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: 】
quxianshipinweishengjiankangwei:
kegenjuguojialianfangliankongshiyechangxiaojizhi《gezhongxiangguanzuihaoxinguanzhongdiancunnianlingduanxinxitigongfuwupeixunhe“kouanyiwei”shiyedewenxintishi》heguojialianfangliankongshiyechangxiaojizhi、guojiacunkoushiyelingdaocengxiaozugongzuodezhong《gezhongxiangguanfawengaohaozaidangxiacunkoushengshixinshiguanzhuangleibingyuantiganliangchuanranbingzhilishiyeshejifangandewenxintishi》yasuowenjianzhuiqiu,weituidongshanghaitebieweishengxuetigongfu🐭wupeixunjigouwangdixiaoyong,chixu“zaowajue、zaoyiliao、zaofenli”,yufanghejianxiaoxinguanleibingyuantiganliangweizhongzhengjinxing,xianjiuzuihaozaidangxiagezhongxiangguanshiyewenxintishiyixiade:
yi、yanxushengjiangxiaoquxinguanchuzhigongzuonengli
(一)深化街道社區新冠急救實現擴容增能
quxianqingjiezhengchangweiyaogenjujiuhugangweigezhongxuqiu,yitihuaquchengxingneiyouguandexingzhengbumen,kuaisutui🗹jinxiangmujianchengguanxiaqujiedaobanshichuqingjieyewuzhongdianxinguanjiuhukongjianzengrongjiancheng,guanchezhixingyouguandeyouyanjinghuaqizhuangzhidengzengnengzigeilv,shouluzhenzhiquchengxing、diaopingquchengxing、yangliaoquchengxing、yiyuanbingfangbingqudeng,jinxingxindianshenfenshibie、xueyangjiancezhan、gongyangdengyouyanjinghuaqizhuangzhiyingjiandapei。duiwumanzushuipingdejiedaobanshichuqingjieyewuzhongdian,henqianghuactdengzhuangzhideyingjiandapei,yindaoxitongrenmenshepianjiancegongjuchendao。anzhuangyewurenyuanbilipingjunde15%-20%dongtaixinxizigeilvzhongyao、tuireyao、huatanyaojikangyuanjiancegongjushiyanshijiheshebei,quebaoanquanshengchanjigoubaojianyaopinzigeilvliangzhongjiubaozhengzai2zhouyishangde,renyuanbiliximidikegenjushijixiaoguobuduanzengjiazigeilvliang。
(二)增強街道社區變燙臨床服務
quanguogejiedaobanshichutiexindefuwuxingxuexiaoganjingfangyitiexindefuwuxingxuexiaoyitianyizhoujunyingjubeifashaodezhiliaotiexindefuwuxing(hanjieguojiaguodingxiuxiri),binggenjushiyongfashaodezhiliaoyeyiyuanmenzhen,shixianmubiaofashaodezhiliaoyejianyanchangshijiantiexindefuwuxing;quanguogejiedaobanshichutiexindefuwuxingxuexiaoganjingfangyitiexindefuwuxingfenxuexiaoyitianyizhoujunyingjubeifashaodezhiliaotiexindefuwuxing𓄧(hanjieguojiaguodingxiuxiri),youyigejiandekekaibanyeyiyuanmenzhen。quanguogejiedaobanshichutiexindefuwuxingxuexiaoganjingfangyitiexindefuwuxingzhan、cunganjingfangyishiyingyikaofashaoshaodianzhenduanshi、linshisheshifashaodezhiliaoliuguanqudeng,dadaofashaodengbushifanyingnvxingjiuyiliuchengshiyongxuqiu。
er、zhashituijinkaizhanshengjizhongdianrenmenanquanjiankangjianceyuxinxigongzuo
(一)貫徹重中之重人群當應管就算
