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: 】
各個區安全安全委:
anzhaoguojialianfangliankongxinyuanze《xiangduiyukaizhanxinguanneirongxiaofeiqundongtaihuafuwudepeixunhe“guanzhashangyi”bangongdexiaoxixiaoxi》heguojialianfangliankongxinyuanze、difangnongcaijianshebangongbanzichengyuanzuchang《xiangduiyubanbulejiedaoxianjieduan🀅caozuonongcaijianshedixinguanzhuangbingjunzhanranqinliuganfangzhiꦜbangongcehuafangandexiaoxixiaoxi》xinxishuaqiu,weifahuiyongchubenshengjiedaoshequqingjiefuwudepeixunzuzhi wangdiyongchu,weichi“zaochuxian、zaoyiliao、zaoguodu”,fangzhihesuojianxinguanbingjunzhanranweizhongfashengle,xianjiukaizhandaoxianjieduancaozuoduiyingbangongxiaoxixiaoxixiangxi:
yi、kuaisudetishengtebiexinguanjiuzhuli
(一)加快推進社群新冠診療擴張增能
gediqingjiehuanweiyingyangweiyaobutongzhiliaogongzuodeyiyuan,xinxihualingyuhuafenneixiangguanbuwei,jianhuanquanmiantuijinpingtaipingtaiqingjiehuanweianquangongnengguanlihexinxinguanzhiliaogonggongchangsuokuochongjiansheguihua,quanmianluoshixiangguanpeitaodesheshiji dengzengnengzigeilv,shuyuyiliaolingyuhuafen、guashuilingജyuhua🌌fen、yangliaolingyuhuafen、yiyuanbingfangbingqudeng,gaohaoxindianshenfenshibie、xueyangjiancexitong、gongyangdengpeitaodesheshiji xuanpei。duidaibufuhezhuangkuangdepingtaiqingjiehuanweianquangongnengguanlihexin,henqianghuactdengji dexuanpei,qianyincunminshepianchangguijianchaxifen。zhinenggenjuanquangongnengguanlirenkoushujushujurenshude15%-20%dongtaituzigeilvzhongyao、tuireyao、huatanzhikeyaojikangyuanzaixianjiancezhijihejubei,qieshibaozhangzuzhijigoufeichufangyaozigeilvliangrengjiukongzhizai2zhouyishangde,renkoushujushujumijixingdongbeibukebutongshijishangcengjiazigeilvliang。
(二)增進街道發燙診所精準服務
gexianqugejuweihuigonggonganquanxuejiandutiexinchanpinbaozhangyupingtaiyitian💞wutianjunyingjubeiqiredezhensuotiexinchanpinbaozhangyu(hanjieguojiaguojiafadingjiaqilvyou),bingkeღyitongguoshezhiqiredezhensuoyeyiyuanmenzhenbu,goujianqiredezhensuolingchenruheyanshitiexinchanpinbaozhangyu;gexianqugejuweihuigonggonganquanxuejiandutiexinchanpinbaozhangyufenpingtaiyitianwutianjunyingjubeiqiredezhensuotiexinchanpinbaozhangyu(hanjieguojiaguojiafadingjiaqilvyou),youyijiandekezujianyeyiyuanmenzhenbu。gexianqugejuweihuigonggonganquanxuejiandutiexinchanpinbaozhangyuzhan、cungonggonganquanxuejiandushiyinggoujianqireshaodianmenzhenshi、linjianqiredezhensuoliuguanqudeng,yaoqiuqiredengbingzhengtigaojiuyiliuchengshiyongxuqiu。
er、dalaoyaozuohaozhongyaokequnwendingjianceyudongtaizhanshishouhoufuwu
(一)實施關鍵點年齡段應管然而
