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: 】
gegequhuanjingweishengshentijiankangwei:
anzhaojilinshengrenminzhengfuyasuowenjianlianfangliankongzhiduhua《xiangduiyuzhizuohaoxinguancezhongrenqundangqingkuangshouhoufuwuguanlihe“guanzhashangyi”dezuoyedegaozhi》hejilinshengrenminzhengfuyasuowenjianlianfanglian🥃kongzhiduhua、zhonggongzhongyangrenmendezuoyelingjunzuchang《xiangduiyuchuwenzuotedingrenmenzhongbeibuzuixinkejiguanzhuanghongxinguanbingduyingxiangzaiqingfangzhidezuoyecuoshidegaozhi》yasuowenjianbiaozhun,weijifashanghaishequfuwuguanlizhongxinanquanweishengshouhoufuwuguanlidaikuanjigouwangdigongxiao,jianchixiaqu“zaoxianshi、zaokongzhi、zaojieliu”,fangzhihebimianxinguanhongxinguanbingduyingxiangweizhongyinfa,xianjiuzhizuohaotedingyouguanxidezuoyegaozhigeichu:
yi、chixubuduantigaojiedaoshequxinguanchuzhidenengli
(一)推廣街道辦新冠急救擴充增能
shiguanquhuanweishentiweiyaohuizunxunqiangjiudegongzuobiaozhun,cujinzhuzhaiquyouguanbumenguanli,jiasucujincujinguanquxiaoqujuweihuihuanweianquandejingzhunfuwuguanlizixunzhongxinxinguanqiangjiudidiankuodadejianshe,yangezhixingyouguanzhuangzhizhuanyongshepeidengzengnengcunliangku,liruzhensuoquhuanjingxing、jingmoshuyequhuanjingxing、yang꧅liaoquhuanjingxing、yiyuanbingfangbingqudeng,zuoxindianpeihu、xueyangjianceqi、gongyangdengzhuangzhizhuanyongshepeixitongpeizi。guanyubaohanjutitiaojiandexiaoqujuweihuihuanweianquandejingzhunfuwuguanlizixunzhongxin,henyaoqianghuactdengzhuanyongshepeidexitongpeizi,jinxingzhuhujuminshepianjianxiuchenxiaqu。zunxunanquandejingzhunfuwurenyuanshuliangde15%-20%dongtaishujucunliangkuzhongyaofangji、tuireyao、zhikerunfeiyaojikangyuanjiacehuaxueshijihehelipeizhi,zhuahaoxuexiaohuopincunliangkuliangshizhongzuodaozuodaozai2zhoujiyishang,renyuanximidifangkehuizunxunshishishangzengtiancunliangkuliang。
(二)切實加強居委會發燙醫療精準服務
xianqugejiedaobanshichuganjingqingjieqingjieweishengxueyewupingtaimeijiduwutianjunyingzhanshishengwendeyuanyinyiliaoyewu(hanjiejiaqi),binganzhaosheshishengwendeyuanyinyiliaoyeyiyuanyiyuan,jianlishengwendeyuanyinyiliaoshenyetingshiyewu;xianqugejiedaobanshichuganjingqingjieqingjieweishengxueyewufenpingtaimeijiduwutianjunyingzhanshishengwendeyuanyinyiliaoyewu(hanjiejiaqi),yitiaojiandekesheyouyeyiyuanyiyuan。xianqugejiedaobanshichuganjingqingjieqingjieweishengxueyewuzhan、cunganjingqingjieqingjieweishengxueshiyingjiezhu🔜yushengwendeyuanyinshaodianhouzhenshi、turanshengwendeyuanyinyiliaoliuguanqudeng,zugoushengwendeyuanyindengxianxianghuanyouquyiyuanshiyongxuqiu。
er、guoyingzuotuchusangaorenqunlvsejiancejishuyudongtaitufuwubaozhang
(一)貫徹要點三高人群應管盡可能
