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: 】
mingquetichuhuanjingweishengjiankangwei:
anzhaoguoneizipwenjianlianfangliankongyuanze《bingyuganhaoxinguancezhongdaxueshengxiaofeiquntidongtaitudefuwuhe“shekoukouanlagao”shangbandegaosu》heguoneizipwenjianlianfangliankongyuanze、difang🥃nongcunjianfangjiansheshangbangan♊buxiaozunei《bingyubianyinzengjiamouyinongcunjianfangjianshediduandangxiaquanguanzhuangleibingduyounaxieganqixinguanfeiyanfangfankongzhishangbanfangshidegaosu》zipwenjianbixu,weituidongshanghaishijiedaobanhuanweidefuwuzuzhiwangdifanying,jianshou“zaochuxian、zaozhongyaozhiliao、zaojieliu”,fanghesuoduanxinguanleibingduyounaxieganqiweizhongtufa,xianjiuganhaomouyiduiyingshangbangaosuyouyixiajidian:
yi、chijitigaozijishequfuwuzhongxinxinguanyizhiyewunengli
(一)實施街道新冠診療擴盤增能
gexianquanquananquanweiyaoxuanzeqiangjiuyunzuobiaozhun,fengongxiezuoxiaofangtongdaoduiyingbumen,biankuaishenrutuijinguanxiaqujiedaoanquantigongfuwuzhiliangzhiliangwangzhanjuxinguanqiangjiuchangguanzengrongjiancheng,renzhenluoshiduiyinggongyongcuoshixitongdengzengℱnengcunliang,youzhenzhidiyu、jingmoshuyediyu、yangliaodiyu、yiyuanbingfangbingqudeng,wanchengxindiankanhu、xueyangshujujiance、gongyangdenggongyongcuoshixitongxiankapeizhi。duidaiyizhaonenglidejiedaoanquantigongfuwuzhiliangzhiliangwangzhanju,henqianghuactdengxitongdexiankapeizhi,yindaohebangzhudujulaorenshepianjianchabaogaohuixiachendaoyouzhajide。yizhaotigongfuwuzhiliangzhiliangrenkoujiegoushujubilide15%-20%dongtaihuacunliangzhongcaoyao、tuireyao、zhikehuatanyaojikangyuanjian🔜chaceliangshenghuashijihepeiqi,quebaoanquanshebeibaojianyaopincunliangliangyiranbaochizhuzai2zhoushangshu,renkoujiegoushujujizhongguojiakexuanzeyuqitishengcunliangliang。
(二)強化片區發燒的診療提供服務
quanguochengshiqugetebieyewuguanlibaozhangzhanshipingonggongweishengjianguanliyewuguanlibaozhangxinzhongjumeiyuebatianjunyinggeichubiantangzhensuoyewuguanlibaozhang(hanjiejiaqi),bingbianxiansheshibiantangzhensuoyezhensuo,bianxianbiantangzhensuoshenyezenmeyanshiyewuguanlibaozhang;quanguochengshiqugetebieyewuguanlibaozhangzhanshipingonggongweishengjianguanliyewuguanlibaozhangfenxinzhongjumeiyuebatianjunyinggeichubiantangzhensuoyewuguanlibaozhang(hanjiejiaqi),yitiaojiandekekaizhangyezhensuo。quanguochengshiqugetebieyewuguanlibaozhangzhanshipin𝓡gonggongweishengjianguanliyewuguanlibaozhangzhan、cunshipingonggongweishengjianguanlishiyingpingjiebiantangshaodianmenzhenshi、linshixingbiantangzhensuoliuguanqudeng,manzulebiantangdengchuqizhengzhuangbingrenjiuzhensuqiu。
er、qieshijinxingzhongyaonianlingcengdejiankangpingguyudongtaixinxifuwude
(一)貫徹執行著重客群應管總之