yikaojiezhen、jucunwei❀,geshequnweishengjianfuwubaozhangyuxiangmujigouyaojinyibutigaojishiliantong,zaijiezhenjiangneirongyonghuguiruwanggehuaguanlixitongzhiduzongtitiaojianshang,duineirongyonghuzuoyingyangzhengchangwuranjianceyuguanlixitongzhidu。qizhujiatingshiyihurenyuanguanlianxiaofeizhehejishifuwubaozhangyuxiangmugongneng,jianxiaokuozhang6wusuichaoguozhongguonianlingdaderenqiandaofuwubaozhangyuxiangmubaohanmian,zongtishixianmubiaoneirongyonghuqiandaoquanbaohan。yingyongyunfuwubaozhangyuxiangmu、dianhuo、weixinqq、shipintupiandengfeilejiexiguanhuolaidiansuifangdengzhengshimianfuwubaozhangyuxiangmuxiguan,zuoshi“hong、huang、lv”logoneirong🅰yonghuyingyangzhengchangfuwubaozhangyuxiangmu,zuoqi“liudaluoshigongzuohege”。
1.yijiezhenweiyuanxiao,zhenghewanggehuaweihubaozhangtixi,luodaoshichu“tebie3renketizu”zuogongzuogongzuozhize。
2.sanjizhuzhongnianlingduangengjiankangjianchaleixingqingxindu,richangdongtaishedingbingzujiantaizhangzenmezuo,gongzuodeduixianggerenxinxiqingxindu。
3.shequwangzhananquanchanpinpeixunzhongjiejigou24meixiaoshichanpinpeixundianyuhutong,xiaojiatingyihurenyuanlianjie♉fangshifangfalikegaosuguanjiandiankehuqunti,youjiankangdegongxushilikehuifu。
4.shunlitongguoduozhongyangshi,duiceguanjianxingyonghujiamifangshizhudongdijieheliantong,dui“heise”ceguanjianxingyonghumeixingqijiehebudiyu3ci,dui“chenghuangse”ciceguanjianxingyonghu,meixingqijieheꦦbudiyu2ci。
5.yaojishishujineirongquntizhishijichuzhengzhuangdeqingkuanghezhengchangguanlizhuangkuang。
6.duizhongyaokehuquntiganranzhiyuantixinguanxinguanbingduhuodejichujibinggengzhongdengqianti,zhijiedejiankangzhuanyezhidao、jiaozhiyuzhuanzhen。
(二)認真執行重點眾人各類菅理
dui“hong、huang、lv”zhongxinnianlingduangezizhidingyige“yi、er、siji”chuliyewu,dui“huangse”nianlingduan,guanchezhixing“zhongjitongguochengjiyewu”,jinyibutigaoyingyangwenhuajiaoyu,zuohaozijiyingyanganquanfanghuwang。dui“tuhuangse”nianlingduan,zaiguanchezhixing“zhongjitongguochengjiyewu”dekuangjiashang,duiyangxingjujiashenghuoyiliaokaoshengzhidingyige“zhongjiye🙈wu”,jinyibutigaokangyuanpanduan、yingyangtancewang、yingyangguanlizixun、yongyaozhiyinzhiyindeng。dui“huangse”nianlingduan,zaiguanchezhixing“yi、zhongjiyewu”kuangjiashang,zhidingyige“sijiyewu”,cuilianyingyangtancewang,duibingqingyanzhongzengduodegeiyuzhuanzhenducu。
san、zhulizhuahaoqianghuaweizhongzhengzaofajue、zhongyaozhiliaoyuguodu
mingqueti𓄧chuganjingfangyianquanweiyaoyijiayituoyushi、qujiuhukeyanlingdaoxiaozuqianneng,tigaoduishequfuwuguanlixinzhongdefuwuguanlizhanganjingfangyidefuwuguanlizhongdianxiangmuduijieyufudao,jianding“zaofajue、zaozhiliao、zaofenli”lilunyiju,jifashequfuwuguanlixinzhongdeﷺfuwuguanlizhanganjingfangyidefuwuguanlizhongdian“shekoukouanyiwei”yiyi。
(一)穩步推進新冠病情比較重的時候早發覺
geshequjuweihuiqingjieweishenggongnenggouzaoliandongjucunwei,qieshitigaoduixinguanganranzhede✅jiankangtancefangan,feichangshishengjizhongdianꦓcunleirenganranzhe,zaiguanchezhixing“yi、er、san”jijianguandeqiantishang,yaoshengjizhongdiancunqieshitigaoxinguandeqingkuangyuqiantixingdejibingdeqingkuangbiandongdetancefangan。
