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: 】
gegequweishengfangyishenxinjiankangwei:
𝔉liyongguojiafagaiweilianfangliankongcuoshi《jieshaozuodaoxinguancezhongdianrenqingkuangdeanquanfuwuhe“shekoukouanlagao”shiqingdexiaoxifanwenshu》heguojiafagaiweilianfangliankongcuoshi、zhongjiancunkoushiqingguanlizhexiaozunei《jieshaochuwenqianghuazaidangxiacunkouquxianxinshideguanzhuangmumachuanranxinguanyiqingkongfangshiqingguihuadexiaoxifanwenshu》wenshuteshuyaoqiu,weiqieshifahuishanghaishishequanquanfuwuzhongxinhuanjingweishengdeanquanfuwuzhongjiejigouwangdishiyong,chixu“zaoxianshi、zaoliaofa、zaojieliu”,yingduihebianshaoxinguanmumachuanranweizhongzhengtufa,xianjiuzuodaozaidangxiashejidaoshiqingxiaoxifanwenshurubiao:
yi、buduandishenggaojiedaobanshichuxinguanchuzhibenshi
(一)扎實推進社區衛生新冠治療實現擴容增能
𓂃geshiquanquanyingyangjiankangweiyaosuizhujijiugangweijutixuqiu,liandongrenxiaoquduiyinglianbumennaizhimeiyiweiyuangong,jiakuaijichujianshexiangmujichujianshetuijinxiangmujichujianshezhuchengqujiedaobananquanbaozhangbaozhangjidizhanxinguanjijiuchangheshixiankuorongjichujianshe,renzhenzhixingduiyinglianchangdisheshiguanliyiqidengzengnengchanchu,yebaokuozhiliaobuweixing、guashuibuweixing、yangliaobuweixing、peihushibingqudeng,zuohaoxindianpeihu、xueyangjiancezhan、gongyangdengchangdisheshiguanliyiqixiankaxitongpeizhi。xiangduishihezhuangkuangdejiedaobananquanbaozhangbaozhangjidizhan,jiaoqianghuactdengyiqidexiankaxitongpeizhi,xiufuxitongrenshepianshenheqingxie。yijubaozhangbaozhangrenkoutongjishuliangbilide15%-20%dongtaihuachanchuzhongyao、tuireyao、huatanyaojikangyuanyancehuaxuezhijihebiaozhunpeizhi,baozhangbumenfeichufangyaochanchuliangbaochiwendingbaochiwendingzai2zhoubudiyu,renkoutongjishuliangjizhongweizhikesuizhujutiqingkuangzengqiangchanchuliang。
(二)切實加強社區居委會升溫醫療安全服務
൲gequgejiedaoganjingganjingshipinweishengfangyifuwuzhongjianmeiyizhoubangeyuejunyingdazaofashaoyiyongfuwu(hanjiejiaqilvyou),bingyongsheshifashaoyiyongyezhuankezhensuo,bianxianfashaoyiyongyewanshijianyanchifuwu;gequgejiedaoganjingganjingshipinweishengfangyifuwufenzhongjianmeiyizhoubangeyuejunyingdazaofashaoyiyongfuwu(hanjiejiaqilvyou),youyijiandekejiansheyezhuankezhensuo。gequgejiedaoganjingganjingshipinweishengfangyifuwuzhan、cunganjingganjingshipinweishengfangyishiyingyikaofashaoshaodianbingshi、yidifashaoyiyongliuguanqudeng,tigongfashaodengbushifanyingkehuyidijiuyijutixuqiu。
er、zhuashilejiezhuzhongsangaorenqunshenxinjiankangjiankongyudedongtaifuwuxing
(一)完成重點消費人群應管即使
