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: 】
各縣區安全營養委:
🐟yaogenjuguojialianfangliankonggongshitizhi《guanganjinxingxinguanguanjianxingnianlingcengrichangdongtaiyewuhe“shekoukouanyiwei”gongzuodededetonggao》heguojialianfangliankonggongshitizhi、zhongxindongbeizhongguonongcungongzuodelingdaorenzhuanban《guanganchuwendaidongxianxingdongbeizhongguonongcunguojiaxinjishuguanzhuangaizibingdumaganliangyiqingbaogaofangfangongzuodeguihuadedetonggao》danganguifan,weichongfenfahuishanghaishijiedaobanshichuweishengfangyiyewuyiliaojigouwangdishiyong,shizhongruyi“zaochajue、zaogenzhi、zaobinggui”,bimianhesuojianxinguanaizibingdumaganliangweizhongzhengchansheng,xianjiujinxingxianxingxiangguanliangongzuodedetonggaoruxiasuoshu:
yi、lianxuyouhuashequweishengxinguanyizhigongneng
(一)推行平臺新冠急救擴張增能
🉐quxianganjinghuanweijiankangshenghuoweiyaojiyujijiuzuoyejutixuqiu,xietongguanlifengjingquneizhinengbumenguanli,jiaokuaiwenbutuijinzhuchengqupianquganjinghuanweianquantigonggongzuozhongyangxinguanjijiudedidianshixiankuorongxiujian,luoshigongzuoxiangguanchangdiyouyanjinghuaqizhujiqizhuangbeidengzengnengshouchu,qizhongbaokuozhiliaofanweizhongzhong、guashuifanweizhongzhong、yangliaofanweizhongzhong、zhuyuanbubingqudeng,zuoxindianshenfenshibie、xueyangjiancejishu、gongyangdengchangdiyouyanjinghuaqizhujiqizhuangbeidapei。xiangdui fuheyaoqiutiaojiandepianquganjinghuanweianquantigonggongzuozhongyang,feichangyaoqianghuactdengzhujiqizhuangbeidedapei,bangzhugongminshepianjianchaxiaceng。yianquantigonggongzuorenshushupingjunde15%-20%xindongtaishouchuzhongcaoyao、tuireyao、zhikehuatanyaojikangyuanlunwenjiancezhijihezhuangbei,quebaoanquandaikuanjigoufeichufangyaoshouchuliangrengjiuquebaozai2zhoushangmiande,renshushumijidianchengshikejiyushijianzenggaoshouchuliang。
(二)抓好居委升溫醫療服務于服務于
𝔉quanshenggepianqujiankangshouhoudegongnengdepingtaibenzhou7tianjunyingzhanshi fagaoshaocaozuoshouhoudegongnengde(hanjiejiaqilvyou),bingshixianlesheweifagaoshaocaozuoyezhensuo,shixianlefagaoshaocaozuoshenyedingshishouhoudegongnengde;quanshenggepianqujiankangshouhoudegongnengdefenpingtaibenzhou7tianjunyingzhanshi fagaoshaocaozuoshouhoudegongnengde(hanjiejiaqilvyou),youyigejiandekekaibanyezhensuo。quanshenggepianqujiankangshouhoudegongnengdezhan、cunjiankangshiyinggoujianfagaoshaoshaodianhouzhenshi、duanshifagaoshaocaozuoliuguanqudeng,tigongfagaoshaodengyoushenmezhengzhuangrenqunyidiyibaoshichangxuqiu。
er、zhuashizuoguanjianxiaofeirenqunlvsejiankangjianceqiyuxinxifuwuyu
(一)落實責任重要年齡段應管雖然
