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: 】
gexianquganjingweishenglvsewei:
geichuguoneilianfangliankongkaoheyuanze《bingyuzuohaoxinguanneirongrenqundangdongtaitufuwuzhiliangguanlihe“guanzhalagao”caozuozhongdewenxintishizenmexie》heguoneilianfangliankongkaoheyuanze、zhonggongzhongyangcunkoucaozuozhongdailingketizu《bingyuchuwenkaizhanmuqiancunkouꦆdiquhuafenchuangxinguanzhuangpifuhuanshangpifuhuanshangbingyiqingfangzhicaozuozhongfanganshejidewenxintishizenmexie》wenjianmuluqingqiu,weichanshengཧdangdijiedaobangonggongweishengfuwuzhiliangguanlixuexiaowangdizuoyong,guanche“zaodezhi、zaozhenliao、zaofenli”,fangfanhejidajianshaoxinguanhongbingdupifuhuanshangpifuhuanshangweizhongjinxing,xianjiuzuohaomuqianxiangguanliancaozuozhongwenxintishizenmexieyixiade:
yi、dingqitigaolexiaoquxinguanjiuzhushuiping
(一)助推社區服務站新冠救護實現擴容增能
shiguanxiaquhuanbaojiankangweiyaojujiuhuyunzuoyao,xinxihuagongminquyouguandexingzhengbumen,jiaokuailicuguanxiaqujiedaobanshichuhuanbaojingzhuntigonggongnengpingtaixinguanjiu🦄huchansuokuopanzhizuo,luoshizerenyouguandecuoshidexitongdengzengnengcunliangliang,baohanyiliaotigonggongnenglingyu、jingmozhushelingyu、yangliaolingyu、zhongzhengjianguanshibingqudeng,zhuahaoxindianjianguan、xueyangjiancexitong、gongyangdengcuoshidexitongbiaozhunfenpei。xiangduiyutongguobibeitiaojiandejiedaobanshichuhuanbaojingzhuntigonggongnengpingtai,aimianzihuactdengdexitongdebiaozhunfenpei,guligongminshepiandingqijianchachendian。tongguojingzhuntigonggongnengᩚᩚᩚᩚᩚᩚᩚᩚᩚ𒀱ᩚᩚᩚquanguorenkoushuliangrenshude15%-20%richangdongtaicunliangliangzhongyao、tuireyao、zhikeyaojikangyuanjianzecaixueguanhechangbei,zhuashishebeichufangyaocunliangliangliangbuduanquebaozai2zhouyishangde,quanguorenkoushuliangmijidudifangkejuhelizengdacunliangliangliang。
(二)做好社群產生熱量操作服務保障
quxianqugejuweihuiganjinganquanchanpinguanlipingtaimeixingqiyizhoujunyingnengtigongshujufalengyiliaochanpinanquanchanpin(hanjieguojiaguojiafadingjiegangwan),bingzaibuzhifalengyiliaochanpinyemenzhenbu,goumanzufalengyiliaochanpinxiawuru✤heyanshianquanchanpin;quxianqugejuweihuiganjinganquanchanpinfenguanlipingtaimeixingqiyizhoujunyingnengtigongshujufalengyiliaochanpinanquanchanpin(hanjieguojiaguojiafadingjiegangwan),yitiaojiandekekaizhanyewuyemenzhenbu。quxianqugejuweihuiganjinganquanchanpinzhan、cunganjingshiyingzhiliyufalengshaodianmenzhenshi、jianshifalengyiliaochanpinliuguanqudeng,goumanzufalengdengqingkuangzishenyidiyibaoxuyaoliang。
er、qieshiwanchengzhongdaqunzhonggengjiankangjianceshujuyujingtaifuwupeixun
(一)認真落實關鍵點年齡段應管即便
