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: 】
geshiquanquangengjiankangwei:
﷽suizhuguowuyuanwenjianmululinglianfangliankongguize《guanyuzuoxinguanshengjizhongdiankequndongtaidefuwuguanliyuhe“shekoukouanlagao”yunzuodexinxigeshi》heguowuyuanwenjianmululinglianfangliankongguize、zhongyangzhengfuzhejiangnongcunfangziyunzuolingdaorenyuanduiwu《guanyuqicaoshuominglejiezaidangxiazhejiangnongcunfangzigedihuanbaoxingguanzhuangmumaganhuachuanranbingfangzhiyunzuoshejidexinxigeshi》wenjianmulutiaojian,weiliyongbeijingshishequfuwuguanlizhongxinganjingweishengfuwuguanliyupingtaiwangdiyong,jianchi“zaofaxianle、zaoyizhi、zaofenke”,yufanghejidajianshaoxinguanmumaganhuaweizhongfaxian,xianjiuzuozaidangxiayouguanxiyunzuoxinxigeshineirongruxia:
yi、jixuyouhuashequnxinguanyizhiyishi
(一)穩步推進片區新冠搶救擴盤增能
🧸geshiquanquanjiankangshenghuoweiyaogenjujijiudegongzuoyiyuan,xieshourenquguanyutuandui,cujintuixingpingtaidetigongfuwudezhanpingtaidetigongfuwudezhananquandetigongfuwudejidixinguanjijiubuweikuopankaifa,luoshiyigangshuangzeguanyupeitaopeizhiji dengzengnengcunliang,baohandezhenliaobuwei、jingmozhushebuwei、yangliaobuwei、bingqubingqudeng,zuodaoxindianzhongzhengjianhu、xueyangjiancejishu、gongyangdengpeitaopeizhiji shoujipeizhi。xiangduiyubufuhejutitiaojiandepingtaidetigongfuwudezhananquandetigongfuwudejidi,aimianzihuactdengji deshoujipeizhi,qianyinrenshepianchakanchenxiaqu。yijudetigongfuwuderenyuanshurenshude15%-20%dedongtaicunliangzhongyaofang、tuireyao、zhikeyaojikangyuanpanduancaixueguanheshebei,quebaojigouzhijicunliangliangyizhiyizhizai2zhouyinei,renyuanshumibuzhongnanbukegenjuzhenzhengzenggaocunliangliang。
(二)進一步提高社群產生熱量治療提供服務
🔯quanzhengepianqufuwujigouqingjiefuwujigoubenzhou7tianjunyinggongyingqirehuizhenfuwu(hanjiejiaqi),bingnenggoushiyongqirehuizhenyemenzhenbu,gaibianqirehuizhenxiawudingshifuwu;quanzhengepianqufuwujigouqingjiefuwufenjigoubenzhou7tianjunyinggongyingqirehuizhenfuwu(hanjiejiaqi),youyigejiandekekaizhangyemenzhenbu。quanzhengepianqufuwujigouqingjiefuwuzhan、cunqingjieshiyingchongfenfahuiqireshaodianbingshi、linjianqirehuizhenliuguanqudeng,jubeiqiredengzhengzhuangzishenyidijiuyisuqiu。
er、zhashituijinzuihaocezhongzhongrenyingyangjiankangjianceqiyujishuxingfuwuyu
(一)實施重點客戶群應管我以為
🦋jiezhuyujiezhen、jucunwei,gejuweiweishengjiantigongtigonganquanfuwuyuzhiliangxiangmujigouyaoquanmiantishengzizhuhezuo,zaijiezhenjiangcezhongnianlingduanlieruwanggehuajianlixitonglilunzhishishang,duicezhongnianlingduankaifajiankangjiancezhanyujianlixitong。zhanxianjiazhongyihurenyuanzhaodazhonghezizhutigongtigonganquanfuwuyuzhiliangxiangmufanying,gengdakuozhang6liusuiyixiachangzherenqiandingxieyitigongtigonganquanfuwuyuzhiliangxiangmufugaimian,zuijibenquebaocezhongnianlingduanqiandingxieyiquanfugai。genjuyuntigongtigonganquanfuwuyuzhiliangxiangmu、dianhuahaoma、weishang、duanshipindengfeijiechucuoshihuomianfeishangmensuifangdengduiyumiantigongtigonganquanfuwuyuzhiliangxiangmucuoshi,zuoshi“hong、huang、lv”biaoshipaicezhongnianlingduanjiankangtigongtigonganquanfuwuyuzhiliangxiangmu,zuode“wugeluoshigongzuoheli”。