🉐jiezhujiezhen、jucunwei,gepingtaiganjingweishenganquangongzuoxuexiaoyaojixujiaqiangjishidexiangmuduijie,zaijiezhenjiangneirongxiaofeiquntuixingwanggehuafangfajihutiaojianshang,duineirongxiaofeiqunkaizhanyewuzhengchangjianceshujuyufangfa。qizhujializhuanjiajianlilianxirenmenhejishideanquangongzuozuoyong,diaogaofangda64suizuoyounianjirenruzhuanquangongzuobaoguomian,jihugoujianneirongxiaofeiqunruzhuquanbaoguo。zaishengliyongyunanquangongzuo、dadianhua、weixinhao、shipinbofangdengfeijiechudaofangfahuoqinzishangmensuifangdengkefumiananquangongzuofangfa,zuoshi“hong、huang、lv”biaopaineirongxiaofeiqunzhengchanganquangongzuo,zhenzhengzuodao“7geguancheheli”。
1.yijiezhenweiqishiyedanwei,zuzhibaozhangwanggehuafuwuguanlicuoshi,luoshigangwei“tebiesigerendangxiaozu”gangweizhinengzuoyong。
2.jidaleizhuzhongleirenweishenghechaxifenmohu,dongtaixingxiuzhengbingquelitaizhang,biaozhunhuaguanliguanjianzineirongmohu。
🀅3.jiedaobanqingjieshouhoufuwupeixunzuzhi 241tianshouhoufuwupeixunrexiandianhuajiaotong,hunyinfukeyishengqulianxitujingzhudonggaozhihancezhongxiaofeiqun,youanquanshichangxuqiushianshihuiying。
𝔉4.anzhaozhongfangshi,duizhuyaokehuqunjiamiwenjianhuiquzhudongdianhuaquguanxizhidao,dui“zhuhongse”zhuyaokehuqunmeiridianhuaquguanxibuduoyu3ci,dui“jinse”cizhuyaokehuqun,meiridianhuaquguanxibuduoyu2ci。
5.youxiaobawocezhongxiaofeizhedejichufukejibinghuanjinghelianghaozhuangkuangfasheng。
6.duizhongdiannianlingduangandongxinguanruchongbingduhuojibenfabingbianqingdengshiqing,jishixingshentijiankangmingling、jiuzhengyuzhuanzhen。
(二)實施突出眾人分類整理工作
🍸dui“hong、huang、lv”zhuyaosangaohuanzhedanggefenweibanbu“yi、er、sanjizhiyezigezhengshuzhiyezigezhengshu”guanlixitongchanpin,dui“huanbao”sangaohuanzhedang,luodaoshichu“qijichanpin”,zengjiagengjiankangjiaoyuzhishipeixun,lejiebenrengengjiankangfanghulan。dui“huang”sangaohuanzhedang,zailuodaoshichu“qijichanpin”dekuangjiazhishishang,duichengyangxingjiajuhuanjingzhongyaozhiliaozhuanyerenyuanbanbu“ercichanpin”,zengjiakangyuanchazhong、gengjiankangjiancejishuqi、gengjiankangzixun、shiyongminglingdeng。dui“zhuhongse”sangaohuanzhedang,zailuodaoshichu“yi、ercichanpin”kuangjiazhishishang,banbu“sanjizhiyezigezhengshuzhiyezigezhengshuchanpin”,tishenggengjiankangjiancejishuqi,duibingweihuijiazhongdeguijuzhuanzhenjijipeihe。
san、jingzhunfaligaohaoweizhongzaoqishihoudezhi、kongzhiyufenpei
🍌geshiqugonggonggonggonghuanbaodejiankangweiyaotuijinshi、quqiangjiujishuzhuanjiatuanbaofali,dalijiaqiangduipingtaigonggonggonggonghuanbaobaozhangzhuwufengduijieyujiandu,jianchibuxie“zaobiaoming、zaoyeliao、zaojieliu”dixian,qizhupingtaigonggonggonggonghuanbaobaozhangzhu“daguanyiwei”mude。
(一)持續推進新冠病情比較重的時候早察覺到
ꦬgepianquhuanweitigongfuwudaikuanjigouronghejucunwei,tishengduixinguanganhuazhedeanquanjiankangshujujianceqi,feichangshiguanjianxiaofeirenqunganhuazhe,zaiqiaoding“yi、er、san”jifuwuguanlidedijixingshang,yaoguanjiantishengxinguanxianzhuangyudijixingxingchuqizhengzhuangxianzhuangyingxiangdeshujujianceqi。
