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: 】
gexianquweishengqingkuanggengjiankangwei:
tongguoguowuyuanbangongtinglinglianfangliankongzhiduhua《youguanyuzuihaoxinguantuchuleirenjingtaichanpinhe“guanzhashangyi”yewudezhongdegaozhishuhangeshi》heguowuyuanbangongtinglinglianfangliankongzhiduhua、zhongxindifangnongminyewudezhongdailingyewuzu《youguanyuqicaoshuomingzengqiangdangxiazhuangkuangnongmindiduanxinshiguanzhuangbingjunganliangqin𝄹liuchuanranbingfangzhiyewudezhongfangfadegaozhishuhangeshi》wenjianziliaoyao,weiyinlingbenshengtebieganjingchanpinjiegouwangdigongyong,guanche“zaohuifaxian、zaozhiliao、zaofenli”,youxiaofangfanhejiandixinguanbingjunganliangweizhongfashengle,xianjiuzuihaodangxiazhuangkuangyouguanyuyewudezhonggaozhishuhangeshirubiao:
yi、buduandishengjiangshequjuweihuixinguanjijiutexing
(一)積極推進社區服務中心新冠診療擴充增能
quxianhuanbaoshenxinjiankangweiyaojiehejijiuyunzuoxuyaoliang,xietonggongzuozhuzhaiqushejikeshi,yuelaiyuekuaishishiguanqushequhuanjingweishengyewuzhuhuanbaoyewuzhuxinguanjijiulingyushixiankuoronggoujian,luoshiyigangshuangzeshejishenghuosheshishepeijixiedengzengnengcunliang,shejilinchuangfanwei、dadiandifanwei、yangliaofanwei、bingqubingqudeng,wanchengxindianjianhuren、xueyangwuranjiance、gongyangdengshenghuosheshishepeijixiexuanpei。guanyushiyongbiaozhundeshequhuanjingweishengyewuzhuhuanbaoyewuzhu,henyaoqianghuactdengjixiedexuanpei,zhiyindajiashepianzhenduanchendian。tongguoyewuchangzhurenshushuliangde15%-20%jingtaicunliangzhongyao、tuireyao、zhikeyao💫jikangyuanjiacecaixueguanhetianzhi,henzhuagouzaozhongyaoyinpiancunliangliangshizhongruyiweichizai2zhouchaoguo,changzhurenshufensanchengshikejieheqishijiaqiangcunliangliang。
(二)增強社區業務站發高燒醫療業務業務
quanxianggepianqugonggonganquananquananquanweishengbaozhangzhiliangzhongyitianwutianjunyingzhanshifagaoshaodeyi🥃yongbaozhangzhiliang✤(hanjieguojiamouxiejiejiaqilvyou),bingwanchengbuzhifagaoshaodeyiyongyezhuankeyiyuanmenzhen,bianxianfagaoshaodeyiyonglingchenyanchangshijianbaozhangzhiliang;quanxianggepianqugonggonganquananquananquanweishengbaozhangzhiliangfenzhongyitianwutianjunyingzhanshifagaoshaodeyiyongbaozhangzhiliang(hanjieguojiamouxiejiejiaqilvyou),youyijiandekejianliyezhuankeyiyuanmenzhen。quanxianggepianqugonggonganquananquananquanweishengbaozhangzhiliangzhan、cungonggonganquananquananquanweishengshiyingyituoyufagaoshaoshaodianmenzhenshi、lingshifagaoshaodeyiyongliuguanqudeng,xuyaomanzufagaoshaodengyoushenmezhengzhuangderenjiuzhenyewuxuqiu。
er、dalaozuohaozhongyaorenlvsejiancexitongyujishuxingfuwuyu
(一)認真落實省級重點用戶應管盡可能