ꦛyijujiezhen、jucunwei,geshequgongnengjigouqingjieweishenggongnengjigouyaozuohaozidongjieguan,zaijiezhenjiangzhuyaoleirenlieweiwanggehuafangfazuijibenzhishishang,duizhuyaoleirenzuolvsejiankangpingguyufangfa。qieshifahuijiayongfukeyishenggaohaoguanxirenminqunzhonghezidonggongnengxiaoguo,ruyidingchengduzengjialejianshao64suishangmiandenianlingjiaodaderenqiandingxieyigongnengbaohanlvmian,zuijibenshixingzhuyaoleirenqiandingxieyiquanbaohanlv。heliliyongyungongneng、shouji 、weixinweixin、shipindengfeizhanranwanfahuoqingrensuifangdengzaimianmenkougongnengwanfa,zuoshi“hong、huang、lv”anquanbiaoshizhuyaoleirenlvsejiankanggongneng,zuode“jigeluoshizerenwanmei”。
1.yijiezhenweidanweimingcheng,tuidongwanggehuaguanlishangbanjizhihua,luodaoshichu“xiaoquerrenbanji”shangbangangweizhize。
2.sandaleiguanjiandiankehuqunzhengchangdiaoyanzhongleimingque,richangdongtaijinxingdiaojiebingshelitaizhanggeshi,weihunvpengyouchanpinxinximingque。
🅷3.pianquweishengjianfuwuyubaozhangpingtai24banxiaoshifuwuyubaozhangkehufuwurexianhutong,jiayishengzhuanjiagaohaoguanxicelvezizhuxunwencezhongdiannianlingceng,youdejiankanggezhongxuqiushijishidechuxianyichang。
💜4.pingjiexuduoleixing,duizhongyaokequnjiamiwenjianzhudongjianlidianhualianjiezhidao,dui“dahongse”zhongyaokequnyitianjianlidianhualianjiebuxiaoyu3ci,dui“chenghuangse”cizhongyaokequn,yitianjianlidianhualianjiebuxiaoyu2ci。
5.kuaisulejiehexinxiaofeiqunjibenjihuanzhuangtaiheyingyangjiankangxianzhuang。
6.duiguanjiandianxiaofeizheranshangxinguanhongbingduhuojichuzhishibinggengzhongdengqingkuangfasheng,suishijiankangshenghuomingling、zhenzhiyuzhuanzhen。
(二)完成主要客戶群體分類整理治理
🦄dui“hong、huang、lv”hexinxiaofeiquntibutongzhidingyige“yi、er、sanjieduan”caozuogongzuo,dui“wanghong”xiaofeiqunti,luodaoshichu“tejitongguochengjigongzuo”,zengfuwendingjiaodao,xiehaogerendewendinggerenfanghu。dui“chenghuangse”xiaofeiqunti,zailuodaoshichu“tejitongguochengjigongzuo”degenjishang,duiyangxingjiajuhuanjingzhenzhiyuanzhidingyige“liangjigongzuo”,zengfukangyuanjianze、wendingpinggu、wendingzixunjingzhunanquanfuwu、shiyaojiandudeng。dui“wanghong”xiaofeiqunti,zailuodaoshichu“yi、liangjigongzuo”genjishang,zhidingyige“sanjieduangongzuo”,zengfuwendingpinggu,duishentizhuangkuangjialiaodeyingdangzhuanzhenfuzhu。
san、jingzhunfalikaizhanweizhongzhenghanqifazhan、fangfayujieliu
🐻gexianquanquanweishengfangyijiananquanweishengfangyiweiyaoyijiayituoyushi、quqiangjiukeyanpingshenzuyizhi,tigaoduitebieanquanweishengfangyijiantigongfuwuxingzhongxinlianjieyupeixun,weichi“zaofajue、zaozhiyu、zaofenke”guifan,jifatebieanquanweishengfangyijiantigongfuwuxingzhongxin“shekoukouanyiwei”yong。
(一)落實新冠病情比較重的時候早找到
❀gepingtaianquanweishengfuwucaozuodanweixietonggongzuojucunwei,tigaoduixinguanbingduzhedelianghaojiancewang,yujiashitebiedaxueshengxiaofeiquntibingduzhe,zaiguanche“yi、er、san”jicaozuodededejichushang,yaotebietigaoxinguanzhengzhuangyudedejichuxingchuanranxingchuanbojibingzhengzhuangbodongdejiancewang。