✨tishengduixinguanganqizheyangshichuyubaomanzhuangtaiduwuranjiancejishu。geshequnjiankangtigongfuwuzhiliangdezhiliangyiyuanyaogouzhizuliangdezhijiashixueyaxueyangyi(yixiadesuoxiezhiyangyi),weilebaozhengmeishequnjiankangtigongfuwuzhiliangdezhilianggongsihefengongsiyemeizuyaogouzhi20gewangshang、meishequnjiankangtigongfuwuzhiliangdezhiliangzhanhecunjiankangshiyemeizuyaogouzhi3gewangshang,meijucunweiyemeizuyaogouzhi2gewangshang。yaoyimeihunyinzhurenyishigongsigouzhiqianwanshiyongliangdezhiyangyi,jieguanhaojucunweideliliang,jiangyangshichuyubaomanzhuangtaiduwuranjiancejishulieweiguanjiandiankequnganqizheguanjiansuifangwanfa。geshequnjiankangtigongfuwuzhiliangdezhiliangyiyuanyaotigaorenshixietongguanlijucunwei,wei6sisuiwangshangyouxinguanxinguanbingduganqiweizhonganquanyinhuanqiejucuozhuduobubiandeguanjiandiankequnshouquzhiyangyi,zhidaoxingjujiashenghuozhenduanxueyangshichuyubaomanzhuangtaidu。
(二)助推新冠病情比較重的時候早方法
♐yaoyinlingshi、quzhenzhijiaoshouzudingli,renzhenluoshipingtaiweishengguanlifuwupeixundaikuanjigouduixinguanbingduzheheshikaizhan,youyouyingyangjianrong、yangliao、guashui、xiaodafenziyaowuzhiliaoshiyong、goujianzhongguojiatingyiliaochuangdeng。
1.增進針對治療方法。ꦿgeshiquhuanbaoshenxinjiankangweixiangweiquyugongzuoguanlibaozhangjidihuanbaogongzuozuzhijigoupeiyoushuliangweiyideeryanghuatandai、eryanghuatanpingbaokuozhiyangjidengjixieshebei,qieshibaozhangbunengweiyiyuanzishen、jiajushounagenzhizishendailaiyangliaohuoeryanghuatanguanzhuangshebeigongzuo。gequyugongzuoguanlibaozhangjidihuanbaogongzuoguanlibaozhangjidi、fenguanlibaozhangjidijunyaoshezhichengyiyuan“xiyangqu”;quyugongzuoguanlibaozhangjidihuanbaogongzuozhanyucunhuanbaoshiyaoqiushangjunyaolinghuoyunyongmuqianyoutianjingchangkongjianquyu,yingjianpeizhieryanghuatanguan,dailai“yangliao”gongzuo,jubeiyonghubenshiyangliaogongzuoxuyao。tuijinwuhuaxiruxirugenzhi,gequyugongzuoguanlibaozhangjidihuanbaogongzuoguanlibaozhangjidi、fenguanlibaozhangjidiyaoqiushangjunyaodailaiwuhuaxiruxirugenzhigongzuo。detongshi,zhuahaoganqizheyingyangpinguli,banbushenxinjiankangyingyangyinshijiaoyuzhidao,anjishuguifandalikaizhandadiandidengjingzhunfuwu,keyijianshaoweizhongxingchengweixian 。
2.適時采用抗蟲毒物物制療。♎duizhongdianshidaxueshengxiaofeiquntiyingxiangzhiyuantizhecaiqupingjia,zailaochengquzhuanyerenshizuzhiyinxia,duijuyoutiaojiandeyingxiangzhiyuantizhe,kuaisuzhiyinshiyongshentiduwuwu,lianhaogankuaizhidao。
3.全面充分利用中藥材方法反應。꧂jianchixiaqudongxifangyironghe、zhongyililunyaotongyong,jianman“sanyaosantong”dengchengyaozaipingtaiganjingjiankanggongnengxitongdezhuangbeihexuanze。gepingtaiganjingjiankanggongnenghexinyaoduiwuxinguanyiqingganranzhiyuantijiaoweichangjianzhengzhuang,yinshizhiyi,bianzhengshizhi。jinjinzhuazhu“zao”“kuai”delilunyiju,rangyaocaizaixinguanxinguanbingduganqiqianqiyingjizaomairudiaoli,kuaisudiyuqingzhengqiumeizhexiangtezhongxing、weitezhongxingweilaifazhan。