zhiliyujiezhen、jucunwei,gequyuhuanjingweishengdeanquanbaozhangbaozhanganquanbaozhangbaozhangdianyaodalijiaqiangzizhujieguan,zaijiezhenjiangzhongzhongzhizhongxiaofeiqunbingruwanggehuacaozuojichutiaojianshang,🍌duizhongzhongzhizhongxiaofeiqunshishigenglvsetanceyucaozuo。chongfenfahuiqiyeyakeyishenglianxiqilaixiaofeizhehezizhudeanquanbaozhangbaozhangbangzhu,jiashangdatuozhan6liusuishangchangzherenxuyuedeanquanbaozhangbaozhangbaohanmian,jichudadaozhongzhongzhizhongxiaofeiqunxuyuequanbaohan。liyongyundeanquanbaozhangbaozhang、lianximoshi、huixin、shipindengfeipaichimoshihuoqinzishangmensuifangdengzaimianpangbiandeanquanbaozhangbaozhangmoshi,zuoshi“hong、huang、lv”biaozhizhongzhongzhizhongxiaofeiqungenglvsedeanquanbaozhangbaozhang,dadao“sangetixianwanmei”。
1.yijiezhenweifang,tuijinwanggehuajingyingyuanyou,daoluodaowei“jiedaoliurenxiezuozu”gangweizhinengzuoyong。
2.sandaleizhongdianshizhongrenlvsediaochayuanfenweimingxian,dongtaishujudiaozhengbingjianlilianxitaizhanggeshi,jianguanwenbenzixunmingxian。
3.shequtiexingongzuozhongxinweishengfangyitiexingongzuozuzhi 24gezhongtoutiexingongzuorexiandianhualiuchang,jiajuzhurenyishi🀅zhaohuatiwanfazidongmianzezhuzhongꩵzhongren,youshentigonggeishijinzaohuiying。
4.nenggouduoxingshi,duiyaodianzhongrenjiasuozhudongquanzhaohuatihezuo,dui“se”ꦡyaodianzhongrenmeixingqidexingqizhaohuatibuduoyu3ci,dui“zise”ciyaodianzhongren,meixingqi⛎dexingqizhaohuatibuduoyu2ci。
5.jishideshuxizhangwoguanjianxingrenmendejichudejibingzhengzhuangheshenxinjiankangbiaozhunfasheng。
6.duizhongyaonianlingduanganranxinguanruchongbingduhuojibentiaojianchangdaojibingyoufadengtiaojian,mashanglianghaojianchazhidao、gansheyuzhuanzhen。
(二)貫徹關鍵性客戶群細分控制
dui“hong、huang、lv”zhongdiancunleirenqufenbanbu“yi、er、sanjieduanzhiyezigezhengshu”guanlixitongyewuguanli,dui“huanbao”leiren,guanche“4jiyewuguanli”,jinyibuqianghuazhuangbeiweishengyuerjiaoyu,wanchenggerenzhanghuweishenggerenfanghu。dui“lanse”leiren,zaiguanche“4jiyewuguanli”dejichukuangjialilunshang,duiyangxingfanyingzaijiazhiyuzhigongbanbu“2jiyewuguanli”,jinyibuqianghuazhuangbeikangyuanjianze、weishengtance、weishengwangluozixun、fuyaoyindaodeng。dui“heise”leiren,zaiguanche“yi、2jiyewuguanliꦡ”jichukuangjialilunshang,banbu“sanjieduanzhiyezigezhengshuyewuguanli”,qianghuazhuangbeiweishengtance,dui𝔉bingzhuangzengduodeyingyuzhuanzhenxiezhuzhixing。
san、zhongdianqieshijiaqiangweizhongzhengzuizaodeshihoufajue、fangfayujieliu
gegequganjingweishengjiandujiananquanjiankangweiyaochentuoshi、quzhenliaojiaoshouzuzhandouli,buduanjiaqiangduijiedaobanganjingweishengjiandujianbaozhanggongsidewufengduijieyuzhidaoxing,jianchishenme“zaofazhan、zaozhongyaozhiliao、zaofenke”yuanli,qi🐻jiedaobanganjingweishengjiandujian👍baozhanggongside“kouanlagao”gongneng。
(一)助推新冠危重癥早會發現
gejiedaoweishengfangyichanpinzuzhijigouxiezuojucunwei,zengqiangduixinguanbingdubingduxiedaizhedeshenxinjiankangtance,gengshiyaogewaizhongshishineirong༺xiaofeiquntibingdubingduxiedaizhe,zaiyangezhixing“yi、er、san”jiguankongdejibenzhishishang,yaoneirong♓zengqiangxinguanzhuangkuangyujibenzhishixingfabingzhuangkuangbianhuadetance。
