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: 】
quxianganjingshenxinjiankangwei:
xuanzeguojialianfangliankongtizhi《youguanzuohaoxinguanzhongzhongzhizhongdaxueshengxiaofeiquntidongtaixinxifuwubaozhangdehe“guanzhalagao”derenwudezhihui》heguojialianfangliankongtizhi、dangzhongyangcunliderenwulaobanzhuanban《youguanchuwenzengqiangsuoxuancunlidiyuxinxingguanzhuangbingjungandongqinliuganchuanranbingfangzhiderenwufangshidezhihui》ziliaote꧂shuyaoqiu,weifahuichulaishanghaishitebieqingjieweishengfuwubaozhangdeshebeiwangdiyongtu,jianchi“zaobiaoming、zaozhenzhi、zaojieliu”,keyifangzhiganqihexuejianxinguanbingjungandongweizhongzhengtufa,xian💛jiuzuohaosuoxuanyouguanderenwuzhihuiruxiasuoshu:
yi、jiangchixufazhanpianquxinguanzhenliaotexing
(一)推動社區服務中心新冠救護擴張增能
gexianquganjinghuanweiyingyangjiankangweiyaoyizhaochuzhigongzuodexuqiuliang,xiezuoshineiyixiebufen,jiadawenbutuijinjiedaotebiejiedaotebieganjinghuanweianquanbaozhangzhongxinxinguan🗹chuzhibangongchangsuokuopanjibenjianshe,guanchezhixingyixiejianzhucuoshixitongdengzengnengshouchuliang,baokuozhenzhidedifang、dadiandidedifang、yangliaodedifang、zhongzhengjianhurenshibingqudeng,jiaqiangxindianjianhuren、xueyangjiancefangan、gongyangdengjianzhucuoshixitongzhuangzhi。duiwujuyouhuanjingdejiedaotebieganjinghuanweianquanbaozhangzhongxin,henqianghuactdengxitongdezhuangzhi,youdaominzhongshepiandingqijianchaxiahua。yianquanbaozhangchangzhuchangzhurenkoushuliangtongjide15%-20%jishuxingshouchuliangzhongcaoyao、tuireyao、huatanyaojikangyuanpanduancaixueguanhepeiyou,querengouzaozhongyaoyinpianshouchuliangliangrengranjianchizai2zhouyinei,changzhuchangzhurenkoumijidiandedi🐼fangkeyizhaoyuqizengduoshouchuliangliang。
(二)提高街道辦低熱診療規范服務培訓
quxiange🌼jiedaowangzhanganjingganjinganquangongnengpeixunjidimeitianbatianjunyingzhanshifatangyiliaogongnengpeixun(hanjiejiaqi),bingyongshedingfatangyiliaoyemenzhen,tixianfatangyiliaobaodaoshijianyanchigongnengpeixun;quxiangejiedaowangzhanganjingganjinganquangongnengpeixunfenjidimeitianbatianjunyingzhanshifatangyiliaogongnengpeixun(hanjiejiaqi),youyijiandekechuangbanyemenzhen。quxiangejiedaowangzhanganjingganjinganquangongnengpeixunzhan、cunganjingganjinganquanshiyingjiezhuyufatangshaodianzhensuo𒊎、anguidingfatangyiliaoliuguanqudeng,dadaofatangdengzhengzhaobinghuanjiuzhenyiyuan。
er、jianshijinxingcezhongkehuqunjiankangshenghuotanceyudongtaihuafuwuxing
(一)開展關鍵性人應管盡量
pingjiejiezhen、jucunwei,gejuweihuianquanweishengyewuzhongyaozengjiazizhu𒀰jiaojie,zaijiezhenjiangzhongxinkehuquntuixingwanggehuaguankonggongzuoyijushang,duizhongxinkehuqunguancheshentijiancefanganyuguankonggongzuo。fahuichulaijiazhuzhiyishengjianlilianxishiminhezizhuyewuyong,zengjiatuozhan66suizhishang60suirenxuyueyewukuodamian,daduogaibianzhongxinkehuqunxuyuequankuoda。yingyongyunyewu、lianxifang🌳shi、weixinzhifu、shipindengfeipengdaofangshihuoshangmenqusuifangdengzhengquekandaimianyewufangshi,zuoshi“hong、huang、lv”biaoshi(biaoqian)zhongxinkehuqunshentiyewu,quebao“jigeguanchemingque”。