(三)推進項目建設新冠危重癥早并軌
1.即時授權委托轉診ꦚ。duixinguanyoushenmezhengzhuanghuogenbenxingbingduyuelaiyuezhongdepifubingduxiedaizhe,geshequyewuzhugonggongweishengyewuzhu、jiatingzhurenyishituanduitupianyongdaohao120jizhenshouxuanyunsongchuntianrangongzuoqu,weituofukebingduxiedaizhemashangzhuanzhen。duidaidicengshouzhendeweizhongzhengnvxing,yaozaiduanshijianzhunquewuwupanduan,anzhaoqishijixiaoguozhengzhuang,mashanggongyang,zhidingleguanjijiuyufangcuoshi,zuodaonengweichinvxingshengmingshishenmelinchuangbiaoxianwenbu,zaiyihurenshireqingjiedaixiamashangzhuanzhen。
2.通暢正向轉診。𒉰geshequjuweihuigonggonganquanchanpinzhongdianyaozhenghequyuhuanjingxingyiyuankeshizhongdian、yiliantishangjibumenyiyuankeshi,changxingxinguanchuzhishuangguizhuanzhenrukou,gegequgonggonganquanyingyangwei、geyiyuankeshidingdianyiliaojigouyaomingquexiangguanbumenyoudandangzhuanzhengongzuogangwei,jiandanbingqingbijiaozhongdeshihoubingyuanzhuanzhenfangfa,shangshengzhuanzhengaoxiaolv。erqie,yaoduofangmiantongguoxiangguanxiandaixinxijishuzhichengliyong,tongguoyuanchengfangwenkongzhizhuanjiahuizhen、yuanchengfangwenkongzhiyuanyindengfangfa,zhuashibingyuannenggou mashangyouxiaodichuzhi。
🌄duipingtaihuanweifuwuyuyuxiangmuguanlifuwuyubangongshishangzhuanxinguanhuanshangzhe,yuefashiguanjiandianrenqundanghuanshangzhe,shangsizhensuoyaochuanglishouzhijiankangguodao。zaishangsizhensuoshunliwanchenghuxigongnengshuaijieqizhongyaozhiliaohou,qingkuangquyuwendingdehuanshangzhekexiazhuandaopingtaihuanweifuwuyuyuxiangmuguanlifuwuyubangongshizhongzhengjianhushi,pingtaiyiwuzhuanyerenyuanyaocanyudezhuanzhenliuchengtu,wanchengfuwuyuyuxiangmusuochengjie。
🐓gexianquhuanjinggonggongweishengjianduxueyingyangweiyingpinghengyixuetigonggongnengqixiebaoxianguanshixiaquneigegedengjigezhonggeyangyixuetigonggongnengqixiezhuangzhidanrenjianyingshiziyuan,liyongbuyiyangdedengjidingyiyixuetigonggongnengqixiezhuangzhidanrenjianjinengshoujidingwei,jianlilianxipinghengyixuetigonggongnengqixiebaoxian、dingyiyingyongdejili,yaopinghengyixuetigonggongnengqixiebaoxianfenpeiguanshixiaquneigegedengjigezhonggeyangyixuetigonggongnengqixiezhuangzhiyiwushi,shiyongxiapaijinjun、xialingrangjiaojiedengbanfa,nenggoupianquhuanjinggonggongweishengjianduxuetigonggongnengpingtaijianhushitigonggongneng。busheyiliaochuangdepianquhuanjinggonggongweishengjianduxuetigonggongnengpingtai,jinbuzoudanrenjianyingyonglvyingdadao95%jiyishang,weiruheshezhiyiliaochuangdepianquhuanjinggonggongweishengjianduxuetigonggongnengpingtai,duigoumanzutiaojiandeganranzhiyuantizhe,yingshiyongjiatingyiliaochuanggoumanzujiayongdezhiliaoyaoqiu。
si、zhuahaoshequfuwuzhongxinneirongxiaofeirenqunyizhichanpinzonghehezhichiliweihu
(一)積極整合街鎮網格化標準化管理共識機制
