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: 】
gexianqushipinweishenglvsewei:
yaogenjuguowuyuanwendangwendanglianfangliankonggongshiyuanze《zhiyuwanchengxinguanzhongyaokehuquntidongtaidedetiexinfuwuhe“kouanshangyi”bangongdekongzhi》heguowuyuanwendangwendanglianfangliankonggongshiyuanze、zhongxinrenmenbangongyinlingzuchang《zhiyubanbutishengdangjinrenmendediquzuixinkejiguanzhuangruchongmumaganliangbingyiqingchuanranbingfangzhibangongfangshidekongzhi》wendangbixu,weizhanxianbeijingshipingtaiweishengjiandetiexinfuwuzuzhi ꦏwangdixiaoying,jianchibuxie“zaozhaodao、zaodiaoli、zaojieliu”,fanghuhezengduoxinguanruchongmumaganliangbingqingbijiaozhongdeshihoufashengle,xianjiuwanchengdangjinyouguanxi🌌bangongkongzhiyixiajidian:
yi、jianchijiaqiangpingtaixinguanzhiliaojineng
(一)有序推進平臺新冠診療擴充增能
geshiquhuanjingqingjieshentiweiyaotongguoqiangjiubenzhigongzuogezhongxuqiu,lianheshineiguanliantuandui,gengkuaishenhuazhenqubankuaihuanjingqingjietigongfuwuxiangmubaozhangpingtaixinguanqiangjiukongjiankuodatoujian,luoshizerenguanliangongyongyouyanjinghuaqijixieyiqidengzengnengchanchu,yijizhiliaobankuai、jingmozhushebankuai、yangliaobankuai、icubingfangbingqudeng,zuodaoweixindianshenfenshibie、xueyangjiancejishu、gongyangdenggongyongyouyanjinghuaqijixieyiqiyingjiananzhuang。zaibufuhejutitiaojiandebanꦺkuaihuanjingqingjietigongfuwuxiangmubaozhangpingtai,yaobijiaoqianghuactdengjixieyiqideyingjiananzhuang,zhidaochengshijuminshepianchayanchendi。zunxuntigongfuwuxiangmubaozhangchengshirenshushuliangde15%-20%dongtaidechanchuzhongyaofang、tuireyao、huatanzhikeyaojikangyuantancezhijihezhuangbei,qieshibaozhangshebeiyiyaochanchuliangzishizhizhongquebaozai2zhoushang,chengshirenshuximiyanhaidiquketongguojutiqingkuangzengtianchanchuliang。
(二)提高社區服務管理中心變燙醫療服務管理服務管理
quanxianggejiedaobanshichuganjingqingjieqingjieweishengguanligongzuozhiliangzhongxindiandemeitianbatianjunyinggongyingchanshengrelianghuizhengongzuozhiliang(hanjiejiaqilvyou),bingshiyongshiyongchanshengrelianghuizhenyezhuankemenzhen,tuidongchanshengrelianghuizhenyewanzenmeyanshigongzuozhiliang;quanxianggejiedaobanshichuganjingqingjieqingjieweishengguanligongzuozhiliangfenzhongxindiandemeitianbatianjunyinggongyingchanshengrelianghuizhengongzuozhiliang(hanjiejiaqilvyou),yitiaojiandekecheng🅠liyezhuankemenzhen。quanxianggejiedaobanshichuganjingqingjieqingjieweishengguanligongzuozhiliangzhan、cunganjingqingjieqingjieweishengguanlishiyingyinlingchanshengreliangshaodianzhensuo、linchangchanshengrelianghuizhenliuguanqu෴deng,zuodaochanshengreliangdengzhengzhuangaimeizhejiuyiliuchengsuoxu。
er、qieshijiaqiangneirongnianlingduanyingyangjiankangjiancewangyudongtaidejingzhunfuwu
(一)嚴格落實要點三高人群應管既然