1.yijiezhenweifang,zhutuiwanggehuaguanlizhiduluoji,wancheng“shequnliurentuandui”shiyexingzhengzhineng。
2.jileizhuzhongxiaofeiquntijiankangdiaochayanjiuhuafenleibieqingchu,jingtaixiuzhengbingzhidingtaizhang,jingyingwenbenshujuxinxiqingchu。
ℱ3.jiedaoshequanquanshouhoufuwupeixunyiyuan24hshouhoufuwupeixunrexianshunchang,jialiyakeyishengjianlilianxijutifangfahuoyuegaozhishuzhongdiancunxiaofeirenqun,yougengjiankangshijixuqiushikuaisuyunxing。
🌜4.caiyonggezhongyangshi,duineirongrenmenjinxingjiamixianghurenshijiaojie,dui“hongsede”neirongrenmenyitianrenshibubudayu3ci,dui“jinse”cineirongrenmen,yitianrenshibubudayu2ci。
5.yaojishizhengquezhangwozhongdahuanzhedejichuzhongdajibingshiqingheyingyanggaikuang。
🥃6.duiguanjiandianrenmenfukeganranxinguanaizibingduhuojichutiaojianjibingzhengzhuangbingkuangdengqingkuang,dangjijiankangjiaoyuzhidao、xingweijiaozhengyuzhuanzhen。
(二)嚴格落實重中之重消費者種類的管理
ꦦdui“hong、huang、lv”cezhongqunzhongzhuyaokuaisuzhixing“yi、er、erjishipin”weihugongzuo,dui“caolvse”qunzhong,yangeluodaoshichu“yigegongzuo”,gaohaoshentiyouxiaoxianjie,zuodaoweizijishentihujia。dui“huangyanse”qunzhong,zaiyangeluodaoshichu“yigegongzuo”dejibenzhishishang,duiruoyangjiajuhuanjiegongzuoyuankuaisuzhixing“wujigongzuo”,gaohaokangyuanjianchaceliang、shentijiancejishuxitong、shentizixunlejie、koufuyaowuzhiyindeng。dui“hongsede”qunzhong,zaiyangeluodaoshichu“yi、wujigongzuo”jibenzhishishang,kuaisuzhixing“erjishipingongzuo”,shengxingshentijiancejishuxitong,duijihuanyuelaiyuezhongdegeiyizhuanzhenbangzhudao。
san、jianchiwentidaoxiangdalijiaqiangweizhongzhengqianzhaofaxianle、gaishanyufenke
ﷺgedianquanwendingweiyaoyifushi、qujijiulingyupingshenzudongli,jixujiaqiangduishequnfuwuzhananquanfuwuxuexiaojuxianjieyujiandu,jianchi“zaokanjian、zaogaishan、zaofenke”fangshi,chongfenliyongshequnfuwuzhananquanfuwuxuexiaoju“shekoukouanlagao”nengli。
(一)穩步推進新冠危重早察覺
🐻geshequyiliaoxueweishengxuejingzhunfuwuzhuangzhixietongchulijucunwei,jinyibukaizhanduixinguanxijunbinghuanzhedelianghaojiance,youweishizhuyaoquntixijunbinghuanzhe,zaishishi“yi、er、san”jichulidejibenshang,yaozhuyaojinyibukaizhanxinguanzhengzhuangyujibenxingdeqingkuangzhengzhuangbiandejiance。
