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: 】
geshiquweishengqingkuangjiankangdewei:
ꦡgeichuguowuyuanwenshuwenshulianfangliankongcelve《jieshaozhunbeihaoxinguanguanjiandianxiaofeizhededongtaishouhoutiexinfuwuhe“daguanshangyi”benzhishangbandexiaoxi》heguowuyuanwenshuwenshulianfangliankongcelve、zhongyangjunshicunlijianshebenzhishangbanguanlizhexiangmuzu《jieshaoguowuyuandaidongmuqiancunlijianshezhongbeibuxinshiquanguanzhuangaizibingduyounaxiechuanranyiqingbaogaofanghubenzhishangbanjiejuefangandexiaoxi》wenshuteshuyaoqiu,weiqizhubendijuweiweishengxueshouhoutiexinfuwuzuzhi wangdishiyong,weichi“zaochuxian、zaodezhiliao、zaofenke”,fanghuhexuejianxinguanaizibingduyounaxiechuanranbingqingbijiaozhongdeshihouzaicifasheng,xianjiuzhunbeihaomuqianshejidaodebenzhishangbanxiaoxiyixiade:
yi、buduanshengjiangshequweishengxinguanjiuhubenshi
(一)全面推進街道辦新冠救助擴充增能
ꦑgeshiquqingjiezhengchangweiyaojiyuqiangjiucaozuoyaoqiu,xietongguanlizhurenquzhongyaoxinggangwei,suoduantuixingshixiaqujiedaojuweihuiqingjietigongtigongfuwuyuguanlihexinxinguanqiangjiuchanghezengrongkaifa,luoshigongzuozhongyaoxingcuoshixitongdengzengnengbaozhang,yijiyiliaokongjian、jingmozhushekongjian、yangliaokongjian、chanfangbingqudeng,ganhaoxindianjianguan、xueyangjiancezhan、gongyangdengcuoshixitongduo。xiangduiyushiheshuipingdejiedaojuweihuiqingjietigongtigongfuwuyuguanlihexin,feichangyaoqianghuactdengxitongdeduo,shudaozhurenshepiantijianhuixiachendaoyouzhajide。tongguotigongtigongfuwuyurenshutongjishumude15%-20%jishuxingbaozhangzhongcaoyao、tuireyao、zhikesouyaojikangyuanjianyanshiyanshijihetianzhi,henzhuagongsizhijibaozhangliangzhongjiuzuodaozai2zhoushangmian,renshutongjijizhongdiduankejiyuyuqiduobaozhangliang。
(二)切實加強街道發冷醫用安全服務
♌woshigeshequnqingjiefuwuzhuyizhouyizhoujunyingdailaiqirekouqiangkouqiangyiliaogongnengzhiliangfuwu(hanjiegangwan),bingyongruheshezhiqirekouqiangkouqiangyiliaogongnengzhiliangyeyiyuan,bianxianqirekouqiangkouqiangyiliaogongnengzhiliangshenyedingshiqifuwu;woshigeshequnqingjiefuwufenzhuyizhouyizhoujunyingdailaiqirekouqiangkouqiangyiliaogongnengzhiliangfuwu(hanjiegangwan),youyijiandekechuangbanyeyiyuan。woshigeshequnqingjiefuwuzhan、cunqingjieshiyingtuidongqireshaodianbingshi、linshisheshiqirekouqiangkouqiangyiliaogongnengzhiliangliuguanqudeng,jubeiqiredengbingzhengwomenjiuyiliuchengshijixuqiu。
er、laogutiqianzuohaozhongdiancunrenmenshentijianceyudongtaitugongzuo
(一)抓好側重點三高人群應管就算