yijiayituoyujiezhen、jucunwei,geshequnweishengjiandutigongtigonganquanfuwuxingpeixunxingxinzhongyaoquanmiantishengjujuewufengduijie,zaijiezhenjiangguanjiandianxiaofeiquntidangshouruwanggehuacaozuofangfadejichushang,duiguanjiandianxiaofeiquntidangshenrukaizhanshentigengjiankangshujujianceyucaozuofangfa。yinlingjiatingshenghuomazuiyishenglianxusheqingminyihejujuetigongtigonganquanfuwuxingpeixunxingmude,zengqianglada66suiwangshang60suirenmaiduantigongtigonganquanfuwuxingpeixunxingbaohanmian,jibenshangwanchengguanjiandianxiaofeiquntidangmaiduanquanbaohan。liyonglvyuntigongtigonganquanfuwuxingpeixunxing、dianhuahaoma、weixingongzhonghao、shipintupiandengfeijiechufangshihuoqin🍌zishangmensuifangdengkandaimiantigongtigonganquanfuwuxingpeixunxingfangshi,zuoshi“hong、huang、lv”biaoshipaiguanjiandianxiaofeiquntidangshentigengjiankangtigongtigonganquanfuwuxingpeixunxing,zuohao“7gerenzhenluoshijiuwei”。
1.yijiezhenweiqishiyedanwei,goujianwanggehuafuwuguanlitizhi,wancheng“quyuliurenbanji”shiqingzhinengzuoyong。
2.sanzhongtuchuxiaofeiquntianquanjiankangkaochahuafenleibieliuchang,dongtaishujudiaokongbingchuanglijilubiao,deguanlimubiaogerenxinxiliuchang。
3.shequjuweihuianquanweishengchanpinzhuangzhi24xiaoshineichanpindianhuafang✨bianqunzhong,jialiyakeyishenggoutongxiguanzizhudegaozhishumobanzhongxinqunzhong,youshen♛xinjiankangyewuxuqiushikuaisujijixiangying。
4.keyi🅘tongguoxuduozhongxingtai,duicecezhongcunkehuquntupianjiamizizhujianliqudelianxiguajie,dui“yanse”cecezhongcunkehuqunyitianjianliqudelianxibubushao3ci,dui“huangyanse”cicecezhongcunkehuqun,yitianjianliqudelianxibubushao2ci。
5.yaojishilejiecezhongdiankehuquntiqiantijibingzhengzhuangqingxingheshentigaikuang。
6.duizhongdianqunzhongganhuaxinguanmumabingduhuogenjibingduzengzhongdengqingkuang,lijijiankangdemianfeizhidao、gansheyuzhuanzhen。
(二)貫徹執行側重人群當定義治理
dui“hong、huang、lv”tebiedaxueshengxiaofeiquntifenbieshituijin“yi、er、sanji”caozuoyewu,dui“lvhua”daxueshengxiaofeiqunti,tuijin“1jiyewu”,zuohaojiankangyoujiao,zuohaozijidejiankangfangyu。dui“huangsede”daxueshengxiaofeiqunti,zaituijin“1jiyewu”detiaojianshang,duiyangxingfanyingjujiazhuangxiuzhongyaozhiliaozhuanyerenyuantuijin“liangjiyewu”༺,zuohaokangyuanyance、jiankangwurantance、jiankangzixun、zeyaojianyideng。dui“hongyanse”daxueshengxiaofeiqunti,zaituijin“yi、liangjiyewu”tiaojianshang,tuijin“sanjiyewu”,qianghuaꦇmuwendibanjiankangwurantance,duijihuanhuijiazhongdegeiyuzhuanzhenbangzhu。
san、zhongdianweiraozengqiangweizhongzuizaodeshihouxianshi、zhongyaozhiliaoyufenke
gexianquqingjiejiankangweiyaoyikaoshi、quchuzhizhuanjiazulidu,dalijiaqiangduipianquqingjiechanpinxiangmuzhongxinlianjieyuzhuanyezhidao,chizhiyi♔heng“zaochuxian、zaokongzhi、zaofenke”dixian,tuidongpianquqingjiechanpinxiangmuzhongxin“shekoukouanyiwei”shiyong。
(一)推進項目建設新冠病情比較重的時候早發覺
gejiedaobanshichuganjingchanpinzuzhiliandongjucunwei,zuohaoduixinguanbingduzhedelvsejiankangtancefangan,zhenduishizhongdianxiaofeiqunbingduzhe,zairenzhenzhixing“yi、er、san”jianquanguanlidehexinshangshang,yaozhongdianzuohaoxinguan𝐆zhengzhuangyuhexinshangxingbingzhengzhengzhuangzhuanhuadetancefangan。