yinlingjiezhen、jucunwei,gejiedaoshequgonggongweishenggongzuodeguanjiandianyaozuohaozhudongguajie,zaijiezhenjiangguanjiandianminzhongliruwanggehuagongzuolilunzhishishang,duiguanjiandianminzhongzhuahaoyingyangpingguyugongzuo。qiaoyonghunyinhushidianhualianximinzhonghezhudonggongzuodexiaoyong,jiadatouruzengjia64suizhineilaolingrenrenqiandaogongzuodebianjimian,daduobaozheng guanjiandianminzhongqiandaoquanbianji。qiaoyongyungongzuode、dianhua、weixinqq、shipindengfeijiaowangdeyuanzehuorudianxuangousuifangdengkefumiangongzuode🌄deyuanze,zuoshi“hong、huang、lv”biaoshiguanjiandianminzhongyingyanggongzuode,zuoqi“sigeshishiwanmei”。
1.yijiezhenweigongside,yikaowanggehuachuligongshijizhi,tixian“shequwangzhan3rendangxiaozu”yunxingzhizequanxian。
2.3leizhongdianshisangaorenqunanquantongjibiaofenleifuwuguanlimohu,qingkuangdediaozhengbingjianzaojilubiao,fuwuguanlinanpengyouxiaoximohu。
3.juweihuiweishengqing♕kuangshouhoufuwuxingyiliaojigou24xiaoshiyingwenshouhoufuwuxingdianhuohutong,jiarenzhurenyishirenshifangshifangfazizhugaozhishucezhongxiaofeirenqun,youjiankangbaojianshijixuqiushimashangbengkui。
4.genjubutongzhuangtai,duizhongdarenmenജjiamifangshihuiquzhudonglianluolianjie,dui“wanghong”zhongdarenmenmeijidulianluobubuchao3ci,dui“huangsede”cizhongdarenmen,meijidulianluobubuchao෴2ci。
5.zhijielejiecezhongnianlingcengkuangjiazhengzhuangshiqingheshenxinjiankangxiankuang。
6.duineirongnianlingcengganqixinguanbingduyangbenhuo🌊jichuxingchangjianjibingzeng🐽jiazhongliangdengshijiqingkuang,mashangjiankangshenghuozhidingfangan、yufangyuzhuanzhen。
(二)落實責任省級重點人群當分類別維護
dui“hong、huang、lv”cezhongdianleirenqufenkaizhan“yi、er、1ji”kongzhi🐈fuwu,dui“chuntianran”leiren,guanchequanmianluoshiyigangshuangze“1jifuwu”,jinyibutupodedeweishengshenghuowenhuajiaoyu,tiqianzuohaorendedeweishengshenghuohujia。dui“huangsede”leiren,zaiguanchequanmianluoshiyigangshuangze“1jifuwu”degenjishang,duiyangxingshenghuoyeliaochengyuankaizhan“yijifuwu”,jinyibutupokangyuanchazhong、dedeweishengshenghuojiancezhanzhan、dedeweishengshenghuolejie、yaowuzhiliaojiandudeng。dui“zise”leiren,zaiguanchequanmianluoshiyigangshuangze“yi、yijifuwu”genjishang,kaizhan“1jifuwu”,tupodedeweishengshenghuojiancezhanzhan,duibingzhenghuijiazhongdegeiyuꦐzhuanzhenyuanzhu。
san、zhulijiejuezengjinweizhongqianqixianshi、genzhiyujieliu
quxianhuanbaoxuejianhuanbaoxueweiyaoyinlingshi、qujiuzhuzhuanyeyishengzumoli,dalijiaqiangduijiedaodefuwuzhiliangzhanhuanbaoxuejiandefuwuzhiliangsuoju🍌jieguanyujiaoyuzhidao,guanche“zao𒊎ganjue、zaokaizhan、zaofenli”yaoqiu,fahuichulaijiedaodefuwuzhiliangzhanhuanbaoxuejiandefuwuzhiliangsuoju“guanzhayiwei”dezuoyong。
(一)推廣新冠危重癥早發掘
gejiedao⛎bananquanfuwuchuliqiyeliandongjucunwei,zhuahaoduixinguanchuan❀ranzhedeanquanjianceshujujishu,gengshiyaogewaizhongshishiyaodianquntichuanranzhe,zaishishi“yi、er、san”jichulidekuangjiashangshang,yaoyaodianzhuahaoxinguanxianxiangyukuangjiashangxingchangjianjibingxianxiangbianhuawuchangdejianceshujujishu。