൩yifujiezhen、jucunwei,geshequwangzhanweishengqingkuanggongzuodezhongxinjuyaojinyibujiaqiangzizhudediwufengduijie,zaijiezhenjiangcezhongsangaobaixinghuaweiwanggehuachulitiaojianshang,duicezhongsangaobaixingdalikaizhanwendingjianceyuchuli。zhanxianjiayonghushilianluobaixinghezizhudedigongzuodeyingxiang,zengqiangzhuangda6liusuiwangshanglaolingrenqiandinggongzuodesuozhegaimianji,jibendegoujiancezhongsangaobaixingqiandingquansuozhegai。huishouliyongyungongzuode、zixundianhua、weixinyingxiao、duanshipindengfeizhanranxingweihuotianjinshangmensuifangdengzhengqueduidaimiangongzuodexingwei,zuoshi“hong、huang、lv”logocezhongsangaobaixingwendinggongzuode,zuodao“qigeyangeluoshijia”。
1.yijiezhenweichangjia,yijiayituoyuwanggehuazhilizhidu,guanchezhixing“pingtailiurenxiaozuchang”zuoyequanze。
2.jidaleineirongrenmenshenxinjiankangdiaochafenxiguileiqingxi,gifdongtaidiaozhengbingxingchengtaizhanggeshi,gongzuoguanlixiangmushujuqingxi。
🍒3.shequwangzhanweishengjiandufuwupeixunzhiliangxuexiao24shijianfuwupeixunzhiliangfuwudianhualiantong,jiatingshenghuohushiguanxifangfajujuegaozhizhuyaokequn,youdejiankangshichangxuqiushimashangfanying。
꧑4.shunlitongguoxuduozhongbiaoxianxingshi,duizhongxindaxueshengxiaofeiquntijiamifangshixianghuqudelianxilianjie,dui“jiehongse”zhongxindaxueshengxiaofeiquntibenzhouqudelianxibubushao3ci,dui“huangyanse”cizhongxindaxueshengxiaofeiqunti,benzhouqudelianxibubushao2ci。
5.jinkuaixuehuizhongdakehuquntidijizhengzhuangjutiqingkuangheyingyangxiankuang。
6.duizhongxinxiaofeirenqunranbingxinguanbingduyounaxiehuojibentiaojianxiaohuadaojibinggengzhongdengqingkuang,jinzaoweishengfangtantigang、renzhiyuzhuanzhen。
(二)落到實處重點群體歸類的管理
ꦗdui“hong、huang、lv”zhongyaorenqubiequanmianjutiluoshi“yi、er、3ji”biaozhunhuaguanligongzuoguanlide,dui“lvsede”ren,daoluodaoweiyigangshuangze“6jigongzuoguanlide”,jinyibutigaojiankangjiaoyufudao,banhaogejiankangjiagu。dui“chenghuangse”ren,zaidaoluodaoweiyigangshuangze“6jigongzuoguanlide”dejibentiaojianshang,duiyangxingfanyingjiajuhuanjinggaishanrenyuanguanliquanmianjutiluoshi“teshugongzuoguanlide”,jinyibutigaokangyuanchace、jiankangjiance、jiankangwangluozixun、shiyaokaohepingjiadeng。dui“hongyanse”ren,zaidaoluodaoweiyigangshuangze“yi、teshugongzuoguanlide”jibentiaojianshang,quanmianjutiluoshi“3jigongzuoguanlide”,zengfujiankangjiance,duibingzhongbingkuangdejinxingzhuanzhenqingqiu。
san、zhongdianweiraoquanmiantishengweizhonghanqiyudao、zhiliaofangfayujieliu
𒐪geshiquganjinglvseweiyaoyinlingshi、quyizhijiaoshouzushili,qianghuaduijiedaoxiaoquganjingfuwuzhulianjieyufudao,chizhiyiheng“zaokandao、zaogaishan、zaofenpei”guifan,chongfenliyongjiedaoxiaoquganjingfuwuzhu“daguanyiwei”xiaoyong。
(一)穩步推進新冠危重早得知
🌞geshequhuanbaohuanbaogongzuojigouyitihuajucunwei,zhuahaoduixinguanyingxiangzhiyuantizhedeshentitancezhan,zhenduishihexinshizhongrenyingxiangzhiyuantizhe,zaiyangeluoshi“yi、er、san”jijianguandehexinzhishishang,yaohexinshizhuahaoxinguanzhengzhaoyuhexinzhishixingzhongdajibingzhengzhaobianhuadetancezhan。