yikaojiezhen、🐠jucunwei,gejiedaoanquangongnengbaozhangzhuyaojinyibutigaojishilianjie,zaijiezhenjiangzhongdiannianlingcengshouruwanggehuaweihuyijushang⛎,duizhongdiannianlingcengzuojiankangbaojianjiancejishuyuweihu。fahuichurenjiazhuanjiaguanliangukehejishigongnengbaozhangzuoyong,zengdafangda64suishang60suirenruzhugongnengbaozhangzhegaimian,zuijibenbaozheng zhongdiannianlingcengruzhuquanzhegai。liyuyungongnengbaozhang、lianxidianhua、weixinhao、shipinbofangdengfeipengdaodefangfahuoshangmensuifangdengzhengqueduidaimiangongnengbaozhangdefangfa,zuoshi“hong、huang、lv”biaotiezhongdiannianlingcengjiankangbaojiangongnengbaozhang,dadao“sigeqiaodingwanshan”。
1.yijiezhenweidedanwei,zhenghewanggehuaguanlizhidujili,tixian“shequfuwuzhan3renduiwu”yewuquanze。
2.sanzhongshengjizhongdiannianlingduanlianghaoshididiaochaguileimingxi,zuixingenggaibingchuanglijilubiao,guankongduifanggerenxinximingxi。
3.pian🌺quqingjieweishengtigongjingzhunfuwuzhuangzhi24xiaoshizuoyoutigongjingzhunfuwuzixunrexianbaotong,rendafujianlilianxifanganxianghugaozhidezhongxinkehuqunti,youanquanyaoshiyouxiaohuifu。
4.jiezhuduozhongduoyangdexingshi,duiguanjiandianxiao🅷feiqunjiamiwenjianjishijiehelianjie,dui“wanghong”guanjiandianxiaofeiqunmeiyuejiehe𒐪bugaoyu3ci,dui“heise”ciguanjiandianxiaofeiqun,meiyuejiehebugaoyu2ci。
5.jinzaobawotuchunianlingcengjichutiaojianchuanranxingjibingqiantihelvsejiankangxitong。
6.duiguanjianrenganranxinguandiannaobingduhuohexinbingzhengjiajudengwenti,shishiyingyangjianyi、gansheyuzhuanzhen。
(二)到落到位側重群體幾大類監管
dui“hong、huang、lv”guanjianrenmenqubietuijin“yi、er、sanlei”fangfafuwuyu,dui“lvsehuanbao”renmen,yangeluodaoshichu“6jifuwuyu”,gaohaojiankangjiaohuang,tiqianzuohaotarenjiankangyufang。dui“huangyanse”renmen,zaiyangeluodaoshichu“6jifuwuyu”deyijulilunshang,duichengyangxing💜jujiayanglaobaozhangxiangmuzhiliaofangfaxiangguanrenyuantuijin“xiajifuwuyu”,gaohaokangyuanzaixianjiance、jiankangjiancefanganfangan、jiankangbaozhangzixun、shiyongyaowuzhidingfangandeng。dui“hongyanse”renmen,zaiyangeluodaoshichu“yi、xiajifuwuyu”yijulilunshang,tuijin“sanleifuwuyu”,qianghuamuwendibanjiankangjiancefanganfangan,duidianxianjialiaodejinxingzhuanzhenshouquanweituo。
san、qieshizuohaoweizhongzhengsuoyi,jinxingyouyuzhexieyuanyinhuifaxian、zhiyuyuguodu
gegequqingjieweishengguanlijianduyingyangjiankangweiyaoyinlingshi、quzhiliaoཧfangfayishengzuzhandouli,zuohaoduixiaoquqingjieweishengguanlijiandugongzuozixunzhongjiaojieyupingjiabiao,jianshou“zaowajue、zaozhiliaofangfa、zaojieliu”fangshi,genghaodifahuixiaoqu🔯qingjieweishengguanlijiandugongzuozixunzhong“daguanshangyi”bangzhu。
(一)扎實推進新冠危重早看見
geshequnweishengbiaozhunhuaguanlitiexinfuwuzuzhi xieshoujucunwei,qianghuaduixinguanganliangzhedeshentijiankangjianceshujuzhan,yuefashituchuxiaofeiqunganliangzhe,zaiguanchezhixing“yi、er、san”jibiaozhunhuaguanlidetiaojianshang,yaotuchuqiang🔯huaxinguanzhengzhuangyutiaojianxingmanxingbingzhengzhuangbianhuaguilvdejianceshujuzhan。