chongfenzhanxianjiezhen、jucunwei,gejuweihuiweishengjianchanpinyuxiangmujigouyaotishengbei♋dong🍎quanduijiede,zaijiezhenjiangcezhongdarenbingruwanggehuabiaozhunhuaguanlifangfajichushangshang,duicezhongdarenzhuahaolvsejiankangshenghuojiancejishuyubiaozhunhuaguanlifangfa。zhanxiandejiatingyiyuanyishengguanxicunminhebeidongquanchanpinyuxiangmufanying,bianxiaojianshao6liusuishangmiandezhonglaolingrenqiandingchanpinyuxiangmufugaimian,shouyaowanchengcezhongdarenqiandingquanfugai。qiaoyongyunchanpinyuxiangmu、dianhua、qqweixin、shipindengfeilejieshouduanhuoshangmensuifangdengmianlinmianchanpinyuxiangmushouduan,zuoshi“hong、huang、lv”biaoshibiaopaicezhongdarenlvsejiankangshenghuochanpinyuxiangmu,quebao“bageyangezhixingjishi”。
1.yijiezhenweixingye,yilaiwanggehuacaozuojineng,yangeluoshi“shequwangzhan3renxiaozunei”yunzuoguanlizhineng。
2.sandaleineirongrenshentidiaochafenxigeleikanbuqingchudu,richangdongtaidiaozhengbingzhidingtaizhang,deguanlimubiaoqiyexinxikanbuqingchudu。
3.juweihuiqingjietigonganquanfuwuzuzhi 24meixiaoshitigonganquanfuwufuwudianhuabaotong,jiajuzhurenyishengzhaohuatifangshixianghuxunwenzhongdianshikehuqun,youjiankangshichangxuqiu🅷shianshimeiyouxiangying。
4.jiezhuduoleixingshi,duizhongdaqunzhongtupianjiamihuoyuequdianhuagoutongguajie,dui“heise”zhongdaqunzhongmeixingqiqudianhua🅘goutongbugaoyu3ci,dui“lanse”cizhongdaqunzhong,meixingqiqudianhuagoutongbugaoyu2ci。
5.jishixingchengwocezhongdianxiaofeiquntijichukuangjiachuanranxingjibingxianzhuangheyingyangguanlizhuangkuang。
6.duihexinnianlingcengpifuganranxinguanbingyuantihuojichukuangjiabingdubingkuangdengshiqing,jinzaolianghaojiaoyuzhidao、gansheyuzhuanzhen。
(二)落實工作重大客戶群體劃分類別維護
dui“hong、huang、lv”zhongyaoyonghufenbieweishixianzeren“yi、er、sanlei”guanlifangfaanquanshouhougongneng,dui“qianlvse”yonghu,shixianzeren“yi🥂cenganquanshouhougongneng”,zengjinlvseweishengbaojianzhishipeixun,zuodaoweiwomenlvsejiankangyufang。dui“chenghuangse”yonghu,zaishixianzeren“yicenganquanshouhougongneng”dejibentiaojianshang,duiruoyangjujiashenghuoyizhirengongshixianzeren“xiajianquanshouhougongneng”,zengjinkangyuanjianchace🌃liang、lvsejiankangjiankongxitong、lvsejiankangzixun、shiyaoyindaodeng。dui“zhuhongse”yonghu,zaishixianzeren“yi、xiajianquanshouhougongneng”jibentiaojianshang,shixianzeren“sanleianquanshouhougongneng”,tigaolvsejiankangjiankongxitong,duiqingkuangjianruodeguijuzhuanzhenpeihe。
san、zhongdianweiraoqieshijiaqiangweizhongzhengzhiqiankanjian、liaofayufenli
quxianqingjiejiankangweiyaoyijushi、quzhenliaoxiaobianzuyizhi,qianghuaduitebieqingjiefuwuzhiliangdezhujiaojieyudezhidao,nuli“zaogan🔴jue、zaoyiliao、zaofenpei”yaosu,chongfen🔥diaodongtebieqingjiefuwuzhiliangdezhu“kouanyiwei”yongtu。
(一)扎實推進新冠危重早出現
gejiedaobanganjingweishengjingzhunfuwugouzaoxietongzuozhanjucunwei,tishengduixinguanbingduzhedejiankangshenghuojiancewangqi,xuyaoshiguanjianxingꦰzhongrenbingduzhe,zaiyangeluoshi“yi、er、san”jigongzuode💦hexinshang,yaoguanjianxingtishengxinguanxianxiangyuhexinxingbingzhengxianxiangzhuanbian dejiancewangqi。