💮dalijiaqiangduixinguanganqizheyangquyuwendingdujiancejishuxitong。getebieshipinweishengqingkuangjiandefuwubaozhangbaozhangguanlibaozhangzhanshipinweishengqingkuangjianguanlifangyibaozhangxitongyaojubeizuliangdezhijiashiguilvxueyangyi(budiyujianchengyingwenzhiyangyi),quebaogegetebieshipinweishengqingkuangjiandefuwubaozhangbaozhangguanlibaozhangzhanshipinweishengqingkuangjianguanlifangyibaozhangzhuhefenzhubushaoyujubei20gebudiyu、gegetebieshipinweishengqingkuangjiandefuwubaozhangbaozhangguanlibaozhangzhanshipinweishengqingkuangjianguanlifangyibaozhangzhanhecunshipinweishengqingkuangjianguanlifangyishibushaoyujubei3gebudiyu,gegejucunweibushaoyujubei4gebudiyu。huiweigegedejiatingzixunshichuangyetuanduijubeihendageshudezhiyangyi,yitihuagongzuohaojucunweiliqi,jiangyangquyuwendingdujiancejishuxitongnaweizhongdianyonghuganqizhejichusuifangjieshao。getebieshipinweishengqingkuangjiandefuwubaozhangbaozhangguanlibaozhangzhanshipinweishengqingkuangjianguanlifangyibaozhangxitongyaoguanjianyitihuajucunwei,wei64suibudiyuyouxinguanxinguanbingduganqibingqingbijiaozhongdeshihouanquanyinhuanqiejinxingbulianghouguodezhongdianyonghuduixianzhiyangyi,jutizhidaojujiazhuangxiujiancexueyangquyuwendingdu。
(二)助推新冠病情比較重的時候早冶療
෴yaojiezhuyushi、qukongzhiyouguanpingshenzuliqi,luoshigongzuojuweiqingjietigongfuwuxuexiaoduixinguangandongzheduizhengxiayaokongzhi,shejidaoyingyangpinkeyizhichi、yangliao、jingmozhushe、xiaofenzishixingyaowudongyong、chuangjianjiayiyuanbingchuangdeng。
1.增強針對性根治。🔯shixiaqujiankangshenghuojiankangshenghuoweiweilejiedaotebiejiankangshenghuojingzhuntigongfuwuguanliyudexingbaozhangdedanweigouzhibilishiyongyudeo2dai、o2pingjiqizhiyangjidengshengchanshebei,zhuahaokuaisuweiyiyuanmenzhenhuaner、jujiayanglaojingzhuntigongfuwuguanliyudexingbaozhangshenrukaizhanhuanertigaoyangliaohuoo2guanzhuangxianjingzhuntigongfuwuguanliyudexingbaozhangde。gejiedaotebiejiankangshenghuojingzhuntigongfuwuguanliyudexingbaozhangdezhongdian、fenzhongdianjunyaosheliyiyuanmenzhen“xiyangqu”;jiedaotebiejiankangshenghuojingzhuntigongfuwuguanliyudexingbaozhangdezhanyucunjiankangshenghuoshideanzhaoguidingjunyaocaiyongmuqiananzhuangdidianquyukongjian,yingjianpeizhio2guan,tigao“yangliao”jingzhuntigongfuwuguanliyudexingbaozhangde,manyijumingzhuanchejiesongyangliaojingzhuntigongfuwuguanliyudexingbaozhangdeshiyongxuqiu。shenrukaizhanxiwushenrukaizhan,gejiedaotebiejiankangshenghuojingzhuntigongfuwuguanliyudexingbaozhangdezhongdian、fenzhongdiandeanzhaoguidingjunyaotigaoxiwushenrukaizhanjingzhuntigongfuwuguanliyudexingbaozhangde。yucitongshi,tiqianzuohaojiaochabingduxiedaizhemeiweibangzhu,zhidingjiankanghelishanshizhuanyezhidao,anguifanqilaigaohaojingmozhushedengfuwupeixun,bianshaoweizhongchuxianfengxiancunzai。
2.要及時使用的抗病力解藥物冶療。✅duiguanjianquntibingduzhekaizhanfenxipinggu,zaishineijiaoshouzupeixunxia,duishiheshiyingzhengdebingduzhe,jishipeixunshiyongkangbingxingpishuangwu,zuoqijishidiaocha。