jinyibutigaoduixinguanbingyuantizheyangbaomandujiance。gepingtaiqingjietigongfuwuxingbaozhangxiangmuxuexiaoyaodazaizuliangdezhijiashimolvxueyangyi(zhixiajiandanlaishuojiushizhiyangyi),qieshibaozhangmeipingtaiqingjietigongfuwuxingbaozhangxiangmuzhongxindehefenzhongxindeqizhongdazai20gejishangshu、meipingtaiqingjietigongfuwuxingbaozhangxiangmuzhanhecunqingjieshiqizhongdazailia🔴gejishangshu,meijucunweiqizhongdazai6gejishangshu。xiangweimeixiaojiatingyiyuanyishengjishutuanduidazaiyidingdeyongliangdezhiyangyi,zhidaoxinghaojucunweili,jiangyangbaomandujiancenaweizhongxinxiaofeizhebingyuantizhedatisuifangyouxineirong。gepingtaiqingjietigongfuwuxingbaozhangxiangmuxuexiaoyaojijitaiduxietongguanlijucunwei,wei64suijishangshuyouxinguanbingyuantibingyuantibingqingbijiaozhongdeshihoutouzifengxianqiexingweikunraodezhongxinxiaofeizheshenqingzhiyangyi,zhidaoxingjiayongjiancexueyangbaomandu。
(二)實施新冠病情比較重的時候早改善
yaotuidongshi、quyizhizhuanyerenyuanzuhuoli,daoluodaoweipianquweishengguanlichanpinyiyuanduixinguanbingdubingduxiedaizheliganjianyingyizhi,youmeiweibangzhu、yangliao、dadiandi、xiaofenzishiyaocaixuanyong、chenglizhongguojiating💎yiyuanbingfangdeng。
1.繼續加強對癥冶療冶療。shixiaquganjingshipinhuanweiqingkuangjiankangweihuiweipianqugongzuozhanganjingshipinhuanweiqingkuanggongzuopingtaixuanpeiyonghushiyongyudeco2dai、co2pinghezhiyangjidengyiqi,weilebaozhengkuaisuweizhuankezhuankemenzhenhuanbingzhe、zijidefangzizhenzhihuanbingzhetigongyangliaohuoco2guanzhuangxiangongzuo。gepianqugongzuo♔zhanganjingshipinhuanweiqingkuanggongzuozhong、fenzhongjunyaosheweizhuankezhuankemenzhen“xiyangqu”;pianqugongzuozhanganjingshipinhuanweiqingkuanggongzuozhanyucunganjingshipinhuanweiqingkuangshidejibenzhengchangqingkuangxiajunyaochongfenliyongxianjieduanxunlianchanggongzuoqi,peibeico2guan,tigong“yangliao”gongzuo,kaolvshiminbenshiyangliaogongzuoxiaofeixuqiu。dalikaizhanxiwuxiruzhenzhi,gepianqugongzuozhanganjingshipinhuanweiqingkuanggongzuozhong、fenzhongdejibenzhengchangqingkuangxiajunyaotigongxiwuxiruzhenzhigongzuo。huan,tiqianzuohaozhanranzheyingyangchengfenbuzhichi,zhidingyigejiankangbaojianyingyangjiankangzhidian,anzhengguikaishiguashuidengchanpin,yizhibingqingbijiaozhongdeshihoufashengweixian。
2.實時的使用抗蟲毒物物調理。duizhongdarenqundangfukexiedaizheshixianpingjia,zai🐽chengqulingyuzhuanjiatuanfudaoxia,duifuhebiaozhuntiaojiandefukexiedaizhe🎶,jishixingfudaoanquanshiyongshentipishuangwu,zuotizaoxingweijiaozheng。
3.有效充分的揮發中成藥治愈用處。jianchixuexizhongxifangyitongguo、laozhongshengwuyiyaoranhouyong,jiakuaituijin“sanyaosanfangxieyi”dengzhongxiyaozaijuweiqingjietigongtiexinfuwubumendepeiqiheyongdao。gejuweiqingjietigongtiexinfuwusuodeyaozhuanmenzhenduixinguanxijunranshangchangjianzhengzhao,jianchiwentidaoxiang,bian🐈zhengshizhi。bawozhu“zao”“kuai”deyiju,rangzhongyaocaizaixinguanmumabingduganqichengchangqizaorichazuzhenliao,jishiꦰdeeshaqingzhenghuanzhexiangdaxing、weidaxingtisheng。
(三)深入推進新冠病情比較重的時候早分離
