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: 】
mingquetichuweishengjianjiankangwei:
ওtongguoguowuyuanlingbangongtinglianfangliankongjili《zhenduizhuahaoxinguanzhongyaokequnjingtaifuwubaozhangxinghe“shekoukouanlagao”gongzuodexiaoxigaozhishu》heguowuyuanlingbangongtinglianfangliankongjili、zhongxindifangcunligongzuoshangjilingdaobanji《zhenduiqicaoshuomingkaizhanzhiqiancunlidedifangxinyingguanzhuangmumabingdumayingxiangzaiqingfangzhigongzuojihuadexiaoxigaozhishu》wenjianmingchengguifan,weituidongbenshengshequhuanweihuanweifuwubaozhangxingyiyuanwangdigongxiao,jianchi“zaochuxian、zaoshoushuzhiliao、zaofenli”,heyufanghexianzhixinguanmumabingdumayingxiangweizhonghuifasheng,xianjiuzhuahaozhiqiangezhongxiangguangongzuoxiaoxigaozhishuxialie:
yi、yizhishengjishequjuweihuixinguanjijiuyewunengli
(一)有序推進特別新冠救助實現擴容增能
༒gegequganjinghuanweiyingyangweiyaosuizhuchuzhishiqingxianshixuqiu,jijituijindujulaorenquxiangyingdexingzhengbumen,tigaojijituijinguanxiaqujiedaopianquganjinghuanweitigongtigongshouhoufuwuhexinxinguanchuzhidechangsuokuopanjibenjianshe,tixianxiangyingdecuoshijixiedengzengnengshouchu,yebaokuohuizhenbufen、guashuibufen、yangliaobufen、zhenshibingqudeng,banhaoxindianjianguan、xueyangpinggu、gongyangdengcuoshijixieyunxinghuanjing。erduiyuheshiqiantitiaojiandejiedaopianquganjinghuanweitigongtigongshouhoufuwuhexin,jiaoqianghuactdengjixiedeyunxinghuanjing,jinxingdujulaorenshepianzhenduanxiaxian。antigongtigongshouhoufuwuzongrenshupingjunde15%-20%dongtaizhanshishouchuzhongcaoyao、tuireyao、zhikehuatanyaojikangyuanjianceshenghuashijiheshebei,henzhuaqiyeyiliaoyaopinshouchuliangbuduanzuodaozai2zhouyinei,zongrenshuchoumiquyukesuizhuxianshizengtianshouchuliang。
(二)增強平臺發熱的原因診所服務項目
൩dangdigepingtaiqingjieanquanbaozhangzhudianmeiyuebatianjunyingzhanshi fashaolinchuangbaozhang(hanjiexiuxiri),bingyijuzhuangzhifashaolinchuangyeyiyuan,jianlifashaolinchuangxiawuyanchibaozhang;dangdigepingtaiqingjieanquanbaozhangfenzhudianmeiyuebatianjunyingzhanshi fashaolinchuangbaozhang(hanjiexiuxiri),youyijiandekeshenbanyeyiyuan。dangdigepingtaiqingjieanquanbaozhangzhan、cunqingjieanquanshiyingyijufashaoshaodianzhensuo、linshixingfashaolinchuangliuguanqudeng,goumanzufashaodengzhuangkuangtigaoyidijiuyigezhongxuqiu。
er、zhazhashishizuodaoweizhongzhongzhizhongxiaofeizhelianghaojiancezhanyudongtaidegongzuo
(一)認真執行關鍵人群當應管總之
𒀰yilaijiezhen、jucunwei,gejiedaoshequyiliaozhilifuwuxingzhongyaodalijiaqiangxianghuxiangmuduijie,zaijiezhenjianghexinyonghuhuaweiwanggehuazhilikuangjiashang,duihexinyonghushenrukaizhanzhengchangjiankongyuzhili。yinlingjiayongdafugaohaoguanxibaixinghexianghufuwuxingfanying,jianshaofazhan64suishangshulaonianxingrenchengjiaohezuofuwuxingbaohanmian,zuijibenbaozhenghexinyonghuchengjiaohezuoquanbaohan。genjuyunfuwuxing、lianxiyuanze、wodeweixin、duanshipindengfeipaichiyuanzehuoqinzishangmensuifangdengyingfujinfuwuxingyuanze,zuoshi“hong、huang、lv”tuanhexinyonghuzhengchangfuwuxing,wancheng“wugekaizhanhege”。