3.徹底的發揮的功效中要診治的功效。⭕shizhongjianchizhongwaiyigoujian、zhongyigongsiyaolianzaiyiqi,kuaisu“sanyaoliangfang”dengzhongchengyaozaijiedaoanquanweishengfangyigongnenggongsidexuanpeiheyongdao。gejiedaoanquanweishengfangyigongnengzixunzhongxinyaoduiyuxinguanbingdumabingduchangjiandelinchuangbiaoxian,tongchouguihua,bianzhengshizhi。bawo“zao”“kuai”dejibenzhunze,rangzhongcaoyaozaixinguanhivbingdufukeganranchulikemairuzhiliao,yaojishizhizhiqingzhengbinghaoxiangzhongzhongxing、weizhongzhongxingjinzhan。
(三)進行新冠病情比較重的時候早過渡
1.有效幫忙轉診༒。duixinguanbushifanyinghuogenjixingpifujibingdanwudexijunbingduganranzhe,gejiedaoanquanweishenggongzuozhongxinju、jiajuyiyuanyishengxiaoshoutuanduidouyaohao120jizhenyouxianxuanzeyunsonglvlutongdao,bangzhuganliangzheshishizhuanzhen。jiujicenggongzuoshouzhendeweizhonghuanyou,yaoshifenxunsuweizhunbianren,kegenjushijishangshihou,shishigongyang,shiyongjijixiangshangjiuyuanshebei,zuodaoweihuhuanyoushengwulinchuangbiaoxianshichangpingwen,zaiyihurenshisuituanxiashishizhuanzhen。
2.連通雙軌轉診。👍geshequwangzhanweishengfangyixueyewuzhongdianyaozhiliyuquxingzhiliaoweishengfangyizhongdian、yiliantishangsiweishengfangyiyuan,fangbianqunzhongxinguanjiuzhushuangguizhuanzhenlutongdao,mingquetichuweishengfangyixueshenxinjiankangwei、gezhiliaoweishengfangyidaikuanjigouyaoduandingzhuanyerenyuanfouzezhuanzhenbumen,chouxianghuabingqingbijiaozhongdeshihouyonghuzhuanzhenchengxu,tigaolezhuanzhenzhuanhualv。tongshi,yaoheliyinlingzixunhuazhichengjiagongxiao,shiyongqqjiyuanchengjiezhen、qqjiyuanchengceshidengshouduan,quebaoanquanshengchanyonghuyingdesuishihelijiuzhu。
🌳duishequnweishengfangyixuechanpinguanlizhongjianshangzhuanxinguanganranzhe,yuefashiguanjiandiansangaorenqunganranzhe,lingdaoyiyuanzhuanjiayaozujianshouzhicuilvserukoutongdao。zailingdaoyiyuanzhuanjiawanbimengranqiliaofahou,zhuangtaiwendingdeganranzhekexiayizhishequnweishengfangyixuechanpinguanlizhongjianzhuyuanbu,shequnyiwurenshiyaojijicanyuzhuanzhenbuzou,nonghaochanpinshigongzongchengbao。
🌱geshiquanquanjiankangweiyingchengxiangyixuebaoxianshiguanquneigexiangzhongleiyixueqiyechuangpuwangluoziyuan,yijugezhongzuigaojibieyixueqiyechuangpugongnengxingshichangdingwei,chenglichengxiangyixuebaoxian、fenleizhengliyongdaodeyuanyou,yaochengxiangyixuebaoxiananzhuangshiguanquneigexiangzhongleiyixueqiyeyiwuzhigong,anzhaoxiapaiqianzhi、shouquanweituoshuyijiaodengxiguan,dezhichitebieanquanchanpinzhiliangbaozhangdezhongdianzhuyuanbuchanpinzhiliangbaozhangde。juyoushoushuchuangdetebieanquanchanpinzhiliangbaozhangdezhongdian,jinguanjianqichuangpuyongdaolvyingwancheng95%shang,weisheshishoushuchuangdetebieanquanchanpinzhiliangbaozhangdezhongdian,duidadaoshoushuzhizhengdeganliangzhe,yinganzhaojiatinghuanjingshoushuchuangdadaojiajuhuanjingzhiyuxuqiuliang。
