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: 】
mingquetichuqingjiezhengchangwei:
biaomingguoneilianfangliankongzhidu《youguanyuyoueryuanzuohaoxinguanzhuzhongxiaofeiquntixindongtaigongnengguanlihe“shekoukouanyiwei”caozuodewenxintishifanwen》heguoneilianfangliankongzhidu、zhongxindifangxiangcunfangzicaozuoshangjilingdaozhuanban《youguanyuyoueryuanxiudingdaidongxianrujinxiangcunfangzidedifangfuhexingquanguanzhuangbingdushishenmeyounaxiegandongxinguanyiqingkongfangcaozuocehuafangandewenxintishifanwen》danganbiaozhunyaoqiu,weiqizhushanghaishequgongnengzhongxin🌃huanjingweishenggongnengguanlishebeiwangdidegongxiao,baozheng“zaokandao、zaozhiliaofangfa、zaofenli”,keyifangzhiganqihetigaoxinguanbingdushishenmeyounaxiegandongweizhongzaocheng,xianjiuzuohaoxianrujinshejidaocaozuowenxintishifanwenyixiajidian:
yi、chixuxingbuduantishengjiedaoxinguanzhenzhigongneng
(一)推動街道社區新冠搶救擴盤增能
shiguanquanquanganjinganquanshenxinjiankangweiyaomingquejiuhugongzuozhongsuqiu,ronghedifanghuanjingneiyixiejianguanbumen,jiadashenhuaguanqujiedaobananquanganjinganquantigonggongzuodeguanlibumenxinguanjiuhudidiankuodadejianshe,guancheyixieyouyanjinghuaqidesheshidengzengnengchanchuliang,yijizhiliaodifanghuanjing、jingmozhushedifanghuanjing、yangliaodifanghuanjing、icubingfangbingqudeng,jiaqiangxindianshenfenshibie、xueyangjianceqi、gongyangdengyouyanjinghuaqidesheshidapei。womenduimingqueqiantitiaojiandejiedaobananquanganjinganquantigonggongzuodeguanlibumen,bijiao𝓡qianghuactdengdesheshidedapei,gulijumingshepianchaxiayi。mingquetigonggongzuoderenyuanpingjunde15%-20%dongtaitupianchanchuliangzhongyao、tuireyao、zhikesouyaojikangyuanjianzemianyishijihepei𝓡qi,querenbumenzhongyaoyinpianchanchuliangliangyaozishizhizhongbaozhengzai2zhouyixia,renyuanmibudifangkemingquehelijiajuchanchuliangliang。
(二)帶動特別升溫診治服務管理
quanqugejuweianquanfangyibaozhangxinzhongjubenzhouwutianjunyingtigongdiredeyuanyinkouqiangzhenzhiguifanbaozhang(hanjiegangwan),bingcaiyongfangzhidiredeyuanyinkouqiangzhenzhiguifanyeyiyuan,kongzhidiredeyuanyinkouqiangzhenzhiguifanyewandingshibaozhang;quanqugejuweianquanfangyibaozhangfenxinzhongjubenzhouwutianjunyingtigongdiredeyuanyinkouqiangzhenzhiguifanbaozhang(hanjiegangwan),youyigejiandekekaizhanyewuyeyiyuan。quanqu🅺gejuweianquanfangyibaozhangzhan、cunanquanfangyishiyingzuzhibaozhangdiredeyuanyinshaodianzhenduanshi、linshicangkudiredeyuanyinkouqiangzhenzhiguifanliuguanqudeng,chongfenkaolvdiredeyuanyindenglinchuangzhengzhuangqiumeizhejiuzhengonggei。
er、qieshizuodaozhongdianxiaofeiquntijiankangdejiancewangyudedongtaifuwuzhiliang
(一)開展著重人群當應管雖然
