyewanzenmeyanshichanpindezhiliang;xianqugejiedaojiedaoganjingchanpindezhiliangguanlichanpindezhiliangfenzhubenzhoubatianjunyingjichuqirezhenzhichanpindezhiliang(hanjieguojiachunjiejiaqi),yitiaojiandekekaibanyezhuankeyiyuanmenzhen。xianqugejiedaojiedaoganjingchanpindezhiliangguanlichanpindezhiliangzhan、cunganjingguanlishiyingjiezhuyuqireshaodianhouzhenshi、zhangqiqirezhenzhiliuguanqudeng,zugouqiredengxianzhuangkehuyidiyibaosuqiu。
er、zhashituijinzhizuohaoyaodiandaxueshengxiaofeiquntijiankangshenghuopingguyurichangdongtaitiexinfuwu
(一)体现核心消费人群应管或许
🧔zhiliyujiezhen、jucunwei,geshequanquanweishenganquanweishengtiexinbaozhangdedezhongjianyaoquanmiantishenghuiqujishixietonggongzuo,zaijiezhenjiangzhongyaoquntinaweiwanggehuaguankongshouyaotiaojianshang,duizhongyaoquntiyangezhixingshentijianceyuguankong。shulijiayongyiyuanyishenggaohaoguanxidazhonghehuiqujishitiexinbaozhangdedejiaose,jiaqiangkuozhan64suishangnianlingjiaodaderenqianshutiexinbaozhangdedebaokuomian,shouyaoshixianlezhongyaoquntiqianshuquanbaokuo。jiezhuyuntiexinbaozhangdede、dianhua、pengyouquan、duanshipindengfeijiaowangdefangfahuoshangmiansuifangdengzaimianduimentiexinbaozhangdededefangfa,zuoshi“hong、huang、lv”biaoshipaizhongyaoquntishentitiexinbaozhangdede,cainengzuodao“jigeyangezhixingjia”。
1.yijiezhenweibiaozhun,yituoyuwanggehuadeguanlizhiduhua,luoshiyunzhuan“shequjuweihuisigerenxiaodui”yunzhuangongneng。
💙2.sandaleiguanjianxiaofeiquntidejiankangdiaochafenxidengjifenleiqingxi,dongtaixingxiuzhengbingjiansheqingdanbiaoge,deguanliduifanggerenxinxiqingxi。
𒉰3.quyugonggongweishengfuwuguanlizhiliangzuzhi24xiaoshifuwuguanlizhiliangdianhuoliuchang,renyayizhaohuatixiguanhuiquzhudonggaozhizhezhongkequn,youlianghaoshiyongxuqiushidangjifanying。
ꩲ4.querenduozhongduoyangfangshi,duizhongdanianlingcengduquzijuelianxulianjie,dui“hong”zhongdanianlingcengyizhoulianxubuzhishao3ci,dui“danhuangse”cizhongdanianlingceng,yizhoulianxubuzhishao2ci。
5.shishilejiezhongzhongzhizhongqunzhongjichushangxiaohuadaojibingtiaojianhewendingtiaojian。
6.duicezhongdiannianlingduanranbingxinguanaizibingduhuojibenchuanranxingjibinghuijiazhongdengqingxing,lijijiankangbaojianjianchazhidao、jiaozhiyuzhuanzhen。
(二)抓好关键点客户群划分类别管理工作
♓dui“hong、huang、lv”zhongxinkequnfenbieweiguanche“yi、er、sanji”anquanguanliyewuxiangmupeixunguanli,dui“molvse”kequn,guanche“yicengyewuxiangmupeixunguanli”,jinyibujinyibutigaoshentigengyingyangbaojianjiaohuang,xiehaozijishentigengyingyangbaojianfanghuxitong。dui“huangyanse”kequn,zaiguanche“yicengyewuxiangmupeixunguanli”dezhishijibenzhishishang,duiruoyangjiayongshoushuzhiliaogongzuoyuanguanche“yijiyewuxiangmupeixunguanli”,jinyibujinyibutigaokangyuanpanduan、shentigengyingyangbaojianpinggushuju、shentigengyingyangbaojianzixunlejie、zhiliaozhuanyezhidaodeng。dui“hongbaise”kequn,zaiguanche“yi、yijiyewuxiangmupeixunguanli”zhishijibenzhishishang,guanche“sanjiyewuxiangmupeixunguanli”,jiaqiangshentigengyingyangbaojianpinggushuju,duipeiyudanwudeyingyuzhuanzhentongyi。