buduanjiaqiangduixinguanfukebingduzhiyuantizheyangshichuyuguoshengzhuangtaidujiankong。gejiedaobanshichuqingjieqingjieguanlijiandugongnengpeixunpeixunbumenyaohelipeizhizuliangdezhijiashihexinxueyangyi(xiashutongchengzhiyangyi),quebaomeiyijiajiedaobanshichuqingjieqingjieguanlijiandugongnengpeixunpeixunzhongyanghefenzhongyangshaoyuhelipeizhi20gezhinei、meiyijiajiedaobanshichuqingjieqingjieguanlijiandugongnengpeixunpeixunzhanhecunqingjieqingjieguanlijiandushishaoyuhelipeizhilianggezhinei,meiyijiajucunweishaoyuhelipeizhi5gezhinei。weilemeiyijiarenmazuiyishengdetuanduihelipeizhibiyaorenshudezhiyangyi,lianjiehaojucunweifali,jiangyangshichuyuguoshengzhuangtaidujiankongrongru guanjianrenmenfukebingduzhiyuantizhejibendesuifangdeneirong。gejiedaobanshichuqingjieqingjieguanlijiandugongnengpeixunpeixunbumenyaozhengjifen𝓰gongxiezuojucunwei,wei6liusuizhineiyouxinguanbingjunfukebingduzhiyuantibingqingbijiaozhongdeshihouweixian qielianhexingdongbutuodeguanjianrenmenpaifazhiyangyi,zhidianzhujiaceshixueyangshichuyuguoshengzhuangtaidu。
(二)進行新冠病情比較重的時候早醫療
yaoyituoyushi、qujiuzhuyouguanzhuanjiatuanbaofali,🌱yangeluoshishequdefuwuzhongxinhuanbaodefuwushebeiduixinguanranbingzhexingzhenduishoushuzhiliao,lirushan⛄shixianweijianrong、yangliao、dadiandi、xiaotuanhuokoufuyaowuanquanshiyong、quelizhongguojiatingshoushuchuangdeng。
1.切實加強對癥下藥治療。geshiquhuanjingqingjieganjingjiankangguanliguanlianquanweiyaoyijuweichujubaozhangzhanhuanjingqingjieganjingjiankangguanliguanlichujubaozhanggouzaotianzhizongshuliangshushideeryanghuadandai、eryanghuadanpingbingqiezhiyangjidengjiqi,quebaolijiweimenzhenbinghuan、jujiayanglaobaozhangzhiyubinghuanchujuyangliaohuoeryanghuadanguanzhuangshengchanxianchujubaozhang。gejuweichujubaozhangzhanhuanjingqingjieganjingjiankangguanliguanlichujubaozhangzixunxuexiao、fenzixunxuexiaojunyaosheweimenzhen“xiyangqu”;juweichujubaozhangzhanhuanjingqingjieganjingjiankangguanliguanlichujubaozhangzhanyucunhuanjingqingjieganjingjiankangguanliguanlishifangshishangjunyaoliyuxianjinchangjingfazhankongjian,shoujipeizhi🍌eryanghuadanguan,chuju“yangliao”chujubaozhang,manyijuminjiatingjiujinguifanyangliaochujubaozhangyiyuan。shenrutuijinzuowuhuaxiruzhiyu,gejuweichujubaozhangzhanhuanjingqingjieganjingjiankangguanliguanlichujubaozhangzixunxuexiao、fenzixunxuexiaofangshishangjunyaochujuzuowuhuaxiruzhiyuchujubaozhang。yiqi,jiaqiangfukebingduganranzheyingyangchengfenguli,zhidingweishengyingyangjiankangkaohepingjia,anguichengzhankaidiaopingdengfuwu,bimianbingqingbijiaozhongdeshihouchuxianweixian。
2.即使采用抗病力劇毒物控制。duizhuyaorenmenchuanranzhewanchengkaoping,zaishizhongxinquxiaobianzufudaoxia,duihe🉐hushiyingzhengdechuanranzhe,jishifudaocaozuo♍kangbinglipishuangwu,yaozuodaozaorizhidao。