jiezhujiezhen、jucunwei,getebieqingjieweishenganquangongnengjidiyaojixujiaqiangzidongliantong,zaijiezhenjiangzhuyaocunnianlingcengdingweiwanggehuakongzhitiaojianshang,duizhuyaocunnianlingcengshenrukaizhanjiankangjianceqiyukongzhi。qidaoxiaojiatingyayiqudelianxirenminqunzhonghezidonganquangongnengyong,zengdakuozhan6sisuishanglaolingrenjieyueanquangongnengshejimian,jibenxingshixianlezhuyaocunnianlingcengjieyuequansheji🍎。zaishengliyongyunanquangongneng、lianxidianhua、weixinyingxiao、shipinbofangdengfeiyudaotujingfangfahuorudianxuangousuifangdengmianxiangmiananquangongnengtujingfangfa,zuoshi“hong🐭、huang、lv”biaoshibiaopaizhuyaocunnianlingcengjiankanganquangongneng,shixian“sigeluoshizerenmingque”。
1.yijiezhenweigongside,zuzhibaozhangwanggehuaguankonggongshijizhi,guanchezhixing“shequfuwuzhanliurenxiaozunei”renwugongzuozhize。
2.sileishengjizhongdiankehuquntilianghaodiaochayuanhuafenleibieliuchang,xindongtaigaibianbingchengliqingdanbiaoge,fuwuguanlirenqunxinxiliuchang。
3.shequfuwuzhiliangxiangmuzhongxinweishengqingkuangfuwuzhiliangxiangmujiegou24xiaoshihoufuwuzhiliangxiangmudianhuahulianhutong,jiatingshizhuzhiyishenglianluobanfaxianghu🌄baobeihexinxiaofeiqun,youlvsegongxushianshikasi。
4.yijuduozhongfangfa,duizhongyaokequnjiasuozizhudegaohaoguanxijiaojie,dui“chenghongse”zhongyao♛kequnmeiji♋dugaohaoguanxibudiyu3ci,dui“danhuangse”cizhongyaokequn,meijidugaohaoguanxibudiyu2ci。
5.shishichengwoguanjiandianrenjichushangmanxingbingxianxianghejiankangyunxing。
6.duiyaodianxiaofeiqunchuanranxinguanbingjunhuojichushangjibingbingkuangdengyuanyin,jishianquanjiankangjianyi、renzhiyuzhuanzhen。
(二)完成主要患者分級操作
dui“hong、huang、lv”zhuyaoxiaofeiqunbutongshigong“yi、er、sanleitongguochengji”detiexinfuwuxiangmupeixunyubaozhangguanlidetiexinfuwuxiangmupeixunyubaozhang,dui“lvsede”xiaofeiqun,tixian“sanleitongguochengjidetiexinfuwuxiangmupeixunyubaozhang”,zuohaoshentiweishengyoujiao,zuohaogeshentiweishengfanghuyi。dui“danhuangse”xiaofeiqun,zaitixian“sanleitongguochengjidetiexinfuwuxiangmupeixunyubaozhang”degenjishang,duiruoyangjujiayanglaotiexinfuwuxiangmupeixunzhiliaoshishigong“teshudetiexinfuౠwuxiangmupeixunyubaozhang”,zuohaokangyuanjiancha、shentiweishengjiance、shentiweishengzixunlejie。、lianheyongyaofangtantigangdeng。dui“zise”xiaofeiqun,zaitixian“yi、teshudetiexinfuwuxiangmupeixunyubaozhang”genjishang,shigong“sanleitongguochengjidetiexinfuwuxiangmupeixunyubaozhang”,jinjieshentiweishengjiance,duidianxianbianqingdezechengzhuanzhentongyi。
san、jucuotigaoweizhongwanqizhidao、huanjieyubinggui
shixiaqugonggonganquanxueshentiweiyaoyituoyushi、quzhenliaoxiaobianzubaofali,qieshijiaqiangduishequdefuwuhexindefuwudehexingonggonganquanxuedefuwudehexinxietonggongzuoyupeixun,jianding“zaodezhi、zaozhiliao、zaojieliu”yuanzeyingwen,fa🌌huichushequdefuwuhexindefuwudehexingonggonganquanxuedefuwudehexin“shekoukouanlagao”yongtu。
(一)深化新冠病情比較重的時候早察覺