san、zhongdianweiraojiadabingqingbijiaozhongdeshihouzaoqishihoubiaoming、zhenliaoyufenke
🅘shixiaqushipingonggonggonggongweishengyingyangweiyaoyinlingshi、qujiuzhuyixuezhuanjiatuannengli,daidongduishequgongzuozhongxingongzuoxingjidishipingonggonggonggongweishenggongzuoxingjidijiajieyudezhidao,zhuiqiu“zaochajuedao、zaodiaoli、zaofenpei”yuanli,qieshifahuishequgongzuozhongxingongzuoxingjidishipingonggonggonggongweishenggongzuoxingjidi“kouanlagao”yingxiang。
(一)实施新冠危重早知道
ওgejiedaobanhuanweifuwuxingyiliaojigouxinxihuajucunwei,daidongduixinguanganranzhedelvsejiankangjiankong,gengshishiyaodianqunzhongganranzhe,zairenzhenzhixing“yi、er、san”jianquanguanlidejibenshang,yaoyaodiandaidongxinguanzhengzhaoyujibenxingbingzhengzhengzhaofazhandejiankong。
ꦏjinyibutigaoduixinguanganhuazheyangshichuyushichuyugongdayuqiuzhuangtaizhuangtaidushujujianceshuju。getebieganjingyewupeixungongsiyaoxuanpeizuliangdezhijiashiguilvxueyangyi(zhixiasuolvecizhiyangyi),baozheng meiweitebieganjingyewuhexindianhefenhexindiantongchangxuanpei20gejishangshu、meiweitebieganjingyewuzhanhecunganjingshitongchangxuanpei5gejishangshu,meiweijucunweitongchangxuanpei2gejishangshu。huiweimeiweidejiatinghushizuzhixuanpeiyiduanzongshuliangdezhiyangyi,guajiehaojucunweimoli,jiangyangshichuyushichuyugongdayuqiuzhuangtaizhuangtaidushujujianceshujushouruzhongyaoleirenganhuazhejihusuifangdongxi。getebieganjingyewupeixungongsiyaochongfentuijinjucunwei,wei6wusuijishangshuyouxinguanbingdushishenmeganhuaweizhongzhengfengxianxingqieshijixingdongmafandezhongyaoleirenbofuzhiyangyi,jianchazhidaoshenghuojiancexueyangshichuyushichuyugongdayuqiuzhuangtaizhuangtaidu。
(二)加快推进新冠危重症早治療
𒁏yaozuzhibaozhangshi、quqiangjiuxiaobianzuqianneng,guanchepianquganjingweishengyewuzhongjiejigouduixinguanganranzhiyuantizheduizhengxiayaokaizhan,yijiyingyangwuzhikeyi、yangliao、dadiandi、xiaodafenzikoufuyaoanquanshiyong、chenglijiazuyiliaochuangdeng。
1.提高针对手术治疗。♔shixiaquhuanjingqingjiehuanbaoqingkuangzhengchangweiyaoyijiedaobanyewuzhanjuweihuihuanjingqingjiehuanbaoqingkuangchujuyewuxiangmuxitongyouguimoshushidekongqidai、kongqipinggezhongzhiyangjidengjixie,quebaoyouxiaoweimenzhenrenqun、zhujiazhongyaozhenzhifangfarenqunchujuyangliaohuokongqiguanzhuangshengchanxianchujuyewuxiangmu。gejiedaobanyewuzhanjuweihuihuanjingqingjiehuanbaoqingkuangchujuyewuxiangmuguanlifuwuxuexiao、fenguanlifuwuxuexiaojunyaosheyoumenzhen“xiyangqu”;jiedaobanyewuzhanjuweihuihuanjingqingjiehuanbaoqingkuangchujuyewuxiangmuzhanyucunhuanjingqingjiehuanbaoqingkuangshiguifanshangjunyaocaiquyuanyouyongdikongjianquyu,diaoshikongqiguan,chuju“yangliao”chujuyewuxiangmu,kaolvrenmenfujinyangliaochujuyewuxiangmuxuqiufenxi。zuzhikaizhanzuozuowuhuazhongyaozhenzhifangfa,gejiedaobanyewuzhanjuweihuihuanjingqingjiehuanbaoqingkuangchujuyewuxiangmuguanlifuwuxuexiao、fenguanlifuwuxuexiaoguifanshangjunyaochujuzuozuowuhuazhongyaozhenzhifangfachujuyewuxiangmu。ciwai,zuodaoweifukebinghuanzheyingyangchengfenzhichixitong,shixinglianghaoyingyangshanshizhuanyezhidao,anyuanzekaishijingmaizhushedengfuwu,xianzhiweizhongzhengfashengyinhuan。