yikaojiezhen、jucunwei,geshequshouhoutiexinyewuxingxiangmuxingzhanweishengqingkuangshouhoutiexinyewuxingxiangmuxingxuexiaoyaozuohaohuiquzijuelianjie,zaijiezhenjiangzhongdianxiaofeizhehuaruwanggehuacaozuolilunzhishishang,duizhongdianxiaofeizhezuohaojiankangjianceyucaozuo。genghaodifahuirenjiazixunshilianluogukehehuiquzijueshouhoutiexinyewuxingxiangmuxingyongtu,ruyidingchengduzengjialelada64suizhexielaonianxingrenqianshushouhoutiexinyewuxingxiangmuxinghangaimian,jichudachengzhongdianxiaofeizhe𝓀qianshuquanhangai。yingyongyunshouhoutiexinyewuxingxiangmuxing、gudingdianhua、zhifubao、duanshipindengfeijiechuxingyuanzehuotianjinshangmensuifangdengmianxiangmianshouhoutiexinyewuxingxiangmuxingyuanze,zuoshi“hong、huang、lv”biaoshi(biaoqian)zhongdianxiaofeizhejiankangshouhoutiexinyewuxingxiangmuxing,zuohao“sangeluoshizerenbuli”。
1.yijiezhenweifang,goujianwanggehuazuogongzuojili,guancheluoshi“shequnwurenxiezuozu”zuogongzuoxingzhengzhineng。
2.sileicezhongnianlingcengyingyangjiankangzhenchageleiqingxin,dongtaitupianshedingbingjiarutaizhangzenmezuo,gongzuomubiaoqiyexinxiqingxin。
3.shequwangzhananquanweishengbao🍎zhangjiegou24hbaozhangzixunrexianchangshun,jialiyi🌞hurenyuanzhaocuoshizhudongxingtongzhitebiesangaorenqun,youshenxinjiankangxuyaoliangshidangjifanying。
4.zaiduozhuangtai,duineirongyonghujiamifangshizhudongxingdianhuagoutonglianjie,dui“lanse”neirongyonghuqitian7tiandianhuagoutongbugaoyu3ci,dui“heise”cineirongyonghu,qi⛄tian7tiandianhuagoutongbugaoyu2ci。
5.dangjilejiezhuyaoxiaofeizhejichushangmanxingbingqingxingheshentishentizhuangkuangfasheng。
6.duiguanjiandianhuanzhefukeganranxinguanbingdushishenmehuozhishijichuchuanranxingjibingjiaoqingdengxianxiang,shishijiankangzhiyin、yufangyuzhuanzhen。
(二)推進側重點消費者的分類處理
dui“hong、🀅huang、lv”yaodianhuanzhefenkaikaizhan“yi、er、sanleishipin”kongzhitiexintigongdetigongfuwudexiangmu,dui“chuntianran”huanzhe,quanmianwancheng“yicengtiexintigongdetigongfuwudexiangmu”,gaohaoshentilvselianghaodepeiyang,gaohaoyonghushentilvselianghaodefangfang。dui“tuhuangse”huanzhe,zaiquanmianwancheng“yicengtiexintigongdetigongfuwudexiangmu”dejibenshang,duiruoyangjujiazhuangxiuzhongyaozhiliaorenyuanguanlikaizhan“ercitiexintigongdetigongfuwudexiangmu”,gaohaokangyuanjiancegongju、shentilvselianghaodetancejishu、shentilvselianghaodelejie、fuyaofangtantigangdeng。dui“hong”huanzhe,zaiquanmianwancheng“yi、ercitiexintigongdetigongfuwudexiangmu”jibenshang,kaizhan“sanleishipintiexintigongdetigongfuwudexiangmu”,qianghuamuwendibanshentilvselianghaodetancejishu,duishentizhuangkuangzengjiazhongliangdejinxingzhuanzhenbangzhudao。
san、jingzhunfaliquanmiantishengweizhongzhengwanqikanjian、kaizhanyubinggui
shixiaquhuanbaolvseweiyaogoujianshi、quzhenzhiquanweipingshenꦰzuyizhi,jinyibutigaoduishequwangzhanjuweihuihuanbaobaozhangxinzhonglianjieyuzhuanyezhidao,jiandingbuyi“zaobiaoming、zaoyizhi、zaofenli”zhunze,qishequwangzhanjuweihuihuanbaobaozhangxinzhong“shekoukouanyiwei”gongyong。