1.yijiezhenweijicengdanwei,yituoyuwanggehuabiaozhunhuabaozhangtixihua,qiaoding“shequfuwuzhongxinliurenxiezuozu”gongzuorenwuzhiquan。
2.sanzhongzhongzhongzhizhongrenqundanggengjiankanghechadingyimingbai,richangdongtaidediaozhengbingjianlilianxitaizhanggeshi,guanligongzuoduixiangxinxinmingbai。
3.juweiweishengjianfuwuxiangmuzhilianggongsi24hfuwuxiangmuzhiliangfuwudianhuafangbianqunzhong,jiatingshenghuomazuiyishenglianxixingshizhudongxinggaozhishumobanguanjiankequn,😼youwendingshijixuqiushijishijijixiangying。
4.shixianzhongyangshi,duiceguanjiankequnjiamijiemizhudongquangaohaoguanxilianjie,duiꦚ“hongbaise”ceguanjiankequnyitiangaohaoguanxibubushao3ci,dui“danhuangse”cice🔯guanjiankequn,yitiangaohaoguanxibubushao2ci。
5.dangjilijieguanjiankehuqunjibentiaojianpifujibingqingkuanghedejiankangxiankuang。
6.duiguanjianxingnianlingcengdiannaobingduganranxinguandiannaobingduhuoyijubingjialiaodengqianti,jinzaojiankangshenghuoyindao、jiuzhengyuzhuanzhen。
(二)完成關鍵三高人群分類別治理
dui“hong、huang、lv”hexinquntidangzhuyaoshiyong“yi、er、sanjieduan”biaozhunhuaguanlijingzhunbaozhangxiangmu,dui“shengtai”quntidang,renzhenzhixing“3jijingzhunbaozhangxiangmu”,daidongjiankangjiaoxue,zuodaorengejiankangfangfang。dui“chenghuangse”quntidang,zairenzhenzhixing“3jijingzhunbaozhangxiangmu”dejichutiaojianxingshang,duikangtiyangxingjiajuhuanjiekaoshengshiyong“3jijingzhunbaozhangxiangmu”,daidongkangyuanjianyan、jiankangpinggu、jiankangzixunlejie、zeyaofangtantigangdeng。dui“lanse”quntidang,zaiꦬrenzhenzhixing“yi、3jijingzhunbaozhangxiangmu”jichutiaojianxingshang,shiyong“sanjieduanjingzhunbaozhangxiangmu”,tigaojiankangpinggu,duihuanzhejianruodegeiyizhuanzhenqingqiu。
san、jucuojiadaweizhongzhengzaoqidezhaodao、zhiliaoyufenpei
mingquetichuanquanxuejiankangbaojianweiyaozuzhibaozhangshi、quqiangjiuyouguanpingshenzushili,buduanjiaqiangduijiedaobanshichuanquanfuwuxiangmuzhongxinjuanquanxueanquanfuwuxiangmuzhongxinjuxietonggongzuoyufudao,nuli“zaochajue、zaozhiliao、zaofenli”qianti,chongfenღfahuijiedaobanshichuanquanfuwuxiangmuzhongxinju꧒anquanxueanquanfuwuxiangmuzhongxinju“daguanyiwei”xiaoying。
(一)穩步推進新冠危重早遇到
geshequyewuzhangengjiankangyewujiegouxietongzuozhanjucunwei,qieshibuduanjiaqiangduixinguanxijunbinghuanzhedegengjiankangjiancexitongjishu,youꦇqishishizhuyaoshirenqundangxijunbinghuanzhe,zaishishi“yi、er、san”jiguanligongzuodejibenshang,yaozhuyaoshiqieshibuduanjiaqiangxinguanxianzhuangyujibenxingxiaohuadaojibingxianzhuangfashenggaibiandejiancexitongjishu。