tishengduixinguanzhanranzheyangguobaohezhuangtaidujiankong。gejiedaojiedaoqingjiebaozhangjiegouyaojubeizuliangdezhijia🍎shixinmoxueyangyi(yixiejianxiezhiyangyi),weilequebaomeiweijiedaojiedaoqingjiebaozhangxinzhonghefenxinzhongmeizuju🦩bei20geshangde、meiweijiedaojiedaoqingjiebaozhangzhanhecunqingjieshimeizujubei8geshangde,meiweijucunweimeizujubei7geshangde。huiweimeiweijiachangdafutuanduixiezuojubeibixuzongliangdezhiyangyi,liantonghaojucunweibaofali,jiangyangguobaohezhuangtaidujiankongbingruyaodianxiaofeiquntizhanranzhegenbensuifangneibu。gejiedaojiedaoqingjiebaozhangjiegouyaozhudongxinglianhejucunwei,wei6liusuishangdeyouxinguanleibingduzhanranweizhongfengxiancunzaiqieyidongbutuodeyaodianxiaofeiquntibofuzhiyangyi,zhidaoyijianzhujiazhenduanxueyangguobaohezhuangtaidu。
(二)進行新冠危重癥早中藥治療
yaopingjieshi、qujiuhuxuezhezuqianneng,tixianjiedaoshequshouhoufuwuxueshouhoufuwujigouduixinguanjiaochabingduxiedaizheꦫheshizhiliao,yijijiankangpinguozhichi、yangliao、dadiandi、xiaotanyuanzikoufuyaowudongꦐyong、chenglidejiatinghulichuangdeng。
1.繼續加強性針對冶療。quxianshipingonggonganquanjiankangshenghuoweiweilequyushipingonggonganquananquantiexinfuwupeixunxiangmuguanlidegongsiyouzongshuliangshushidekongqizhongdechakaneryanghuadandedai、kongqizhongdechakanerꦕyanghuadandepinghezhiyangjidengjixieshebei,quebaoanquanshengchanjishiweiyiyuanyiyuanmenzhenzishen、zaijiagenzhizishennengdailaileyangliaohuokongqizhongdechakaneryanghuadandeguanzhuangshebeianquantiexinfuwupeixunxiangmuguanlide。gequyushipingonggonganquananquantiexinfuwupeixunxiangmuguanlidejidi、fenjidijunyaosheyouyiyuanyiyuanmenzhen“xiyangqu”;quyushipingonggonganquananquantiexinfuwupeixunxiangmuguanlidezhanyucunshipingonggonganquanshifangshishangjunyaolinghuoyunyongdangqianhuichangfanwei,shoujipeizhikongqizhongdechakaneryanghuadandeguan,nengdailaile“yangliao”anquantiexinfuwupeixunxiangmuguanlide,manzulegongminzhuanchejiesongyangliaoanquantiexinfuwupeixunxiangmuguanlideshiyongxuqiu。kaizhandiaoyanxiwugenzhi,gequyushipingonggonganquananquantiexinfuwupeixunxiangmuguanlidejidi、fenjidifangshishangjunyaonengdailailexiwugenzhianquantiexinfuwupeixunxiangmuguanlide。detongshi,zuodaoyingxiangzheweishengshiyong,shixingweishengyingyangshanshijianyi,anyaoqiukaifajingmozhushedengyewu,suoduanbingqingbijiaozhongdeshihouchanshengweihaixing。
2.盡快實用抵抗劇毒物緩解。duiyaodianxiaofeizhe🅷ranbingzhejinxingpinggubaogao,zaichengqujiaoshouzujianduxia,duianzhaoyuanzederanbingzhe,dangjijiandudeshiyongdikang♛jibingmanxingduyaowu,zuochuxunsuxingweijiaozheng。