🃏jixujiaqiangduixinguangandongzheyangchengxianshichuyuquyuwendingzhuangtaizhuangtaidushujujiancewang。gequyuqingjieganjingjiankangqingkuangqingjieganjingjiankangqingkuangfuwuguanligongsiyaogouzhizuliangdezhijiashixinlvxueyangyi(xialisuoxieyingwenzhiyangyi),yibaozhengmeixiangquyuqingjieganjingjiankangqingkuangqingjieganjingjiankangqingkuangfuwuguanlixinzhongjuhefenxinzhongjuzhiyaogouzhi20gezuoyou、meixiangquyuqingjieganjingjiankangqingkuangqingjieganjingjiankangqingkuangfuwuguanlizhanhecunqingjieganjingjiankangqingkuangshizhiyaogouzhiliagezuoyou,meixiangjucunweizhiyaogouzhigezuoyou。huiweimeixiangjiajuyishixiaoshoutuanduigouzhiyidingchengdushujudezhiyangyi,duijiedehaojucunweiyongqi,jiangyangchengxianshichuyuquyuwendingzhuangtaizhuangtaidushujujiancewangtuixinghexinxiaofeiquntigandongzhejihusuifangfangmian。gequyuqingjieganjingjiankangqingkuangqingjieganjingjiankangqingkuangfuwuguanligongsiyaojishixietongzuozhanjucunwei,wei64suizuoyouyouxinguanhivbingdugandongweizhongzhengfengxiancunzaiqietongyixingdongdailaibubiandehexinxiaofeiquntipaifazhiyangyi,zhidaoxingjiayongzhenduanxueyangchengxianshichuyuquyuwendingzhuangtaizhuangtaidu。
(二)加快推進新冠病情比較重的時候早改善
ᩚᩚᩚᩚᩚᩚᩚᩚᩚ𒀱ᩚᩚᩚyaogoujianshi、quzhenliaozhuanyeyishengzubaofali,guanchezhixingxiaoquganjingtiexinfuwujigouduixinguanbingduzheheshifangfa,baokuoyingyangyuansushiyong、yangliao、dadiandi、xiaodafenziyaojideshiyong、jianliqirenjiabingfangdeng。
1.搞好針對性緩解。꧑gexianquanquananquanjiankangweiweilejuweianquanchanpinguanlixingzuzhijigoudazairenshuheshideco2dai、co2ping、zhiyangjidengzhuangbei,weilequebaolijiweimenzhenbingyuan、jiajuyeliaobingyuankeyigongyingyangliaohuoco2fenzhuangchanpinguanlixing。gejuweianquanchanpinguanlixingxuexiao、fenxuexiaojunyaoshebeimenzhen“xiyangqu”;juweianquanchanpinguanlixingzhanyucunanquanshijibenzhunzeshangjunyaoyongxianjinchangsuokongjian,xingnengco2guan,keyigongying“yangliao”chanpinguanlixing,nenggoumanzudajiazhuanchejiesongyangliaochanpinguanlixingshichangxuqiu。zhankaizuowuhuaxiruyeliao,gejuweianquanchanpinguanlixingxuexiao、fenxuexiaojibenzhunzeshangjunyaokeyigongyingzuowuhuaxiruyeliaochanpinguanlixing。yucitongshi,xiehaozhanranzheyingyangsherushiyong,banbujiankangshanshijiegoumianfeizhidao,anguizeshenrukaizhanjingmozhushedengfuwuxing,jianxiaoweizhongzhengyouanquanyinhuan。
2.實時采用抵抗解藥物進行治療。🍸duishengjizhongdiansangaorenqunxijunbinghuanzheshixianfenxi,zaiquneizhuanyerenyuanzudefangtantigangxia,duihehutiaojiandexijunbinghuanzhe,suishidefangtantigangyongkangchongduwuwu,zuogenghaodixingweijiaozheng。
3.全面樹立草藥醫治影響。🐟jianchizhongwaiyiyunyong、guoshengwuyiyaolianyong,jiasutuijin“sanyaosanfangxieyi”dengyaocaizaiquyuganjinggongzuoxuexiaodejubeiheyong。gequyuganjinggongzuofuwubangongshiyaomianduixinguanhivbingduganhuayibanlinchuangzhengzhuang,jianchiwentidaoxiang,bianzhengshizhi。xiyin“zao”“kuai”dezunxunyuanze,rangzhongyaozaixinguanbingyuantipifuganranzuichuzhuajinshijianjierushoushuyizhi,kuaisuyizhiqingzhengquefaxiangchaozhongxing、weichaozhongxingjinzhan。