buduanjiaqiangduixinguanhuanshangzheyangbaomandujiancexitong。gejiedaobanshichuqingjiejianfuwuxiangmupeixundaikuanzhongjiejigouyaopeifazuliangdezhijiashixinlvxueyangyi(yixieyouchengzhiyang💝yi),baochimeitaijiedaobanshichuqingjiejianfuwuxiangmupeixunxinzhonghefenxinzhongzuishaodepeifa20geshang、meitaijiedaobanshichuqingjiejianfuwuxiangmupeixunzhanhecunqingjiejianshizuishaodepeifa6geshang,meitaijucunweizuishaodepeifa9geshang。huiweimeitaizhongguojiatingdafuxiaoshoutuanduipeifayidingchengduzongshudezhiyangyi,xiangmuduijiehaojucunweili,jiangyangbaomandujiancexitonghuaweiguanjianxingxiaofeizhehuanshangzhejibenshangsuifangdongxi。gejiedaobanshichuqingjiejianfuwuxiangmupeixundaikuanzhongjiejigouyaojijidifengongxiezuojucunwei,wei6liusuishangyouxinguanleibingduhuanshangweizhongzhengfengxianyinhuanqiejihuabubianyudeguanjianxingxiaofeizhepaifazhiyangyi,minglingzijidefangziceshixueyangbaomandu。
(二)積極推進新冠病情比較重的時候早緩解
yaoyijushi、quzhenzhijishulingdaoxiaozuqianneng,tixianshe❀quwangzhanweishengguanlishouhoufuwuqiyeduixinguanbingduzheliganjianyingyizhi,💛zhuyaobaokuoyingyangsherunenggou、yangliao、guashui、xiaofenzijiegoukoufuyaoyingyong、jianlilianxijiatinghuanjingyiyuanbingchuangdeng。
1.帶動性針對治療。gedihuanbaojianduqingkuanganquanweixiangweixiaoqugonggeiyewuzhanwangzhanhuanbaojianduqingkuangchujutiexingonggeiyewuzhongjiejigouchangbeiyonghuweiyidekongqizhongdeo2pingdai、kongqizhongdeo2pingpinggezhongzhiyangjidengshebei,zhuashijishiweizhuankezhensuobinghao、jiatingzhuangxiuzhiliaobinghaochujuyangliaohuokongqizhongdeo2pingzhuangguanchujutiexingonggeiyewu。gexiaoqugonggeiyewuzhanwangzhanhuanbaojianduqingkuangchujutiexingonggeiyewuwangzhan、fenzhongyangzhanjunyaozhuangzhizhuankezhensuo“xiyangqu”;xiaoqugonggeiyewuzhanwangzhanhuanbaojianduqingkuangchujutiexingonggeiyewuzhanyucunhuanbaojianduqingkuangshiyuanlishangjunyaocaiqumuqian🌸tianܫjingchangkongjianquyu,shebeikongqizhongdeo2pingguan,chuju“yangliao”chujutiexingonggeiyewu,keyitigongzhuhujuminbenshiyangliaochujutiexingonggeiyewujutixuqiu。kaishizuoxiwuzhiliao,gexiaoqugonggeiyewuzhanwangzhanhuanbaojianduqingkuangchujutiexingonggeiyewuwangzhan、fenzhongyangzhanyuanlishangjunyaochujuzuoxiwuzhiliaochujutiexingonggeiyewu。erqie,ganhaoganqizhejianyangzhiji,tuixingjiankangyinshizhidaoyijian,anbiaozhunhuazuodadiandidenganquanfuwu,cainengjianshaoweizhongzhengfashengdeanquanyinhuan。
2.立刻便用抗病力毒物物制療。duitebiekehuqunhuanshangzhecaiquceshi,zaizhuzhaiqujiaoshouzuzhidianxia,duibufuhe🧜shiyingzhengdehuanshangzhe,jishixingzhidianyongdaoshentijuduwu,zuodaotizaozhenzhi。
3.全面產生草藥調理效果。guanchedongxifangyigoujian、zhongyizhenjiuyaolianzaiyiqi,tigao“sanyaochengbaofang”dengzhongyaozai🀅pianqujuweihuiganjingdejingzhunfuwupeixunjigoudejubeiheliyong。gepianqujuweihuiganjingdejingzhunfuwupingtaiyaomianduixinguanhongbingduxijunganranbijiaopubianfanying,zhuzhongshixiao,bianzhengshizhi。wozhu“zao”“kuai”deqianti,rangzhongxiyaozaixinguanmumabingdufukeganranchuqigenghaodijiaruhuan🌼jie,youxiaoyingduiqingzhengquefaxiangchaozhongxing、weichaozhongxingfazhanjinbu。
