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: 】
gegequhuanjingweishengjiankangbaojianwei:
❀jiehecaizhengbulianfangliankongcuoshi《jieshaozhunbeihaoxinguancezhongdiankehuqundedongtaifuwuzhiliangpeixunhe“kouanyiwei”zuoyededegaozhishu》hecaizhengbulianfangliankongcuoshi、dangzhongyangweixiangcunzuoyeshangsizu《jieshaochuwenbuduanjiaqiangxianxingweixiangcunquyuyizhongxinxingguanzhuangxinguanxijungandongfeiyanyiqingzhilizuoyejihuadedegaozhishu》wendangwenjianrang,weizhanxiandangdijuweihuiweishengjiandufuwuzhiliangpeixunyiyuanwangdixiaoyong,yangeyaoqiuziji“zaofaxianle、zaoshoushuzhiliao、zaofenpei”,fangfanhejiandiaoxinguanxinguanxijungandongbingqingbijiaozhongdeshihouqingkuang,xianjiuzhunbeihaoxianxingxiangyingdezuoyedegaozhishuxiamian:
yi、chixubaochizengqiangjiedaoxinguanzhenzhizhuanyenengli
(一)深化街道新冠救護擴盤增能
🅷geshiqugonggonganquanqingjiewendingweiyaogenjuzhiliaobenzhigongzuoshiyongxuqiu,yitihuafengjingquneixiangguanneirongjianguanbumen,kuaisuzengchangchixutuijinzhenquxiaoqugonggonganquanqingjietigongfuwuguanliyuhexinxinguanzhiliaohuodongchangsuozengrongjianzao,shishixiangguanneirongpeitaocuoshizhuangbeidengzengnengzigeilv,qizhongbaokuolinchuangquchengxing、jingmoshuyequchengxing、yangliaoquchengxing、bingqubingqudeng,zuoxindianshenfenshibie、xueyangjiancewang、gongyangdengpeitaocuoshizhuangbeipeizi。zhenduijubeitiaojiandexiaoqugonggonganquanqingjietigongfuwuguanliyuhexin,aimianzihuactdengzhuangbeidepeizi,yindaohebangzhuchengzhenjuminshepianjinxingjianchaxiaxian。yizhaotigongfuwuguanliyuchengshirenkoushushuliangde15%-20%dongtaidezigeilvzhongcaoyao、tuireyao、zhikehuatanyaojikangyuanjianchahuaxueshijihejubei,quebaoanquanbumenchufangyaozigeilvliangyizhiyaobaochizai2zhoushangmiande,chengshirenkoushumijiqudediqukegenjuzhenzhengtishengzigeilvliang。
(二)切實加強社區安全服務站升溫醫療安全服務安全服務
𓃲woshigejiedaobanhuanbaoshouhouyewuguanlihexinmeizhou7tiandexingqi7tianjunyingzuoweifagaoshaodeyuanyinzhensuoshouhouyewuguanli(hanjiejiaqi),bingpingjiepeizhifagaoshaodeyuanyinzhensuoyeyiyuanbu,baochifagaoshaodeyuanyinzhensuobaodaozenmeyanshishouhouyewuguanli;woshigejiedaobanhuanbaoshouhouyewuguanlifenhexinmeizhou7tiandexingqi7tianjunyingzuoweifagaoshaodeyuanyinzhensuoshouhouyewuguanli(hanjiejiaqi),youyijiandekekaizhanyewuyeyiyuanbu。woshigejiedaobanhuanbaoshouhouyewuguanlizhan、cunhuanbaoshiyingyifufagaoshaodeyuanyinshaodianzhensuo、yongjiuxingfagaoshaodeyuanyinzhensuoliuguanqudeng,dadaofagaoshaodeyuanyindengzhengzhuangbingrenjiuzhenxuyaoliang。
er、qieshikaizhanzhongdiancunquntiyingyangjiancejishuyudongxianggongneng
(一)落到實處核心人群當應管既然
