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: 】
mingquetichuhuanweizhengchangwei:
yijuyunnanshengrenminzhengfulianfangliankongguanlitizhi《youguanyubanhaoxinguanzhong🥀yaoxiaofeizhedongtaixingtiexinfuwuguanlihe“shekoukouanshangyi”zuoyedezhihui》heyunnanshengrenminzhengfulianfangliankongguanliti𝔉zhi、zhongzhejiangcunlizuoyedailingbanzu《youguanyubanbugaohaodaoxianjieduanzhejiangcunlidongbeibuxinxingdeguanzhuangmaranbingzhuyiyingjiguanlizuoyecuoshidezhihui》youguanyuwenjianxiangyao,weichongfenfahuibendijuweihuiweishengqingkuangtiexinfuwuguanlizhongjiejigouwangdigongyong,chixu“zaozhaodao、zaoyizhi、zaofenli”,yufanghexianzhixinguanruchongbingdumaranbingweizhongzhengfasheng,xianjiubanhaodaoxianjieduanyouguanyuzuoyezhihuiyixiajidian:
yi、baochidetishengshequfuwuzhongxinxinguanjiuhuliliang
(一)全面推進區域新冠診治擴張增能
gegequhuanbaowendingweiyaoyijuchuzhirenwubiaozhun,xinxihuashineixiangguanjianguanbumen,gengkuaizhashituijinquneijiedaobanhuanbaoshouhouanquanfuwuguanlizhongjianxinguanchuzhihuodongchangsuokuopanxiujian,daoluodaoweixiangguanjichudesheshishengchanhuanbaojiqidengzengnengcunchu,lirucaozuobufen、diaopingbufen、yangliaobufen、zhongzhengpeihushibingqudeng,zuodaoweixindianpeihu、xueyangjiancewang、gongyangdengjichudesheshishengchanhuanbaojiqixuanpei。duidaitongguobiyaotiaojiandejiedaobanhuanbaoshouhouanquanfuwuguanlizhongjian,jiaoqianghuactdengshengchanhuanbaojiqidexuanpei,ganyudajiashepiantancechendao。tongguoshouhouanquanfuwuguanlichengzhenrenkouzongshurenshude15%-20%ꦆdongtaitucunchuzhongyao、tuireyao、huatanzhikeಞyaojikangyuantanceweishengwupeiyangjiheshebei,querenzuzhijigoubaojianyaopincunchuliangyizhichixuzai2zhouzhe,chengzhenrenkouzongshumijidianweizhikeyijujutiqingkuangzengchangcunchuliang。
(二)帶動片區發高燒治療服務培訓
xianshiqugejiedaojiedaobanshichuwangzhanqingjiefangyibaozhangguanlizhiliangzhongyangyitian7tianjunyingdailaifashaodeyuanyinzhiliao🎐baozhangguanlizhiliang(hanjieguojiajiejia),bingpingjiesheshifashaodeyuanyinzhiliaoyezhuankezhuankemenzhen,wanchengfashaodeyuanyinzhiliaoshenyetingshibaozhangguanlizhiliang;xianshiqugejiedaojiedaobanshichuwangzhanqingjiefangyibaozhangguanlizhiliangfenzhongyangyitian7tianjunyingdailaifashaodeyuanyinzhiliaobaozhangguanlizhiliang(hanjieguojiajiejia),yitiaojiandekekaizhanyewuyezhuankezhuankemenzhen。xianshiqugejiedaojiedaobanshichuwangzhanqingjiefangyibaozhangguanlizhiliangzhan、cunqingjiefangyishiyingtuijinfashaodeyuanyinshaodianbingshi、changqifashaodeyuanyinzhiliaoliuguanqudeng,manzulefashaodeyuanyindengxianzhuangaimeizhejiuzhenxiaofeixuqiu。
er、zhazhashishizuodaozhongdaxiaofeirenqunlvsejianceyugifdongtaigongneng
(一)認真執行重心類人應管就算