(三)推行新冠危重早并軌
1.即時委托轉診。duixinguanyoushenmezhengzhuanghuohexinxingchangjianjibingyoufadejiaochabingduxiedaizhe,gexiaoquganjingweishengfuwuxingxuexiao、renzhurenyishengxiangmutuanduixu🥀yonghao120jinjijiuyuanshouxianjiyunlvsedechedao,fuzhuganhuazheanshizhuanzhen。eryannongcunjicengshouzhendebingqingbijiaozhongdeshihoubinghao,yaokuaisufazhanjingzhundejianbie,genjujutideqingkuang,anshigongyang,xuanzeguanjianjiuhubaohu,yidingchixubinghaozijishengminglinchuangbiaoxianpinghuan,zaiyihurenqunsuituanxiaanshizhuanzhen。
2.暢行雙邊轉診。gejiedaobanshichuweishengjianjiandufuwuyuzuzhijigouyaogoujianchengshixingzhenliaozuzhijigou、yiliantilingdaozhengxing,liantongxinguanchuzhishuangbianzhuanzhendetongdao,quxianweishengjianjiandujiankangwei、gezhenliaozuzhijigouyaoqueshizhuanmenzhuyaofuzezhuyaofuzezhuanzhenzhugang,jianlvebingqingbijiaozhongdeshihouyonghuzhuanzhengongyiliucheng,zengjinzhuanzhenxiaoguo。huan,yaokuanyufahuijiaosexiaoxihuazhichengtixijiaose,꧋caiquwuxianyingzhen、wuxianzhenzhidengyuanze,querenyonghushouhuodangjigengyouxiaochuzhi。
duishequnfuwuzhanyiliaofangyihuanjingweishengfangyifuwujigoushangzhuanxinguanganranzhiyuantizhe,tebieshizhongzhongzhizhonghuanzheganranzhiyuantizhe,shangyijichongwuyiliaoyaochenglishouzhishenlvsequyu。zaishangyijichongwuyiliaowanzhengyajixingjinxingzhiliaohou,qiantipinghengdeganranzhiyuantizhekexiahuandaoshequnfuwuzhanyiliaofangyihuanjingweishengfangyifuwujigouicubingfang,shequnfuwuzhanyiliaofangꦦyiyiwuyuanyaojijicanyuzhuanzhenbiaozhunliucheng,kaizhanfuwubingchizhu。
gegequjiankangdejiankangdeweiyingzongheguanzhuchengquneigegegezhonggeyangyixueyiyuanyichuanghuanjingziyuan,liyongbuyidengjidingyiyixueyiyuanyichuangzhinengweizhi,baochizonghe、dingyibianyongdeluoji,♔yaozongheshedingguanzhuchengquneigegegezhonggeyangyixueyiyuanyiwugongren,liyongxiapaizhuru、xialingrangdayadengtujing,zhijijuweihuijiankangdetiexinfuwuxingxingxuexiaozhuyuanbutiexinfuwuxingxing。baokuoyiliaochuangdejuweihuijiankangdetiexinfuwuxingxingxuexiao,jindejieduanyichuangbianyonglvyingtisheng95%zhishang,weishedingyiliaochuangdejuweihuijiankangdetiexinfuwuxingxingxuexiao,duianzhaoyuanzedeganqizhe,🌜yingliyongjiatinghuanjingyiliaochuangchongfenmanzuzhujialiaofagezhongxuqiu。
si、jixujiaqiangjuweihuineirongkehuqunchuzhiziyuanzonghehezuoweizhichengfuwu
(一)徹底襯托街鎮網格化監管制度化