ᩚᩚᩚᩚᩚᩚᩚᩚᩚ𒀱ᩚᩚᩚdalijiaqiangduixinguangandongzheyangbaomandujiancejishuzhan。geshequnqingjiejiankangfangyixuetiexinfuwupeixunbaozhangyugongsiyaochangbeizuliangdezhijiashimoboxueyangyi(xialisuoxieyingwenzhiyangyi),tigaorenshisuoyoushequnqingjiejiankangfangyixuetiexinfuwupeixunbaozhangyuzhongyanghefenzhongyangzuihaochangbei20gezongshangsuoshu、suoyoushequnqingjiejiankangfangyixuetiexinfuwupeixunbaozhangyuzhanhecunqingjiejiankangfangyixueshizuihaochangbei8gezongshangsuoshu,suoyoujucunweizuihaochangbei4gezongshangsuoshu。xiangweisuoyouqiyeyiyuanyishengtuantichangbeibixubilidezhiyangyi,ronghegongzuohaojucunweibaofali,jiangyangbaomandujiancejishuzhanlierutuchuleirengandongzhegenbensuifangneibu。geshequnqingjiejiankangfangyixuetiexinfuwupeixunbaozhangyugongsiyaojijixingronghejucunwei,wei66suizongshangsuoshuyouxinguanbingduyounaxiegandongweizhonggaofengxianqiezaixingdongbulianghouguodetuchuleirenpaifazhiyangyi,minglingshenghuojiancexueyangbaomandu。
(二)促進新冠危重早治愈
💙yaoyikaoshi、quqiangjiuyouguanlingdaoxiaozuhuoli,wanchengpianquhuanjingweishenganquanfuwujigouduixinguanhuanshangzheliganjianyingyizhi,lirujuyangkeyi、yangliao、guashui、xiaofenzishizhiliaoyaowuliyong、shelijiatingyiyongbingchuangdeng。
1.增加針對治療方法。🍬gexianquanquanqingjieganjingganjingweishengjianjianyingyangweihuibangtebiechanpinpingtaianquanqingjieganjingganjingweishengjianjianchanpingongsixuanyongyongliangbuyidechunyangdai、chunyangpingxiangyingzhiyangjidengjixie,querenzhijieweiyiyuanyonghu、jiatingzhuangxiujinxingzhiliaoyonghudailaileyangliaohuochunyangzhuangguanchanpin。getebiechanpinpingtaianquanqingjieganjingganjingweishengjianjianchanpinpingtai、fenpingtaijunyaopeizhidanyiyuan“xiyangqu”;tebiechanpinpingtaianquanqingjieganjingganjingweishengjianjianchanpinzhanyucunanquanqingjieganjingganjingweishengjianjianshidezhengchanglaishuojunyaoliyugongyoujidiyudi,peizhidanchunyangguan,dailaile“yangliao”chanpin,manzulerenmenjiujinyijuyangliaochanpinjutixuqiu。kaifawuhuaxiruxirujinxingzhiliao,getebiechanpinpingtaianquanqingjieganjingganjingweishengjianjianchanpinpingtai、fenpingtaidezhengchanglaishuojunyaodailailewuhuaxiruxirujinxingzhiliaochanpin。yibing,zuzhikaizhanyingxiangzhejuyangzhicheng,jinxinganquanhelishanshikaohepingjia,anguifanhuazuzhikaizhandadiandidengfuwude,shaoweizhongzhengshiyoufashengfengxiankongzhi。
2.及時性適用抵抗毒物物治療方法。🌜duizhongdaleirenbingduzhezuochufenxi,zaichengquzhuanyerenshizujianyixia,duijubeishoushuzhizhengdebingduzhe,jinkuaijianyishiyongkangchongmanxingduyaowu,zuogankuaidiaokong。
3.充分地利用成藥治療方法用。ꦜyangeyaoqiuzijizhongxiyiyiyunyong、zhongyifukeyaoranhouyong,cujin“sanyaoliangfang”dengzhongchengyaozaiquyuhuanbaoshouhoushouhoufuwubumendezhuangbeihecaozuo。gequyuhuanbaoshouhoushouhoufuwujidiyaogongxingxinguanmumaganranyibanzhuangkuang,renjinqicai,bianzhengshizhi。xiyin“zao”“kuai”dejibenzhunze,rangzhongcaoyaozaixinguanxijunranbingqibujieduantiqianmairudezhiliao,lijidujueqingzhengbingyuanxiangqingxing、weiqingxingjingjifazhan。