chentuojiezhen、jucunwei,geshequyewuxing🏅zhanhuanbaoyewuxingjigouyaozhuahaozijuejieru,zaijiezhenjiangneirongyonghuliruwanggehuagongzuocaozuojichushangshang,duineirongyonghuzhankaishentijiankongyugongzuocaozuo。biaoxianjiajuyishengzhuanjiaguanliancunminhezijueyewuxingyong,diaogaofanchou66suijiyishanglaolingrenqiandaoyewuxingbaokuomian,chabuduoshixianmubiaoneirongyonghuqiandaoquanbaokuo。yingyongyunyewuxing、shouji 、weixinyingxiao、shipintupiandengfeixuexicelvehuoqingrensuifangdengmianxiangmianyewuxingcelve,zuoshi“hong、huang、lv”biaoshineirongyonghushentiyewuxing,wancheng“jigeqiaodingjia”。
1.yijiezhenweijicengdanwei,chentuowanggehuafuwuguanlicuoshi,luoshishiqing“shequnsigerendangxiaozu”shiqinggangweizhize。
2.jidaleituchuleirenlianghaodiaochafenleizhenglimingbai,xindongtaidiaozhengbingjianlilianxitaizhangzenmezuo,guanlixitongyinsutupianxinximingbai。
3.jiedaobanganjingfuwuxingzhilianggong🗹si24yixiaoshifuwuxingzhiliangzixunrexiantongxing,jiatingshiyakeyishengzhaoxingshisuishishumiantongzhizhuyaonianlingduan,youshentijiankangsuqiushisuishijiazai。
4.jiezhuduoyangyangshi,duizhongdaquntijiamiwenjianxianghugaohaoguanxijieru,dui⭕“wanghong”zhongdaquntiyitiangaohaoguanxibuduoyu3ci,dui“huanglvse”cizhongdaqunti,yitiangaohaoguanxibuduoyu2ci。
5.zhijielijiezhongxinxiaofeiqunjibenzhishijibingzhengzhuangxianzhuangheshentishili。
6.duineirongleirenranbingxinguanbingyuantihuoyijubingzengjiazhongliangdengshihou,suishiweishengzhiyin、zhidaoyuzhuanzhen。
(二)落實工作關鍵點三高人群幾大類服務管理
dui“hong、huang、lv”tebiexiaofeiquntifenbiekaizhan“yi、er、sanjieduan”gongzuoguanlibaozhang,dui“lvseanquanyingyangbaojian”xiaofeiqunti,wancheng“diyibaozhang”,jiaqianganquanyingyangbaojianpeixun,zuohaoyonghuanquanyingyangbaojianfanghuo。dui“chenghuangse”𓂃xiaofeiqunti,zaiwancheng“diyibaoౠzhang”dehexinshangshang,duiyangxingjujiazhuangxiuzhiyurenyuanguanlikaizhan“yijibaozhang”,jiaqiangkangyuanjianyan、anquanyingyangbaojianjianceshujufangan、anquanyingyangbaojianzhixun、lianheyongyaofudaodeng。dui“zhuhongse”xiaofeiqunti,zaiwancheng“yi、yijibaozhang”hexinshangshang,kaizhan“sanjieduanbaozhang”,jiaqianganquanyingyangbaojianjianceshujufangan,duibingshizengduodegeiyuzhuanzhenbangzhu。
san、zhulizhuahaojinyibuqianghuaweizhongqianzhaohuifaxian、diaoliyufenli
shixiaqugonggonghuanweijiankangweiyaoyilaishi、qu🌼yizhizhuanyezubaofali,kaizhanduijiedaobangonggonghuanweianquanchanpinguanlipingtaizhanjiaojieyuzhuanyezhidao,nuli“zaofaxian、zaoyeliao、zaoguodu”yuanli,chanshengjiedaobangonggonghuanweianquanchanpinguanlipingtaizhan“daguanshangyi”gongyong。
(一)推行新冠病情比較重的時候早發覺
geshequfuwubaozhangzhanweishengzhilifuwubaozhangzhongjiejigouxieshoujucunwei,zengjiaduixinguangandongzhedejiankangjiankong,gengshishizhongzhongzhizhongcunkehuquntigandongzhe,zailuoshiyigangshuangze“yi、er、san”jizhilidejichushangxingshang,yaozhongzhongzhizhongcunzengjiaxinguanbingzhuangyujichushangxingxingbingdu🅘bingzhuangbianhuaguilvdejiankong。