zengjiaduixinguandiannaobingdubinghuanzheyangbaomandushujujianceshuju。gepianquganjingyewuzuzhizhongjiejigouyaopeiyouzuliangdezhijiashixueyaxueyangyi(yixiadesuoxiezhiyangyi),bao👍zhangmeiyigepianquganjingyewuzhongxinzhanzhanhefenzhongxinzhanzhandayuepeiyou20geshangmian、meiyigepianquganjingyewuzhanhecunganjingshidayuepeiyouduogeshangmian,meiyigejucunweidayuepeiyougeshangmian。huiweimeiyigejiachangdafutuanduixiezuopeiyouwubiguimodezhiyangyi,xianjiehaojucunweishili,jiangyangbaomandushujujianceshujubingruzhongxinxiaofeiquntidiannaobingdubinghuanzheshouyaosuifangdongxi。gepianquganjingyewuzuzhizhongjiejigouyaolianghaoliandongjucunwei,wei6liusuishangmianyouxinguandiannaobingdudiannaobingduganhuabingqingbijiaozhongdeshihoufengxiandianqiejihuamafandezhongxinxiaofeiquntishenqingzhiyangyi,peixunzaijiaceshixueyangbaomandu。
(二)落實新冠危重癥早手術治療
yaojiezhuyushi、quzhenliaoxiaobianzushili,yangezhixingquyuqingjieweishengfuwupeixunxuexiaoduixinguangan🤡qizhezhenduihuanjie,huanyouyouyingyangdezhichi、yangliao、diaoping、xiaofenzishileiyaowudongyongಞ、shulijiazhongbingfangdeng。
1.開展合適醫療。gedigonggonganquanshipinjiankangfangyifangyizhengchangweihuiweipianqugonggonganquanshipinjiankangfangyifangyiyewudeqiyexuanpeizongshuliangwenheyirendechakanqingqideguanguandai、chakanqingqideguanguanpingshenzhizhiyangjidengsheshi,tigaorenshishishiweimenzhenbubunvxing、jujiayanglaoyewushoushudiaolinvxingdailaiyangliaohuochakanqingqideguanguanbaozhuangyewude。gepianqugonggonganquanshipinjiankangfangyifangyiyewudezhongjian、fenzhongjianjunyaofangzhimenzhenbubu“xiyangqu”;pianqugonggonganquanshipinjiankangfangyifangyiyewudezhanyucungonggonganquanshipinjiankangfangyifangyishililunyijushangjunyaochongfenliyongmuqianyongyouchangjingfangjian,shebeichakanqingqideguanguanguan,dailai“yangliao”yewude,jubeijuminjiatingfujinyangliaoyewudedexuqiu。jinxingzuozuowuhuashoushudiaoli,gepianqugonggonganquanshipinjiankangfangyifangyiyewudezhongjian🐬、fenzhongjianlilunyijushangjunyaodailaizuozuowuhuashoushudiaoliyewude。lingwai,zhunbeihaoranshangzheyingyangyuansurenke,shigongjiankangying🦂yangjiankangzhidaoxing,anzhengguishenrukaizhanjingmozhushedengfuwude,keyijianshaobingqingbijiaozhongdeshihoutufagaofengxian。
2.及時的操作抗病性慢性毒藥物手術治療。duineironghuanzheganqizhezuohaokaohe,zaizhuchengquyishengzufangtantigangxia,duifuheyuanzedeganqizhe,jinzaofangtantigangshiyongdikangjibingmanxingduyaowu,nengzuo🐷daogenghaodizhenzhi。
3.有效充分的揮發藥材治療方法做用。guanchezhongxifangyidapei、zhongyiyaolianyong,jiasu“sanyaosanfangxieyi”dengcaoyaozaijuweijiankangdefuwuguanlizhongjiejigoudexuanyongheshiyong。gejuweijiankangdefuwuguanlixinzhongyaomianduixinguanmumaranbingtongchangzhengzhuang,zhuzhongshixiao,bianzhengshizhi。bawo“zao”“kuai”🤪dezhunze,rangzhongyizaixinguanxijunjiaochaganranmoqixunsujieruzhenliaozhenliao,zhijieezhiqingzhenghuanbingzhexiangdaxing、weidaxingweilaifazhan。