(一)扎實推進新冠危重癥早找到
gejiedaobanhuanjingweishenggongnengxitongronghejucunwei,qieshijiadaduixinguanchuanranzhedelvsejiankangjiancewangwang,tongchangshizhongdianshixiaofeiquntichuanranzhe,zailuodaoshichu“yi、er、san”jicaozuodejichuliluntiaojianshang,yaozhongdianshiqieshijiadaxinguanlinchuangbiaoxianyujichuliluntiaojianxingchangjianjibing🍬linchuangbiaoxianbiandongdejiancewangwang。
gaohaoduixinguanxijunbingdumaxiedaizheyangguoshengdutance。gejiedaoqingjiehuanweijiandujianbaozhangbumenyaopeizhizuliangdezhijiashimoboxueyangyi(zhesuolvecizhiyangyi),zhuashigegejiedaoqingjiehuanweijiandujianbaozhangpingtaihefenpingtaizuiqimapeizhi20gezhe、gegejiedaoqingjiehuanweijiandujianbaozhang🎃zhanhecunqingjiehuanweijiandujianshizuiqimapeizhiduogezhe,gegejucunweizuiqimapeizhi2gezhe。xiangweigegejiachangboshijingyingtuanduipeizhibixushuliangdezhiyangyi,xiangmuduijiehaojucunweideliliang,jiangyangguoshengdutanceshourucezhongyonghuxijunbingdumaxiedaizhechangjiansuifangdongxi。gejiedaoqingjiehuanweijiandujianbaozhangbumenyaojijixiangshangtuijinjucunwei,wei66suizheyouxinguanbingdumaxijunyingxiangweizhongfengxiankongzhiqiejihuakunraodecezhongyonghubanfazhiyangyi,peixunjiajujiancexueyangguo♏shengdu。
(二)推行新冠危重癥早診治
yaopingjieshi、qujiuhuxiaobianzuliliangtupian,wanchengjiedaobanweishengguanlifuwupeixundanweiduixinguanhuanshangzhezhenduixingzhenzhi,🥃baokuoyingyangpindezhichi、yangliao、guashui、xiaoyuanzihekoufuyaoyingyong、shelijiazuyiyuanbingfangdeng。
1.提高針對開展。gegequhuanjingganjingjiankangweiweilepingtaijuweihuihuanjingganjingyewuzuzhijubeicishute🍨bieshihedechunyangdai、chunyangpingbingqiezhiyangjidengjixieshebei,quedinganshiweiyiyuanmenzhenbuqiumeizhe、jiayongzhiliaoqiumeizhedailaileyangliaohuochunyangbaozhuangyewu。gepingtaijuweihuihuanjingganjingyewuzhu、fenzhujunyaoshejiyiyuanmenzhenbu“xiyangqu”;pingtaijuweihuihuanjingganjingyewuzhanyucunhuanjingganjingshidebiaozhunshangjunyaoliyuyuanyoubangongchangdikongjian,yingjianpeizhichunyangguan,dailaile“yangliao”yewu,manyijuzhuzhejiujinlilunyijuyangliaoyewuyiyuan。gaohaoxiwuzhiliao,gepingtaijuweihuihuanjingganjingyewuzhu、fenzhudebiaozhunshangjunyaodailailexiwuzhiliaoyewu。yiqi,jiaqiangbingduzheyingyangfengfubuzhichi,kuaisuzhixingyingyangjiankangshanshijiegoujianyi,anguifanxingzuzhikaizhanjingmoshuyedengshouhoufuwu,shaobingqingbijiaozhongdeshihouzaicifashengweixianyinsu。
2.立刻選用身體劇毒物緩解。duiyaodiankequnhuanshangzhewanchengpingjiazhibiao,zaishineipingshenzuzuzhiyinxia,duihehushiyingzhengdehuanshangzhe,suishizhiyin💦shiyongkangbingliduwuwu,quebaozaorijiuzheng。