(三)發展新冠危重癥早截流
1.當即積極配合轉診🌞。duixinguanzhengzhaohuogenbenxingzhengzhuangjianshaodezhanranzhe,geshequbaozhangzhanqingjieweishengbaozhangzixunzhongxin、renjiayakeyishengzuzhiyongdaohao120jiuzhixianqijiyunchuntianranqingsuantongdao,qingqiufukebingduganranzheyouxiaodezhuanzhen。zhenduiyujichushouzhendeweizhongzhengbinghuan,yaoyouxiaogengzhunquepanbie,butongxianshixianzhuang,youxiaodegongyang,tongguojijitaidujiuzhifangan,tuodangquebaobinghuanyishengbinglibianhuashichangpingwen,zaiyihuzhesuitongxiayouxiaodezhuanzhen。
2.保通雙線轉診。⛎gejiedaobanqingjiefuwuguanlizhuyaotuidongchengshixingyiyaozhu、yiliantishangjilingdaozhiliao,shunchangxinguanzhiliaoshuangxiangzhuanzhenduanxintongdao,gexianquqingjieyingyangjiankangwei、geyiyaoshebeiyaopanbiezerenrenchengdanzerenzhuanzhenzhiwu,jiandanbingqingbijiaozhongdeshihounvxingzhuanzhenliuliang,tishengzhuanzhengongzuoxiaolv。zhijie,yaonenggouchongfenpeihuixiaoxihuachengshougongxiao,chongfenliyongyuanjuliwenzhen、yuanjulijianchadengcelve,querennvxingyongyouhelihelizhiliao。
🌼duiquyushipinganjingweishenggongzuoxiangmupingtaishangzhuanxinguanganranzhe,youweishishengjizhongdianzhongrenganranzhe,shangjiadazhuankeyiyuanyaoshelishouzhihuanglvseguodao。zaishangjiadazhuankeyiyuanlaiwanchengfashengaizibingchuangkouqiyeliaohou,huanjingpinghengdeganranzhekexiahuandaoquyushipinganjingweishenggongzuoxiangmupingtaiyiyuanbingfang,quyuyiwujishurenyuanyaozuzhizhuanzhenfangan,zuogongzuoxiangmuchengbaogongcheng。
🍬mingquetichuanquanqingjielvsejiankangweiyingtongdengguanshixiaquneigexianggezhongyizhibumenyiyuanshoushuchuangshichang,zhinenggenjuyousuochayicengciyizhibumenyiyuanshoushuchuanggongnengbiaoweizhi,shulitongdeng、fenleizhengliyongdaodegongshijizhi,yaotongdengjutianpaiguanshixiaquneigexianggezhongyizhibumenyiwugongzuorenyuan,caiyongxiapairuzhu、xialingrangshouhuidengtujing,dazaijiedaojuweigongnengzhananquanqingjiegongnengzhongjianhushigongneng。youshoushuchuangdejiedaojuweigongnengzhananquanqingjiegongnengzhong,jinjiaduanyiyuanshoushuchuangyongdaolvyingdacheng95%zhishang,weishiyongshoushuchuangdejiedaojuweigongnengzhananquanqingjiegongnengzhong,duifuheyaoqiushoushuzhizhengderanbingzhe,yingcaiyongjiazushoushuchuangyaoqiujujiazhuangxiuzhenzhisuoxu。
si、jinyibutigaoshequweishengzhongxinquntijiuzhuziyuanliangzonghehechengqi、qieshibaozhang
(一)能夠充分依靠街鎮網格化管理制度體制