buduanjiaqiangduixinguanganranzheyangbaohedujianceqi。gexiaoquchanpinxuexiaogongzuozhananquangongzuoyiyuanyaobiaozhunpeizhizuliangdezhijiashiguilvxueyangyi(xiayouchengzhiyangyi),baozhangmeiweixiaoquchanpinxuexiaogongzuozhananquangongzuoxuexiaohefenxuexiaobushaoyubiaozhunpeizhi20geshang、meiweixiaoquchanpinxuexiaogongzuozhananquangongzuozhanhecunanquanshibushaoyubiaozhunpeizhi5geshang,meiweijucunweibushaoyubiaozhunpeizhi1gedagaishang。weilemeiweijiazuzixunshijishutuanduibiaozhunpeizhibidingyonghudezhiyangyi,jieruhaojucunweinengliang,jiangyangbao🗹hedujianceqihuaweitebiekequnganranzhechangjiansuifangwanfa。gexiaoquchanpinxuexiaogongzuozhananquangongzuoyiyuanyaozhudongronghejucunwei,wei64suishangyouxinguanleibingduganranweizhongzhenganquanfengxianqiegongshikunnandetebiekequnduixianzhi▨yangyi,jianchazhidaojujiashenghuoceshixueyangbaohedu。
(二)加快推進新冠危重早調理
yaoyijiayituoyushi、qujiuzhujishuling🐟daoxiaozudingli,renzhenluoshijuweijiankangfuwudejiegouduixinguanbingduzheliganjianyingyeliao,shejidaojianyangꦡdazai、yangliao、diaoping、xiaoyuanzihezhongliuyaowubianyong、zhidingjiarenhulichuangdeng。
1.不斷加強性針對的治療。quxianqingjiefangyigengjiankangweihuiweijiedaoqingjiefangyibaozhangbaozhangzuzhigouzhishujushidangdeqingqidai、qingqipingbingqiezhiyangjidengjixieshebei,quebaoanquanshengchanjinzaoweiyiyuanbingyuan、jujiashenghuozhiliaobingyuandailaiyangliaohuoqingqifenzhuangbaozhangbaozhang。gejiedaoqingjiefangyibaozhangbaozhangzhongxin、fenzhongxinjunyaozhuangzhiyiyuan“xiyangqu”;jiedaoqingjie𒀰fangyibaozhangbaozhangzhanyucunqingjiefangyishililunyijushangjunyaolinghuoyunyongxianjinhuodongchangdifazhankongjian,peizhiqingqiguan,dailai“yangliao”baozhangbaozhang,dailailedangdijuminzhuanchejiesongyangliaobaozhangbaozhangshijixuqiu。shenrukaizhanwuhuaxiruxiruzhiliao,gejiedaoqingjiefangyibaozhangbaozhangzhongxin、fenzhongxinlilunyijushangjunyaodailaiwuhuaxiruxiruzhiliaobaozhangbaozhang。huan,nonghaoyingxiangzheyingyangjiazhikeyi,kaifalvsejiankangshanshijiegoufangtantigang,anguanliguifankaifajingmozhushedengfuwu,bianshaobingqingbijiaozhongdeshihoushiyoufashengfengxiandian。
2.適時采用抵抗劇毒物改善。duizhongzhongzhizhonghuanzhepifubinghuanzheshixingjianding,zaishineixiaobianzumianfeidezhidaoxia,duifuhebiaozhuntiaojiandepifubinghuanzhe,lijimianfeidezhidaoshiyongdedikangjibingduwuwu,baozhengzuodao꧅yingjizaozhenzhi。
3.加以產生中西藥控制做用。weichidongxifangyidapei、zhongyizhenjiuyaoyiqiyong,jiakuaituijin“sanyaodisanfang”dengzhongxiyaozaipingtaijuweihuiganjingweisheng🍌xuefuwuxingxiangmupeixunjigoudexuanyongheyunyong。gepingtaijuweihuiganjingweishengxuefuwuxingxiangmuzhuyaozhenduixinguanbingdumaganranzhiyuantichangjianzhengzhuang,tongchouguihua,bianzhengshizhi。zhuozhu“zao”“kuai”deyuanzeyingwen,rangcaoyaozaixinguanmumabingduganranqianzhongqiganjinjierukongzhikongzhi,anshiyazhiqingzhengqiumeizhexiangqingxing、weiqingxingchengchang 。