(三)持續推進新冠危重癥早過渡
1.直接援助轉診。duixinguanxianxianghuojichukuangjiaxingdejibingyanzhongderanbingzhe,geshequganjingganjinggongnengzhongdian、jiarenyishengzhuanjiazhuanyetuantiyaohao120yingjiweixian♓zhuanyunlvhuahuanchongqu,weituoxijunbingduganranzheyouxiaozhuanzhen。zheduiyuxiajicengshouzhendebingqingbijiaozhongdeshihouzishen,yaojiaokuaizuizhunshebie,suizhushijideqian❀ti,youxiaogongyang,gexinghuahuiyuanfuwuchongfenjijiuzhengce,yingzhutoupixingchengzishenrenshenanquanzhengxiangwenbu,zaiyihukaoshengqinzixiayouxiaozhuanzhen。
2.通行橫向轉診。geshequwangzhanqingjieanquantiexinfuwubangongshidianyaoyituoyuquyuhuanjingxingyiyuanqixiegongsidian、yiliantishangsi🔥anquanyuan,tongchangxinguan♛jiuzhuzhengxiangzhuanzhenhuanchongqu,quxianqingjieanquanjiankangshenghuowei、geyiyuanqixiedanweiyaoxuandingzhuanzhirenyuanchengjiezhuanzhenzhiwei,jianyiweizhongrenqunzhuanzhenbiaozhunliucheng,tishengzhuanzhenshengchanlv。shihou,yaojiayiqizhuxiangguanxiandaixinxijishuzhichengdianyong,tongguoyuanchengdiannaokongzhijiezhen、yuanchengdiannaokongzhiceshidengyuanze,baozheng renqundeyijishigenghaojiuzhu。
duijiedaobanweishengjianfangyijingzhuntiexinfuwuzhilianghexinshangzhuanxinguanbingduzhe,tongchangshizhongdiancunqunzhongbingduzhe,lingdaoyiliaoyaogoujianshouzhilvguodao。zailingdaoyiꦜliaodaoweijixingbangguangqishoushuzhiliaohou,huanjingshichangpingwendebingduzhekexiahuandaojiedaobanweishengjianfangyijingzhuntiexinfuwuzhilianghexinyi𒈔yuanbingfang,jiedaobanyiwuyuangongyaojinruzhuanzhenchengxuliucheng,jinxingjingzhuntiexinfuwuzhiliangbingchizhu。
geshiquqingjiefangyilvseweiyingpinghengguanguanxiaquneixianjidangxiazhengxingdaikuangongsishoushuchuangziyuan,anzhaochayijieduanzhong,zhengxingdaikuangongsishoushuchuangtedianweizhi,jianshepingheng、xifenshiyongdecuoshi,yaopinghengpeibeiguanguanxiaquneixianjidangxiazhengxingdaikuangongsiyiwurenshi,jiezhuxiapairuzhu、shouquanweituoyijiaodengtujing,shiyongpingtaiqingjiefangyijingzhunyewupeixunxiangmuzhongbingqujingzhunyewupeixunxiangmu。juyoushoushuchuangdepingtaiqingjiefangyijingzhunyewuဣpeixunxiangmuzhong,jinjieduanzhong,shoushuchuangshiyonglvyingzuodao95%zuoyou,weizhuangzhishoushuchuangdepingtaiqingjiefangyijingzhunyewupeixunxiangmuzhong,duifuheyaoqiutiaojiandejiaochaxiedaizhe,yingjiezhudejiatingshoushuchuangfuhejujiazhuangxiushoushuzhiliaoyewuxuqiu。
si、zhuahaojiedaoshequzhongdianshixiaofeirenqunzhenliaoziyuangongxiangpinghenghezuoweizhichengdiananquanbaozhang
(一)充分地助推街鎮網格化工作管理模式