2.实时实用抗病力解药物治療。൲duizhongdiancunnianlingduanxijunbingduxiedaizhequceshi,zailaochengquyouguanpingshenzujianyixia,duiqiheshoushuzhizhengdexijunbingduxiedaizhe,jishijianyiyongdaoshentijuduwu,zuohaojinkuaijizaodiaocha。
3.积极主动起中西药治疗方法做用。꧃guanchedongxifangyipeihe、zhongguochuantongyixueyaohuoyong,cujin“sanyaojifangmian”dengzhongyaozaiquyubaozhangbaozhangzhanhuanweibaozhangbaozhangdanweidexuanpeiheyunxing。gequyubaozhangbaozhangzhanhuanweibaozhangbaozhangzhongyaozhenduixinguanbingjunxijunganranchangkaoxianzhuang,zhuzhongshixiao,bianzhengshizhi。zhuaqu“zao”“kuai”delilunyiju,rangzhongyaopeifangzaixinguanhivbingduganqiqianqijizaojinruzhenzhi,youxiaoyizhiqingzhenghuanbingzhexiangzhongxing、jiweizhongzhengxingjingjifazhan。
(三)推行新冠危重早分离
1.及早援助转诊🐓。duixinguanzhengzhaohuojichukuangjiaxingbingdujiaoqingdezhanranzhe,geshequwangzhanweishengxuefuwupeixunzhongxindian、jiatinghuanjingyakeyishengzhuanyetuantiyaohuanhao120jiuhuyuanzeyunshulvsedejiedian,lianghaopeihebingdubingduganranzhekuaizhuanzhen。zhenduiqunzhongshouzhendebingqingbijiaozhongdeshihouyonghu,yaokuaijingquedushibietupian,yaogenjushijitiaojian,kuaigongyang,shiyonglianghaojiuzhibanfa,yibiantishengyonghurendeyishengxianxiangwending,zaiyihuyuanpeihuxiakuaizhuanzhen。
2.互联互通双相转诊。ဣgexiaoquanquanfangyifuwuguanlizhongxinyaotuijinkongjiandiyuxingyiliaopingtaiqixiezhongxin、yiliantilingdaoyiyuanmenzhen,changshunxinguanchuzhishuangbianzhuanzhengongzuoqu,geshiquanquanfangyilvsejiankangwei、geyiliaopingtaiqixiepingtaiyaoshedingzerenrenfuzeguanlizhuanzhenbumen,jiandanhuabingqingbijiaozhongdeshihoubingyuanzhuanzhenchengxuliucheng,detishengzhuanzhenxiaoguo。yiqi,yaochedidefahuichulaitupiangongyehuazhichenglixiaoying,yunyongqqyuanchengdiannaowenzhen、qqyuanchengdiannaodezhenduandengfangshiyingwen,quebaobingyuanyoujishihenhaochuzhi。
🌼duijiedaochanpinxinzhongjuweihuianquangongnengpingtaishangzhuanxinguanzhanranzhe,tongchangshizhuyaohuanzhezhanranzhe,shangjiamenzhenyaochuanglishouzhimolvsetongchang。zaishangjiamenzhentijiaoturanqizhiyuhou,qingkuangxiapinghengdezhanranzhekexiayizhijiedaochanpinxinzhongjuweihuianquangongnengpingtaibingqu,jiedaochanpinxinzhongjuweihuiyiwurenshuyaoluxucanyuzhuanzhenliuchengbuzhou,kaizhangongnengjicheng。
🐈gexianquhuanweiqingkuangjiandushenxinjiankangweiyingpinghengzhenquneidifangdangweigezhongzhengxingzuzhiqiyedanrenjiannengyuan,jiehequbiejibiezhengxingzuzhiqiyedanrenjiantedianzhuizongdingwei,shelipingheng、fenweixuanyongdezhidu,yaopinghengjihuazhenquneidifangdangweigezhongzhengxingzuzhiqiyeyiwuren,querenxiapaijinzhu、weituodailijieshoudengcelve,shipeipingtaijuweihuihuanweiqingkuangjiandugongnengzhongxinbingqugongneng。baokuoyiyuanyiyuanbingfangdepingtaijuweihuihuanweiqingkuangjiandugongnengzhongxin,jinshiduan.danrenjianxuanyonglvyinggaoda95%shangmiande,weianzhuangyiyuanyiyuanbingfangdepingtaijuweihuihuanweiqingkuangjiandugongnengzhongxin,duiqiheshoushuzhizhengdechuanranzhe,yingquerenjiatinghuanjingyiyuanyiyuanbingfangmanzuxuyaojiayongjinxingzhiliaoxuqiufenxi。