(三)力促新冠危重早分離
1.即使請求轉診。duixinguanzhengzhuanghuoqiantixingmanxingbingjianshaodejiaochabinghuanzhe,geshequwangzhanweishengjiandufuwuyuhexin、jiayongyihuzhuanyerenyuantuanduiyaopeihao120jiuyuanyouxianjizhuanyungongsilansegongzuoqu,bangmangchuanranzhesuishizhuanzhen。erduiyubiaocengshouzhendeweizhongbingnvxing,yaozaiduanshijianneizuizhunquejianbie,yaogenjushijishangdezhuangtai,suishigongyang,shixingzhengmianshijiujizhi,jinkeneng⛦wendingbingnvxingxingmingxianxiangshichangpingwen,zaiyihuzhuanyerenyuanzai༒changxiasuishizhuanzhen。
2.寬敞通暢雙重轉診。geshequhuanweihuanweifuwuyuzhongxinyaochentuobuweixingyiliaobaozhangbaozhangzhongxin、yiliantishangjilingdaoyiliaobaozhang,hulianhutong﷽xinguanqiangjiushuangxiangzhuanzhenguodao,gegequhuanweiyingyangjiankangwei、geyiliaobaozhangbaozhangyijiyiyuanyaoshedingqinzifuzeguanlizhuanzhenzhiwu,jianlvebingqingbijiaozhongdeshihouzishenzhuanzhenchengxuliucheng,tigongzhuanzhengongzuoxiaolv。shi,yaochongfendetuidongxunxihuazhichengdezuoyong,pingjieyuanchengcaozuokongzhizhuanjiahuizhen、yuanchengcaozuokongzhizhenduanyidengcelve,baochizishennenggoudedaosuishiyouxiaodeqiangjiu。
duixiaoqujiankangbaozhanghexinshangzhuanxinguanranshangzhiyuantizhe,yuefashizhu🦋yaonianlingduanranshangzhiyuantizhe,shangyijideyiyuanmenzhenyaoquelishouzhishenlvjianxiutongdao。zaishangyijideyiyuanmenzhendadaojimanxingqizhongyaozhiliaohou,qiantinengbaochiwendingderanshangzhiyuantizheꦬkexiayizhixiaoqujiankangbaozhanghexinzhenshi,xiaoquyiwurenyaocanyuxingzhuanzhenguocheng,tiqianzuohaobaozhangduijie。
shiguanquganjinganquanjiankangweiyingpinghengguanquneigegedengjizhengfugedayiliaobaojianzhuangzhichuangpucailiao,buxiangtongbuxiangtongjibieyiliaobaojianzhuangzhichuangpugongxiaoqueding,jianliqipingheng、jidaleicaozuodekaoheওjizhi,yaopinghenghelianpaiguanquneigegedengjizhengfugedayiliaobaojianzhuang💜zhiyiwugongzuoyuan,yongxiapairuzhu、weituoxieyiyijiaodengwanfa,dezhichijuweiganjingjingzhungongnengbaozhangzixunchanpindianzhongzhengjianhushijingzhungongnengbaozhang。yongyoubingfangdejuweiganjingjingzhungongnengbaozhangzixunchanpindian,jindejieduanchuangpucaozuolvyingkeda95%zhishang,weianzhuangbingfangdejuweiganjingjingzhungongnengbaozhangzixunchanpindian,duihehuyuanzedeganqizhe,yingyongjiatingshenghuobingfangmanyijiajushounakaizhanjutixuqiu。
si、buduanjiaqiangquyucezhongdiankehuquntizhiliaowangluoziyuantongchouguihuahezhichilibaoxian
(一)完全一家依托于街鎮網格化的管理機能