1.yijiezhenweiqiye,zhutuiwanggehuachuligongshijizhi,guanche“shequweishengerrenxiezuozu”gongzuoshangzhuyaozhize。
2.jidaleizhongdasangaorenqunjiankangdiaochayuanjinxingfenleifenming,dongxiangbiandongbingchuanglitaizhangzenmezuo,guanlixitongdeduixiangxunxifenming。
༒3.shequndejiankanggongnengyiyuan24xiaogongnengdianhuachangtongwuzu,qiyezhurenyishenglianjiefangshiyingwenjijigaozhihanshengjizhongdianzhongren,youdejiankangyiyuanshidangjifanying。
✨4.yongduozhongbutongfangfa,duizhongyaokequnbeifenzijuelianjieqilaixietonggongzuo,dui“chenghongse”zhongyaokequnmeiyizhoulianjieqilaibubushao3ci,dui“chase”cizhongyaokequn,meiyizhoulianjieqilaibubushao2ci。
5.jizaochengwozhongdianshizhongrenhexinhuanbinggaikuanghejiankanggaikuang。
6.duizhongdianzhongrenganhuaxinguanbingyuantihuojibenzhishibingzhengzengduodengxianzhuang,jinkuaishentizhuanyezhidao、gansheyuzhuanzhen。
(二)嚴格執行重中之重人們進行分類監管
♛dui“hong、huang、lv”zhongdianshinianlingduanduiyingbanbu“yi、er、zhongji”jianlitiexinchanpinpeixun,dui“lvhua”nianlingduan,wancheng“6jitiexinchanpinpeixun”,zhuahaoanquanjichuliluntiaojianjiaoyu,zuohaogerendeanquanfanghulan。dui“qianhuangse”nianlingduan,zaiwancheng“6jitiexinchanpinpeixun”dejichuliluntiaojianshang,duiyangxingfanyingjiatingshenghuoyeliaogongzuorenyuanbanbu“zhongjitiexinchanpinpeixun”,zhuahaokangyuanshujuwuranjiance、anquanshujuwuranjiance、anquanzaixianzixun、yongyaoliangdezhidaodeng。dui“chenghongse”nianlingduan,zaiwancheng“yi、zhongjitiexinchanpinpeixun”jichuliluntiaojianshang,banbu“zhongjitiexinchanpinpeixun”,jinxingqianghuaanquanshujuwuranjiance,duibingqingyanzhongjiaoqingdegeiyuzhuanzhenpeihe。
san、zhulidiantigaoweizhongqianqichuxian 、zhiliaoyufenli
ꦫgeshiquhuanbaolvsejiankangweiyaotuijinshi、qujiuzhuxiaobianzudongli,tishengduijiedaobanshichugongzuoguanlizhongyanghuanbaogongzuoguanlizhongyanglianjieyujiaoyuzhidao,jianding“zaobiaoming、zaojinxingzhiliao、zaofenpei”biaozhun,chongfenliyongjiedaobanshichugongzuoguanlizhongyanghuanbaogongzuoguanlizhongyang“shekoukouanlagao”yong。
(一)全面推進新冠危重早發現了
ꦐgeshequfuwuxiangmuzhongxinanquanweishengfuwuxiangmupeixunjigouronghejucunwei,jinyibutigaoduixinguanpifubingduxiedaizhedejiankangshenghuojianceshujujishu,xuyaoshizhongdasangaorenqunpifubingduxiedaizhe,zaiqiaoding“yi、er、san”jiguanlixitongdegenjishang,yaozhongdajinyibutigaoxinguanxianzhuangyugenjixingpifujibingxianzhuangdebianhuadejianceshujujishu。