geshequnweishenggongzuoguanlibao⭕zhangzuzhironghejucunwei,kaizhanduixinguanganliangzhededejiankangtancezhan,yujiashicehexin𝓰xiaofeirenqunganliangzhe,zaikaizhan“yi、er、san”jigongzuoguanlidedejichuxingshang,yaocehexinkaizhanxinguanchuqixianzhuangyudejichuxingxingwentichuqixianzhuangbianhuaguilvdetancezhan。
zuohaoduixinguanganhuazheyangchengxianbaomanzhuangtaidianduwurantance。gexiaoquhuanweixueyewuzuzhiyaopeiyouzuliangdezhijiashimoboxueyangyi(jiexialaijianchengweizhiyangyi),zhuahaomeiyigexiaoquhuanweixueyewuzhonghefenzhongbu🅺diyupeiyou20gezhinei、meiyigexiaoquhuanweixueyewuzhanhecunhuanweixueshibudiyupeiyou6gezhinei,meiyigejucunweibudiyupeiyougezhinei。huibangmeiyigejiazhongmazuiyishengtuanduitupianpeiyouyidingdeshiyongliangdezhiyangyi,wufengduijiehaojucunweiqianneng,jiangyangchengxianbaomanzhuangtai♎dianduwurantancehuaruzhuzhongshiyonghuganhuazhejibenxingsuifangwangzhanneirong。gexiaoquhuanweixueyewuzuzhiyaojijixiangshangxieshoujucunwei,wei6liusuizhineiyouxinguanbingjunganhuaweizhongzhenggaofengxianqiegongshiqingliangjiedezhuzhongshiyonghuduixianzhiyangyi,zhuanyezhidaojujiazhuangxiuzhenduanxueyangchengxianbaomanzhuangtaidiandu。
(二)推進項目建設新冠危重早根治
yaozhengheshi、qujiuzhuyixuezhuanjiatuanbaofa🤪li,tixiantebiejiankangfuwudejiegouduixinguanzhanranzheduizhengliaofaliaofa,yebaokuomeiweishipei、yangliao、guashui、xiaofenzishiyaowujiliangyongdao、chuangjianjiazuhulichuangdeng。
1.加大對癥下藥治愈。geshiquqingjieyingyangjiankangweihuibangjiedaoqingjiegongzuopingtaibiaozhunpeizishuwenheyirendeo2dai、o2pinggeleizhiyangjidengjiqishebei,zhuahaojishideweiyiyuanderen、jiajuhuanjinggaishanderentigaoyangliao👍huoo2guanzhuangshengchanxiangongzuo。gejiedaoqingjiegongzuopingtai、fenpingtaijunyaosheshiyiyuan“xiyangqu”;jiedaoqingjiegongzuozhanyucunqingjieshidebiaozhunshangjunyaocaiqudangqiandidianhuanjing,peizio2guan,tigao“yangliao”gongzuo,chongfenkaolvgongminbenshiyangliaogongzuodexuqiu。gaohaoxiwugaishan,gejiedaoqingjiegong⛎zuopingtai、fenpingtaidebiaozhunshangjunyaotigaoxiwugaishangongzuo。huan,jinxingganranzheyingyangchengfenbuzhichi,tuixinglianghaoshanshijiegouzhidingfangan,anguifanqilaituijindiaopingdenggongzuo,jianqingbingqingbijiaozhongdeshihoutufagailv。
2.要及時用抵抗砒霜物根治。duiguanjiandiannianlingcenggandongzhezuopinggubaogaogeshi,zaixianchengchangjiazumianfeijianchazhidaoxia,duibao🍸hanyuanzedegandongzhe,jinzaomianfeijianchazhidaoshiyongdikangduwuwu,shixianlike𒐪ganshe。
3.寬裕充分利用西藥制療效果。nulizhongxifangyigoujian、guojiankanganquanshiyong,jiakuaisudu“sanyaosantong”dengcaoyaozaijiedaoqingjiehuanjingweishengdefuwu𓄧guanlixue𒁏xiaodezengpeiheshiyong。gejiedaoqingjiehuanjingweishengdefuwuguanliguanlizhongxinyaoduiwuxinguanbingduyounaxieganrantongchangxianzhuang,yincunzhiyi,bianzhengshizhi。zhuaqu“zao”“kuai”dejibenzhunze,rangyaocaizaixinguanleibingdubingduxiaoyuanyingxiaotuiguanghuodongchuqijizaojinruzhongyaozhiliao,jinzaoyizhiqingzhenghuanbingzhexiangtezhongxing、weitezhongxingzhuangda。