👍goujianjiezhen、jucunwei,gepianquanquanweishenganquantiexinyewuguanjianxingyaotigaozizhudezhidao,zaijiezhenjiangguanjianxinghuanzhelieweiwanggehuaguankonggongzuogenjishang,duiguanjianxinghuanzhezuzhikaizhanyingyangjiankangshenghuoshujujianceyuguankonggongzuo。qizhongguojiatingfukeyishengshouji lianxishiminhezizhudeanquantiexinyewugongneng,jiadatourufazhan6wusuizongshangsuoshunianlingdaderenrenjieyueanquantiexinyewulvgaimian,guanjianbianxianguanjianxinghuanzhejieyuequanlvgai。caiquyunanquantiexinyewu、shouji 、weixinweixin、shipintupiandengfeijiechufangshiyingwenhuoshangmenqusuifangdengmianxiangmiananquantiexinyewufangshiyingwen,zuoshi“hong、huang、lv”biaoshipaiguanjianxinghuanzheyingyangjiankangshenghuoanquantiexinyewu,zhenzhengzuodao“6geyangezhixingmingque”。
1.yijiezhenweidanweimingcheng,chongfenfahuiwanggehuaguanlifangfagongshijizhi,yangezhixing“shequweisheng3renduiwu”gongzuozhinengbumen。
2.sandaleizhongdiancunrenjiankangdediaochatongjizhongleiqingchu,dongtaitupiandiaojiebingdajiantaizhangzenmezuo,guanlixitongketishujuqingchu。
𝐆3.jiedaobanganjinggongnengpingtai24xiaoshihougongnengdianhuachangtongwuzu,xiaojiatingdafuguanlianshouduanzizhugaozhiguanjiandianxiaofeizhe,youanquanshichangxuqiushilijijijidixiangying。
ไ4.keyitongguohenduoleixing,duituchuyonghuwenjianjiamizhudongquanlianxijiajie,dui“dahongse”tuchuyonghuyizhoulianxibuduanyu3ci,dui“huangsede”cituchuyonghu,yizhoulianxibuduanyu2ci。
5.jishixingshuxicezhongdianxiaofeiquntijibenzhishidejibingtiaojianheshentijiankangguanlizhuangkuang。
6.duizhongdaleirengandongxinguanleibingduhuojichuzhishichuanranxingjibingjianshaodengdeqingkuang,bunenganquanjianchazhidao、yingduiyuzhuanzhen。
(二)體現省級重點人類型安全管理
♕dui“hong、huang、lv”guanjiandiankequnduiyingzhixing“yi、er、sanji”guanlixitongchanpin,dui“zhengchang”kequn,yangetuijin“qijichanpin”,zhuahaozhengchangjiaodao,ganhaozijidezhengchanggerenfanghu。dui“huanglvse”kequn,zaiyangetuijin“qijichanpin”dekuangjiatiaojianshang,duichengyangxingjushifangfagongzuoyuanzhixing“sanjizhiyezigezhengshuchanpin”,zhuahaokangyuanjianze、zhengchangpinggujishu、zhengchangzhixun、shiyongminglingdeng。dui“juhongse”kequn,zaiyangetuijin“yi、sanjizhiyezigezhengshuchanpin”kuangjiatiaojianshang,zhixing“sanjichanpin”,tupozhengchangpinggujishu,duipeiyuyanzhongdeguijuzhuanzhenducu。
san、zhulizhuahaotigaoweizhongzhengzaoqishihouchuxian、shoushuzhiliaoyuguodu
꧑geshiqushipinhuanbaoshentiweiyaozhiliyushi、qujijiuzhuanyeyishengzuzhandouli,zengqiangduijiedaobanshipinhuanbaogongzuogongsipeixunyupeixun,shizhongruyi“zaozhidao、zaogenzhi、zaoguodu”dejibenyuanze,genghaodifahuijiedaobanshipinhuanbaogongzuogongsi“guanzhayiwei”yongtu。
(一)落實新冠危重癥早顯示
ꦏgetebieqingjieweishengdefuwudanweiyitihuajucunwei,jinyibuqianghuaduixinguanzhanranzhedeanquanshujujianceqi,youweishizhongzhongzhizhongcunxiaofeizhezhanranzhe,zailuoshizeren“yi、er、san”jiguankongdejichukuangjialilunshang,yaozhongzhongzhizhongcunjinyibuqianghuaxinguanlinchuangzhengzhaoyujichukuangjialilunxingdejibinglinchuangzhengzhaofashengbianhuadeshujujianceqi。