si、zhuahaojiedaobanshichucezhongdiankequnzhiliaocailiaopinghengheyouxiaobaozhangleyouxiaobaozhangle
(一)充分的凭借街镇网格化管理系统体系
𝄹gepianquanquanhuanbaoanquanhuanbaojingzhunyewujianlizhongxindeyaobeidongjiaojiegejiezhen、jucunwei,duofangmianyilaijiezhenwanggehuajianlicuoshi,fahuichujiezhen、jucunweizhudaoxingnengli,daoluodaoweiduizhongdashiquntipianquanquanhuanbaojianli,banhaoshentizhengchangjianceyugeshigeyangjingzhunyewujianli。yilai“pianquanquanhuanbaosangerenxiaozuzuogongzuo”zuogongzuocuoshi,daoluodaoweiduizhongdashiquntidebaobaogaohaoguanxi。gepianquanquanhuanbaoanquanhuanbaojingzhunyewujianlipingtaiyaopipeijiezhen,anzhuangqufangzhibanzuogongzuoshishi,banhaoduigaolingyunfulaofu、youjibenzhishixingjiyonghuzhedengweizhongzhenggaoweixianquntihekunnanhuanerdengqunti“shentizhengchangbao”paifa,xietonggongzuojucunwei,zengqiangduidujushenghuolaofu、jinyuzhicanernvgongtongdezhuzaizhangzherendepingshigaohaoguanxi。
(二)进一步强化空间区域医用资源共享统等作为支撑
𝐆gedianquanjiankangbaojianweiyaozonghexiaofanglvsetongdaodangxiazhenliaoqiyeyiwurengong,pingjieqingxiexunzhen、rengongpaizhu、shixianyuankongzhenliaoquyuhezuowangdengmoshi,kefujibenzhenliaoanquanqiyerenshibuchongfenjianti,quedingjuweijingzhunfuwuxingdefuwusuoxinguanjiuzhujingzhunfuwuxingdepinghengtuijin。yijiayituoyushifuwusuoduojijiuzhulingyulingdaoxiaozuheshangjibumenzhenliaoqiyeyouguanxixunhuizhiyinxitong,duijuweijingzhunfuwuxingdefuwusuoanquanjingzhunfuwuxingdeqiyetuijinjishuzhiyin,peixunxuexiaojibenyiwurengongguifanhuayongxiaofenzijiegouyaohezhongcaoyao“sanyaojifangmian”,yijiakuaijibenfangbingqingbijiaozhongdeshihoushili。jinyibuqianghuazhenliaojizhendeziyuanzonghe,zengqiangzhenliaojizhenjidongcheyuzhandoulishebei,weijuweijingzhunfuwuxingdefuwusuoanquanjingzhunfuwuxingdefuwusuo、renjiafukeyishengzhuanyetuanduishixianzhongyaojiyunlvsetongdao。
(三)不断加强下基层医务员陪训
🅰tuidongshineiyoujijijiuzhuanjiatuanduizu,zhixinggenjunongcundicengyiwuzhuanyehuanzhepeixunqingkuangbaogao,kaizhandiaoyanxianshangzhifu、xianshangxianxia、tonglixiezuoqingdaoboshizhengxingyiyuanyiyuanxiaxiandaijiaodenghaojizhongpeixun。zugouyongwoguo、dishijidengguanyupeixundeziyuan,jijijinquzuzhijigounongcundicengyiwuzhuanyehuanzhecanyupeixun。gaohaozonghekaohe,yankepeixunzonghekaohe,baozhengpeixunchengxiao,shinongcundicengyiwuzhuanyehuanzhe(baohanxinnongcunzhurenyishi)zaiyuanqihouliuchangbawohaoxinguancezhonghuanzhehuafenhuafenfuwuzhiliangfangshi、bingduranshanglinchuangzhengzhuangkan、bingduranshangzhezijidefangzicelvehegenzhi、yixueyaojijiuhekangfuzhanyiyong、diyangxuezhengzaoqifajue、xikunnandedefenxipingguhejiuzhenfangshi、zhiyangyidebianyong、weizhongyaozhuanzhentiaojianhuoxiaodafenzizhiliaoyaowudebushiyingzhenghekexuehelibianyongfangshideng。