jixujiaqiangduixinguanyingxiangzheyangguoshengduwuranjiankong。gepingtaianquanganjingweishengfangyijianjiandushouhouyewuguanliyiliaogongsiyaopeiyongzuliangdezhijiashixinlvxueyangyi(zhixiamingzijianchengzhiyangyi),quebaoanquanmeigepingtaianquanganjingweisheng🌌fangyijianjiandushouhouyewuguanlizhonghefenzhongbushaoyupeiyong20geshang、meigepingtaianquanganjingweishengfangyijianjiandushouhouyewuguanlizhanhecunanquanganjingweishengfangyijianjiandushibushaoyupeiyong8geshang,meigejucunweibushaoyupeiyong3geshang。huiweimeigejiatingshenghuoyakeyishengtuanduixiezuopeiyongbidingdeshuliangde🌳zhiyangyi,lianjiehaojucunweiqianneng,jiangyangguoshengduwuranjiankongrongru zhongzhongzhizhonghuanzheyingxiangzhejihusuifangxiangmu。gepingtaianquanganjingweishengfangyijianjiandushouhouyewuguanliyiliaogongsiyaochongfenxietonggongzuojucunwei,wei6sisuishangyouxinguanxinguanbingduyingxiangweizhongzhengweihaixingqielaijiarubulianghouguodezhongzhongzhizhonghuanzheduixianzhiyangyi,zhiyinjiajuceshixueyangguoshengdu。
(二)深化新冠危重早冶療
yaojiezhuyushi、quyizhizhuanjiatuanduizuliqi,yangezhixingshequjingzhunfuwuzhongxinweishengxuejingzhunfuwuzuzhijigouduixinguangandongzheliganjianyingfangfa,baokuoyingyang෴fengfubuzhichi、yangliao、jingmoshuye、xiaoyangfenziyongliangzaishiyong、shuওlijiazuyiliaochuangdeng。
1.開展對癥下藥開展。gegequqingjiejiankangbaojianweihuiweijiedaobanqingjiegongnengzhongjiejigoudazaishumushihedeco2dai、co2pingjijizhiyangjidengjiqi,qieshibaozhangsuishiweiyiyuanyiyuanmenzhenrenqun、jiatingsheng🐎huozhiliaorenqunnengjubeiyangliaohuoco2zhuangguangongneng。gejiedaobanqingjiegongnengzhu、fenzhujunyaoshiyongyiyuanyiyuanmenzhen“xiyangqu”;jiedaobanqingjiegongnengzhanyucunqingjieshidixianshangjunyaoqiaoyongzongshuyongdifanwei,shoujipeizhico2guan,nengjubei“yangliao”gongneng,yaoqiudangdijuminjiujinzhunzeyangliaogongnengyiyuan。zuowuhuaxiruxiruzhiliao,gejiedaobanqingjiegongnengzhu、fen𓃲zhudixianshangjunyaonengjubeiwuhuaxiruxiruzhiliaogongneng。yibing,tiqianzuohaoyingxiangzheyingyangchengfenkeyi,shixingwendingyingyangyinshijiaoyuzhidao,anzhengguizuodadiandidengfuwuyu,yizhibingqingbijiaozhongdeshihoushiyoufashengdefengxian。
2.及早實用抗病力毒物物治療。duitebiequnzhong🔯ranbingzhejinxingpinggufangfa,zaizhuzhaiquzhuanyezujianyiyijianxia,duijubeitiaojianderanbingzhe,youxiaojianyiyijianshiyongkangchongjuduwu,tixianjinkuaideganꦿshe。
3.加以推動中成藥緩解用。shizhongzhongxiyiyigenju、zhongyifukeyaoyongyi,tuidong“sanyaochengbaofang”dengchengyaozaijiedaoshequwangzhanganjingweishengjingzhunfuwubaozhangxuejingzhunfuwubaozhangxuexiaoderenyuanpeibeiheyunxing🍃。gejiedaoshequwangzhanganjingweishengjingzhunfuwubaozhangxuejingzhun🅰fuwubaozhangpingtaiyaomianxiangxinguanbingdubingdubingdutongchangdeqingkuang,tongchouguihua,bianzhengshizhi。zhuaqu“zao”“kuai”debiaozhun,rangyaocaizaixinguanmumagandongmoqizhuajinshijianmairuzhiyu,suishiyizhiqingzhenghuanerxiangzhongxing、jiweizhongzhengxingfazhanqianjing。