🥀gaohaoduixinguanganhuazheyangdadaoshichuyuchengxianbaohezhuangtaizhuangtaizhuangtaidupinggu。gejiedaobanhuanweichanpinpingtaiyaozhuangbeizuliangdezhijiashijiezouxueyangyi(ruxiayouchengzhiyangyi),baochimeigejiedaobanhuanweichanpinguanligongzuozhongxinhefenguanligongzuozhongxinzuishaodezhuangbei20geshangwen、meigejiedaobanhuanweichanpinzhanhecunhuanweishizuishaodezhuangbeilianggeshangwen,meigejucunweizuishaodezhuangbei2geshangwen。xiangweimeigerenzhuanjiatuanduitupianzhuangbeiyixie deshuliangdezhiyangyi,guajiehaojucunweinengliang,jiangyangdadaoshichuyuchengxianbaohezhuangtaizhuangtaizhuangtaidupinggubeilieruzhongxinkehuqunganhuazheyibansuifangxiangguanneirong。gejiedaobanhuanweichanpinpingtaiyaojishifengongxiezuojucunwei,wei6wusuishangwenyouxinguanbingdumaganhuaweizhongfengxiancunzaiqiexingweizhuduobubiandezhongxinkehuqunlingquzhiyangyi,peixunjujiashenghuozhenduanxueyangdadaoshichuyuchengxianbaohezhuangtaizhuangtaizhuangtaidu。
(二)實施新冠危重早醫療
♑yaotuijinshi、quzhenliaoyouguanlingdaoxiaozuliliangtupian,kaizhanshequganjingweishengganjingweishengfuwubaozhangxitongduixinguanyingxiangzhexingzhenduihuanjie,baohanjiankangdalizhichi、yangliao、guashui、xiaoyuanziheyongyaozaishiyong、dajianputongjiatingbingfangdeng。
1.進一步提高性針對根治。📖geshiquhuanbaojiandudejiankangweiyaoyijiedaobanjingzhunchanpinxiangmuzhanjuweihuiyewuzhongyanghuanbaojianduyewuxuexiaoshoujipeizhibilibushihedegongyangguandai、gongyangguanpingbingqie zhiyangjidengjiqishebei,youxiaoquebaojishiweizhensuobuhuanbingzhe、jiatingzhuangxiuzhenzhihuanbingzhetigongyangliaohuogongyangguanguanzhuangshebeiyewu。gejiedaobanjingzhunchanpinxiangmuzhanjuweihuiyewuzhongyanghuanbaojianduyewuzhongyang、fenzhongyangjunyaoshezhichengzhensuobu“xiyangqu”;jiedaobanjingzhunchanpinxiangmuzhanjuweihuiyewuzhongyanghuanbaojianduyewuzhanyucunhuanbaojiandushidejibenzhengchanglaishuojunyaoheliliyongzongshutianjingchangkongjian,shoujipeizhigongyangguanguan,tigong“yangliao”yewu,gongyingzhuhubenshiyangliaoyewusuqiu。zhankaixiwuzhenzhi,gejiedaobanjingzhunchanpinxiangmuzhanjuweihuiyewuzhongyanghuanbaojianduyewuzhongyang、fenzhongyangdejibenzhengchanglaishuojunyaotigongxiwuzhenzhiyewu。tongshi,gaohaobingduxiedaizheyingxiangshiyong,zhidingshentishanshijiegoupingjiabiao,anshiyanshiguanlibiaozhungaohaojingmozhushedengfuwuyu,bimianbingqingbijiaozhongdeshihouzaochenganquanyinhuan。
2.立即采用抗蟲慢性毒藥物改善。𒁏duicezhongdianquntigandongzheshishipingjiazhibiao,zaishizhongxinzhuanyerenyuanzupeixunxia,duishiyongshoushuzhizhengdegandongzhe,jishidepeixunyongshentijieyaowu,zhenzhengzuodaojizaorenzhi。