1.及時的督促轉診。duiওxinguanzhengzhuanghuogenjixingdejibingbianzhongdepifubingduganranzhe,gequyuanquanchanpinxinzhong、xiaojiatingmazuiyishengdetuanduishiyonghao120jiuyuanyouxianxuanzezhuanyungongsijingcaifenchengchedao,weituochuanranzhexunsuzhuanzhen。guanyujichushouzhendeweizhongbinghao,yaoxunsuzhengquebianren,xuanzeyuqishihou,xunsugongyang,xuanyongduofangmianjijiucuoshi,keyichangqibaochibinghaoshengmingdeyiyizhengxiangshichangpingwen,zaiyihugongzuoyuanpeibanxiaxunsuzhuan🔴zhen。
2.互聯互通雙項轉診。gejiedaobanganjinghuanbaodefuwujidiyaojiezhubuweixingyiliaoweishengguanlijidi、yiliantishangjibumenyiyuanyisheng📖,kuanchangtongchangxinguanjiuzhuhengxiangzhuanzhentongchang,geshiquganjinghuanbaoshenxinjiankangwei、geyiliaoweishengguanlizhongjiejigouyaoqueshizhuanzhirenyuanchengdanzhuanzhenzhiwei,jianyiweizhongzhenggaishanzhuanzhenjutiliucheng,gaishanzhuanzhenchenggonglv。yucitongshi,yaokuanyuchongfenqiaoyongdexinxizhichengzhujiaose,qiaoyongyuankongzhuanjiahuizhen、yuankongquezhendengcelve,zhuashigaishandejianmashanghenhaodejiuzhu。
duixiaoquhuanjingweishengfangyihuanjingweishengfangyifuwujigoujushangzhuanxinguanxijunbinghuanzhe,tebieshice⛦zhongdianquntixijunbinghuanzhe,shangsiyiruanyaojiarushouzhichuntianranqudao。zaishangsiyiruanwanbijimanxingqizhiliaofangfahou,shijiqingkuangwendingdexijunbinghuanzhekexiayizhixiao🦩quhuanjingweishengfangyihuanjingweishengfangyifuwujigoujuicubingfang,xiaoquhuanjingweishengfangyiyiwugongzuorenyuanyaocanyujinlaizhuanzhenliuchengtu,kaizhanfuwuduijie。
gegequhuanbaojiankangshenghuoweiyingpinghengzhiliaozhuangzhiguanlibaoxianquneineigegegeyangzhiliaozhuangzhiguanliqiyedanchuangjiaoyuziyuan,gezhonggezhongjibiezhiliaozhuangzhiguanliqiyedanchuangyongtuweizhidingwei,quelipinghengzhiliaozhuangzhiguanlibaoxian、guileiyunxingdexinjizhi,yaopinghengzhiliaozhuangzhiguanlibaoxiankexueanpaiquneineigegegeyangzhiliaozhuangzhiguanliqiyeyiwuzhuanyerenyuan,yongxiapairuzhu、weituodailidayadengfangshiyingwen,dezhichixiaoquganjinghuanbaotigongtigongfuwuyuxiangmuxinzhongdezhongzhengjianhushitigongtigongfuwuyuxiangmu。shelihulichuangdexiaoquganjinghuanbaotigongtigongfuwuyuxiangmuxinzhongde,jinjiaduandanchuangyunxinglvyingbufuhe95%budiyu,weisheshihulichuangdexiaoquganjing꧂huanbaotigongtigongfuwuyuxiangmuxinzhongde,duibufuheshoushuzhizhengderanbingzhe,yingyongqiyehulichuangmanzulezaijiazhiliaojutixuqiu。
si、daidongshequwangzhanguanjiannianlingduanjiuzhujiaoyuziyuantongchouyiliaobaoxianheyoubaozhangyoubaozhang
(一)寬裕一家依托于街鎮網格化監管考核機制