kaizhanduixinguanjiaochamumabingduxiedaizheyangguoshengdutance。geshequnjiankanggongnengdeqiyeyaobiaozhunpeizhizuliangdezhijiashixinlvxueyangyi(ruxiatongchengzhiyangyi),quebaoanquanshengchanyigeshequnjiankanggongnengdegongsihefengongsizhiyaobiaozhunpeizhi20geyinei、yigeshequnjiankanggongnengdezhanhecunjiankangshizhiyaobiaozhunpeizhi4geyinei,yigejucunweizhiyaobiaozhunpeizhi1gedagaiyinei。huibangyigexiaojia♏tingzhuanjiachuangyetuanduibiaozhunpeizhibidingbilidezhiyangyi,jiaojiehaojucunweili,jiangyangguoshengdutanceshouluguanjiandiandaxueshengxiaofeiquntijiaochamumabingduxiedaizhezongtisuifangwenzhang。geshequnjiankanggongnengdeqiyeyaoduofangmiantuijinjucunwei,wei66suiyineiyouxinguanmumabingdujiaochafukebingduweizhongfengxiandianqietongyixingzoububianyudeguanjiandiandaxueshengxiaofeiquntixiafazhiyangyi,zhiyinjujiayanglaofuwujiancexueyangguoshengdu。
(二)進行新冠病情比較重的時候早進行治療
yaoyinlingshi、qujiuzhuzhuan❀yeyishengzuliqi,guanchejiedaoshequgonggongweishengshouhoufuwuzuzhi duixinguangandongzheheshidiaoli,shejiyingyangwuzhipinguozhichi、yangliao、dadiandi、xiaoyuanziheyaocaixuanze、jianliqijiachangyiliaochuangdeng。
1.增強對癥下藥治療方法。gexianqujiankangshenghuojiankangshenghuoweihuibangtebiejiankangshenghuofuwuzuzhijigouhelixiankapeizhishumushiyongdeqingqidai、qingqipinggezhongzhiyangjidengshebei,baozheng mashangweizhuankemenzhenbinghao、zaijiadeyi𒁏zhifangfaﷺbinghaojubeiyangliaohuoqingqizhuangguanfuwu。getebiejiankangshenghuofuwuzhongdian、fenzhongdianjunyaoshezhizhuankemenzhen“xiyangqu”;tebiejiankangshenghuofuwuzhanyucunjiankangshenghuoshizhunzeshangjunyaozaishengliyongxianjintianjingchangfanwei,xiankapeizhiqingqiguan,jubei“yangliao”fuwu,yongyouyonghuzhuanchejiesongyangliaofuwushijixuqiu。gaohaowuhuaxiruxirudeyizhifangfa,getebiejiankangshenghuofuwuzhongdian、fenzhongdianzhunzeshangjunyaojubeiwuhuaxiruxirudeyizhifangfafuwu。ciwai,nonghaofukebingduganranzheyingyangsherufuchi,shiyonglvseyingyangyinshizhidian,anguanliguifanzhankaidadiandidenggongzuo,jidajianshaobingqingbijiaozhongdeshihouzaoshouanquanyinhuan。
2.適時操作抗蟲慢性毒藥物治愈。duizhongyaoxiaofeizheganliangzhezuohaoceping,zaishineizhuanjiatuanzuzhiyinxia,duiheshiyuanzedeganliangzhe,likezhiyinanquanshiyongdikangjieyaowu,lianhaogengkuaiওdidiaocha。
3.足夠揮發草藥制療使用。jiandingbuyizhongwaiyigenju、zhongyiyaotongyong,gengkuai“sanyaoliangfang”dengzhongcaoyaozaipian🌃qugonggongweishengxuegonggongweishengxuechanpinyiyuandegouzhihecaozuo。gepianqugonggongweishengxuegonggongweishengxuechanpinguanlizhongxinyaoduixinguandiannaobingduganhuabijiaopubianfanying,jianchiwentidaoxiang,bianzhengshizhi。yaozhu“zao”“kuai”dezunxunyuanze,rangzhongcaoyaozaixinguanruchongbingdubingdushiqitizaochazuyeliao,suishidajiqingzhengzhuyuanbing🌞renxiangtezhongxing、weitezhongxingweilaifazhan。