gejuweianquanweishengfangyigongneng🌜zhiliangguankongxitongzhongxindeyaojishijiaojiegejiezhen、jucunwei,jijiyikaojiezhenwanggehuaguankongxitongkaohexinjizhi,fahuichujiezhen、jucunweizhudaodiweishiyong,tixianduituchuxiaofeiquntijuweiguan𓂃kongxitong,banhaojiankangjiancejishuyudongtaitugongnengzhiliangguankongxitong。yikao“juweisirenxiaozunei”yewukaohexinjizhi,tixianduituchuxiaofeiquntidebaobaoqudejianlilianxi。gejuweianquanweishengfangyigongnengzhiliangguankongxitongshebeiyaojiehejiezhen,douanzhaoquyingjiguanlibanyewubushu,banhaoduigaoshoulaotaitai、youjichushangjibingzhengzhuanghuanyoudengweizhongzhenggaoweixianxiaofeiquntihekunjuxiaoxingdengxiaofeiqunti“jiankangbao”duixian,ronghejucunwei,tigaoduidujushenghuolaotaitai、jinyucanfeijiashuzhutizhujuzhongzhongnianrenderichangrenwuqudejianlilianxi。
(二)抓好空間醫療服務成本統籌規劃維持
shixiaquhuanweilianghaoweiyaochengxiangyiliaoshebeibaoxianquyuneigezhonggeyangyiliaoshe🃏beiyiyuanyiwurenshu,pingjiechenxiaquxunzhen、renshupaizhu、jiansheyuanzhanyiliaoshebeicaozuowangdengcelve,xiaochujibengongzuoyiliaoshebeihuanweiyiyuanrenguogaoyuanyin,weilequebaopianquchanpinzhongxinxinguanzhenliaochanpinyouxujijigaohao。pingjieshizhongxinquyoujizhenliaozhongyipingshenzuheshangjiayiliaoshebeiyiyuanyouguanxunhuiminglingzhidu,duipianquchanpinzhongxinhuanweichanpinyiyuanjijigaohaojishushebeimingling,peixunjibengongzuoyiwurenshujishuguifanzaishiyongxiaoyuanziyaohechengyao“sanyaodisanfang”,yiyanchangjibengongzuofangweizhongshili。zuohaoyiliaoshebeijiuyuanziyuanchengxiangyiliaoshebeibaoxian,tianjiayiliaoshebeijiuyuanxiaocheyuqiannengshebei,weipianquchanpinzhongxinhuanweichanpinzhongxin、jiayongyihuꦦrenyuanjingyingtuanduijiansheweixianzhuanyunchedao。
(三)大力加強群眾醫務技術人員培訓課
jiezhuchengquduojijijiujishuzhuanjiatuan,dingzhimianduinongcunjicengrenyuanchuliyuangongyiwurengongxuexijiaoxuexuexicuoshi,jinxingwangshang、xianxiaketang、tongchouxiediaozhensuochendidaijiaodengduozhongbutongxuexijiaoxuexuexi。gengjiachongfencaiquzuguo、shengjidengguanyu xuexijiaoxuexuexiziyuanliang,guanjianzuzhijigounongcunjicengrenyuanchuliyuangongyiwurengongjubanxuexijiaoxuexuexi。kaizhanchouyangjiance,yangeguifanxuexijiaoxuexuexikaohebiao,baozheng xuexijiaoxuexuexixiaolv,💮shinongcunjicengrenyuanchuliyuangongyiwurengong(heshancunyayi)zaiduanqidaikuanneichunshuzhengchangzhangwoxinguanguanjiannianlingduanhuafendengjifenleitigongfuwucuoshi、fukefukeganranzhengzhaozixiguancha、fukefukebingduxiedaizhejujiazhuangxiuchuliheyiliao、zhongyifukeyaojijiuhefujianyiliaofuwu、diyangxuezhengzaoqishihouchajuedao、xihujiannandekaopinghehuizhencuoshi、zhiyangyideyingyong、shouyaozhuanzhenbushiyingzhenghexiaofenzijiegouzhongchengyaodebushiyingzhenghezhengchangyingyongcuoshideng。
(四)增進新冠診療物品擔保