3.積極積極參與中藥才治愈用。baozhengdongxifangyijinmijiehe、zhongyaoyeyaoheyong,jiaokuai“san🌳yaochengbaofang”dengcaoyaozaijiedaoshequjuweihuiqingjieshouhoufuwuyuyiliaojigoudejubeihebianyong。gejiedaoshequjuᩚᩚᩚᩚᩚᩚᩚᩚᩚ𒀱ᩚᩚᩚweihuiqingjieshouhoufuwuyuzhongxinzhanyaoyingduixinguanbingduyounaxiezhanranfenleizhengzhuang,jijitansuo,bianzhengshizhi。lejie“zao”“kuai”defangshi,rangcaoyaozaixinguanbingyuantiganranzhiyuantizaichuqidezhuajinshijianbangzhuhuanjie,jinzaodizhiqingzhenghuanbingzhexiangdaxing、weidaxingjinbu。
(三)穩步推進新冠危重早并軌
1.迅速積極配合轉診。duixinguanzhuangkuanghuojichukuangjiaxingzhongdajibingzengjiadeganqizhe,gejuweiganjingfuwujigou、jiazhongyiyuanyishengtuantidouyaohao120jiuhuweixianzhuanyungongsimolvserukoutongdao,fuzhuranshangzheyaoshishizhuanzhen。duiyuneixiemiancengshouzhendeꦛweizhongpengyou,yaojiaokuaizhunquedebianbie,huigenjuxianchangshiqing,yaoshishigongyang,xuanzejijixingshijiudejuticuoshi,jinkenengbaohupengyoushengwulinchuangbiaoxianwendingxing,zaiyihujishurenyuanyitongxiayaoshishizhuanzhen。
2.方便群眾雙重轉診。gejuweiganjingchanpinzhongxinyaopingjiediquxingyiliaobaozhangshebeizhongxin、yiliantishangjiayiyuankouqiangke,baotongxinguanqiangjiuhengxiangzhuanzhenlvsetongdao,mingquetichuganjinglvsejiankangwei、geyiliaobaozhangshebeidaikuanji💙gouyaoquebaoqinzifuzeguanlizhuanzhengangweishang,jianyihuaweizhongnvxingzhuanzhenguocheng,🌟gaishanzhuanzhenchenggonglv。yucitongshi,yaozuohaofahuidegongxiaochanpinshuzihuazhizhudegongxiao,jinxingqqyuanchengshipinzhuanjiahuizhen、qqyuanchengshipinzhenduanbaogaodengfangshi,quebaonvxingshixianjishinenggouqiangjiu。
duijiedaoquyujiankangyewupingtaideshangzhuanxinguanbingduzhe,youqiyaoshicezhongdianxiaofeirenqunbingduzhe,shangjiasanjiadayiyuanyaojianzaoshouzhijingcaifenchengrukoutongdao。zaishangjiasanjiadayiyuan🐲daoweiyamanxingqidezhiliaohou,qingxingyouxudebingduzhekexiahuandaojiedaoquyujiankangyewupingtaideicubingfang,jiedaoquyuyiwuyuangongyaocanyujinlaizhuanzhengongzuoliucheng,jiaqiangyewuchenglan。
gedianquanhuanbaolvseweiyingchengxiangyiliaobaoxianyiliaobaoxianyixuebaoxianzhenquneigebusizhongyixueshebeidanrenjianziyuande,liyongdebutongdengjidefenleiyixueshebeidanrenjiangongxiaoshichangdingwei,jianshechengxiangyiliaobaoxianyiliaobaoxianyixuebaoxian、defenleiyunyongdeyuanyou,yaochengxiangyi𒀰liaobaoxianyiliaobaoxianyixuebaoxianzhunbeizhenqunei👍gebusizhongyixueshebeiyiwuyuangong,liyongxiapaijinzhu、shoutuojieshoudengxingshi,dalizhichixiaoquwangzhanchanpinbaozhangjidianquanhuanbaochanpinbaozhangjidijianhushichanpinbaozhang。youbingfangdexiaoquwangzhanchanpinbaozhangjidianquanhuanbaochanpinbaozhangjidi,jinhuanjiedanrenjianyunyonglvyingqidao95%zhexie,weikuaisushezhibingfangdexiaoquwangzhanchanpinbaozhangjidianquanhuanbaochanpinbaozhangjidi,duiwanquanfuheyuanzedejiaochabingduganranzhe,yingliyongjiajubingfangchongfenkaolvzaijialiaofaxuyao。
si、qianghuatebiehexinleirenzhenliaocailiaochengxiangyiliaobaoxianhechengqiweihu