(三)加快推進新冠危重早分離
1.按時幫助轉診。duixinguanxianzhuanghuodijixingwentijianshaoderanbingzhe,gejiedaoweishengjianfuwupeixunguanlizhongxin、putongjiatingdafuzhuanyetuantiyaozhuanghao120jiuhubixuyunsonglanseguandao,weituobingduxiedaizhelijizhuanzhen。zaiqunzhongshouzhendebingqingbiꦗjiaozhongdeshihoupengyou,yaojiaokuaigengzhunshebie,butongshishishangyuanyin,lijigongyang,yunyongjijixingjijiudejuticuoshi,buyingbaohupengyouwodeshengmingxianxiangpingheng,zaiyihukaoshengreqingjiedaixialijizhuanzhen。
2.通暢雙相轉診。gejiedaobanqingjiefuwubaozhangzhongyangyaoyifubankuaixingyiliaozhongyang、yiliantishangjibumenyiyuankeshi,tongxingxinguanjiuzhuzongxiangzhuanzhenhuanchongqu,quxianqingjieshentiwei、geyiliaoshebeiyaoxuandingrenyuanchengdanzerenzhuanzhenweizhi,jianlveweizhongwomenzhuanzhenjutibuzou,zengjiazhuanzhenxuexixiaolv。yiqi,yaochongzuyinlingdejingxihuazhichigongxiao,yongyuanchengcaozuokongzhijiezhen、yuanchengcaozuokongzhijiuzhendengxingshi,baozheng womendadaojin🔴kuaigengyouxiaojiuzhu。
duishequnganjingweishengjianyewuguanlizhongshangzhuanxinguanganliangzhe,gengshiyaogewaizhongshishiguanjianzhongrenganliangzhe,shangjilingdaolingdaozhuankemenzhenyaodajianshouzhihuanglvserukoutongdao。zaishangjilingdaolingdaozhuankemenzhenyiwanchengmengranqishoushuzhiliao♉hou,deqingkuangpingjingdeganliangzhekexiayizhishequnganjingweishengjianyewuguanli༒zhongbingqu,shequnyiwuyuangongyaocanyuhuodongzhuanzhenjutiliucheng,nonghaoyewuguanliguanli。
geshiquganjingwendingweiyingtongdengquneineigejizhengfudangweidangxiayiyaoshebeifangjianhuoxuyichuangchengben,zhinenggenjuyousuochayijibieyiyaoshebeifangjianhuoxuyichuangxitongwifidingwei,jiarutongdeng、fenjishiyongdezhidu,yaotongdengquedingquneineigejizhengfudangweidangxiayiyaoshebeiyiwuxiangguanrenyuan,shixianxiapaizhujin、weituoxieyijieshoudengfangshifangfa,keyizhichishequnganjingchanpinguanlixuexiaojuicubingfangchanpin。youyiyuanyiyuanyiyongbingchuangdeshequnganjingchanpinguanlixuexiaoju,jinjieduanxingfangjianhuoxuyichuangshiyonglvyingdabiao95%shang,weishezhi💟yiyuanyiyuanyiyongbingchuangdeshequnganjingchanpinguanli𒉰xuexiaoju,duishiheshiyingzhengdebingduzhe,yingshixianjiajuyiyuanyiyuanyiyongbingchuangshixianjiajushounakongzhisuqiu。
si、qieshijiaqiangshequfuwuzhanzhuzhongquntiqiangjiuziyuanzonghehezhichengjiabaoxian
(一)完全組織保障街鎮網格化治理機制化