gejuweihuishipin𓄧weishengguanliyewuxinzhongyaojujuejiajiegejiezhen、jucunwei,nenggouchongfentuidongjiezhenwanggehuadedeguanlixinzhidu,qieshifahuijiezhen、jucunweiweihexingongyong,yangeluoshigongzuorenwuduiguanjianxiaofeizhejuweihuidedeguanli,gaohaoshentijiancewangyudongtuyewu。tuidong“juweihui3rentuandui”shiqingxinzhidu,yangeluoshigongzuorenwuduiguanjianxiaofeizhedebaobaoguanlian。gejuweihuishipinweishengguanliyewuxuexiaoyaogaohaotuanjiejiezhen,mingquequfangfankongzhibanshiqinganpai,gaohaoduigaolingchanfulaolingrenren、youjibenxingzhengzhuangderendengweizhongzhenggaoweixianxiaofeizhehenantixiaopengyoudengxiaofeizhe“shentibao”shenqing,tuijinjucunwei,gaohaoduiduchulaolingrenren、jinyubingcanzhixiqinshuanfengongyouzhuzailaolingrenrendechangguiguanlian。
(二)進一步加強區域劃分醫治影視資源城鄉醫療保險承受
gediqingjie𒀰huanjinganquanqingjieshentiweiyaotongdengxiaoquneijidaleizhengxingzhongjieyixuexuexiaoyiwuyuangong,nenggou qingxiexunzhen、yuangongpaizhu、shixianqqyuanchengzhengxinggongjianwangdengxingshi,jiejuechulinongcunjiceng🐬zuzhizuzhizhengxingqingjiehuanjinganquanqingjiezhongjieyixuexuexiaorengongchengbenbuchongzunanti,baozheng jiedaopianquxinguanchuzhigongzuodexingwendingxingzuzhikaizhanyewu。zhutuixianchengerjichuzhichangjiazuheshangjilingdaozhengxingzhongjieyixuexuexiaoyouguanxixunhuipingjiabiaogongzuojizhi,duijiedaopianquqingjiehuanjinganquanqingjiegongzuodexingzhongjieyixuexuexiaozuzhikaizhanyewujishuxingpingjiabiao,zhuanyepeixunnongcunjicengzuzhizuzhiyiwuyuangongyuanzeliyongxiaofenzishiyaohecaoyao“sanyaosanfangxieyishu”,yizengjinnongcunjicengzuzhizuzhifangbingqingbijiaozhongdeshihouxiaolv。dalijiaqiangzhengxingjiuyuanhuanjingziyuantongdeng,zengqiangzhengxingjiuyuanqicheyuqiannengpeizi,weijiedaopianquqingjiehuanjinganquanqingjiegongzuodexingzhongxinju、renjiamazuiyishengdetuanduishixianshouxianzhuanhuarukoutongdao。
(三)增強基層員工醫務成員指導
goujianshizhongxinquduojiyizhijiaoshouzu,jihuashouyaoxingjicengdangzuzhigongzuogongzuoyiwuzhigongjiaoxuecuoshi,shenrutuijinxianshangjiaoyu、ditui、zhubanxingyiruanqingxiedaijiaodengsanzhongjiaoxue。quanmianheliliyongfadaguojia、shilidengyeneijiaoxuechanpin,duofangmianjinxingjicengdangzuzhigongzuogongzuoyiwuzhigongjiarujiaoxue。quanmiantishenghecha,yanjinjiaoxuekaoping,jiaqiangzuzhilingdaojiaoxuejieguo,shijicengdangzuzhigongzuogongzuoyiwuzhigong(baohanxiangcunlvyouyihurenyuan)zaiduanqideneiqieyaoshulianshujishebeishujixinguanzhongdianshinianlingcengfenjiguanligongzuohuafenleibiefuwubaozhangjishu、ranshangxianzhuangdong🌺chafenxi、ranshangzhezijidefangziguanligongzuohegaishan、guoguoyaoyizhihe🅘fujianzhiliao、diyangxuezhengchuqixianshi、hurudebijiaokunnandecepinghezhenzhijishu、zhiyangyideanquanshiyongde、shouyaozhuanzhenrenzhizhengxiangyingxiaoyuanzikoufuyaowuderenzhizhengheheshianquanshiyongdejishudeng。
(四)開展新冠治療工程設備保障機制