gejiedaojuweihuiganjinganquanzuoyeshangxingzhongxinzhanyaojijizhudonglianjiegejiezhen、jucunwei,chongfendeyijiatuijinyujiezhenwanggehuakongzhigongshitizhi,qizhujiezhen、jucunweizhudaozhexiaoguo,yangeguanchezhixingduihexindaxueshengxiaofeiquntijiedaojuweihuikongzhi,zuihaoanquanjianceshujuyudongtaihuazuoyeshangxing。yijiatuijinyu“jiedaojuweihuisigerenxiezuozu”zuoyeshanggongshitizhi,yangeguanchezhixingduihexindaxueshengxiaofeiquntidebaobaolianxu。gejiedaojuweihuiganjinganquanzuoyeshangxingzhuangzhiyaoxiediaojiezhen,shiyiqufangzhibanzuoyeshangmouhua,zuihaoduigaolingyeye、youhexinxingfabingbingrendengweizhonggaoweixian daxueshengxiaofeiquntihejiongjinghaitongdengdaxue⭕shengxiaofeiqunti“anquanbao”lingqu,lianhejucunwei,daidongduiduzishenghuoyeye、jinyushangcanrenpeiouxiangtongrichanggongzuojuzhulaolingrenderichanggongzuolianxu。
(二)切實加強區域劃分醫療保障影視資源城鄉醫療保險撐起、
gegequgonggonganquanjiankangdeweiyaotongchouguihuaguihuaxiaofangtongluchangjianzhengxingjingzhunfuwuzhiliangbaozhangbaojianxuexiaoyiwugongzuoyuan,shixianchenxiaquxunzhen、gongzuoyuanpaizhu、dazaokuawangzhengxingjingzhunfuwuzhiliangbaozhangbaojianfengongxiezuowangdengfangan,henhaojiejueꦆbiaocengzhengxingjingzhunfuwuzhiliangbaozhangbaojiangonggonganquanxuexiaorengongdabudaoxianxiang,zengqiangrenshijiedaobanshichuxinguanjiuhujingzhunfuwuzhiliangbaozhangwendingxingzhuahao。yinlinglaocheng♛quduojijiuhuzhuzhiyishengzuheshangjibumenzhengxingjingzhunfuwuzhiliangbaozhangbaojianxuexiaoyouguanyuxunhuidejutizhidaoyuanyou,duijiedaobanshichugonggonganquanjingzhunfuwuzhiliangbaozhangxuexiaozhuahaojiqiaodejutizhidao,jiaoxuebiaocengyiwugongzuoyuanguojiabiaozhunanquanshiyongxiaoyuanziheyaohezhongyaocai“sanyaojifangmian”,yizengqiangbiaocengfangbingqingbijiaozhongdeshihoushuiping。jinyibutigaozhengxingjingzhunfuwuzhiliangbaozhangbaojianjizhennengyuantongchouguihuaguihua,buduanzengjiazhengxingjingzhunfuwuzhiliangbaozhangbaojianjizhenxiaojiaocheyuzhandoulishebei,weijiedaobanshichugonggonganquanjingzhunfuwuzhiliangbaozhangxinzhong、jiazhuzhiyishengzuzhidazaozeyouzhuanhuatonglu。
(三)提升基礎醫務師技術培訓
cehua baozhangxianchengduojiyeliaoyouguandepingshenzu,jihuayingduijichuyiyuanxiangguanzheyiwuxiangguanzhexuexipeixunjiejuefangan,shenrukaizhanzaixian、xianxiamendian、tonglixiezuodeyiyuanxiahuadaijiaodengduoxuexipeixun。wanquangenjuguojiadiqu、shengjidengyouguandexuexipeiꦯxunziyuan,zhudongxingcehua jichuyiyuanxiangguanzheyiwuxiangguanzhecanjiaguoxuexipeixun。zengqiangchouyangjiance,congyanxuexipeixunkaolv,quebaoanquanshengchanxuexipeixunxiaoguohao,shijichuyiyuanxiangguanzheyiwuxiangguanzhe(baohanxiangyezhurenyisheng)zaiyuqixianqieyaoshulianshujishebeishujixinguanneirongxiaofeiqunfendengjileibieyewufangshi 、ranshangzhengzhaolejie、ranshangzhejujiazhuangxiubiaozhunhuaguanliheyeliao、zhongyizhenjiuyaoyeliaoheshuhoukangfuzhenliaoguifan、diyangxuezhengzaoqishihouxianshi、touqinandudefengxianpingguhechuzhenfangshi 、zhiyangyideshiyong、bijiaozhongyaozhuanzhenshiyongzhenggeleixiaotuanhuozhongyaodeshiyongzhengheheshishiyongfangshi deng。
(四)做好新冠處置商品服務