3.有效充分的起著中藥才治療方法做用。jianshouzhongxiyiyirongru、zhongyifukeyaojiecheng,gengkuai“san♎yaosanfangxieyishu”dengzhongyaocaizaishequyewuzhanjuweihuiweishengjiandujiantiexinyewupingtaideshebeiheyingyong。geshequyewuzhanjuweihuiweishengjiandujiantiexinyewuzhongdianyaoduiwuxinguanbingdushi💞shenmejiaochaganrantongchangchuqizhengzhuang,yincunzhiyi,bianzhengshizhi。zhuishang“zao”“kuai”detiaojian,rangchengyaozaixinguanleibingduganranshiqijinkuaijizaochazujinxingzhiliao,dangjiezhiqingzhengbingyuanxiangdaxing、weidaxingfazhan。
(三)積極推進新冠危重癥早并軌
1.隨時輔助轉診。duixinguanbingzhenghuogenbenxingjihuanzengzhongdejiaochabingduganranzhe,geshequwangzhanqingjieweishengtigongfuwugongsizhan、jiarenyakeyishengjishutuanduiyaohuanhao120jinjijiuyuanzhongyaoyunsongyoujilutongdao,bangmangganranzhiyuantizhelikezhuanzhen。duiyuneixiejicengyuangongshouzhendebingqingbijiaozhongdeshihouren,yaojinkuaijiaozhunzhangwo,jiyushishihuanjing,likegongyang,ge🉐xinghuahuiyuanfuwuyouxiaojiuyuandecuoshi,wubihuifurenhuolixianxiangshichangpingwen,zaiyihuyuangongyitongxialikezhuanꦕzhen。
2.保通交叉轉診。gejiedaoshequyizhijian🍰chanpinpingtaiyaozhutuidifangxingyizhipingtai、yiliantishangjibumenmenzhen,jiaotongxinguanzhenzhishuangxiangzhuanzhenquyu,mingquetichuweishengxuejianjiankangbaojianwei、geyizhibumenyaopanduanzhuanzhirenyuantigongzhuanzhenzhiwei,jiandanhuaweizhongrenzhuanzhenguocheng,tinggaozhuanzhencuowulv。tongshi,yaozuohaogenghaodifahuitupianhulianwangjianshezhichixiaoguo,shiyongyuanchengdengluguanlizhuanjiahuizhen、yuanchengdengluguanlichengdudengwanfa,quebaoanquanshengchanrenqudaoshishiyouxiaolvzhenzhi。
duipingtaigonggongjiankangshouhoubaozhangguanlipingtaijushangzhuanxinguanganqizhe,yuefashiಌshengjizhongdianrenmenganqizhe,shangyijiyiyuanyishengmenzhenyaojianliqishouzhiyoujitongchang。zaishangyijiyiyuanyishengmenzhenchenggongfashengjixingzhengzhuangzhenliaohou,deqingkuangyouxudeganqizhekexiazhuandaopingtaigonggongjiankangshouhoubaozhangguanlipingtaijuicubingfang,pingtaiyiwuderenyuanyaotongguozhuanzhenbuzou,ganhaoshouhoubaozhangguanlishigongzizhizhuanrang。
gegequganjinglvseweiyingshehuipinghengguanguanxiaquneixianjizhengfusizhongyiyaogouzaoyiyuanshoushuchuangziyuanliang,biaomingbutongdejieduanzhongyiyaogouzaoyiyuanshoushuchuanggongnengbiaodiwei,zhidingshehuipingheng、jinxingfenleiyongdaodecelve,yaoshehuipinghengjihuaguanguanxiaquneixianjizhengfusizhongyiyaogouzaoyiwuyuangong,pingjiexiapairuzhu、weipaiduijiedengdefangfa,dalizhichixiaoquganjingtiexinfuwuzhiliangguanliyugongsizhuyuanbutiexinfuwuzhiliangguanliyu。shezaishoushuchuangdexiaoquganjingtiexinfuwuzhiliangguanliyugongsi,jinjieduanzhongyiyuanshoushuchuangyongdaolvyingyidadao95%shangwen,weianzhuangshoushuchuangdexiaoquganjingtiexinfuwuzhiliangguanliyugongsi,dui🌄fuheshiyingzhengdeyingxiangzhe,yingpingjierenshoushuchuangchongfenmanzujushizhenzhibiaozhun。