shixiaquanquanjiankangzhengzhuangweishengfangyiwendingweiyaoliyongpianquanquanjiankangzhengzhuangweishengfangyitigongfuwuxiangmupeixungongsi、cunanquanjiankangzhengzhuangweishengfangyishitigongfuwuxiangmupeixunrenkoushu、zhongdaxiaofeiquntidishudengzhengzhuang,peizuyizhiwupin,zhuyaobaokuoqirezhenliaofuwuxiangmujinkouyaopin、zhongyaocai、kangyuantanꦰceshenghuashiji、kangchongjieleiyaowu、zhiyangyideng,bingzuhepianquyingxiangzhezhanbibianxian,geshigeyangzhenggaizhubei,youxiaobaozhangwupinzhubei。chuyidilijiaodupianpi、keyunqingliangjiedepianquanquanjiankangzhengzhuangweishengfangyitigongfuwuxiangmupeixungongsi、cunanquanjiankangzhengzhuangweishengfangyishiyaoqiantibeizuzhiyuleiyaowuheweishengfangyiwupin。yikaojiezhen、jucunwei,yuzhenliaodaikuanjigou、yaodiandengzhitongshidianhua,liyonghelixuyaoshidangdexiangxinnongcunyanhaidiqujizhonggonggeiyizhiwupin。
(五)實時時間正確掌握事業最新
gegequhuanweixueyingyangjiankangweiyaobuduanzhizuohaoshequweishengjuweihuihuanweixuebaozhangjigoukaijiyunxing、baozhangqingxinghekuochongqingxingdengdongtaishujuxianshitupianjiancejiyi,chengshirelitulijieshequweishengjuweihuifatanglinchuangqingxing、feichufangyaohedeshebeichubeikuyingyongqingxing、zhongdiancunquntibaozhangqingxingdengღ,duiguanquzuoyunxingzhongliucunwentihuozuoyunxingzhongzhihuandequyuchengshireliturenwudiaodu。duofangmiancaiyongneironghuajiyi,buduantigaozuoyunxingzhongxishoulv,jianqingjicengyiyuanbuliangyingxiang,youxiaobaobeizuguo、shilibixuyao dedongtaishujuxianshitupianshujuxianshiheneirong。
(六)強化居委醫務師擔心關心
mingquetichuqingjie♎weishengjianduzhengchangweiyaofenliyangezhixingdeguojiahebendiyouguanxifeichangguanxinguanzhuyiwuyuanfangan,jinyibutigaoduijuweiqingjieweishengjiandushouhoutigongtigongfuwuguanlizhongxindezhichengyouxiaodedaobaozhangle。helihuaguihuayufenpeidiaojijuweiyiwuyuan,zhizuohaoyiwuyuanhuoshouhoutigongtigongfuwuhehouqinchuyouxiaodedaobaozhangle。anzhongguidingyangezhixingduijuweiyiwuyuanbuzhukuanyuzhongguojiatingzixunshiqianyuehezuoshouhoutigongtigongfujiafeiyicixingzhuanxiangjihuarenwujingfeiyusuan,gulijilijuweiyiwuyuanhunxinqingtourudaojuweixinguanzhenzhirenwu。
(七)提升責任事故全面落實和督導檢查考核辦法
gediweishengshiqingxia🤪shentijiankangweiyaotishengzuzhixingshangsi,cengcengqiaodingyajinfuze,jiandingzhinengbumenfuzehezuoyeanpai,fuwuyubaozhanggangweishenqirenwushenqirenwuzhuangkuang。yaotishengduiqujigangweishenqirenwushenqirenwufazhanshiqingxiahefuzeqiaodingshiqingxiadezhuanxiangducha,dajiangangweishenqirenwushenqirenwujilubiao,dingzhizuoyetongzhidan🐲、nantitongzhidan、fuzetongzhidan。yaojiangsuoxuanwanchengjibenzhongxinleirenxinxifuwuyu、tupo“baoshentijiankang、fangweizhongzheng”tiexindeshouhoufuwugangweishenqirenwushenqirenwufazhanshiqingxiahejieduanxingchengguoyuyouguanzhongxingangweishenqirenwushenqirenwudejixiaokaoyan、zibenfenpeiyuanze、pingxianpingxiandengxiangguagan,zhenzhengyinlingjixiaokaoyanjianglijilizhudaodegongxiao。
guangzhoushiganjingweishenglianghaochangwufenweihui
&n🎀bsp; 2023nian3yue8ri