(三)積極推進新冠危重癥早分離
1.快速幫助轉診。duixinguanyoushenmezhengzhuanghuojichulilunxingfabingjiajudeyingxiangzhe,gejuweigonggongweishengfuwupeixunzhongdian、putongjiatingyiyuanyishengdetuanduihuiyonghao120jizhenxianyunsonglanseguandao,weituoxijunxiedaizhebunengzhuanzhen。tantanjicengjishurenyuanshouzhendeweizhonghuaner,yaobuduanmingquekuaisujingque,liyongyuqiqianti,buneng💃gongyang,kaolvzhudongjiuyuancuoshi,jinliangyongyixiehuifuhuanerrendeyishengxianxiangwenbu,zaiyihujishurenyuanpeihuxiabunengzhuanzhen。
2.通行交叉轉診。gepianquweishengjianduꦓqingkuangfuwuyuzhuyaojiezhuyuquyuneixingyiliaozhu、yiliantilingdaosanjiayiyuan,jiaotongxinguanchuzhishuangbianzhuanzhenrukoutongdao,gexianquweishengjianduqingkuangshentijiankangwei、geyiliaoxuexiaoyaokendingzhuanmenchengdanzerenchengdanzerenzhuanzhenweizhi,jianlvebingqingbijiaozhongdeshihouwomenzhuanzhenguocheng,tigaozi💦jizhuanzhenxishoulv。ciwai,yaozuohaochongfenliyuxinxineironghuazuoweizhichengdiandegongxiao,liyuyuanzhanguanlijiezhen、yuanzhanguanlizhenzhidengfangshi,quedingwomendejinzaoxiaoguochuzhi。
duipianquwangzhanjuweihuishipinshipinweishengdeshouhoushouhoufuwuzhongyangshangzhuanxinguanjiaochabingduxijunxiedaizhe,yujiashiyaodiankequnjiaochabingduxijunxiedaizhe,lingdaosanjiayiyuanmenzhenyaochuangli🌠shouzhilvhuarukoutongdao。zailingdaosanjiayiyuanmenzhenshunliwanchengjixingbangguangqishoushuzhiliaohou,qingkuangbaogaowenbudejiaochabingduxijunxiedaizhekexiahuandaopianquwangzhanjuweihuishipinshipinweishengdeshouhoushouhoufuwuzhongyangyiyuanbingfang,pianquwangzhanjuweihuiyiwushiyaoluxucanyuzhuanzhen💙jutibuzou,zuihaodeshouhoushouhoufuwuguanli。
gegequqingjieqingjiejianjiankangbaojianweiyingtongdengguanzhenquneigegedengjigegeyiyaozongheyiyuanꦦdanrenjianziyuanxing,jiehegebuxiangtongjibieyiyaozongheyiyuandanrenjiangongnengmokuaibiaoji,dazaotongdeng、xifenyunxingdezhiduhua,yaotongdengzhunbeiguanzhenquneigegedengjigegeyiyaozongheyiyuanyiwuxiangguanrenyuan,wanchengxiapaizhuru、doujiaogeishouhuidengxingwei,buzhichishequnyiliaojianqingjieqingjiejianjingzhunanquanchanpinyuzhongjianyiyuanbingfangjingzhunanquanchanpinyu。keshebingfangdeshequnyiliaojianqingjieqingjiejianjingzhunanquanchanpinyuzhongjian,jinjieduanxingdanrenjianyunxinglvyingkeda95%yishangneirong,weikuaisushezhibingfangdeshequnyiliaojianqingjieqingjiejianjingzhunanquanchanpinyuzhongjian,duijubeishoushuzhizhengderanbingzhe,yingwanchengjiarenbingfangzugouzijidefangzishoushuzhiliaoxuyao。
si、daidongshequfuwuzhongxinguanjiankehuqunjijiuwuzitongdengheweichijibenbaozhang
(一)充沛依靠街鎮網格化服務管理體系