si、tishengshequjuweihuizhongdakehuquntizhiliaowangluoziyuanzonghehezhichengliqieshibaozhang
(一)積極推動街鎮網格化治理工作機制
🌟gexiaoquhuanweifuwupeixunzhilifangfazhongjianyaozhudongdijieguangejiezhen、jucunwei,kuanyujiezhujiezhenwanggehuazhilifangfacuoshi,jifajiezhen、jucunweizhudaoquandezuoyong,tixianduizhongxinsangaorendangxiaoquzhilifangfa,jixujiaqianggengshentijianceyudongtaixinxifuwupeixunzhilifangfa。jiezhu“xiaoqusirenxiaozunei”gongzuorenwucuoshi,tixianduizhongxinsangaorendangdebaobaorenshi。gexiaoquhuanweifuwupeixunzhilifangfayiyuanyaopipeijiezhen,juedingqufangzhibangongzuorenwubushu,jixujiaqiangduibashisuilaotou、youjibenxingjibingyuanzhedengweizhongzhenggaoweixiansangaorendangheshengcunweijiyoutongdengsangaorendang“gengshentibao”shenqing,xietongguanlijucunwei,jixujiaqiangduiduzishenghuolaotou、jinyucanzhangqinshengzinvyizhijibenjuzhu60suirendejibenrenshi。
(二)進一步強化城市醫療保障市場城鄉醫療保險支持力
🔜mingquetichuhuanjinganquanjiankangbaojianweiyaozonghechanyeyuanquneizhongleiyixueqixiezuzhizhuangzhiyiwuyuangong,shixianchendixunzhen、yuangongpaizhu、xingchenglianxiyuanchengshipinyixueqixietonglihezuowangdengfangshi,manzujibenyixueqixiehuanjinganquanzuzhizhuangzhirenziguoshaonanti,zhuashiquyuxinguanzhenzhifuwuxingxingyushichangpingwenzhankai。zuzhibaozhangzhuchengquliangjizhenzhiquanweipingshenzuheshangjibumenyixueqixiezuzhizhuangzhishejixunhuijianchamianfeizhidaogongshijizhi,duiquyuhuanjinganquanfuwuxingxingyuzuzhizhuangzhizhankaixitongjianchamianfeizhidao,jiaoyupeixunjibenyiwuyuangongguojiabiaozhundeshiyongxiaofenzishiyaohezhongyaopeifang“sanyaosanfangxieyi”,yitinggaojibenfangweizhongzhuanyenengli。jinyibujiaqiangyixueqixiejiuhuyingshiziyuanzonghe,duoyixueqixiejiuhuyunshucheliangyuyizhipeizhi,weiquyuhuanjinganquanfuwuxingxingyuguanlizhongxin、jiatingshiyiyuanyishengtuantixingchenglianxizeyouzhuanyungongsiqudao。
(三)搞好群眾醫務考生訓練
🦂zhengheshizhongxinliangjiyeliaoxiangguanzhuanjiatuan,cehuamianduijicengdangzuzhigongzuodangjitiyiwushizhidaofangshi,dalikaizhanwangshangyingxiao、xianxiahuodong、tongchouxiediaozhuankeyiyuanqingxiedaijiaodenggezhongzhidao。zugouyongdifang、shengjidengxiangguanzhidaoziranziyuan,lianghaojitijicengdangzuzhigongzuodangjitiyiwushiliexizhidao。buduanjiaqiangchoujian,biaozhunzhidaonianzhongkaohe,quedingzhidaotiyan,shijicengdangzuzhigongzuodangjitiyiwushi(huanyounongcunshequyakeyisheng)zaiduanqixianneishuzhishuzhixinguanzhongdiansangaorenqundengjihuafenhuafengongzuofangshicuoshi、ganhuazhengzhuangkan、ganhuazhezijidefangziweihuheyeliao、laozhongjiankanganquanyeliaohefujiancaozuo、diyangxuezhengzhongqizhidao、touqihennandepingjiahezixunyishengfangshicuoshi、zhiyangyidebianyong、zhongdianzhuanzhenshiyingxingzhengbaokuoxiaotuanhuokoufuyaowudeshiyingxingzhenghezhengquexingbianyongfangshicuoshideng。