ꦰjinyibujiaqiangduixinguanranshangzheyangshichuyuguobaohezhuangtaidutancezhan。gepianquganjingweishengxueguanlifangyijiandefuwuxingguanlixingpingtaiyaopeiyongzuliangdezhijiashixinlvxueyangyi(yixietongchengzhiyangyi),youxiaoquebaomeigepianquganjingweishengxueguanlifangyijiandefuwuxingguanlixingxinzhonghefenxinzhongzuishaodepeiyong20gedayu、meigepianquganjingweishengxueguanlifangyijiandefuwuxingguanlixingzhanhecunganjingweishengxueguanlifangyijianshizuishaodepeiyongliagedayu,meigejucunweizuishaodepeiyongyigedayu。weilemeigezhongguojiatingyihurenyuanguanlituanduipeiyongkendingzhanbidezhiyangyi,jieguanhaojucunweidingli,jiangyangshichuyuguobaohezhuangtaidutancezhandingweihexinxiaofeiquntiranshangzhezhuyaosuifangziyuan。gepianquganjingweishengxueguanlifangyijiandefuwuxingguanlixingpingtaiyaojijixingweituijinjucunwei,wei64suidayuyouxinguanmumabingduranshangbingqingbijiaozhongdeshihoufengxiandianqiexingweinanyidehexinxiaofeiquntifenfazhiyangyi,jiaoyuzhidaozhujiaceshixueyangshichuyuguobaohezhuangtaidu。
(二)積極推進新冠危重癥早開展
🐭yaogoujianshi、quqiangjiuzhuanyeyishengzunengli,zhuahaojiedaoshequanquanweishengfuwuguanlizhuangzhiduixinguanchuanranzheduizhengxiayaokaizhan,shejidaojiankangfuchi、yangliao、guashui、xiaoyangfenziyaojishiyongde、dazaoxiaojiatingbingfangdeng。
1.做好合適治療。💟gexianquanquanxueanquanweiweileshequnjuweihuianquanxuetiexinkeyichujuchanpinyuyiliaojigouxuanyongzhanbizuiyideqingqiguandai、qingqiguanpingxiangyingzhiyangjidengjiqi,jiaqiangzuzhilingdaolikeweizhuankezhuankemenzhenzishen、shenghuofangfazishenbaozhengyangliaohuoqingqiguanfenzhuangtiexinkeyichujuchanpinyu。geshequnjuweihuianquanxuetiexinkeyichujuchanpinyujigou、fenjigoujunyaobuzhizhuankezhuankemenzhen“xiyangqu”;shequnjuweihuianquanxuetiexinkeyichujuchanpinyuzhanyucunanquanxueshidixianshangjunyaoyingyongyiyoudifangsanweikongjian,anzhuangqingqiguanguan,baozheng“yangliao”tiexinkeyichujuchanpinyu,xiaofeixuqiujumingzhuanchejiesongyangliaotiexinkeyichujuchanpinyuxiaofeixuqiu。shishiwuhuaxiruxirufangfa,geshequnjuweihuianquanxuetiexinkeyichujuchanpinyujigou、fenjigoudixianshangjunyaobaozhengwuhuaxiruxirufangfatiexinkeyichujuchanpinyu。yitong,xiehaoranshangzheyingyangyuansufuchi,shiyongweishengyinshipingjiabiao,anyuanzezuojingmozhushedengfuwu,yijianshaoweizhongzhengyinfaweixianyinsu。
2.盡快選擇抗病性劇毒物緩解。𒈔duizhongdarenqundangganliangzhecaiqupinggubaogao,zaishineixiaobianzupingjiabiaoxia,duizunxunyuanzedeganliangzhe,youxiaopingjiabiaoliyongkangbingxingjuduwu,zuojinkuaijizaojiaozhi。
3.積極激發中藥方開展效應。꧑weichidongxifangyizuhe、zhongguochuantongyixueyaoyiqiyong,cujin“sanyaosanfangxieyishu”dengcaoyaozaijiedaobanqingjiegonggongweishengtiexinfuwuguanlijiegoudebiaozhunpeizhihexuanyong。gejiedaobanqingjiegonggongweishengtiexinfuwuguanlijigouyaozhengduixinguanbingjungandongshuxiyoushenmezhengzhuang,zhuzhongshixiao,bianzhengshizhi。xiyin“zao”“kuai”deguifan,rangzhongcaoyaozaixinguanbingyuantiganranshiqitizaoruzhuhuanjie,jinzaoyizhiqingzhengzhuyuanbingrenxiangzhongxing、jiweizhongzhengxingkuaisufazhan。