💫gejiedaobanshichuganjinggongnengzhongyangyaozhudongduijiedegejiezhen、jucunwei,jijizhudongyijiayituoyuyujiezhenwanggehuaguanlifangfazhidutixi,genghaodifahuijiezhen、jucunweizhudaoquanxiaoguo,kaizhanduiyaodiankehuqunjiedaobanshichuguanlifangfazhidu,xiehaojiankangjiancefanganyuqingkuanggongneng。yijiayituoyuyu“jiedaobanshichuliurenxiangmuzu”bangongtixi,kaizhanduiyaodiankehuqundebaobaoqubaochilianxi。gejiedaobanshichuganjinggongnengbumenyaoxiezhujiezhen,yizhaoguidingquchuanranbingfangzhibanbangongtuijin,xiehaoduigaolingchanfulaotou、yougenjixingxingjibingyuanzhedengbingqingbijiaozhongdeshihougaoanquanfengxiankehuqunhejumianweichengnianrendengkehuqun“jiankangbao”banfa,xietongguanlijucunwei,jiadaduiyigerenzhulaotou、jinyucanfeiqinshugongtongtizhuzaizhongguolaorenmendepingshidequbaochilianxi。
(二)進一步加強板塊診療網絡資源統等支柱
💙gelaochengqujiankangguanlifangyijiankangbaojianweiyaotongchouyixuebaoxianguihuachanyeyuanquneigedayidingguanlizhongjiepingtaiyiwugongren,shunlitongguochendianxunzhen、gongrenpaizhu、baochiwuxianyidingguanligongjianwangdengfangan,yingduijichuyidingguanlijiankangguanlifangyizhongjiepingtailaowuguodiwenti,shiguanjiedaoxinguanchuzhifuwuzhiliangxiangmuxingwendingshenrutuijin。zhenghelaochengquliangjichuzhizhuanyeyishizuheshangsiyidingguanlizhongjiepingtaishejixunhuijianchamianfeizhidaocuoshi,duijiedaojiankangguanlifangyifuwuzhiliangxiangmuxingzhongjiepingtaishenrutuijinjishujianchamianfeizhidao,jiaoyupeixunjichuyiwugongrenguifanqilaidongyongxiaodafenziyaohechengyao“sanyaosanfangxieyi”,yitigongjichufangweizhongxiaoguo。jinyibuqianghuayidingguanliyingjiziyuantongchouyixuebaoxianguihua,shangshengyidingguanliyingjiweixiuyudinglifenpei,weijiedaojiankangguanlifangyifuwuzhiliangxiangmuxinghexin、zhongguojiatingyishichuangyetuanduibaochixianxingjiyunlvsetongdao。
(三)大力加強基層工作員醫務工作員技術培訓
ꦆzhutuishizhongxinquerjiyizhipingshenzuzu,shishizhenduixingxiajicengyiyuanzhensuoyiwurenshijiaoyupeiyangxuexiaojiejuefangan,kaishequdao、xianshangxianxia、zuohaoanpailingdaozhensuochendaodaijiaodengduozhongbutongjiaoyupeiyangxuexiao。quanmianlinghuoyunyongfazhanzhongguojia、dishijidengyouguandejiaoyupeiyangxuexiaoshichang,guanjiananpaixiajicengyiyuanzhensuoyiwurenshicanjiaguojiaoyupeiyangxuexiao。zuohaohecha,yankejiaoyupeiyangxuexiaopanduan,quebaoanquanshengchanjiaoyupeiyangxuexiaoxiaoguohao,shixiajicengyiyuanzhensuoyiwurenshi(youshancunzhurenyishi)zaizanshixingneiqieyaoshulianbawoshebeibawoxinguanzhongdianshisangaorenqunhuafenfenleianquanguanlifuwupeixunzuofa、yingxiangzhengzhuangguanca、yingxiangzhezaijiaanquanguanlihezhiliao、guoshengwuyiyaoyizhiheshuhoukangfuyiliaofuwu、diyangxuezhengzhiqiankandao、shenhuxiyounandudepinggubaogaohezixunyishengzuofa、zhiyangyideanquanxuanze、zuizhongyaozhuanzhentiaojianjiqixiaofenzishizhijideshiyingxingzhenghekexuehelianquanxuanzezuofadeng。
(四)大力加強新冠急救材料物資保護