gegequqingjiejianyingyangjiankangweiyaoanzhaoqitebieqingjieqingjiejiandedefuwudezhongjian、cunqingjiejianshidedefuwuderenkoushuju、zhuzhonghuanzhedishudengtiaojian,peizujiuzhucailiaoyingjigongchengcailiao,huanyoufaredeyuanyinzhenliaoguifanfei🍌chufangyao、zhongyaocai、kangyuantanceweishengwupeiyangji、shentimanxingduzhongyao、zhiyangyideng,bingrongrutebieqingjiepi𒊎fuxiedaizhexuqiuliangbianxian,gifdongtaizhenggaicunchu,weihucailiaoyingjigongchengcailiaocunchu。quxianquyupianyuanquxian、gongluwangbufangbiandetebieqingjieqingjiejiandedefuwudezhongjian、cunqingjiejianshiyaoshixianbeizuzhiliaozhongyaohefangyucailiaoyingjigongchengcailiao。jiezhuyushequjuweihui、jucunwei,yuyiliaoqixiegouzao、wangshangyaodiandengzhitongshidianhuo,anzhaoqishijiqingkuangkeyiheshidexiangxinnongcunquxianpianxiechanshengjiuzhucailiaoyingjigongchengcailiao。
(五)實時更新理解運轉動態信息
mingquetichushipinweishengjiandushentiweiyaoyijinglejiejuweihuishipinweishengjianduanquanshouhoufuwuxiangmudaikuanjigouqiyong、anquanshouhoufuwuxiangmuxianzhuanghekuodaxianzhuangdengnantixiapinggu,shishilukuangjiaotongjubeijuweihuifagaoওshaoyiliao𓂃jigouxianzhuang、yiliaohaocaihechanpinchanchuyongxianzhuang、zhongxinkequnanquanshouhoufuwuxiangmuxianzhuangdeng,duishixiaqudecaozuoshangfashengnantihuodecaozuoshangjiaochadepingtaishishilukuangjiaotongzhihuidiaodu。quanmianliyonglvdexinxineironghuajianshejimu,congertigaodecaozuoshanglv,bianshaojicengrenyuanfuhe,dangjichengbaoguojia、shengjibixudenantixiashujubaogaohedexinxineirong。
(六)搞好街道辦事處醫務的人員非常關心奉獻愛心
quxianqingjieyingyangjiankangweiyaoquanliyifuquanmianluoshizerendiquheshineiguanyu guanzhaoguanailiushouertongyiwuzhuanyezhezhengce,kaizhanduijuweiqingjiebaozhangxingxingxuexiaodebaozhangxingbaozhangxing。shidanghelizhidingjihuayuanpaijuweiyiwuzhuanyezhe,nonghaoyiwuzhuanyezheshenghuodebaozhangxingxinghehouqinguanlibaozhangxing。yizhaoguidingbiaozhunquanmianluoshizerenduijuweiyiwuzhuanyezhejintieyujiatinghuanjinghushichengjiaobaozhangxingxingfeidan🅰cixingzhuanxiangjihuazuoyejingfeiyusuan,jiliejuweiyiwuzhuanyezhequanshenshangxiaxintouruliangjuweixinguanzhenliaozuoye。
(七)帶動法律責任落實責任和工作檢查考核內容
geshiquqingjiejiankangshenghuoweiyaodaidongjujiyinling,zhuyihuitianquanliyuyiwu,qingxixingzhengbumenquanliyuyiwuhemeiriderenwuzhizefenꩵgong,dedaobaozhangshiqingzhongzhuangkuang。yaodaidongduiqujishiqingzhongjinxingzhuangtaihequanliyuyiwuqiaodingzhuangtaidejiandujiancha,baochishiqingzhongtaizhang,shishimeiriderenwucaidan、wenticaidan、quanliyuyiwucaidan。yaojiangsuoxuanzhuahaoxiajicengzhongzhongzhizhongxiaofeiqundongtaitupianjingzhunfuwu、wuqiduanzao“diaoyangkangshenghuo、fangbingqingbijiaozhongdeshihou”meiyixiangshiqing🐠zhongjinxingzhuangtaiheshixiaoyuyouguandezhongzhongzhizhongshiqingzhongdejixiaokaoping、benjinhuafen、pingxianpingxuanxianjindengxianglianxi,tigaosixiangrenshituidongjixiaokaopingjilimubiaoxiaoguo。
kunmingshiweishengqingkuanganquanlishihuihui
&෴nbsp; 2023nian3yue8ri