3.更加充分派揮中藥配方進行治療使用。jianchizhongxifangyixiangjiehe、zhongyiliaoyaojiecheng,yuelaiyuekuai“sanyaosantong”dengyaocaizaishequgongnengzixunzhongxinjuweihuijiankangshouhougongnengyiliaojigoudepeiyouhecaiyong。geshequgongnengzixunzhongxinjuweihuijiankangshouhougongnengzixunzhongxinyaoerduixinguanhivbingduhuanshangchangyongchuqizhengzhuang,yincunzhiyi,bianzhengshizhi。yaoꦍbawozhu“zao”“kuai”defangshi,rangzhongcaoyaozaixinguanbingduyounaxieyingxiangqijianzhuajinshijianjiarugenzhi,mashangyizhiqingzhengquefaxiangdaxing、weidaxingzhuanxing。
(三)有序推進新冠危重癥早分配
1.直接配合轉診。duixinguanzhengzhuanghuojibenzhishixingbingyanzhongdegandongzhe,getebieqingjieweishenganquangongzuozhanzhan、jiayishengzhuanjiatuanduixuyaoyonghao120jiuhuxianqizhuanyungongsihuanglvseguandao,bangzhuganliangzheyaoshishixingzhuanzhen。tantannongcunjicengshouzhendeweizhongzishen,yaokuaizhunquedebianbiede,jushishishangqingkuangfasheng,yaoshishixinggongyang,shiyonggenghaodijiuyuanduice,yingzhutoupiquebaozishenshenghuobinglibianhuashunchang,zaiyihurengongchushizhengjianxiayaoshishi♍xingzhuanzhen。
2.暢通無阻雙項轉診。gejuweihuiganjinggongnengdanweiyaojiezhubufenxingyiyongshebeidanwei、yiliantishangjibumenqingdaoboshizhengxingyiyuanyiyuan,fangbianqunzhongxinguanchuzhizongxiangzhuanzhendetongdao,gexianquganjingshentijiankangwei、geyiyongshebeidanweiyaoquedinghaotuoshanzerenrenzhuanzhenbumen,jianhuaweizhongzhengzishenzhuanzhenguocheng,jiakuaizhuanzhensudu。erqie,yaochongzucaiquzi🥀liaohuachengqi、bangzhu,caiquwuxianguanjijiuzhen、wuxianguanjipanduandengcelve,tigaorenshizishenyingdeshishihenhaodechuzhi。
duijiedaobanwangzhanganjingweishengfangyianquanchanpinbaozhangpingtaishangzhuanxinguanranbingzhe,youqiyaoshizhongdianxiaofeirenqunranbingzhe,lingdaoyiruanyaobaochishouzhichuntianranchurukou。zai🦄lingdaoyiruanwanzhenghuxigongnengshuaijieqizhiliaohou,xianzhuangquyuwendingderanbingzhekexiazhuandaojiedaobanwangzhanganjingweishengfangyianquanchanpinbaozhangpingtaijianhushi,jiedaobanwangzhanyiwuyuangongyao🀅jiaruzhuanzhenliuchengtu,jinxinganquanchanpinbaozhangshigongzongchengbao。
shizhuchengquganjinganquanweishengxuexueshenxinjiankangweiyingshehuizongheyiyuanbaoxianzhuchengquneigexiangdangweidangxiayiyuanyiyuanchuangpuziyuanxing,huigenjubuyiyangdejiyiyuanyiyuanchuangputedianshoujidingwei,baochishehuizongheyiyuanbaoxian、zhongleiliyongdejizhihua,yaoshehuizongheyiyuanbaoxianbuzhizhuchengquneigexiangdangweidangxiayiyuanyiyuanyiwurenshi,jingyouxiapaijinzhu、weituodaiweiyijiaodengdefangfa,dezhichipianqujuweihuiganjinganquanweishengxuexueshouhoufuwubaozhangxingdexinzhongyiyuanbingfangshouhoufuwubaozhangxingde。shezaihulichuangdepianqujuweihuiganjinganquanweishengxuexueshouhoufu𓆉wubaozhangxingdexinzhong,jinjieduanzhong,chuangpuliyonglvyingkeda95%shang,weipeizhihulichuangdepianqujuweihuiganjinganquanweishengxuexueshouhoufuwubaozhangxingdexinzhong,duibufuheshoushuzhizhengdefukexiedaizhe,yingjingyourenhulichuangtigongzaijiazhiliaoyaoqiu。
si、jinyibujiaqiangjiedaozhongdianshixiaofeiqunzhenzhiyingshiziyuanzonghehezhichengjiahouqinbaozhang
(一)足夠構建街鎮網格化標準化管理策略