gejiedaobanjuweihuishipinweishengxueshouhoushouhoufuwuguanlizhongxinyaozhudongquanjierugejiezhen、🤪jucunwei,chedideyijiazuzhibaozhangyujiezhenwanggehuabiaozhunhuaguanlizhiduxitong,shulijiezhen、jucunweizhutiyongchu,qiaodingduicezhongkequnjiedaobanjuweihuibiaozhunhuaguanlizhidu,zuoshenxinanquanjiancefanganyudongtaihuashouhoushouhoufuwuguanli。yijiazuzhibaozhangyu“jiedaobanjuweihuierrenxiaozunei”bangongxitong,qiaodingduicezhongkequndebaobaoguanxiqilai。gejiedaobanjuweihuishipinweishengxueshouhoushouhoufuwuguanliqiyeyaojijipeihejiezhen,anzhuangqufangfankongzhibanbangongzhaokaihuiyi,zuoduigaolingchangbei、youjichutiaojianxingjibingaimei༺zhezhedengweizhonggaogailvkequnhekunjingyouerdengkequn“shenxinanquanbao”fenfa,xietongguanlijucunwei,zengjinduiyigerenzhuchangbei、jinyucanfeisunbeigongtongcanyupingrijuzhuchangzherendepingriguanxiqilai。
(二)增加城市醫療器械市場城鄉醫療保險保障
quxianhuanweijianjiankangweiyaochengxiangyiyongguanlibaoxianxiaoquneigezhonggeyangyiyongguanlipeixunxuexizhiliaogongsiyiwurenqun,zaixiahuaxunzhen、renqunpaizhu、shuliyuanchengfangwenyiyongguanlixietonggongzuowangdengfangshifangfa,laijiejuebiaocenggongzuoyiyongguanlihuanweijianpeixunxuexizhiliaogongsirenziquefazhuangkuang,henzhuashequnjuweihuitigongdefuwuxiangmuxuexiaoxinguanjiuhutiꦏgongdefuwuxiangmupingjingkaishe。zhutuishineierjijiuhujiaoshouzuhelingdaoyiyongguanlipeixunxuexizhiliaogongsiyouguandexunhuizhuanyezhidaoyijiantixi,duishequnjuweihuitigongdefuwuxiangmuxuexiaohuanweijiantigongdefuwuxiangmupeixunxuexizhiliaogongsikaishedejishuzhuanyezhidaoyijian,peixunxuexibiaocenggongzuoyiwurenqunzhengqueanquanshiyongxiaotuanhuoyaohezhongchengyao“sanyaosanfangxieyi”,yicengjiabiaocenggongzuofangweizhongzhengyewunengli。quanmiantishengyiyongguanliyingjiziyuanchengxiangyiyongguanlibaoxian,cengjiayiyongguanliyingjixiaojiaocheyuyalipeizhi,weishequnjuweihuitigongdefuwuxiangmuxuexiaohuanweijiantigongdefuwuxiangmuxuexiao、jiarenzhuanjiazuzhishulixianqizhuanhuaduanxintongdao。
(三)做好基層醫院醫務工作人員教學
yijushizhongxinerjichuzhizhuanyezu,nidingzhenduibiaocengyiwurengongjiaoxuekexize,kaizhandiaoyanxianshangzhifu、xianxiamendian、tonglixiezuomenzhenxiahuadaijiaodengjizhongjiaoxueke。duofangmianlinghuoyunyongbuwei、dishi🦄jidengyouguanjiaoxuekewangluoziyuan,jishituanduibiaocengyiwurengongcanyujiaoxueke。qianghuachayan,jianchiyuanzejiaoxuekejixiaokaoping,shiguanjiaoxuekexiaoyong,shibiaocengyiwurengong(zhuyaobaokuoshancunzhuzhiyisheng)zaizhongduanqijianshulianchengduxuehuixinguan🌄zhuzhongsangaorenqundengjihuafenfenjifuwubaozhangdefangshi、bingduranbingzhuangkuangzixiguancha、bingduranbingzhezijidefangzichuliheyiliao、zhongyifukeyaochuzhihekangfuxunlianzhenzhi、diyangxuezhengqianmianwajue、touqimafandepingguhejiuzhendefangshi、zhiyangyideanquanyunxing、shouyaozhuanzhenbushiyingzhengjijixiaofenzishiyaowujiliangdebushiyingzhengheguifananquanyunxingdefangshideng。
(四)加大新冠醫治廢舊物資切實保障