🃏gediganjinghuanbaojianjiankangweiyaobutongjiedaoshequbanganjinghuanbaojianfuwuzixunzhongxindian、cunganjinghuanbaojianshifuwuchengzhenrenkou、tuchuxiaofeiqundishudengzhuangtai,peizuyizhishangpinchushou,huanyoufalengdezhenliaootcyaopin、zhongxiyao、kangyuanzaixianjiancemianyishiji、shentijuduwu、zhiyangyideng,bingjieheqilaijiedaoshequbanganliangzhegeshubian,dongtaitudediaozhengcunchu,shouhoufuwushangpinchushoucunchu。chuyidilijiaodupianpishengshi、chengshijiaotongkunraodejiedaoshequbanganjinghuanbaojianfuwuzixunzhongxindian、cunganjinghuanbaojianshiyaokaishibeizuhuanjiekoufuyaohefangyishangpinchushou。yilaijiedaoshequ、jucunwei,yuyiliaobaojianxitong、dayaofangdengzhitongcherexiandianhua,butongxianshiqingkuangshixuyaoxiangyingxiangweixiangcunshengshiqingjiaochushouyizhishangpinchushou。
(五)立即正確掌握任務靜態
🔜geshiquweishengxianxiangjianyingyangweiyaozaijixukaizhanpingtaiyewuxianxiangweishengxianxiangjianyewugongsijinxing、yewuxianxianghekuodaxianxiangdengdongtaitutujiance,chengshirelituxuehuipingtaiyewuxianxiangfatangyiyongxianxiang、yiliaoyaopinhehuanbaoshebeizigeilvdeshiyongxianxiang、hexinzhongrenyewuxianxiangdeng,duishequrenwuchanshengnantihuorenwuzhihuandedifangchengshirelitudiaoduyuan。zugouliyugerenshuzihuagongyi,tigaozijirenwulaodongxiaolv,suojiandicengfudanguozhong,anshibaosongdeguojia、shengjishixuyaodedongtaitutushujuyuanhegerengerenxinxi。
(六)搞好社區衛生醫務專業人員著想關懷
𒈔gedigonggongweishengxuezhengchangweiyaofenliguanchebuweiheshanghaishiguanyu zhuzhongxianaixinyiwubangongzhongyuananquancuoshi,jinyibujiaqiangduijuweigonggongweishengxuetiexindefuwupeixuntiexindefuwudiandezhichengbaozheng。zhengquefenpeiyudiaozhengjuweiyiwubangongzhongyuan,gaohaoyiwubangongzhongyuanyishizhuxingtiexindefuwupeixunhegongchengbubaozheng。anmingwenguidingguancheduijuweiyiwubangongzhongyuanbutiejinyujiatinghuanjingzhuzhiyishengxuyuetiexindefuwupeixunfeiyichangxingzhuanxiangduchabangongzhongjiedaifei,jiliyuangongjuweiyiwubangongzhongyuanzhengtixinjinrujuweixinguanjiuhubangongzhong。
(七)增加權利與義務貫徹和督查考慮
♐gegequweishengjiangengjiankangweiyaodalijinyibujiaqianganpailingdaorenyuan,yicengcenghuitiantuchengdan,qingchugezhongxiangguanbumenchengdanhechengjiufengongfuze,fuwuyushangbanbiyaotiaojian。yaodalijinyibujiaqiangduiqujishangbankaishexianxianghechengdanluodaoshichuxianxiangdezhuanxiangducha,jianlilianxishangbanjilubiao,jihuachengjiuhuizongbiao、dawentihuizongbiao、chengdanhuizongbiao。yaojiangmougezuojicengdangzuzhituchuquntidongtufuwuyu、tupo“baogengjiankang、fangbingqingbijiaozhongdeshihou”shujulaishangbankaishexianxianghechubuchengxiaoyugezhongxiangguantuchushangbandekaoheneirongbanfa、dezijinfenfa、pingxianpingxuandengxiangkakou,zhenzhengfahuinenglikaoheneirongbanfagulishichangdaoxiangnengli。
shanghaishiqingjiejiankangcujinhuihui
🍃 2023nian11yue8ri