(三)有序推進新冠危重癥早分離
1.不能督促轉診ꦯ。duixinguanbushifanyinghuodejichuxingchuanranbingzhengzhuangbingkuangdeganliangzhe,geshequwangzhanweishengxueanquanfuwuwangdian、jiatingshiboshituantixuyonghao120jizhenxianzhuanyungongsimolvsedetongdao,weituozhanranzhebunengzhuanzhen。duinongcunjicengshouzhendebingqingbijiaozhongdeshihouaimeizhe,yaogengkuaiweizhunbianshi,liyongjutiqingkuangbaogaoqingkuangbaogao,bunenggongyang,caiquxiangyingtigaorenshijiuhuanquancuoshi,yingzhutoupibaozhengaimeizheshengmingdeyiyilinchuangbiaoxianpingheng,zaiyihugongzuoyuanyitongxiabunengzhuanzhen。
2.流暢縱向轉診。🦩gejiedaoweishengqingkuangqingkuangfuwuxingjidiyaokuanyuchongfendiaodongquyuzhongxingyidingjidi、yiliantishangjilingdaomenzhen,kuanchangtongchangxinguanzhiliaoshuangzhongzhuanzhenchedao,shixiaquweishengqingkuangqingkuangshentiwei、geyidinggouzaoyaojuedingtuoshankaizhanzhuanzhenguanligangwei,chuangxinbingqingbijiaozhongdeshihouqiumeizhezhuanzhencaozuoliucheng,yanchangzhuanzhenzhiliang。ciwai,yaokuanyuchongfendiaodongxiaoxihuazuoweizhichengdianyong,yongyuanzhanzhuanjiahuizhen、yuanzhanjianchadengdefangfa,zhuashiqiumeizhedeyiyaojishiyouxiaoxingzhiliao。
ꦰduitebiegonggongweishengjiantiexinfuwuyuzhiliangzhongdiancunshangzhuanxinguanbingdubinghuanzhe,zhenduishizhongdiancunkehuquntibingdubinghuanzhe,shangjibumenlingdaoqingdaoboshizhengxingzhuankeyiyuanzhuankeyiyuanyaodajianshouzhilvhuaduanxintongdao。zaishangjibumenlingdaoqingdaoboshizhengxingzhuankeyiyuanzhuankeyiyuanlaiwanchengmengranqikongzhihou,qingxingshunchangdebingdubinghuanzhekexiahuandaotebiegonggongweishengjiantiexinfuwuyuzhiliangzhongdiancunyiyuanbingfang,tebieyiwugongrenyaocanyuzhuanzhenbuzouliucheng,lejietiexinfuwuyuzhiliangbingchizhu。
𒅌mingquetichushipinganjingshentijiankangweiyingtongdengquyuhuanbaoganjingneigexianggeyizhigouzaoyiyuanhulichuangziyuanyingwen,suizhubutongdejibieyizhigouzaoyiyuanhulichuangtedianjingquedingwei,zhidingtongdeng、jinxingfenleiyongdaodekaohejizhi,yaotongdengzhidingjihuaquyuhuanbaoganjingneigexianggeyizhigouzaoyiwuzhigong,shixianxiapairuzhu、weituoshouquanduijiedengbanfa,shiyongdequyuhuanbaoganjingshipinganjingchanpinzhongjianjianhushichanpin。huanyongyouhulichuangdequyuhuanbaoganjingshipinganjingchanpinzhongjian,jinshiduan.yiyuanhulichuangyongdaolvyingyaoqiu95%zuoyou,weishebeihulichuangdequyuhuanbaoganjingshipinganjingchanpinzhongjian,duifuhetiaojiandehuanshangzhe,yingshixianjiachanghulichuangyaoqiujiajuhuanjingyiliaoxuyao。
si、tishengxiaoquhexinxiaofeiquntiyizhichanpintongchouyiliaobaoxianhechengqibaohu
(一)有力推動街鎮網格化管理工作工作機制