3.寬裕充分利用中醫方法使用。🍌jianchibuxiezhongwaiyiqiehe、guojiankanganquanhunyong,jiaokuai“sanyaochengbaofang”dengzhongyaopeifangzaipingtaiqingjieguanligongnengyiyuandebiaozhunpeizhiheanquanshiyong。gepingtaiqingjieguanligongnengzhongjianyaozhongshixinguanxijunbingduchangjiandeqingkuang,quyuxiediaofazhan,bianzhengshizhi。daizhu“zao”“kuai”deyaoqiu,rangzhongyaochazaixinguanxinguanbingduxijunganranchuqitiqianjieruzhongyaozhiliaozhongyaozhiliao,kuaisudujueqingzhengquefaxiangqingxing、weiqingxingzhuangda。
(三)力促新冠危重癥早分離
1.盡快同意轉診✤。duixinguanlinchuangbiaoxianhuojichutiaojianxingjibingyanzhongdeganranzhe,gexiaoquganjingweishengbaozhangzhongxinde、jiatingshihushizuzhidouyaohao120jinjijiuyuanxianzhuanhuashenlvseanquantongdao,qingqiuyingxiangzheyaozhijiezhuanzhen。zheduiyubiaocengshouzhendebingqingbijiaozhongdeshihoubingren,yaoxunsuzhunquederenbie,butongzhenzhengzishen,yaozhijiegongyang,zhidingjijitaidujiuyuanfangan,yaoweihubingrenrendeyishengzhengxiangwenbu,zaiyihushipeibanxiayaozhijiezhuanzhen。
2.暢順交叉轉診。🃏gejuweiganjingfuwuxiangmuguanlizhongxindianyaojiezhuquyuhuafenxingyiyongguanlizhongxindian、yiliantishangyijiyisheng,liantongxinguanjijiushuangxianzhuanzhenchedao,gegequganjingshenxinjiankangwei、geyiyongjigouyaoquelizhibanrenyuandanrenzhuanzhenbumen,jianyihuabingqingbijiaozhongdeshihourenqunzhuanzhenliuchengtu,tigaozijizhuanzhensulv。yucitongshi,yaowanquangenghaodifahuiduanxinhuazhichengtixizuoyong,yongwuxiancaozuojiezhen、wuxiancaozuopinggudengfangshifangfa,shiguanrenqunshouhuoanshiyouxiaolvjijiu。
ꦰduixiaoquweishengjiandufangyishouhoudefuwubaozhangjigoushangzhuanxinguanyingxiangzhe,gengshiyaogewaizhongshishicezhongdianrenqundangyingxiangzhe,shangsibumenyiliaoyaochuangjianshouzhichuntianranrukoutongdao。zaishangsibumenyiliaogaodingjimanxingqikaizhanhou,tiaojianpingjingdeyingxiangzhekexiazhuandaoxiaoquweishengjiandufangyishouhoudefuwubaozhangjigoujianhushi,xiaoquyiwuzhigongyaoluxucanyuzhuanzhenbuzou,zuohaoshouhoudefuwubaozhangshigongzongchengbao。
♌mingquetichugonggonghuanbaojianjiankangbaojianweiyingshehuichengxiangzhengxingbaoxianzhuchengquneigegegegetebiebaozhangzhiliangyuzhanzhengxingbaozhangdanweichuangpushushuziyuande,huigenjuyouchayidengjitebiebaozhangzhiliangyuzhanzhengxingbaozhangdanweichuangpushushuzuoyongfenxi,chuanglishehuichengxiangzhengxingbaoxian、leibieanquancaozuodechangxiaojizhi,yaoshehuichengxiangzhengxingbaoxianrangzhuchengquneigegegegetebiebaozhangzhiliangyuzhanzhengxingbaozhangdanweiyiwugongzuorenyuan,pingjiexiapaiqianzhi、xinlaijiaojiedengfangshi,zhijitebiebaozhangzhiliangyuzhangonggonghuanbaojianbaozhangzhiliangyuzhongxinzhenshibaozhangzhiliangyu。huanyongyoubingfangdetebiebaozhangzhiliangyuzhangonggonghuanbaojianbaozhangzhiliangyuzhongxin,jinjieduanzhong,chuangpushushuanquancaozuolvyingzuodao95%zongshangsuoshu,weishebeibingfangdetebiebaozhangzhiliangyuzhangonggonghuanbaojianbaozhangzhiliangyuzhongxin,duishiyongyuanzedepifubingduganranzhe,yingpingjiejiayongbingfangjutixuqiujiatingshenghuozhiliaojutixuqiu。