gegequanquanzhengchangweiyaoanzhaoqijiedaobanshichujuweihuianquanyewuxuexiao、cunanquanshiyewuquanguorenkou、zhongdaxiaofeirenqundishudengqingkuangfasheng,peizuzhenzhigongchengshebeiyuyouliaode,zhuyaobaokuofagaoshaozhenliaoguifanotcyaopin、zhongchengyao、kangyuanjianchahuaxuezhiji、shentiduwuwu、zhiyangyideng,bingrongrujiedaobanshichujuweihuiranbingzheguimozhuanbian,qingkuangdiaozhengbaohu,baohugongchengshebeiyuyouliaodebaohu。dixingqihoujutiweizhipinkun、jiaotongyin꧅xingkunnandejiedaobanshichujuweihuianquanyewuxuexiao、cunanquanshiyaotuihoubeizufangfazhiliaoyaowuheyifanggongchengshebeiyuyouliaode。pingjiejiedaobanshichu、jucunwei,yuyiliaoguanliqiye、wangshangyaodiandengzhilianrexiandianhua,anzhaoqishijiyaoyouzhuoqingxiangxinnongcunzhongbeibupianyigonggeizhenzhigongchengshebeiyuyouliaode。
(五)實時的控制操作動向
gegequgonggonganquandejiankangweiyaorengzaizuodaoweijiedaobangonggonganquanbaozhanggouzaogongzuo、baozhangjutidetiaojianhekuojian🌳jutidetiaojiandengdongtaitupianhuatance,shishigongjiaoshulianjiedaobanfalengzhenliaoguifanjutidetiaojian、jinkouyaopinheshebeizhubeiyongjutidetiaojian、guanjianxingsangaorenqunbaozhangjutidetiaojiandeng,duishixiaqugongzuocunzaizhuyuanyinhuogongzuoshoudaozuaidechangsuoshishigongjiaodiaodushi。chongfendiliyongxiaoxihuanengli,shenggaogongzuoliyonglv,keyijianshaomiancengyilai,anshitijiaoguo、shilixudededongtaitupianhuadeshujuhexiaoxi。
(六)加大居委會醫務人所關心愛護
gediganjinganquanweishengwendingweiyaoquanxinquanliguancheluoshiyigangshuangzeouzhouguojiaheshineiyouguanyuguanzhuguanhuaiyiwuyuangongfangshi,jinyibuqianghuaduiquyushouhoutigongfuwuweihuzhongxindeganjinganquanweishengshouhoutigongfuwuweihuzhongxindedezhichiweihu。kexuebuzhiyufenpeidiaojiquyushouhoutigongfuwuweihuzhongxindeyiwuyuangong,lejieyiwuyuangonghuodongshouhoutigongfuwuweihuhexingzhenghouqinweihu。anfaguiguancheluoshiyigangshuangzeduiquyushouhoutigongfuwuweihuzhongxindeyiwuyuangongbutiezhengceyujiajuyishihuiyueshouhoutigongfuwuweihufeiyigexingshangbanfanganshangbanjingfeizhichu,gu🍌lijiliquyushouhoutigongfuwuweihuzhongxindeyiwuyuangongmanxinshencaizhengtouruquyushouhoutigongfuwuweihuzhongxindexinguanjiuhushangban。
(七)增加義務落實工作和專項督查考核制度
shixiaquweishengjiandulvsejiankangweiyaozhenzhengdalijiaqiangtuantiyibashou,zhujianhuitiantufuze,zhimingzhinengbumenfuzehejijirenwu🔴jirenwuhuafen,zhenzhengbaozhangcaozuotiaojian。yaozhenzhengdalijiaqiangduiqujicaozuojinxingxianzhuanghefuzeshenrukaizhanxianzhuangdezuoyejiancha,kaifacaozuotaizhanggeshi,chutaijijirenwumingxi、shejidaodewentiming♛xi、fuzemingxi。yaojiangxianjinzuohaojicengyiyuanguanjiansangaorenqundongtaituanquanfuwu、jiaqiang“baolvsejiankang、fangbingqingbijiaozhongdeshihou”meixiangcaozuojinxingxianzhuanghexiaoyiyushejidaodeguanjiancaozuodeyejikaohefangan、qiancaihuafen、pingxianpingxuandengxiangkoujin,zhenzhengqidaoyejikaohefangangujingzhichengmude。
xianshihuanjingweishenglvsechangwuzhengfaweiyuanhui
﷽ 2023nian2yue8ri