gejuweihuigonggonghuanjingweishengchanpindedanweiyaohuiquzhudongronghegongzuogejiezhen、jucunwei,zugougoujianjiezhenwanggehuabiaozhunhuaanquanguanlizhidu,liyongjiezhen、jucunweizhudaoquannengli,renzhentuijinduizhongdiankehuqunjuweihuibiaozhunhuaanquanguanli,banhaolvsejianceqiyugifdongtaichanpinde。goujian“juweihui3rengongzuozu”gongzuozhidu,renzhentuijinduizhongdiankehuqundebaobaoguanlian。gejuweihuigonggonghuanjing𝕴weishengchanpindedanweiyaotingqujiezhen,anzhuangqufangfankongzhibangongzuoanpai,banhaoduibashisuizhongnianlingjiaodaderen、youhexinxingjibingyuanzhedengweizhongzhengtangshailinjiefengxianfenxikehuqunhekunjingbaobaodengkehuqun“lvsebao”shenqing,ronghejucunwei,qianghuaduikongchaozhongnianlingjiaodaderen、jinyushangcanrenzhixiqinshugongtongcanyujuminnianlingjiaodaderendedingqiguanlian。
(二)增進區域內醫學市場綜合承載
geshineianquanwendingweiyaochengxiangyiyongbaoxianquyuneigegeyiyongdanweiyiwugongzuoyuan,nenggou xifenxunzhen🔴、gongzuoyuanpaizhu、jiaruyuanchengguanjiyiyongcaozuowangdengmoshi,xiaochujichudangzuzhizuzhiyiyonganquandanweilaowuquefayiwen,baozhangquyuxinguanjiuyuantiexinjingzhunfuwuxiangmuyouxushenruzhuahao。tuidongshineierjijiuyuanxiaobianzuheshangjilingdaoyiyongdanweishejixunhuimianfeipingjiabiaocelve,duiquyuanquantiexinjingzhunfuwuxiangmudanweishenruzhuahaojinengmianfeipingjiabiao,peiyangjichudangzuzhizuzhiyiwugongzuoyuanbiaozhunhuayongxiaofenzijiegouyaohezhongyaocai“sanyaojifangmian”,yidetishengjichudangzuzhizuzhifangweizhongzhengyewunengli。quanmiantishengyiyongjiuyuanchanpinchengxiangyiyongbaoxian,zengduoyiyongjiuyuanxiaojiaocheyuyizhidapei,weiquyuanquantiexinjingzhunfuwuxiangmuzhongxinde、jiarenboshijishutuanduijiarubixuzhuanyunjianxiutongdao。
(三)全面提升基層組織醫務的人員訓練
yinlinglaochengquliangjizhiyukeyanzhuanjiatuan,nidingcaiqunongcunjicengyiyuangongzuoyiwukaoshengzhuanyexunliankexuexikegongzuofangan,tuanduikaizhanxianshangtuiguang、wangshang、daitouweishengyuanhuixiachendaoyouzhajidedaijiaodengbutongzhuanyexunliankexuexike。youxiaochongfendechongfenyunyongouzhouguojia、shengjidengyeneizhuanyexunliankexuexikeziyuande,lianghaotuanduinongcunjicengyiyuangongzuoyiwukaoshengcanyuhuodongzhuanyexunliankexuexike。jinyibuqianghuahecha,yaoyanzhuanyexunliankexuexikekaohebiao,quebaozhuanyexunliankexuexikezhiyuxiaoguo,shinongcunjicengyiyuangongzuoyiwukaosheng(liruxiangjiandafu)zaiduanqijihuaneijingtongzhidaoxinguancezhongnianlingcengdengjiguileiguileichanpincelve、fukebingduganranbingzhuangjiancha、fukebingdubinghuanzhejiatingzhuangxiukongzhihezhiyu、zhongyiyishengyaozhiyuhekangfuzhanyiꦓyong、diyangxuezhengzuizaodeshihoukandao、rengonghuxinanguandefenxihehuizhencelve、zhiyangyideshiyongde、hexinzhuanzhenbu🍎shiyingzhenggezhongxiaofenzishiyongyaodebushiyingzhengheduishiyongdecelvedeng。
(四)切實加強新冠醫治原材料設備保駕護航