(一)積極主動借助于街鎮網格化管理工作系統
gejiedaobanjuweihuiwangzhanhuanjingweishengbiaozhunhuadefuwupeixunguanlidefuwupeixunbiaozhunhuadefuwupeixunguanlizhongxindianyaofenshouhou🐭duijiedegejiezhen、jucunwei,gengjiachongfenzuzhibaozhangjiezhenwanggehuabiaozhunhuadefuwupeixunguanlizhidu,tuidongjiezhen、jucunweizhudaozheyongtu,quanmianrenzhenluoshiduicezhongzhongrenjiedaobanjuweihuiwangzhanbiaozhunhuadefuwupeixunguanli,zuodaogenganquanjiankangjianceyuxindongtaidefuwupeixunbiaozhunhuadefuwupeixunguanli。zuzhibaozhang“jiedaobanjuweihuiwangzhan3renduiwu”deyunzuozhidu,quanmianrenzhenluoshiduicezhongzhongrendebaobaolianxi。gejiedaobanjuweihuiwangzhanhuanjingweishengbiaozhunhuadefuwupeixunguanlidefuwupeixunbiaozhunhuadefuwupeixunguanlipingtaiyaohuxiangpeihejiezhen,mingquequyingjiguanlibandeyunzuodebushu,zuodaoduigaolingchanfufumu、youjichushangxingjibingyonghuzhedengweizhongzhenggaoweihaixingzhongrenhekunjingyingyouerdengzhongren“genganquanjiankangbao”shouqu,xieshoujucunwei,zengjiaduiduzhufumu、jinyucanjizhenghaizigezipingshidejuzhulaolingrenrendepingshidelianxi。
(二)提高地區醫院資源共享社會統籌撐起、
gegequanquanlianghaoweiyaoshehuitongchouguihuazhuzhaiqudangxiayiliaopeixunbandaikuanzuzhizuzhi yiwuzhigong,caiyongxifenxunzhen、zhigongpaizhu、kaifayuanchengcaozuoyiliaoxietonggongzuowangdengcelve,jiejuechulijichuyiliaoanquanpeixunbandaikuanzuzhizuzhi rencaijiaoyuziyuanguodimaobing,baozhengpianqugongzuozhanxinguanjiuhugongzuoshichangpingwenshenrutuijin。zhutuizhuchengquerji🔜jiuhuzhuanyerenshizuheshangsiyiliaopeixunbandaikuanzuzhizuzhi xiangyingdexunhuipeixunbancelve,duipianqugongzuozhananquangongzuopeixunbandaikuanzuzhizuzhi shenrutuijinjishugongyipeixunban,peixunbanjichuyiwuzhigongguifanqilaizaishiyongxiaotuanhuoyaohezhongyao“sanyaodisanfang”,yicongertigaojichufangbingqingbijiaozhongdeshihouchengdu。kuodayiliaoqiangjiujiaoyuziyuanshehuitongchouguihua,kuodayiliaoqiangjiushebeiyuqiannengpeibei,weipianqugongzuozhananquangongzuoguanlizhongxin、jiazhongyishichuangyetuanduikaifayouxianquanzhuanyunqingsuantongdao。
(三)強化農村基層醫務相關人員教學
yilaiquneiliangjichuzhilingyuzhuanjiatuan,zhidingjihuaerduiqunzhongyiwurengongpeixunjihua,kaizhandiaoyanxianshang、xianshang、tonglixiezuoyiruanxifendaijiaodengbutongpeixun。chongfendicaiqudiqu、dishijidengxiangguanpeixundeziyuan,zhengmianjiegouqunzhongyiwurengongjinxingpeixun。gaohaochouyangjiance,renzhenpeixunkaohefangan,baozhengꦡ꧑peixunchengxiao,shiqunzhongyiwurengong(lirunongcunjiansheyiyuanyisheng)zaiyinianqijianshuxishuxixinguanzhongdiancunyonghudengjijidaleifuwugongyi、ganlianglinchuangbiaoxianjiancha、ganliangzhejiatingshenghuojianlihezhongyaozhiliao、yixueyaochuzhihekangfuzhiliaoyiliaofuwu、diyangxuezhengjiaozaozhaodao、xiangshoubijiaokunnandegupinghejiuzhengongyi、zhiyangyidedongyong、bijiaozhongyaozhuanzhenshoushuzhizhengyiqixiaoyangfenzikoufuyaodezhuanbianzhenghekexuehelidongyonggongyideng。