꧒gepianqujuweihuifuwubaozhangzhiliangyuzhanshipingonggongweishengfuwubaozhangzhiliangyuzhuyaojijizhudonglianjiegejiezhen、jucunwei,wanquanyifujiezhenwanggehuazhilizhidu,qizhujiezhen、jucunweizhudaozhedegongxiao,guanchezhixingduituchunianlingduanpianqujuweihuifuwubaozhangzhiliangyuzhanzhili,tiqianbanhaoanquangengjiankangjianceyuxindongtaifuwubaozhangzhiliangyu。yifu“pianqujuweihuifuwubaozhangzhiliangyuzhansirenketizu”yunzhuanzhidu,guanchezhixingduituchunianlingduandebaobaogoutong。gepianqujuweihuifuwubaozhangzhiliangyuzhanshipingonggongweishengfuwubaozhangzhiliangyuzhuangzhiyaojinmipeihejiezhen,yiquguankongbanyunzhuanyanjiubushu,tiqianbanhaoduigaolingyeye、youdejibenjibingrenzhedengweizhonggaowentinianlingduanhenantishaonianertongdengnianlingduan“anquangengjiankangbao”duixian,xiezuojucunwei,jinyibutigaoduidujushenghuoyeye、jinyuzhicanqinshengzinvxianghuzhijianzhuzailaonianxingrendepingshidegoutong。
(二)強化城市醫療保障網絡資源綜合支撐著
✃shixiaqushipinqingjiejiankanglvseweiyaochengxiangyixuebaoxianquyuneijidaleiyixueyiyuanyiwugongren,pingjiechenxiaquxunzhen、gongrenpaizhu、kaifaqqyuanchengyixuexietonggongzuowangdengdefangshi,chedijiejuebiaocenggongzuoyuangongyixueshipinqingjiejiankangyiyuanrengongrenlibugoufangmian,yibaozhengjiedaotebiexinguanzhenliaoyewushichangpingwenkaifa。chentuoshizhongxindequduojizhenliaozhuanyerenshizuhelingdaoyixueyiyuanxiangguandexunhuipingjiabiaochangxiaojizhi,duijiedaotebieshipinqingjiejiankangyewuyiyuankaifazhishupingjiabiao,xuexipeixunbiaocenggongzuoyuangongyiwugongrenguifanleshiyongxiaofenzishiyaohezhongyaopeifang“sanyaochengbaofang”,yitigaolebiaocenggongzuoyuangongfangweizhongzhengxuexinengli。jinyibutigaoyixuejiuhuziyuanchengxiangyixuebaoxian,buduanzengjiayixuejiuhujidongcheyuyongqibiaozhunpeizhi,weijiedaotebieshipinqingjiejiankangyewuzhongxinde、putongjiatingzhurenyishijingyingtuanduikaifazuiyouzhuanyunrukoutongdao。
(三)增進基本醫務工作人員訓練
🧸yijuchengquliangjiqiangjiuxiaobianzu,quedingzhenduixingbiaocengyiwuyuanxuexizhuanyepeishunkechengxuexiaoshejifangan,jujikaizhanxianshangqudao、xianshang、tonglixiezuoyiliaojigouxiahuadaijiaodengxuduoxuexizhuanyepeishunkechengxuexiao。chongpeiliyongguonei、dishijidengguanyuxuexizhuanyepeishunkechengxuexiaoziyuande,leguanjujibiaocengyiwuyuancanjiaxuexizhuanyepeishunkechengxuexiao。kaizhanchoujian,yangeyaoqiuxuexizhuanyepeishunkechengxuexiaonianzhongkaohe,weilequebaoxuexizhuanyepeishunkechengxuexiaoxiaoyong,shibiaocengyiwuyuan(jiqicuntunzhuzhiyisheng)zaiduanqideneidexinyingshoushuxixinguanguanjiandianqunzhongfenjihuafenhuafenfuwuanquanguanligongyi、yingxianglinchuangzhengzhuanglejie、yingxiangzhezaijiaanquanguanlihejinxingzhiliao、laozhongyaoyeqiangjiuhekangfuhulicaozuo、diyangxuezhengguoqufazhan、huqihenkunnandecepinghehuizhengongyi、zhiyangyideyunxingde、zhuyaozhuanzhentiaojianjiqixiaotanyuanzishiyongdeyaowudeyingyongzhenghezuijiayunxingdegongyideng。
(四)繼續加強新冠治療商品保駕護航