si、dalijiaqiangpianquzhongdianyonghuchuzhicailiaotongchouyiliaobaoxianhezuoweizhichengzhiliangbaozhang
(一)更加充分推動街鎮網格化的管理機理
gejiedaoanquanweishengjiantigongfuwupeixunzhongꦫxinyaobeidongxiangmuduijiegejiezhen、jucunwei,zugouzuzhibaozhangjiezhenwanggehuadejingyingcuoshi,huifajiezhen、jucunweihexindezuoyong,wanchengduizhongyaokequnjiedaodejingying,nonghaoanquanshenghuopingguyudongtaitupiantigongfuwupeixun。zuzhibaozhang“jiedaojirenketizu”gongzuozhongdecuoshi,wanchengduizhongyaokequndebaobaolianxi。gejiedaoanquanweishengjiantigongfuwupeixunpingtaiyaopipeijiezhen,,binganzhaoquzhilibangongzuozhongdebushu,nonghaoduigaolingfumu、youqiantixinghuanbingtigaodengweizhonggaoweixianyinsukequnhekunanbaobaodengkequn“anquanshenghuobao꧂”banfa,fengongxiezuojucunwei,buduanjiaqiangduiduzishenghuofumu、jinyushangcanrenernvzhutizhudizhonglaorenmenrenderichangdelianxi。
(二)切實加強區域性醫學信息平衡承載
gequneijiankangfangyilvseweiyaotongchouguihuayizhibaoxianxiaoquneisizhongyizhizuzhiyiwurengong,anzhaoqingxiexunzhen、rengongpaizhu、sheliyuanchengkongzhiyizhitonglihezuowangdengxingwei,jiejuechulinongcunjicenggongzuoyuangongyizhijiankangfangyizuzhirenziyixiewentiyixiewenti,quebaoanquanjiedaobanxinguanqiangjiugongzuozhiliangquyuwendingzuohao。yinlingquneierjiqiangjiujiyizhuanjiatuanheshangjibumenyizhizuzhishejidaoxunhuijutidezhidaotixi,duijiedaobanjiankangfangyigongzuozhiliangzuzhizuohaojiyijutidezhidao,peixunbannongcunjicenggongzuoyuangongyiwurengongzhengqueyongxiaotanyuanziyaohechengyao“sanyaochengbaofang”,yiqianghuanongcunjicenggongzuoyuangongfangbingqingbijiaozhongdeshihouxuexinengli。qianghuayizhijinjiuzhiyuanhuanjingziyuantongchouguihuayizhibaoxian,zenggaoyizhijinjiuzhiyuancicheyuhuolianzhuang,weijiedaobanjiankangfangyigongzuozhiliangxinzhong、putongjiatingyayituanduisheliyouxianxuanzeyunshulutongꦛdao。
(三)帶動基本醫師管理陪訓
yijuzhuzhaiquduojijiuhuzhuanjiatuanduizu,zhidingyuancaiqumiancengdangjigouyiwujishugongzuozhexuexikejiaoyuyuan,jigoukaizhanxianshangzhibo、xianshang、daitoumenzhenwangxiachendaijiaodengduogexuexikejiaoyu。chongfendiyunyongzhengfu、shilidengyouguanyuxuexikejiaoyuziyuanyingwen,jijijinqujigoumiancengdangjigouyiwujishugongzuozhejinxingxuexikejiaoyu。gaohaochouyan,xu🅘yangexuexikejiaoyuceshi,quebaoanquanxuexikejiaoyuchengxiao,shimiancengdangjigouyiwujishugongzuozhe(hangainongcunjiansheyishengzhuanjia)zaichangduanqimanqieyaochengwoleshebeizhangwolexinguanzhongdiancunzhongrendengjihuafenzongleigongzuodefangshi、fukeganliangbingzhengguankan、fukeganliangzhejiajuhuanjingweihuhezhiliaofangshi、yixueyaojiuhuhekangfuxunlianzhiliao、diyangxuezhengsuoyi,jinxingyouyuzhexieyuanyinchajue、chuanqibubiandefenxipingguhezixunyishengdefangshi、zhiyangyideyunxing、juedingxingzhuanzhenshoushuzhizhenghuoxiaoyuanzileiyaodegaibianzhenghezhengchangyunxingdefangshideng。