si、quanmiantishengshequfuwuzhongxinzhongdiankehuquntizhiliaoziyuanliangtongdenghechengqibaojiahuhang
(一)更加充分依賴街鎮網格化維護系統
⛎gepingtaianquanfangyichanpinbaozhangzhiliangzhongxindeyaozhudongdilianjiegejiezhen、jucunwei,youxiaotuidongjiezhenwanggehuafangfaxitongyuanze,shulijiezhen、jucunweiweizhudaoyingxiang,tixianduizhongdianyonghupingtaifangfaxitong,jinyibuqianghuajiankangjiancefanganyudedongtaichanpinbaozhangzhiliang。tuidong“pingtai3renxiezuozu”debenzhigongzuoyuanze,tixianduizhongdianyonghudebaobaozhao。gepingtaianquanfangyichanpinbaozhangzhiliangzuzhi yaojijipeihejiezhen,jiasheanzhaoqufangzhibandebenzhigongzuoanpai,jinyibuqianghuaduigaolinglaodaye、youyijuxingjibingrenzhedengweizhongzhenggaoanquanyinhuanyonghuhekunnanhaitongdengyonghu“jiankangbao”fenfa,xietonggongzuojucunwei,jinyibuqianghuaduiyigerenzhulaodaye、jinyuzhicanhaizizhijianzhunianlingjiaodaderendeshenghuozhao。
(二)增進部位醫療保健資源共享統等作為支撐點
🐬gedigonggongqingjiexueanquanweiyaopinghengfengjingquneidangxiazhiliaozhongjiejigouyiwuyuangong,yijuxifenxunzhen、yuangongpaizhu、shuliyuanchengguanlizhiliaoyoushihubuwangdengxingshi,manzujibenzhiliaogonggongqingjiexuezhongjiejigouderenyuanbugouhuati,quebaoanquanshengchanshequnxinguanchuzhigongnengxiangmudeshunchangzuzhiluoshi。jiezhuxianchengyoujichuzhizhongyipingshenzuheshangjibumenzhiliaozhongjiejigouyouguanxixunhuifangtantigangzhiduhua,duishequngonggongqingjiexuegongnengxiangmudezhongjiejigouzuzhiluoshijimufangtantigang,peixunjiaoyujibenyiwuyuangongbiaozhunhuadongyongxiaodafenziyaohezhongyaocai“sanyaochengbaofang”,yicongertigaojibenfangbingqingbijiaozhongdeshihougongzuonengli。quanmiantishengzhiliaoqiangjiuziyuanpingheng,zengqiangzhiliaoqiangjiucheliangyuqiannengxingneng,weishequngonggongqingjiexuegongnengxiangmudezhong、jiatingyakeyishengweishangtuanduishulizeyouyunsongtonglu。
(三)抓好基成醫務師教育培訓
൲pingjieshineierjiyizhiguoyizhuanjiatuan,jianligongxingjicengyiyuanshidangjujiyiwuchengyuanxuexikefangshi,shishiditui、ditui、tongchouxiediaoyiyuanzhuanjiaxiacengdaijiaodenghenduoxuexike。chedideliyonglvdiqu、dishijidengguangyuxuexikeziyuanliang,genghaodijujijicengyiyuanshidangjujiyiwuchengyuanbaomingxuexike。buduanjiaqiangchouyangjiancha,yangezhixingxuexikeyejikaohe,tigaorenshixuexikechengxiao,shijicengyiyuanshidangjujiyiwuchengyuan(shoulunongcunshequyishengzhuanjia)zaiduanqixianneineiluhuochunqingshulianxinguanzhongzhongzhizhongxiaofeizhedingjifenleizhenglichanpingongyi、yingxiangchuqizhengzhuangtanjiu、yingxiangzhejiajuzhilihekaizhan、guoyiyaoyeyizhihequanyuyiliaojigou、diyangxuezhengqianmiandezhi、qixinantidegupinghezhenzhigongyi、zhiyangyidedeshiyongde、zuizhongyaozhuanzhenxiguanzhengbingqiexiaoyuanziheyaojidexiguanzhengheheshideshiyongdegongyideng。
(四)進一步加強新冠診治油料基本保障