(三)全面推進新冠危重早過渡
1.不能輔助轉診꧙。duixinguanzhengzhuanghuogenjixingfabingyanzhongderanbingzhe,getebieweishengjiandujingzhunfuwuzhu、qiyezhurenyishizhuanyetuanduixuyaohao120jinjijiuyuanyouxianjiyunsongjingcaifenchengquyu,bangzhuxijunxiedaizhedangjizhuanzhen。zaijichengshouzhendebingqingbijiaozhongdeshihoubinghuan,yaofazhanheliqufen,jiyuhelishihou,dangjigongyang,tongguozhengmianjiuyuanfangfa,shiyingbaozhengbinghuanshengmingdeyiyilinchuangzhengzhuangpingheng,zaiyihurengongsuituanxiadangjizhuanzhen。
2.交通雙邊轉診。🌼gejiedaoshequhuanweijingzhunfuwupingtaiyaotuijindiquxingzhenliaopingtai、yiliantishangjilingdaochongwuyiyuan,shunchangxinguanjiuhujiaochazhuanzhengongzuoqu,gexianquhuanweijiankangdewei、gezhenliaopeixunjigouyaoduandingrenyuanchengdanzerenzhuanzhenzhiwu,huanjianhuabingqingbijiaozhongdeshihouhuanerzhuanzhenchengxuliucheng,tigaolezhuanzhenlv。tongshi,yaozuohaoyingyongziliaohuachengqiyongchu,yingyongkuawangshipinwenzhen、kuawangshipinpanduandengxingshi,henhaoquebaohuanerqudaodangjihenhaojiuhu。
♏duijiedaobangongnengfangyiweishengjiandufangyigongnengxinzhongshangzhuanxinguanpifuhuanshangzhiyuantizhe,tebieshizaishizhuzhongnianlingduanpifuhuanshangzhiyuantizhe,lingdaojigouyaochuangjianshouzhiyoujihuanchongqu。zailingdaojigoujieshujixingbangguangqiyizhihou,qingxingpinghuandepifuhuanshangzhiyuantizhekexiayizhijiedaobangongnengfangyiweishengjiandufangyigongnengxinzhongzhongzhengjianhushi,jiedaobangongnengfangyiyiwurenshiyaojiaruzhuanzhencaozuoliucheng,wanchenggongnengchenglan。
𝔉mingquetichuhuanjinghuanbaofangyishentijiankangweiyingshehuichengxiangyiliaobaozhangbaoxianpianquneidifangdangweiduozhongyiyongqixiedaikuanjiegouyiyuanbingfangziyuan,huigenjuyuzhongbutongjibieyiyongqixiedaikuanjiegouyiyuanbingfangnengliweizhidingwei,shixianshehuichengxiangyiliaobaozhangbaoxian、fenleizhenglixuanzedejizhihua,yaoshehuichengxiangyiliaobaozhangbaoxiankuaisushezhipianquneidifangdangweiduozhongyiyongqixiedaikuanjiegouyiwujishurenyuan,jiezhuxiapaijinzhu、daiweijiaojiedengdefangshi,bangzhutebiejuweihuihuanjinghuanbaofangyigongnenggongsizhuyuanbugongneng。shezaiyiyuanbingfangdetebiejuweihuihuanjinghuanbaofangyigongnenggongsi,jinfenjieduanyiyuanbingfangxuanzelvyingdadaole95%zhinei,weikuaisushezhiyiyuanbingfangdetebiejuweihuihuanjinghuanbaofangyigongnenggongsi,duifeichangfuhetiaojiandebingduxiedaizhe,yingjiezhujiatingyiyuanbingfangjubeijiayongzhiyuyiyuan。
si、zengjinshequwangzhanzhuyaorenzhiliaohuanjingziyuantongdenghechengzhongdebaozhang
(一)寬裕依據街鎮網格化標準化管理管理流程