(三)全面推進新冠危重早分科
1.盡快幫忙轉診。duixinguanzhengzhuanghuotiaojianxingbingzhengbingkuangdexijunbinghuanzhe,geshequwangzhanqingjiefuwubaozhangzhong、jiatingshidafutuanduiyaohuanhao120yingjiyouxianxuanzejiyunlvsehuanbaorukoutongdao,peihebingdubingduganranzhelikezhuanzhen。zheduiꦗqunzhongshouzhendebingqingbijiaozhongdeshihouqiumeizhe,yaogengkuaihelibianren,yizhaoqiꩵshitiaojian,likegongyang,zhankaitigaorenshijijiukongzhicuoshi,jinliangbimianchangqibaochiqiumeizheshengwulinchuangbiaoxianshunchang,zaiyihujishurenyuanzaichangxialikezhuanzhen。
2.流暢雙邊轉診。gepianquweishengjianduqingkuanggongnengzhongyaozuzhibaozhangkongjianquyuyiyaozhong、yiliantilingdaoyiyuankouqiangke,changtongwuzuxinguanqiangjiuhengxiangzhuanzhenchedao,gediweishengjianduqingkuangshentijiankangwei、geyiyaodaikuanjigouyaolaiquedingqinzitigongzhuanzhenbumen,jiandanweizhongzhengbingaimeizhezhuanzhenjutiliucheng,tigongzhuanzhenxiaoguo。bingqie,yaozugouchong♏fengenjuxinxineironghuazhichengdianfanying,genjuyuanchengcaozuoguanlijiuzhen、yuanchengcaozuoguanliyuanyindengfangshifangfa,baozhengbingaimeizheyongyoujishiheliyouxiaoqiangjiu。
duijiedaobanbaozhanghexinanquanbaozhanghexinshangzhuanxinguanyingxiangzhe,gengshishishengjizhongdianxiaofeiquntiyingxiangzhe,shangsiyiyuanmenzhenyishengyaochuanglishouzhihuanglvsequdao。zaishangsiyiyuanmenzhenyi✤shengchenggongturanqigenzhihou,xianzhuangbaochiwendingdeyingxiangzhekexiayizhijiedaobanbaozhanghexinanquanbaozhanghe🎃xinzhuyuanbu,jiedaobanbaozhanghexinyiwuchengyuanyaotiyanzhuanzhenzhuyishixiang,nonghaobaozhangsuochengjie。
mingquetichuhuanjingqingjieweishengjianduxuejiankangdeweiying❀pinghengjuweineigegeduozhongzhengxinggongsipuweinengyuan,liyongbuyicengcizhengxinggongsipuweijinengbiaoji,quelipingheng、fenleiguanlishiyongdeguanlijizhi,yaopinghengchouhuajuweineigegeduozhongzhengxinggongsiyiwuzhigong,zaixiapairuzhu、daiweidayadengdefangfa,pinguozhichijuweihuanjingqingjieweishengjianduxueshouhoushouhouanquanfuwuguanliguanlihexinzhongzhengjianhushishouhoushouhouanquanfuwuguanli。xianyouhulichuangdejuweihuanjingqingjieꦍweishengjianduxueshouhoushouhouanquanfuwuguanliguanlihexin,jinguanjianshiqipuweishiyonglvyingtisheng95%wangshang,weishezhihulichuangdejuweihuanjingqingjieweishengjianduxueshouhoushouhouanquanfuwuguanliguanlihexin,duitieheshoushuzhizhengdeganranzhiyuantizhe,yingzaijiatingshenghuohulichuangnenggoumanzuzijidefangzizhiliaoshiyongxuqiu。
si、tishengjiedaoshequcezhongdianleirenchuzhihuanjingziyuanshehuitongchouhezhichengjiaanquanbaozhang
(一)多方面推動街鎮網格化的管理策略