(四)抓好新冠搶救物質保障措施
geshiqushipinganjingjiankangweiyaojujuweishipinganjingshouhoufuwudeyugongsi、cunshipinganjingshishouhoufuwudeyuchengzhenrenkou、tuchurendishudengxianzhuang,﷽peizujiuzhuziyuan,yebaokuobiantangcaozuojinkouyaopin、zhongyao、kangyuanceliangzhiji、kangbingxingmanxingduyao、zhiyangyideng,bingjinmijiehejuweifukebingduganranzhexuqiuliangyingxiang,xinxidiaodizigeilv,baojiahuhangziyuanzigeilv。gaokaodilizuoweipianpi、jiao🌺tongguanlibushidejuweishipinganjingshouhoufuwudeyugongsi、cunshipinganjingshiyaotuichibeizuzhiliaoyaohefangyuziyuan。zhutuidaolu、jucunwei,yuyizhizuzhi 、yiyaoliansuodengliantongfuwudianhua,jushijiqingkuangsuoxuxiangdangxiangzhongguonongcundiduanwanquchushoujiuzhuziyuan。
(五)實時交通知道辦公動態圖片
gegequganjingweishengjianduyingyangjiankangweiyaoyihouwanchengjiedaojuweihuiganjingweishengjiandu✅tiexinfuwuguanliguanlizuzhixingshi、tiexinfuwuguanliguanlixianxianghekuocunxianxiangdengdongtaihuatupinggu,lijilijiejiedaojuweihuidireyiliaoxianxiang、yaowuhezhuangzhicunliangyunyongxianxiang、tebienianlingduantiexinfuwuguanliguanlixianxiangdeng,duizhenquyunzhuanjuyouwentihuoyunzhuanjiaomandebuweilijijianxiu。wanquanyonggerenxinxineironghuajiyi,zengjiayunzhuanzhuanhualv,zengduoqunzhongfuchu,jinzaohuibaoguojia、shengjibixudedongtaihuatushujuyuanhegerenxinxineirong。
(六)大力加強街道辦醫務人士擔心關愛殘疾人
gegequhuanbaofangyijiankangdeweiyaodalirenzhenzhixingwoguohebeijingshiyeneiguanzhaoxianaixinyiwugangweiyuanbanfa,zengjiaduijiedaohuanbaofangyifuwuyuguanliguanlizhongyangdezhizhufuwuyuguanlibaozhangjizhi。youxiaolvjihuayupeibijiedaoyiwugangweiyuan,zuoyiwugangweiyuanrichangfuwuyuguanliguanlihehouqinbufu✤ꦑwuyuguanlibaozhangjizhi。anzhongguidingrenzhenzhixingduijiedaoyiwugangweiyuanbutieyuxiaojiatingfukeyishengqiandaofuwuyuguanliguanlifeicixingzhuanxiangzhengzhigangweiyubeifei,tuanduijilijiedaoyiwugangweiyuanhunfangsongshenxintoufangjiedaoxinguanchuzhigangwei。
(七)增強職責到落到位和督導檢查考核辦法
gediganjingweishengshentijiankangweiyaodaidongtuantilingdaobanzi,jingguocengcengdeyashixishuquanze,qingchubuquanzeherichangrenwuzhize,baozhangjizhidegongzuoshenghuotiaojian。yaodaidongduiqujidegong⛦ꦐzuotuijinxianxianghequanzetuijinxianxiangdejiandujiancha,kaifadegongzuoqingdanbiaoge,cehuarichangrenwuqingdan、zhuangkuangqingdan、quanzeqingdan。yaojiangmouxiegaohaobiaocenghexindaxueshengxiaofeiquntixindongtaitigongfuwu、tigao“baoshentijiankang、fangweizhong”jixiangdegongzuotuijinxianxianghegongzuozhongchengxiaoyuyouguandehexindegongzuodekaoyan、zibendiaozheng、pingxianbiaozhangdengxiangguagou,zhenzhengshulikaoyanmianliyinlingxiaoying。
nanjingshiweishengjianzhengchanglishihuihui
&nb💎sp; 2023nian11yue8ri