(四)开展新冠抢救材料物资服务
🌠geshiqushipinganjinghuanweiguanlilvsejiankangweiyaogenjujuweishipinganjinghuanweiguanlitiexingongzuopeixunpingtai、cunshipinganjinghuanweiguanlishitiexingongzuopeixunrenkoushuju、zhongdianxiaofeiquntidishudengqingkuangxia,peizujiuhuwuzhi,fenweibiantangyiliaobaojiangongzuoyiyao、zhongyaocai、kangyuanchazhongmianyishiji、kangchongduwuwu、zhiyangyideng,binggoujianjuweipifubinghuanzhezongshufazhan,richangdongtaidiaojieshouchu,dedaobaozhangwuzhishouchu。quyudilidiweibianyuan、jiaotongguanlimafandejuweishipinganjinghuanweiguanlitiexingongzuopeixunpingtai、cunshipinganjinghuanweiguanlishiyaojinzaobeizuyizhileiyaohefangzhiwuzhi。yijiayituoyudajie、jucunwei,yuyiliaobaojianjigou、dayaofangdengzhilianfuwurexian,genjushijidexuyingshidangxiangshandongnongcundiquhuafenqingxiedugonghuojiuhuwuzhi。
(五)实时的学好工做动态图片
🉐geshiquhuanweidejiankangweiyaojianchinonghaopianquhuanweichanpinjigouxingshi、chanpinyuanyinheshixiankuorongyuanyindengdongtaitutujiancezhan,24xiaoshishipinshulianzhangwopianqufagaoshaocaozuoyuanyin、yiliaoyaopinhezhushebeicunchubianyongyuanyin、cezhongkehuquntichanpinyuanyindeng,duizhuchengqugongzuodeshangshanghuiyoudawentihuogongzuodeshangshangshizhidechangsuo24xiaoshishipincheliangdiaodu。chediliyuxinwangluohuanengli,shenggaogongzuodeshangshangchenggonglv,tigaodicengfushui,jishixingshangchuandeguojia、shengjixuyongdedongtaitutushujuhexinneirong。
(六)提升居委会医务的人员考虑关爰
൩gedianquanjiankangweiyaoquanxinquanyiwanchengouzhouguojiaheshanghaiyouguanyuguanqieganenyiwuyuangongjucuo,daidongduipianquanquandefuwuxingpeixunxinzhongdechengqi、anquanquebao。kexueanzhuangyudiaodupianquyiwuyuangong,yaozuohaoyiwuyuangongrenshengdefuwuxingpeixunhehouqinguanlianquanquebao。anxiangguanguidingwanchengduipianquyiwuyuangongbutiejinyujiajuzhurenyishengqianhetongdefuwuxingpeixunfeiyichangxingzhuantiyunzhuanzhongjingfeizhichu,jiliyuangongpianquyiwuyuangongxiabanshenxinlingfangjinpianquxinguanyizhiyunzhuanzhong。
(七)加大职责体现和工作检查考察
🔯quxianhuanweidejiankangweiyaojinjiejitiguanyuan,guanchezhixingzongzehangshizongze,henmingquexingzhengbumenzongzeheshijiezhongrenzuzhijiagou,fuwuyubenzhiyunzuoxianjuetiaojian。yaojinjieduiqujibenzhiyunzuozuodiaoyanjutidezhengzhuanghezongzeguanchezhixingjutidezhengzhuangdeducha,baochibenzhiyunzuoqingdanbiaoge,cehuashijiezhongrenqingdan、dawentiqingdan、zongzeqingdan。yaojiangmouxietiqianzuohaojicengdangzuzhiguanjiandiannianlingduanxindongtaifuwuyu、jinjie“baodejiankang、fangweizhongzheng”sixiangbenzhiyunzuozuodiaoyanjutidezhengzhuanghechubuchengxiaoyuduiyingguanjiandianbenzhiyunzuodejixiaokaoping、zichanhuafen、pingxianpingxuanxianjindengxianglianxi,yingyongchongfendiaodongjixiaokaopingjiliecengmianyiyi。
suzhoushiweishengjiandejiankanglishihuihui
ܫ 2023nianyiyuefen8ri