🍷gejuweihuanjingweishengjiandutiexinzhongxindeyaozizhulianjiegejiezhen、jucunwei,youxiaoyijiazhutuiyujiezhenwanggehuadedeguanlicuoshi,biaoxianjiezhen、jucunweishichangdaoxianggongyong,daoluodaoweiduiguanjiandianrenmenjuweidedeguanli,zhuahaoanquanjiankongyudongxiangtiexindetiexinfuwu。yijiazhutuiyu“juweiliurenxiaozunei”benzhicaozuocuoshi,daoluodaoweiduiguanjiandianrenmendebaobaorenshi。gejuweihuanjingweishengjiandutiexindetiexinfuwuxitongyaohuxiangpeihejiezhen,yizhaoguidingqufenxianfangkongbanbenzhicaozuoyanjiubushu,zhuahaoduigaolingyunfulaotaitai、youlilunzhishixingjibingbingrenzhedengweizhongzhenggaofenxianrenmenhekunanshaoerzuiguimen“anquanbao”bofu,xietongguanlijucunwei,tigaoduiyigerenzhulaotaitai、jinyucanjirenzinvjiaoyushuangfangjusuonianjirendetaizhangrenshi。
(二)增加地區醫療管理環境資源統籌規劃支持力
🌠gexianquhuanweiguanlijiankangweiyaozonghejuminxiaoqugezhonggeyangyiyuanbaozhanghuanweibaojianzhuangzhiyiwurenshi,nenggouwangxiachenxunzhen、renshipaizhu、dazaoyuanchengshipinyiyuanbaozhanghuanweibaojianjingshuiwangdengyuanze,laijiejuejichuyiyuanbaozhanghuanweibaojianhuanweiguanlizhuangzhirengongxianxiangxianxiang,qieshibaozhangshequfuwuxiangmuzhanwangzhanwangzhanxinguanyingjiyewupinghuankaishi。yituoyushizhongyangquduojiyingjizhongyipingshenzuheshangyijiyiyuanbaozhanghuanweibaojianzhuangzhixiangguanlianxunhuijianchazhiyinyuanyou,duishequfuwuxiangmuzhanwangzhanwangzhanhuanweiguanliyewuzhuangzhikaishifangfajianchazhiyin,peixunkechengjichuyiwurenshiguifanxingbianyongxiaoyuanziheyaohechengyao“sanyaosantong”,yitishengjichufangweizhongxingneng。quanmiantishengyiyuanbaozhanghuanweibaojianyingjiziyuandezonghe,zengtianyiyuanbaozhanghuanweibaojianyingjicheliangyudonglishezhi,weishequfuwuxiangmuzhanwangzhanwangzhanhuanweiguanliyewuzhongyang、qiyeyishituanduixiezuodazaohelizhuanyungongsichedao。
(三)進一步強化基層組織醫務員陪訓
✨jiezhuyuzhuchengquerjichuzhichangjiazu,cehuazhenduiyujichengyuangongyiwuzhigongpeixuncuoshi,kaishexianshangzhibo、shiji、lingtouyiliaochendidaijiaodengduozhongpeixun。chongzuyunxingdeguojia、dishijidengyouguanxipeixunziyuan,zhudongzujianjichengyuangongyiwuzhigongqianwangcanjiapeixun。qianghuachouce,jianchiyuanzepeixunkaohepingjia,baozhangpeixunchengguo,shijichengyuangongyiwuzhigong(huanyoushancunmazuiyisheng)zaiduanqijihuaneidexinyingshoubakongxinguanzhuyaosangaorenqunhuafenguileigongnengcuoshi、ganhuabingzhengguancha、ganhuazhejiatingzhuangxiuguanlifanganhezhiyu、zhongyiyaochuzhihefujianyiliao、diyangxuezhenghanqiwajue、xihuchilidejiancehejiezhencuoshi、zhiyangyideyunxing、genbenzhuanzhentiaojianjixiaodafenzizhongchengyaodemanzuzhenghezhengquewuwuyunxingcuoshideng。
(四)帶動新冠急救工程設備服務保障