♏gejiedaobanshichuanquanxueanquanfuwubaozhangguanlizhiduzhiduzhuyaozhudongjierugejiezhen、jucunwei,zugouyijiachentuoyujiezhenwanggehuaguanlizhiduzhiduchangxiaojili,tuidongjiezhen、jucunweizhudaoxinggongyong,yangeluodaoshichuduihexinrenjiedaobanshichuguanlizhiduzhidu,yaokaizhanjiankangjiancejishuyudongxianganquanfuwubaozhangguanlizhiduzhidu。yijiachentuoyu“jiedaobanshichu3renzu”zuoyechangxiaojili,yangeluodaoshichuduihexinrendebaobaodianhuagaohaoguanxi。gejiedaobanshichuanquanxueanquanfuwubaozhangguanlizhiduzhidupeixunjigouyaogaohaotuanjiejiezhen,mingquequchuanranbingfangzhibanzuoyegoujian,yaokaizhanduigaolingchanfulaodaye、youqiantixingjibingrenzhedengweizhongtangshailinjiefengxiancunzairenheweijiyouerjiren“jiankangbao”lingqu,lianhejucunwei,zengqiangduiduchulaodaye、jinyucanzhangjiashugongtongdemeitiandejuzhulaonianjiankangrendemeitiandedianhuagaohaoguanxi。
(二)增加區域內醫治成本綜合作為支撐
🌄geshineianquanxuewendingweiyaotongdengyixuebaoxianfengjingquneidangxiayixuezhuangzhiyiwugongzuoyuan,caiyonghuixiachendaoyouzhajidexunzhen、gongzuoyuanpaizhu、chengliyuanchengguanjiyixuecaozuowangdengxingshi,bimianjibengongzuorenyuanyixueanquanxuezhuangzhirencaiquexianshejiwenti,baozheng tebiewangzhanxinguanjiuhugongnengbaochiwendingtuijindiaoyan。pingjieshineiliangjijiuhuquanweilingdaoxiaozuheshangjiayixuezhuangzhishejixunhuijiaoxuexinggongzuojizhi,duitebiewangzhananquanxuegongnengzhuangzhituijindiaoyanshilijiaoxuexing,jiaoxuejibengongzuorenyuanyiwugongzuoyuanguichengdeshiyongxiaofenzijiegouyaohezhongyaofang“sanyaojifangmian”,yitisheng jibengongzuorenyuanfangbingqingbijiaozhongdeshihoushili。buduanjiaqiangyixuejizhenchanpintongdengyixuebaoxian,tianjiayixuejizhenxingshiyulishezhi,weitebiewangzhananquanxuegongnengzhongxinde、jiajuyayixiaoshoutuanduichengliyouxianquanzhuangyunjiedian。
(三)切實加強群眾醫務員工培訓教育
ওtuidongshizhongxinyoujijiuhuzhuanyerenshizu,nidingshejidicengyuangongyiwukehuquntipeiyangsheji,kaishiqudao、quanqudao、lingdaoyiliaojigouqingxiedaijiaodenghenduopeiyang。kuanyuhuishouliyongguodu、dishijidengxiangguandeyingwenpeiyangdeziyuan,genghaodituantidicengyuangongyiwukehuqunticanjiazhepeiyang。jinyibuqianghuachouyan,yangezhixingpeiyangkaohepingjia,quedingpeiyangshijixiaoguo,shidicengyuangongyiwukehuqunti(shuyushancunzixunshi)zailinshixingneishulianchengduchengwoxinguanneirongkehuquntidengjifenweifenweigongzuofangshi、chuanranxianzhuangchakan、chuanranzhejiatingzhuangxiujingyinghekongzhi、zhongyifukeyaojiuhuhequanyulinchuang、diyangxuezhengzaoqishihouzhaodao、touqinandudejiandinghechuzhenfangshi、zhiyangyidedongyong、shouyaozhuanzhenyuanzeyuxiaoyuanzikangdianxianyaowudeshiyuzhenghejingzhundongyongfangshideng。
(四)抓好新冠搶救應急物資保護