gequyuweishengfangyijianlizhidutigongshouhoudeꦦfuwupingtaiyaojujuewufengduijiegejiezhen、jucunwei,zuodaoweigoujianjiezhenwanggehuajianlizhiduguize,qidao✅jiezhen、jucunweizhudaoquanyongtu,luoshizerenyunzuoduishengjizhongdianshixiaofeiquntiquyujianlizhidu,zuodaoweiyingyanganquanjiankongyudongtaihuatigongshouhoudefuwu。goujian“quyuwurentuandui”yunzuoguize,luoshizerenyunzuoduishengjizhongdianshixiaofeiquntidebaobaogaohaoguanxi。gequyuweishengfangyijianlizhidutigongshouhoudefuwujiegouyaoxianghupeihejiezhen,tongguoqufangzhibanyunzuomouhua,zuodaoweiduidalinglaolingren、yougenjixingzhengzhuangbingyuandengweizhongzhenggaoanquanyinhuanxiaofeiquntihenantiertongdedengxiaofeiqunti“yingyanganquanbao”shouqu,tuijinjucunwei,gaohaoduiyigerenzhulaolingren、jinyushangcanrenzinvjiaoyuxiangtongdingjuzhongzhonglaonianrenderichangrenwugaohaoguanxi。
(二)增加地域醫療機構信息社會統籌支撐架
gexianqugonggongweishengguanliguanlifangyizhengchangweiyaozongheguihuajuminqugeyang🐬yixueshebeiyiwuduiyingkaosheng,caiyongxiaxianxunzhen、duiyingkaoshengpaizhu、dajianyuanchengfangwenyixuexietonghezuowangdengyuanze,gaishandicengyuangongyuangongyixuegonggongweishengguanliguanlifangyishebeirengongchengbenguzhangguzhang,tigongrenshitebietigongtigongfuwudexuexiaoxinguanqiangjiutigongtigongfuwudewendingxingkaishi。yikaozhuchengquduojiqiangjiuzhuanyezuheshangsiyixueshebeiduiyingxunhuimianfeifudaogongshijizhi,duitebietigongtigongfuwudexuexiaogonggongweishengguanliguanlifangyitigongtigongfuwudeshebeikaishijiqiaomianfeifudao,xuexidicengyuangongyuangongyiwuduiyingkao🏅shengbiaozhuncaiyongxiaotuanhuoyaohezhongyao“sanyaojifangmian”,yitigongdicengyuangongyuangongfangbingqingbijiaozhongdeshihouli。zhuahaoyixueqiangjiudeziyuanzongheguihua,tigaoyixueqiangjiucheliangyulishoujipeizhi,weitebietigongtigongfuwudexuexiaogonggongweishengguanliguanlifangyitigongtigongfuwudexuexiao、jiazuzhurenyishengzuzhidajianyuanzeyunsongchurukou。
(三)提高下基層醫務員課程培訓
yifuxianchengduojizhiliaozhuanyezu,dingzhizhuanmenzhenduiqunzhongyiwurengongpeishuncuoshi,kaishixianshangtuiguang、xianxiahuodong✱、tongchouxiediaoyiyuanzhurenyishengchendidaijiaodenggezhongpeishun。cheditongguozhengfu、shilidengxiangguandeyingwenpeishunshichang,zhudongcehua qunzhongyiwurengongjiarupeishun。buduanjiaqiangchouyangjiance,xuyangepeishunkaohebanfa,quedingpeishunxiaoyong,shiqunzhongyiwurengong(qizhongbaokuonongcunjianshezhurenyisheng)zaiyuqimanjingtongzhangwolexinguanguanjiankequnhuafenhuafenleibiefuwucuoshi、huanshangbiaoxianliuyi、huanshangzhejiayongdeguanliheyeliao、zhongyifukeyaozhiliaohequanyuzhiliao、diyangxuezhengzaoqidechuxian、hurudehenkunnandepinggubaogaohejiezhen🔴cuoshi、zhiyangyideliyong、biyaozhuanzhenxiguanzhengxiangyingxiaoyangfenziyaopindexiguanzhengheheliliyongcuoshideng。
(四)切實加強新冠診療防汛物資擔保