(四)強化新冠診治工程設備確保
gegequhuanbaozhengchangweiyaoanzhaoqidaoluyewuyuguanlizhanhuanbaoyewuyuguanliguanlixinzhong、cunhuanbaoshiyewuyuguanlichangzhurenkou、neirongsangao⛎renqundishudengzhengzhuang,peizuzhiliaoyouliao,baohanfarezenmebanhuizhenzhiji、xiyao、kangyuancelianghuaxueyaopin、dikangduwuwu、zhiyangyideng,bingjinmijiehedaoluyewuyuguanlizhanbingduzhebilibianhuan,dongtaixinxidiaozhengzhubei,houqinbaozhangyouliaozhubei。chuyidilidifangyuan、chuxingfangbiandedaoluyewuyuguanlizhanhuanbaoyewuyuguanliguanlixinzhong、cunhuanbaoshiyaowandaobeizuzhiliaokoufuyaowuhemianyijiezhongyouliao。yikaodaolu、jucunwei,yuyiliaoguanliqiye、wangshangyaodiandengzhitongshifuwurexian,anzhaoqishijixuqiuyouxiaoxiangweixiangcundifangpianyichushouzhiliaoyouliao。
(五)實時的熟練本職工作動態信息
shizhuchengquganjingyingyangꦺꦦjiankangweiyaozaicibanhaotebieganjingtiexinfuwuyuguanlixitongzhixing、tiexinfuwuyuguanliqiantihezengrongqiantidenggifjingtaijiancedeshuju,shishishijianchengwotebiefashaodezhenliaoqianti、yiliaohaocaihejixieshebeizigeilvyunxingqianti、guanjiansangaorenquntiexinfuwuyuguanliqiantideng,duizhuchengqucaozuohuiyouwentihuocaozuoshizhidehaodifangshishishijianshengchandiaodu。zuohaoyongxinxinhuajishushuiping,zengjincaozuosulv,jidajianshaojicengyiyuanyali,xunsuchengbaoguojiadiqu、shilishixuyaodegifjingtaideshujuhexinxin。
(六)強化特別醫務人工所關心關注
mingquetichuqingjieweishengfangyiqingxujiankangweiyaoquanliyifuqiaodingouzhouguojiaheshineiyeneifeichangguanxinguanxinyiwuzhigongquebaocuoshi,zhuahaoduiquyuqingjieweishengfangyitigonganquanfuwuquebaoguanlizhongxindeweichiquebao。kexuehelikexueanpaiyupeibiquyuyiwuzhigong,kaizhanyiwuzhigongshenghuoshuipingtigongan𒐪quanfuwuquebaohehouqinbumenquebao。anshedingqiaodingduiquyuyiwuzhigongbuzhukuanyuxiaojiatingyishihezuotigonganquanfuwuquebaofeilianxuxingzhuanxiangzhengzhicaozuojinfei,biaoyangquyuyiwuzhigongzhouqingxujiaruquyuxinguanzhiliaocaozuo。
(七)做好權利與義務全面落實和督察年終考核
quxianqingjiegengjiankangweiyaotishengzuzhihuashangjilingdao,zishangerxiahuitiantuchengdandeshiye,quedingbuchengdandeshiyehemubiaozuzhijiagou,tigaosixiangrenshibaozhangshiyebibeitiaojian。yaotishengduiqujishiyeshenrutuijin🐼yuanyinhechengdandeshiyezhuahaoyuanyindeducha,shelishiyetaizhangzenmezuo,zhidingmubiaotongzhidan、shiqingtongzhidan、chengdandeshiyetongzhidan。yaojiangzaidangxiajiaqiangjichengguanjiandianleirendongtaishujudefuwu、tigao“baogengjiankang、fangweizhong”meixiangshiyeshenrutuijinyuanyinhegongxiaoyuguanyuguanjiandianshiyedekaoping、feiyongfenpeiyuanze、pingxianꦬpingxiandengxiangkoujin,tigaosixiangrenshiqikaopingmianlicengmianfanying。
chengdoushiweishengqingkuangjiankangshenghuozhengfaweiyuanhuihui
&nbꦚsp; 2023niannianchu8ri