gegequanquanweishengfangyiweishengfangyigengjiankangweiyaobutongtebieanquanweishengfangyiweishengfangyiquebaoguanlizhongxinzhande、cunanquanweishengfangyiweishengfangyishiquebaoguanlichengshirenkou、guanjianrendishudengzhuangkuang,peizuzhiliaogongchengcailiao,youfashaoyizhizhongcaoyaoyinpian、zhongcaoyao、kangyuantancehuaxuezhiji、dikangmanxingduzhiji、zhiyangyideng,bingjieheqilaitebiepifuxiedaizhexuqiuliangbian𝄹huan,dongtaitupiangaibianzhubei,quebaogongchengcailiaozhubei。quyudilixuanzhibianyuandiquhuafen、daolujiaotongbutuodetebieanquanweishengfangyiweishengfangyiquebaoguanlizhongxinzhande、cunanquanweishengfangyiweishengfangyishiyaotiqianjiaochangdeshijianlaizhunquedeyujingchudizhendefashengbeizuzhiliaozhijiheweishengfangyigongchengcailiao。yilaishequjuweihui、jucunwei,yuyizhiqiye、wangshangyao🎃diandengzhidafuwudianhua,butongshijishixuyaojinliangxiangxiangxiadiquhuafenqingxieduchanshengzhiliaogongchengcailiao。
(五)時實理解辦公動態圖片
mingquetichuqingjiejiankangweiyaolikejinxingtebieqingjieanquanshouhoufuwuguanlidaikuanjigoukaijiyunxing、anquanshouhoufuwuguanlihuatihekuojianhuatidengdongxiangjiankong,♔suishilijietebiefarezenmebanyiliaohuati、yiliaoyaopinhedeshebeicunliangshiyonghuati、zhongdiancunquntianquanshouhoufuwuguanlihuatideng,duiquneiyunxingliucunhuatihuoyunxingxiangweizhihoudefangmiansuishidiaoduxitong。youxiaojinxingwentihuajishushebei,zengchangyunxingsudu,jiangdijichengfushui,suishichengbaoguo、dishijiyaoyoudedongxiangshujugerenxinxihewenti。
(六)做好街道醫務相關人員注重關愛殘疾人
shixiaqujiankangjiankangweiyaojinliguanchezhongguohetianjinshiyouguan﷽dexinxiguanzhudewentiguanyuanyiwurengongduice,zengjinduixiaoqujiankangfuwuzhiliangxiangmuyupingtaidezhichiyoubaoxian。shiyianzhuangyupeibixiaoquyiwurengong,zuohaoyiwurengongshengcunfuwuzhiliangxiangmuyuhehouqinguanliyoubaoxian。anzanxingguidingguancheduixiaoquyiwurengongbutieyuputongjiatingdafuqianyuehezuofuwuzhiliangxiangmuyufeiyixiexingzhuantibangongjinfei,biaoyangxiaoquyiwurengongshenshangxintoujinxiaoquxinওguanzhenliaobangong。
(七)進一步提高主責落實責任和督察年終考核
shixiaquweishengjianzhengchangweiyaojinyibujinxingqianghuajigoushangjilingdao,yicengcengyashidudanze,qingxibumenguanlidanzehediaoyumubiaorenwufengongxiezuo,baohuzuoyetiaojian。yaojinyibujinxingqianghuaduiqujizuoyefazhanqingxingfashenghedanzeguancheluoshiqingxingfashengdezhuanxiangducha,shixianzuoyetaizhangzenmezuo,zhixingdiaoyumubiaorenwumingxidan、dewentimingxidan、danzeꦚmingxidan。yaojiangmouyilejiequnzhongzhongxinnianlingduandongtaitushiye、jinxingqianghua“baozhengchang、fangbingqingbijiaozhongdeshihou”gezhongxiangguanzuoyefazhanqingxingfashenghechengxiaoxianzhuyugezhongxiangguanzhongxinzuoyedekaolv、zijinliangdoufenpeihao、pingxianpingxuanxianjindengxianglianxi,zhenzhengyinlingkaolvjilijizhiyinlingyong。
hangzhoushihuanbaoshenxinjiankangchangwuzhuanweihui
&n🌜bsp; &nb♏sp; 2023nianyiyuefen8ri