mingquetichujiankangmianyijiezhonglvseweiyaohuihuigenjujuweihuiwangzhanjiankangjiankangmianyijiezhongtiexinfuwuzhiliangdexinzhong、cunjiankangmianyijiezhongshitiexinfuwuzhiliangderenyuan、shengjizhongdiansangaorenqundishudenghuanjing,peizuqiangjiugongchengshebeiyuwuzhide,birufalengdezhenliaoyao、zhongyaocha、kangyuanyanceweishengwupeiyangji、kangbingxingjuduwu、zhiyangyideng,bingxiangjiehejuweihuiwangzhanjiankanggandongzherenshubianqian,dongtaizhanshixiuzhengshouchu,baoxiangongchengshebeiyuwuzhideshouchu。diyujiaodubianyuandedifang、jiaotongwangkunnandejuwei🐭huiwangzhanjiankangjiankangmianyijiezhongtiexinfuwuzhiliangdexinzhong、cunjiankangmianyijiezhongshiyaoshixianbeizudezhiliaoyaohemianyijiezhonggongchengshebeiyuwuzhide。yituoyuchengshi、jucunwei,yuzhengxingyiyuan、yiyaoliansuodengzhidazixunrexian,huihuigenjushijibixuyao shiyixiangzhejiangnongcundedifangpianyigonghuoqiangjiugongchengshebeiyuwuzhide。
(五)進行熟知上班靜態
gegequhuanbaoguanlilianghaoweiyaozaicinonghaojiedaohuanbaoguanlitigongjingzhunfuwuxiangmuzhongjiejigoucaozuo、tigongjingzhunfuwuxiangmuxianzhuanghezengrongxianzhuangdengjishuxingtushujukujiance,suishizhidaojiedaofarezenmebanhuizhenxianzhuang、jinkouyaopinheshepeichubeiliangdeshiyongxianzhuang、zhongdayonghutigongಞjingzhunfuwuxiangmuxianzhuangdeng,duishequyunzhuanliucunzhuangkuanghuoyunzhuanluowudediansuishidiaoyong。nenggouchongfenqiaoyongqiyeshuzihuaxinjishu,tigongyunzhuanrexiaolv,jiandijichufudanzhong,xunsushenbaodiqu、shengjiyinggaidejishuxingtushujukuheqiyexin𓆉xi。
(六)抓好社區服務中心醫務工作員著想愛護
geshiquganjingzhengchangweiyaojinliqiaodingfazhanzhongguojiaheshanghaiyouguandezhuxiangxiaiyiwurengongkongzhicuoshi,kaizhanduishequnganjingtiexingongnengpingtaidezhizhuhouqinchubaojiahuhang。kexueguihuayuanpaishequnyiwurengong,jinxingyiwurengongxianzaideshenghuotiexingongnenghehouqinchuhouqinchubaojiahuhang。anguizeqiaodingduishequnyiwurengongbutiezhengceyujiatingshenghuozhuanjiajieyuetiexingongnengfeiliangcixingzhuanxiangyunzhuanzijin,gulishequnyiwuren🦋gongxiabanfangsongshenxintoufangshequnxinguanchuzhi♓yunzhuan。
(七)進一步提高工作抓好和工作檢查年終考核
gegequgonggongweishenglvsejiankangweiyaozengqiangzuzhianpaishangjilingdao,zhuyiyashixishusunshi,yaomingquebumennaizhimeiyiweiyuangongsunshihemubiaoanpai,youxiaobaozhangleyewutiaojian。yaozengqiangduiqujiyewukaisheqiantihesunshishenrukaizhanqiantidecaozuojiancha,dajianyewutaizhang,quedingmubiaohuizongbiao、yuanyinhuizongbiao、sunshihuizongbiao。yaojiangdangqianzhuangkuanglejiejicengyuangongyaodiansangaorenqunxinxiyewu、jinjie“baolvsejiankang、fangweizhongzheng”geleiyewu💎kaisheqiantihechengxiaoxianzhuyuxiangguanyaodianyewudekaoyanneirong、cailifenpai、pingxianbiaozhangdengxiangguakou,jianchiwentixiangdaofahuichukaoyanneirongjianglixiangdaogongxiao。
hangzhoushianquanjiankanganquanjiankangyixuehuihui
&nb𝐆sp; &nbꦐsp; 2023nian1yuefen8ri