gexiaoquwangzhanjiankangdejiandubaozhanggongsiyaozidongxianjiegejiezhen、jucunwei,zugouyilaijiezhenwanggehuadeanquanguanlixitong,chongfendiaodongjiezhen、jucunweiweizhuzuoyong,renzhenluodaoshichuduineirongcunnianlingcengxiaoquwangzhandeanquanguanli,yaojinxingjiankangdebaojianjiancewangyudongtaihuabaozhang。yilai“xiaoquwangzhanliurenduiwu”benzhigongzuozhongxitong,renzhenluodaoshichuduineirongcunnianlingcengdebaobaoqudequlianxi。gexiaoquwangzhanjiankangdejiandubaozhangdaikuanjigouyaomiqiepeihejiezhen,mingquequfangzhibanbenzhigongzuozhongbushugongzuo,♎yaojinxing💛duibashisuilaoyeye、youjichulilunxingmanxingbingrendengweizhonggaofenxiannianlingcenghekunanshaoerdengnianlingceng“jiankangdebaojianbao”paifa,xietongguanlijucunwei,zengqiangduiduchulaoyeye、jinyucanjizhengsunbeigongtongdejuzhudi60suirendepingriqudequlianxi。
(二)加大空間區域醫療機構能源城鄉醫療保險支柱
gezhuchengquganjinganquanweiyao♎shehuizonghequyuneisizhongyiyaozuzhi yiwurengong,jingyouhuixiachendaoyouzhajidexunzhen、rengongpaizhu、shelijiyuanchengyiyaoxiediaowangdengfangshi,chulihaojibenyiyaoganjingzuzhi renshibuzuzhichuguzhang ,weilequebaoxiaoquxinguanzhenzhijingzhundegongnengshichangpingwenzhuahao。zuzhibaozhangzhuchengquerjizhenzhilingyuzhuanjiatuanheshangjiayiyaozuzhi shejidaoxunhuizhiyincelve,duixiaoquganjingjingzhundegongnengzuzhi zhuahaodejishuzhiyin,xuexijibenyiwurengongyaoqiushiyongxiaofenzijiegouyaohezhongyaocai“sanyaoliangfang”,yitigaozijijibenfang💃weizhongxingneng。qieshijiaqiangyiyaojinjiuzhiyuanyingshiziyuanshehuizonghe,zengdayiyaojinjiuzhiyuanlaiwangcheliangyulidupeibei,weixiaoquganjingjingzhundegongnengjidi、jiayihurenyuantuanduihezuosheliyouxianquanzhuanhuachurukou。
(三)進一步加強基層醫院醫務相關人員培訓課程
pingjiezhuchengquerjiyizhilaozhongyipingshenzu,zhidingchuduiyingjichuyiyuanzhensuoyiwuzhexunlianbancehuafangဣan,zuohaoqudao、xianxiaketang、daidonganpailingdaozhensuochendiandaijiaodenghenduozhongxunlianban。chongfendecaiyongguojia、shilidengxiangguandeyingwenxunlianbanxinxi,genghaodianpaijichuyiyuanzhensuoyiwuzhedaochangxunlianban。daidongchayan,yangedexunlianbankaohebanfa,weilebaozhengxunlianbantiyan,shijichuyiyuanzhensuoyiwuzhe(hangainongcunyihurenyuan)zaiduanqideneijingtongchengwoxinguanzhuyaokehuquntidengjihuafenjinxingfenleichanpinxingshi、ganranfanyingtongguoguancha、ganranzhejiajuguanlizhiduhekaizhan、laozhongyiliaojixieyizhihezhiyudezhenliao、diyangxuezhengguoquchuxian、xiangshoudekunnandekaohehechuzhenxingshi、zhiyangyideliyong、zhongdianzhuanzhenshunyingzhengyiqixiaoyuanzizhongyaodeshunyingzhenghezhengguiliyongxingshideng。
(四)繼續加強新冠救護應急物資擔保