🔥shixiaquhuanweiyingyangweiyaoyizhaoshequndefuwuzhananquangonggongjiankanghuanweiyoubaozhangzhongyang、cunhuanweishiyoubaozhangchengshirenkou、guanjianxingkequndishudenghuanjing,peizujijiuyingjidongxi,zhuyaobaokuobiantangyixuejiegouxiaoduchanpin、zhongxiyao、kangyuanpanduanshenghuashiji、kangbingxingjuduwu、zhiyangyideng,bingzuheshequndefuwuzhananquangonggongjiankangxijunxiedaizheshugaibian,zuixindiaodiyoubaozhang,youbaozhangyingjidongxiyoubaozhang。zirandifangpianpi、gonggongjiaotongbulianghouguodeshequndefuwuzhananquangonggongjiankanghuanweiyoubaozhangzhongyang、cunhuanweishiyaojinzaobeizuzhongyaozhiliaoxingyaowuheyifangyingjidongxi。jiezhushequfuwuzhongxin、jucunwei,yuyixuejiegou、wangshangyaodiandengzhiliandianhuo,yizhaoxianshiyaoyouzhengquexiangrenmendiduanjizhongshengchanjijiuyingjidongxi。
(五)即時熟悉掌握的工作動態數據
🗹gexianquanquanhuanbaogengjiankangweiyaoyihouzuojiedaoshequjuweihuianquanhuanbaochanpinbaozhangxitongjinxing、chanpinbaozhangzhuangkuangxiahekuozhangzhuangkuangxiadengjishuxingxingtance,24xiaoshilukuangshulianjiedaoshequjuweihuifarezenmebanzhenzhizhuangkuangxia、zhongyaoyinpianhedeshebeishouchuyunyongzhuangkuangxia、neironghuanzhechanpinbaozhangzhuangkuangxiadeng,duiguanquyunzhuanpubiancunzaijiantihuoyunzhuanshizhidedier24xiaoshilukuangdiaoyong。youlicaiyongxunxihuajishuxing,tigaoleyunzhuanxiaoguo,suojianjicenggongzuobuliangyingxiang,shishizhibaoguojia、dishijibixuyao dejishuxingxingdexinxihexunxi。
(六)增進區域醫務員尊重獻愛心
♐gegequgonggongganjingweishengjiankangweiyaoquanfangweishishiyigeguojiaheshanghaishiyouguanxidanxinaihuyiwugongrenjuticuoshi,zhuahaoduijiedaogonggongganjingweishengfuwuxiangmuqieshibaozhangyouxiaoqieshibaozhangzhongxindiandezhichengtixiyouxiaoqieshibaozhang。kexuehelifenpeiyudiaozhijiedaoyiwugongren,zuohaoyiwugongrenshenghuodefuwuxiangmuqieshibaozhangyouxiaoqieshibaozhanghexingzhenghouqinyouxiaoqieshibaozhang。anfalvfaguishishiduijiedaoyiwugongrenbutiejinyujiayongmazuiyishengjieyuefuwuxiangmuqieshibaozhangyouxiaoqieshibaozhangfeiyixiaxingzhuantishangbanjiedaifei,jijingjiedaoyiwugongrenquanshenshangxiaxinzhichujiedaoxinguanzhenzhishangban。
(七)開展法律責任貫徹和監督檢查考核評價
ဣgexianquhuanbaodejiankangweiyaogengjiabuduanjiaqiangtuanduirenyuan,cengcengluoshiyigangshuangzehuitiantugongzuoyiwu,queqiegebumengongzuoyiwuhegongzuojirenwuanpai,gengjiabaozhanggongzuodetiaojian。yaogengjiabuduanjiaqiangduiqujigongzuoshishiyuanyinhegongzuoyiwuluoshiyigangshuangzeyuanyindeducha,baochigongzuomingxibiaoge,nidinggongzuojirenwumingxi、guzhangmingxi、gongzuoyiwumingxi。yaojiangyanxiatiqianzuohaojicengyiyuanzhuzhongnianlingduandongtaishujudefuwu、jinxingqianghua“baodejiankang、fangweizhongzheng”meiyixianggongzuoshishiyuanyinhechengxiaomingxianyuguanlianzhuzhonggongzuodeceshi、zibenjisuan、pingxianpingxiandengxiangxiangguan,gengjiaqieshifahuiceshibiaoyangjieguodaoxiangyiyi。
suzhoushiganjinglvsebianweihuihui
𒉰 2023nian10yue8ri