geshequnweishengxuexuezuoyerenwuzhongyangyaozhudongdejierugejiezhen、jucunwei,quanmianyilaijiezhenwanggehuaweihujili,fahuichulaijiezhen、jucunweizhudaozheyongtu,wanchengduihexinnianlingcengshequnweihu,zuoweishengdeshujujianceyudongtaizhanshizuoyerenwu。yilai“shequnwurentuandui”zuoyerenwujili,wanchengduihexinnianlingcengdebaobaobaochiguanlian。geshequnweishengxuexuezuoyerenwuyiliaojigouyaopipeijiezhen,yijuquyufangbanzuoyerenwutuijin,zuoduibashisuifumu、youzhishi𝄹jichuxingfukejibingderendengweizhongzhenggaoweihaixingnianlingcenghejiongjinghuanerdengnianlingceng“weishengdebao”banfa,ronghejucunwei,dalijiaqiangduiduzhufumu🌳、jinyucanfeiqinshuhuxiangchangzhulaolingrenrendemeitiandebaochiguanlian。
(二)進一步提高區域性醫療衛生資源共享統等作為支撐
gexianqushipinqingjiejiandushentiweiyaochengxiangyizhishebeibaojianbaoxianxiaoquneigegeyizhishebeibaojiangongsiyiwurenshu,jingguoxiacengxunzhen、renshupaizhu、sheliyuanchengdengluyizhishebeibaojianjingshuiwangdengxiguan,lai♉jiejuemiancengyizhishebeibaojianshipinqingjiejiandugongsigongrenquexianxianxiang,quebaoanquanshengchanjuweiqingjieqingjiexinguanchuzhideanquanbaozhangwenbuzhuahao。yinlingxianchengliangjichuzhixuezhezuheshangjiayizhishebeibaojiangongsiyouguandexunhuijianyiguize,duijuweiqingjieqingjieshipinqingjiejiandudeanquanbaozhanggongsizhuahaojishushebeijianyi,zhidaomiancengyiwurenshuguichengyongdaoxiaoyuanziheyaohezhongxiyao“sanyaosantong”,yizengqiangmiancengfangbingqingbijiaozhongdeshihouzhuanyenengli。qianghuayizhishebeibaojianqiangjiuchengbenchengxiangyizhishebeibaojianbaoxian,jiajuyizhishebeibaojianqiangjiugongchengcheliangyujingshenliliangshoujipeizhi,weijuweiqingjieqingjieshipinqingjiejiandudeanquanbaozhangguanlizhongxin、renjiayihurenyuanweishangtuanduisheliyuanzeyunshuguandao。
(三)強化基層員工醫務人工培圳
yilaishizhongxinerjikongzhizhuanyerenshizu,quedingzhongshiqunzhongyiwurenpeixunjihuafangan,zuohaoxianshangxiaoshou、wangshang、zhubanxingdeyiyuanchenxiaqudaijiaodengxuduopeixun。zuohaotongguoguojia、shengjidengyouguandepeixunshichang,zhudongzuzhianpaiqunzhongyiwuren🦋canjiazhepeixun。zuohaochouyangjiancha,yangeyaoqiupeixunkaoping,querenpeixunshiyongxiaoguo,shiqunzhongyiwuren(baokuoshancunyiyuanyisheng)zaierduanshijianneineijiaqingjiushujubeixinguanzhuyaokequnfenjidengjifenleidengjifenleibaozhangzuijiandandeshouduan、huanshangchuqizhengzhuangkan、huanshangzhezijidefangzizhilihekongzhi、zhongyiliaoxueyaokongzhihefujianlinchuang、diyangxuezhengguoquyudao、shenhuxinanguandepinggushouduanhehuizhenzuijiandandeshouduan、zhiyangyideshiyong、bijiaozhongyaozhuanzhentiaojianjixiaotuanhuo꧑kangdianxianyaowudeyingyongzhengheyouxiaoshiyongzuijiandandeshouduandeng。
(四)進一步強化新冠診治物資采購保護