💧gedihuanweijiankangdeweiyaoanzhaoqijiedaoshequhuanweibaohuxuexiao、cunhuanweishibaohurenshu、zhongzhongzhizhongzhongrendishudengwenti,peizujiuzhuziyuanchangjiazhixiao,huanbaokuofaredeyuanyincaozuozhongyaocaiyinpian、zhongyaocai、kangyuanceshihuaxueshiji、kangbinglijieyaoji、zhiyangyideng,bingrongrujiedaoshequganhuazhegeshubian,dongtaixingdongdediaozhengcunchuliang,baohuziyuanchangjiazhixiaocunchuliang。ziranbuweiyuan、daolujiaotongbushidejiedaoshequhuanweibaohuxuexiao、cunhuanweishiyaotiqianjiaochangdeshijianlaizhunquedeyujingchudizhendefashengbeizuzhenliaoyaojihefangyiziyuanchangjiazhixiao。zhiliyujiedaoshequ、jucunwei,yuyiliaobaojianzuzhijigou、zhongyaofangdengzhidadianyu,anzhaoqixianchangdouyaoshiliangxiangweixiangcunquyuwaixiechangjiazhixiaojiuzhuziyuanchangjiazhixiao。
(五)及時控制工做最新
💎geshiquqingjieqingjieweishenglvseweiyaojianchizuihaoshequjuweihuiwangzhanqingjieqingjieweishengtigongtiexinfuwudeqiyebenzhibangong、tigongtiexinfuwudeshiqinghezengrongshiqingdengdededongtaijiancezhan,suishizhengquezhangwoshequjuweihuiwangzhanfarezenmebanyiyongshiqing、yiyaoheshebeicunchuzaishiyongshiqing、zhongdiancunleirentigongtiexinfuwudeshiqingdeng,duishixiaqubenzhibangongchanshengyixiewentihuobenzhibangongjiaochadediersuishidiaoyong。youxiaochongfendechongfenhelideshiyonglecheliangkongjianqiyexinxineironghuaxitong,tishengbenzhibangongxiaoying,keyijianshaonongcunjicengfushui,anshishangchuandiqu、dishijixuyaodedededongtaishujufenxiheqiyexinxineirong。
(六)增進社區衛生醫務者噓寒問暖關愛留守兒童
🌳gexianquhuanweiyingyangweiyaoqingliguanchezhixingguoheshanghaishiyouguanyukaolvguanxinyiwurenqunanquancuoshi,qieshijiaqiangduitebiebaozhangpeixunyuzhanhuanweibaozhangpeixunyuzhongxindezhichengbaohu。shiyikexueanpaiyuanpaitebiebaozhangpeixunyuzhanyiwurenqun,zhunbeihaoyiwurenqunrizibaozhangpeixunyuhehouqinbumenbaohu。anzhidingguanchezhixingduitebiebaozhangpeixunyuzhanyiwurenqunbutiefeiyuxiaojiatingyakeyishengqianshubaozhangpeixunyufeiyixiaxingzhuandingshiyezhuanxiangzijin,jifatebiebaozhangpeixunyuzhanyiwurenqunzhoushufukaishitebiebaozhangpeixunyuzhanxinguanzhenliaoshiye。
(七)搞好工作貫徹和工作檢查判斷
🗹gexianquanquanweishengjiankangbaoyangweiyaojinyibudalijiaqiangtuantilingdaoren,cengcengzhuazhuahaoyashixishufuze,quedinggangweifuzehediaoyurichangrenwuanpai,dedaobaozhangrichangrenwudejingjitiaojian。yaojinyibudalijiaqiangduiqujirichangrenwudetuijinxianzhuangbaogaobaogaohefuzezhuahaoxianzhuangbaogaobaogaodeducha,quelirichangrenwudetaizhang,shishidiaoyurichangrenwucaidan、guzhangcaidan、fuzecaidan。yaojiangxianjingaohaojichuzhongxinleirendongtaixingyewu、jinjie“baoyangkangbaoyang、fangweizhongzheng”geleirichangrenwudetuijinxianzhuangbaogaobaogaohequdechengxiaoyuguanlianzhongxinrichangrenwudedepanduan、dezijinzhongxinfenpei、pingxianbiaozhangdengxiangguagou,zhulichongfendiaodongpanduanjianglijieguodaoxiangdezuoyong。
tianjinshiweishengjiandujiankangfenweihuihui
🅰 2023nian5yue8ri