(四)強化新冠診療原材料設備保護
💖geshiquanquanjianduguanlishenxinjiankangweiyaogenjudajieanquanjianduguanlianquangongzuoyutebie、cunanquanjianduguanlishianquangongzuoyurenyuan、tebiezhongrendishudengjutiqingkuang,peizujiuzhuyouliao,youfalenghuizhenzhiji、zhongchengyao、kangyuanpanduanmianyishiji、dikangjibingjuduwu、zhiyangyideng,bingjieheshijixiaoguodajiexijunbinghuanzheshujuzhuanbian ,dongtaixingdediaozhengchanchuku,jibenbaozhangyouliaochanchuku。chuerdilidizhipianpi、daolukunnandedajieanquanjianduguanlianquangongzuoyutebie、cunanquanjianduguanlishiyaokaishibeizukaizhanzhongliuyaowuhefangzhiyouliao。tuidongdajie、jucunwei,yuyidingxuexiao、yaodiandengzhitongshifuwudianhua,genjushijixiaoguoxuyonghelixiangcunligedipianyichangjiazhixiaojiuzhuyouliao。
(五)時時撐握工作中動圖
⛄mingquetichuweishengyuanyinbaogaofangyijiankangdeweiyaozaijixuzuodaoshequnweishengyuanyinbaogaofangyiyunzuoxiangmujiegoujiazai、yunzuoxiangmuyuanyinbaogaoheshixiankuorongyuanyinbaogaodengxinxinxijiancefangan,jishishulianshequnchanshengreliangzhiliaoyuanyinbaogao、xiaoduchanpinhechanpinchubeiliangshiyongyuanyinbaogao、zhongdiancunsangaorenqunyunzuoxiangmuyuanyinbaogaodeng,duizhuchengquyunzuodecunzaidewentihuoyunzuoluohoudedifangjishizhihuidiaodu。jiayiyunyongxingongyehuajimu,zengqiangyunzuoxiaoguo,xianzhijichengfuhe,suishishangchuanzhongguo、shilixuqiudexinxinxishujufenxihexinxinxi。
(六)增強社區衛生醫務師注意關愛留守兒童
🦂shixiaquhuanbaoqingjieweiyaozhutuituijinguojiadiquheshanghaishiguanyufeichangguanxinguanxinyiwuzhuanyerenanquancuoshi,qieshijiaqiangduishequnhuanbaofuwubaozhangxiangmuxingguanlizhongxindechengqiyouxiaobaozhangjizhi。helideheliliyongyuanpaishequnyiwuzhuanyeren,nonghaoyiwuzhuanyerendeshenghuoxinxixiangmuxinghehouqinbuyouxiaobaozhangjizhi。anguichengtuijinduishequnyiwuzhuanyerenbutieyujiafukeyishengqianshufuwubaozhangxiangmuxingfeiyichangxingyunxingfanganyunxingjingfeizhichu,jilishequnyiwuzhuanyerenquanshenxingxinfangjinshequnxinguanchuzhiyunxing。
(七)不斷加強工作敲定和督察綜合考核
ꦿjiandingtichuweishengfangyishentiweiyaogaohaozuzhijiegoushangsi,jingguocengcengdehangshidanze,jiandingbufendanzeheshenqirichangrenwuzhizefengong,dedaobaozhanggongzuotiaojian。yaogaohaoduiqujigongzuotuijinhuatihedanzeguanchezhixinghuatidezhuanxiangducha,xingchenggongzuotaizhanggeshi,dingzhishenqirichangrenwumingxidan、huatimingxidan、danzemingxidan。yaojiangxianzaixiehaomiancengtuchukehuqundongtaitupianfuwuyu、shengji“baoshenti、fangweizhong”jibengongzuotuijinhuatihezhuanhuaxiaoguoyuxiangguanneirongtuchugongzuodekaocha、xindaizijinjisuan、pingxianpingxiandengxiangguagou,juticuoshichongfenfahuikaochatuanduijilizhichengmude。
nanjingshidejiankangdejiankangyixuehuihui
🐓 2023nian7yue8ri