gegequshipingonggonghuan🦩weiqingkuangfashengfangyujiankangdeweiyaohuianzhaopingtaishipingonggonghuanweiqingkuangfashengfangyujingzhunchanpindezhongyangzhan、cunshipingonggonghuanweiqingkuangfashengfangyushijingzhunchanpinderenshu、zhongyaonianlingcengdishudengqingkuangfasheng,peizuliaofaziyuan,♔shoulufarezenmebanyiyongfangshexingyaopin、zhongyao、kangyuanpanduanmianyishiji、kangbinglimanxingduzhongyao、zhiyangyideng,bingjiehezaiyiqipingtaigandongzheshumubianhuan,dongtaizhanshidiaodizhiliangbaozhang,zhiliangbaozhangziyuanzhiliangbaozhang。zuoweizuoweipianbi、gongluwangnanyidepingtaishipingonggonghuanweiqingkuangfashengfangyujingzhunchanpindezhongyangzhan、cunshipingonggonghuanweiqingkuangfashengfangyushiyaoqiantibeizuliaofazhongyaohefangyuziyuan。tuijinjie、jucunwei,yuzhengxingzhongjiejigou、wangshangyaodiandengzhitongshidianhuo,huianzhaoxianshibixu shiyixiangxiangxiadipianyichangjiazhixiaoliaofaziyuan。
(五)城市熱力圖把握好業務最新
shiquneihuanjingganjingweishengganjingweishengweiyaochixuzhizuohaojuweihuanjingganjingweishengyewuzhiliangyudanweizuoye、yewuzhiliangyushihouheshixiankuorongshihoudengdong🌳xiangjiancefangan,shishizhengquezhangwojuweifalengzhiliaoshihou、chufangyaohe💖shepeizigeilvshiyongshihou、guanjiandiankequnyewuzhiliangyushihoudeng,duiquneiyewupubiancunzaiguzhang huoyewuchizhidequchushishidiaodushi。youxiaochongfendejinxingxinxinhuazhishu,tisheng yewuxiaoguo,jiandiqunzhongdeyali,shishishangchuanguojia、shengjishixuyaodedongxiangshujubiaogehexinxin。
(六)強化社區網站工作人員管理關心關心
quxianganjinghuanweiweiyaofenliqiaodingguohedangdiyouguanguanzhaoguanhuaiyiwurenshucuoshi,qieshijiaqiangduipianqujuweihuiganjinganquanyouxiaobaozhangzhongxindezhichengtixianquanyouxiaobaozhang。shiyizhunbeiyuanpaipianqujuweihuiyiwurenshu,lejieyiwurenshushengminganquanyouxiaobaozhanghehouqinguanlianquanyouxiaobaozhang。anguizeqiaodingduipianqujuweihuiyiwurenshubutiezhengceyujia♑juzhuzhiyishengqianhetonganquanyouxiaobaozhangfeiduocixingzhuanxiangzhengzhirenwuyubeifei,mianlipian꧑qujuweihuiyiwurenshushenshangxinchanchupianqujuweihuixinguanzhenzhirenwu。
(七)增加權責到落到位和督導檢查績效考評
shixiaquqingjielvseweiyaojianchiwentizhudaojiaqiangzuzhijiegouyibashou,cengcengzhuawanchengyashixishusunshizhuang,qingximingquegangweisunshizhuangherichangrenwuanpai,jibenbaozhangyunxingjingjitiaojian。yaojianchiwentizhudaojiaqiangduiqujiyunxingkaishizhengzhuanghesunshizhuangwanchengzhengzhuangdeducha,🌺jianzaoyunxingjilubiao,bianxierichangrenwumingxidan、yixiewentimingxidan、sunshizhuangmingxidan。yaojiangmougeganhaojichengzhong𓆉zhongzhizhongdaxueshengxiaofeiquntigifdongtaitigongfuwu、jiaqiang“baolvse、fangweizhong”yixiangyunxingkaishizhengzhuanghezhuanhuaxiaoguoyushejidaodezhongzhongzhizhongyunxingdeyejikaoheneirong、xiangmuzijinpeizhi、pingxianpingxuandengxiangxiangguan,jianchiwentizhudaochongfenfahuiyejikaoheneirongjianglijilizhudaodegongxiao。
shanghaishiweishengguanlilvsejiankangcujinhuihui
 📖; 2023ಌnianyiyuefen8ri