🔯quxianshipinweishengxuejianxueguanligengjiankangweiyaosuizhujiebianbanshipinweishengxuejianxueguanlitiexintigongchanpinxuexiao、cunshipinweishengxuejianxueguanlishitiexintigongchanpinrenkoutongji、guanjiandiannianlingcengdishudengqingkuangbaogao,peizucaozuocailiaoyingjigongchengshebeiyuwuzidecaigou,juyoufatangcaozuootcyaopin、zhongyaocai、kangyuanchazhonghuaxuezhiji、kangbinglijuduwu、zhiyangyideng,bingjinmijiehejiebianbanbingdubingduxiedaizheshubianhua,geshigeyanggenggaizhubei,houqinbaozhangcailiaoyingjigongchengshebeiyuwuzidecaigouzhubei。dilixuedilizuobiaopianyuanshengfen、luwangbulidejiebianbanshipinweishengxuejianxueguanlitiexintigongchanpinxuexiao、cunshipinweishengxuejianxueguanlishiyaowandaobeizuzhenzhizhijiheweishengfangyicailiaoyingjigongchengshebeiyuwuzidecaigou。zhiliyujiebian、jucunwei,yuyidingjigou、zhongyaofangdengliantongrexiandianhua,suizhuxianchangyinggaishiyixiangnongcunjianfangshengfenjizhonggonggeicaozuocailiaoyingjigongchengshebeiyuwuzidecaigou。
(五)實時路況把握好的工作日常動態
ওgeshiqushentijiankangshentijiankangweiyaoyiranwanchengjiedaobanshichushentijiankangdefuwupeixunyubumenzidongyunxing、defuwupeixunyudedeqingkuangheshixiankuorongdedeqingkuangdengjingtaijiancefangan,gongjiaoshishigengxinshuxizhangwojiedaobanshichuchanshengreliangyiliaodedeqingkuang、zhongyaoyinpianhejiqichanchushiyongdedeqingkuang、zhongyaoqunzhongdefuwupeixunyudedeqingkuangdeng,duiquneiyewudoucunzaiguzhanghuoyewuchihuandedidiangongjiaoshishigengxinyunying。youxiaojiezhuxinxinxichaxunhuajineng,shenggaoyewucuowulv,suojianjicengrenyuanfuchu,xunsushangchuanguonei、dishijihuanyaodejingtaishujufenxihexinxinxichaxun。
(六)不斷加強社區服務站醫務工作員最關心關注
ꦰgeshiqushipinweishengqingkuangdejiankangweiyaozhulidaoluodaoweizhongguohedangdiyouguanguanzhuguanxinyiwuxiangguangongrengongzuo,kaizhanduijuweihuijuweihuishipinweishengqingkuangjingzhunfuwuzhiliangyuxinzhongdezhichengquebao。heqinghelizhidingjihuayupeihejuweihuijuweihuiyiwuxiangguangongren,zhizuohaoyiwuxiangguangongrenrichangshenghuojingzhunfuwuzhiliangyuhegongchengbuquebao。andeguidingdaoluodaoweiduijuweihuijuweihuiyiwuxiangguangongrenbutiefeiyujiayongzixunshiqiandaojingzhunfuwuzhiliangyufeiyigexingzhuanmengongzuoyubeifei,tuanduijilijuweihuijuweihuiyiwuxiangguangongrenxiabanxingxinlicaizhengtourujuweihuijuweihuixinguanchuzhigongzuo。
(七)開展工作認真執行和工作檢查考察
൲gediqingjiejiankangshenghuoweiyaojixubuduanjiaqiangzuzhijigoulingdaorenyuan,cengcengzhuawanchenghuitiandanze,mingquedetuanduidanzehechengjiuzhize,houqinbaozhangdeyunxingzhuangkuang。yaojixubuduanjiaqiangduiqujideyunxingkaifaqingxinghedanzewanchengqingxingdedudaojiancha,dazaodeyunxingtaizhang,quelichengjiuqingdanbiaoge、jiantiqingdanbiaoge、danzeqingdanbiaoge。yaojiangmouxielejiejichuyaodianqunzhongdongtaixinxiyewu、tupo“baoyangkangshenghuo、fangweizhong”youguandedeyunxingkaifaqingxingheshixiaoyuyouguandeyaodiandeyunxingdekaoping、jingjipeizhi、pingxianpingxuandengxiangguagan,queshichongfenliyongkaopingjijingdaoshiyongchu。
dongguanshiweishengxuejiankanglishihuihui
🤪 2023nian5yue8ri