quxianhuanjingshipinshipinweishengguanliguanlijiankangweiyaosuizhuxiaoqutiexingongzuozhiliangbaozhangjidihuanjingshipinshipinweishengguanliguanlitiexingongzuozhiliangbaozhangjidi、cunhuanjingshipinshipinweishengguanliguanlishitiexingongzuozhiliangbaozhangquanguorenkou、cezhongdianrenqundangdishudengdeqingkuang,peizujijiujiuzaiyouliao,zhuyaobaokuoshengwenzhensuoyiyao、zhongyaocai、kangyuanzaixianjianceshenghuashiji、kangbingxingduwuwu、zhiyangyideng,bingjiehexianshiqingkuangxiaoqutiexingongzuozhiliangbaozhangjidibingduzhexuqiuliangbodong,jishuxingxiuzhengshouchu,zhiliangbaozhangjiuzaiyouliaoshouchu♌。dilixuediweipianpi、gonggongjiaotongbufangbiandexiaoqutiexingongzuozhiliangbaozhangjidihuanjingshipinshipinweishengguanliguanlitiexingongzuozhiliangbaozhangjidi、cunhuanjingshipinshipinweishengguanliguanlishiyaoshenqingbeizuhuanjiexingyaowuhemianyijiezhongjiuzaiyouliao。yilaichengshi、jucunwei,yuyiliaofuwushebei、dayaofangdengliantongrexiandianhua,suizhuxianshiqingkuangdouyaoshiliangxiangrenmendiquhuafenwanquzhizaojijiujiuzaiyouliao。
(五)及時控制辦公最新
mingquetichuganjingweishengxueyingyangjiankangweiyaozhongxintiqianzuohaojiedaoxiaoquganjingwei𝔍shengxuebaozhangyuzhuangzhizhengchangyunxing、baozhangyuyuanyinhekuopanyuanyindengtiaojiantance,leida♏huibotushipinxuehuijiedaoxiaoqufaredeyuanyinyiliaoyuanyin、yiyaoheshepeishouchushiyongyuanyin、guanjianzhongrenbaozhangyuyuanyindeng,duipianquyunxingcunyouqingkuanghuoyunxingjiaomandehaodifangleidahuibotushipindiaoduxitong。chedidejinxingxinxinxichaxunhuajiansheshuiping,tishengyunxingxiaoying,shaojicengrenyuanyali,suishishenbaoyigeguojia、shengjibixu detiaojiandongtaishujuhexinxinxichaxun。
(六)大力加強社區服務中心醫務相關人員關注的問題關爰
gedishipinqingjieanquanweiyaoquanxinquanliluoshiyunzuoyigangshuangzezhongguoheshanghaishixiangguanliandanxinaihuyiwuyunzuoyuangongfangan,tishengduipianqushipinqingjiefuwupeixunpeixunpeixunfuwupeixunpeixunguanlizhongxindechengzaibaojiahuhang🍃。heshijihuayudiaopaipianquyi👍wuyunzuoyuangong,tiqianzuohaoyiwuyunzuoyuangongjuzhufuwupeixunpeixunpeixunhehouqinbumenbaojiahuhang。anfalvfaguiluoshiyunzuoyigangshuangzeduipianquyiwuyunzuoyuangongbuzhufeiyujiachangmazuiyishengqianshufuwupeixunpeixunpeixunfeicixingzhuanxiangduchayunzuolaowufei,jifapianquyiwuyunzuoyuangongzhouqingchunqixinlichanchupianquxinguanchuzhiyunzuo。
(七)全面提升的責任認真執行和監督檢查考驗
geshiquqingjieweishengjiankangdeweiyaozhuahaozuzhizhankaiganbu,zhujianhuitiantufuze,liqingxingzhengbumenfuzeherichangrichangrenwuzhizefengong,baozhengshiqingjutitiaojian。yaozhuahaoduiqujishiqingzhankaiqingꩲxinghefuzeyangeluoshiqingxingdeducha,chuanglishiqingjilubiao,quelirichangrichangrenwushenbaodan、guzhangshenbaodan、fuzeshenbaodan。yaojiangxianrujinzuodaojicengrenyuanzhongdanianlingcengdongtaizhanshidefuwu、jinglian“yangshengkangde、fangweizhongzheng”xiangguanneirongshiqingzhankaiqingxinghequdechengxiaoyuxiangguanneirongzhongdashiqingdepanduanneirong、xindaizijinqueding、pingxianpingxiandengxiangguagan,zhenshijifapanduanneirongjiliejieguodaoxiangmude。
beijingshihuanjingweishenganquanjiankanglishihuihui
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