shixiaquanquanjiandujiandumianyijiezhongdejiankangweiyaojinmilianxidedajieshangbanjingzhunfuwuguanlizhiliangjianduanquanjiandujiandumianyijiezhongjingzhunfuwuguanlizhiliangzhongxindezhan、cunanquanjiandujiandumianyijiezhongshijingzhunfuwuguanlizhiliangrenkoushuju、zhongxinsangaorenqundishudengjutiqingkuang,peizuzhiliaojingzhunfuwuyuancailiaoshebeixianhuogongying,huanyoufalengzhiliaojingzhunfuwufeichufangyao、zhongyaocai、kangyuanjianchashenghuashiji、kangchongjieyongliang、zhiyangyideng,bingjinmilianxidedajieshangbanjingzhunfuwuguanlizhiliangjianduganliangzherenshuyingxiang,jishuxingyouhuadanbao,danbaoyuancailiaoshebeixianhuogongyingdanbao。dixingqihouxuanzhipianyuanshengshi、luwangbushidededajieshangbanjingzhunfuwuguanlizhiliangjianduanquanjiandujiandumianyijiezhongjingzhunfuwuguanlizhiliangzhongxindezhan、cunanquanjiandujiandumianyijiezhongshiyaoshixianbeizufangfayonglianghemianyijiezhongyuancailiaoshebeixianhuogongying。yilaidedajieshang、jucunwei,yuzhiliaoqiye、zhongyaofangdeng🧸zhiliandianyu,jinmilianxiqishixudehelixiangnongcaishengshiwaixiexianhuogongyingzhiliaojingzhunfuwuyuancailiaoshebeixianhuogongying。
(五)實時路況熟練的工作最新
geshiquweishengqingxingxuezhengchangweiyaorengranzuoshequweishengjuweihuiweishengqingxingxuegongnengjigoucaozuo、gongnengqingxinghezengrongqingxingdengziliaojiancezhan,chengshirelitubawohaoshequweishengjuweihuichanshengrelianglinchuangqingxing、xiaoduchanpinhezhuanyongshebeibaozhangzaishiyongqingxing、zhongzhongzhizhongxiaofeizhegongnengqingxingdeng,duiguanquyunxingcunzaidefangmianhuoyunxingshoudaozuaidedidianchengshirelitudiaoyong。chongfendizaishengliyongziliaohuajiyi,detishengyunxingxuexixiaolv,keyijianshaojichengdefudan,likebaosonggeguo、dishijixuyongdezi🐟liaocanshuheziliao。
(六)加大社區服務中心工作人員管理著想喜愛
geshiquqingjiegengjiankangweiyaoduocuobingjuqiaodingfadaguojiahedangdiguangyuzhuxiangguanyuanyiwushicuoshi,jinyibujiaqiangduipingtaiqingjiefuwuyuzhiliangyuzhongxindechengzaifuwuyuzhiliang。heliyouxiaozhidingjihuayudapeipingtaiyiwushi,zuihaoyiwushishenghuofangshifuwuyuzhiliangyuhehouqinguanlifuwuyuzhiliang。anzhongguidingqiaodingduipingtaiyiwushibutiejinyurenfukeyishengqianshufuwuyuzhiliangyufeiyicixingzichazijiu💖yun𝔉zuorenwujingfeizhichu,jianglijilipingtaiyiwushihunxinlitouzipingtaixinguanjiuhuyunzuorenwu。
(七)進一步加強重任全面落實和督查綜合考核
shixiaquqingjieyingyangweiyaozengjiazuzhijiegoulingdaobanzi,yicengcengyashiduquanliyuyiwu,yaomingquegangweiquanliyu♚yiwuhemeirizuoyeanpai,dedaobaozhangshiyezhongzhongqianti。yaozengjiaduiqujishiyezhongzhongzhuahaoyewuqingkuanghequanliyuyiwuqiaodingqingkuangdedudaojiancha,xingchengshiyezhongzhongzhangbiao,bianxiemeirizuoyetongzhidan、dewentitongzhidan、quanliyuyiwutongzhidan。yaojiangxianrujinzhuahaoqunzhongtuchuxiaofeiqundongtaixinxifuwuxiangmu、zengfu“baoyingyang、fangweizhongzheng”jixiangshiyezhongzhongzhuahaoyewuqingkuanghezhuanhuaxiaoguoyuxiangyingdetuchushiyezhongzhongdejixiaokaopingpingjia、qiancaidiaozheng、pingxianpingxuanxianjindengxiangxiangguan,juticuoshifahuichujixiaokaopingpingjiajilijizhishichangdaoxiangxiaoguo。
zhongqingshishipinweishengzhengchangweihuihui
 🐻; 2023nianjiuzaijinnian1yuefen8ri