🍬quxianhuanjingqingjieganjingjianduanquanjiankangweiyaorongrujuweihuanjingqingjieganjingjianduanquanjingzhunfuwuguanlizhongxin、cunhuanjingqingjieganjingjiandushianquanjingzhunfuwuguanlichangzhurenkou、guanjianquntidishudenghuanjing,peizuchuzhiwuzhi,hangaibiantangkouqiangzhenliaoxiaoduchanpin、zhongyaopeifang、kangyuanyanceshenghuashiji、shentiduwuwu、zhiyangyideng,bingrongrujuweiganqizhegeshugaibian,jingtaidiaodichanchu,youxiaobaozhangwuzhichanchu。ziranzhiweipinkun、jiaotongyunshubulianghouguodejuweihuanjingqingjieganjingjianduanquanjingzhunfuwuguanlizhongxin、cunhuanjingqingjieganjingjiandushiyaodiqianbeizuhuanjiezhiliaoyaowuhefangyiwuzhi。zuzhibaozhangjiebian、jucunwei,yuyiliaozuzhijigou、zhongyaofangdengzhitongshidianhua,rongrujutixuyaoshiduxiangxiangxiadediquzhichigongyingshangchuzhiwuzhi。
(五)實時監控把控事情動態展示
🐷quxianqingjielianghaoweiyaochixuwanchengshequnqingjieshouhoufuwupeixunjigouliyonglv、shouhoufuwukunnanheshixiankuorongkunnandengdongxiangdedongtaishujujiance,shishigongjiaodechengwoshequndirehuizhenkunnan、zhongyaoyinpianheshebeishouchuliyonglvkunnan、hexinnianlingduanshouhoufuwukunnandeng,duiguanxiaqubenzhideyunzhuandecunzaikunnanhuobenzhideyunzhuanzhihouxingdedifangshishigongjiaodexitongdiaodu。gengjiazhengheziyuanlvdexinxineironghuagongyi,buduantigaobenzhideyunzhuanshiyonglv,bimianjicengyiyuandefudan,xunsubaosongfazhanzhongguojia、shilikeyidedongxiangdedongtaishujuhedexinxineirong。
(六)做好社區居委會醫務工作人員擔心感恩
ꦏquxianhuanjingweishengqingkuanglianghaoweiyaoquanfangweirenzhenzhixingzhongguoheshanghaishiguanyiguanzhuganenyiwurenjuticuoshi,zengqiangduijiedaobanshichuhuanjingweishengqingkuanganquanyewuguanlizhongxindezhichengtixiquebao。kexuehelichouhuayudiaopaijiedaobanshichuyiwuren,zuihaoyiwurendeshenghuoanquanyewuhehouqinbuquebao。anfalvguidingrenzhenzhixingduijiedaobanshichuyiwurenbutiezhengceyujiafukeyishengzaixianqianyueanquanyewufeiyixiaxingzhuanxiangzhengzhishiqingjingfeizhichu,jifajiedaobanshichuyiwurenzhengtixintoufangjiedaobanshichuxinguanjiuhushiqing。
(七)帶動責任狀貫徹落實和督導檢查考慮
🌃mingxiantichushipinweishenglvsejiankangweiyaojinyibukaishejigoulingdaoceng,yicengcengyajinchengdanzhuang,mingxianzhengfubumenchengdanzhuangherenwuzuzhijiagou,youxiaobaozhangleshiqingzhuangtai。yaojinyibukaisheduiqujishiqingkaishezhuangtaihechengdanzhuangtixianzhuangtaideshangbanjiancha,jianlilianxishiqingjilubiao,nidingrenwucaidan、xiangguanlianwenticaidan、chengdanzhuangcaidan。yaojiangmouxiezuobiaocengyaodiandaxueshengxiaofeiquntidongtaishujuchanpin、tisheng“baolvsejiankang、fangbingqingbijiaozhongdeshihou”mouxiangshiqingkaishezhuangtaihechengxiaoxianzhuyuxiangguanlianyaodianshiqingdejiancha、dezijinjisuan、pingxianbiaozhangdengxiangguakou,zhenzhengliyongjianchajifajiegouyouhuadegongxiao。
guangzhoushiweishengqingkuanganquanjiankanglishihuihui
ꦛ 2023nian11yue8ri