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: 】
區縣安全營養委:
xuanzeguoneilianfangliankongzhidu《duiyutiqianzhunbeihaoxinguanshengjizhongdianhuanzhedongtaixingtiexinfuwudehe“shekoukouanyiwei”shangbandegaozhi》heguoneilianfangliankongzhidu、zhongxindifangxiangcunshangbanlingdaoganbuxiaozunei《duiyuxiafadalijiaqiangmouyixiangcundiquhuafenqingxingguanzhuangmumajiaochaganhuaqinliuganfangzhishangbanfangfadegaozhi》wendangtiaojian,weigenghaodifahuibeijingshiquyuhuanbaotiexinfuwudeshebeiwangdiyiyi,baozheng“zaohuifaxian、zaoyizhi、zaofen𒀰ke”,youxiaofangfanhejidajianshaoxinguanmumajiaochaganhuaweizhongqingkuang,xianjiutiqianzhunbeihaomouyixiangguanshangbangaozhiruxiasuoshu:
yi、chixuxingzengjiaxiaoquxinguanqiangjiuxiaolv
(一)促進街道辦新冠救護增容增能
quxianhuanweiqingkuanganquanjiankangweiyaobutongjijiuzuoyeshichangxuqiu,fengongxiezuozhuzhaiquguanliandexingye,kuaisuyouxutuijinguanxiaqujuweihuanweiqingkuanggongzuopingtaixinguanjijiukongjiankuochongfazhan,zhuahaoguanliandegongyonganquansheshizhuanyongchanpindengzengnengcunliang,shizhiyiliaodiduan、jingmoshuyediduan、yangliaodiduan、zhuyuanbubingqudeng,zhizuohaoxindianjianhuren、xueyangjiancewang、gongyangdenggongyonganquansheshizhuanyongchanpindiaoshidan。laishuodadaobiyaotiaojiandejuweihuanweiqingkuanggongzuopingtai,henqianghuactdengzhuanyongchanpindediaoshidan,youhuarenmenshepianjianchahuixiachendaoyouzhajide。yijugongzuorenyuangeshude15%-20%dongtaixinxicunliangzhongyaofangji、tuireyao、huatanzhikeyaojikangyuanjianzezhijihexuanpei🅺,quebaoanquanpingtaixiaoduchanpincunliangliangyizhiyilaidoubaochilianghaozai2zhouzhexie,renyuanmijiqudiduankebu♏tongxianshidejiaqiangcunliangliang。
(二)增進片區產生熱量診所服務
gexianqugejiedaoanquananquandefuwupeixunbaozhangbaozhangzhiliangxiangmuzixunzhongxinyizhou7tianbatianjunyingchushibiantangyiyongguifandefuwupeixunbaozhangbaozhangzhiliangxiangmu(hanjiejiaqi),bingzaishebeibiantangyiyongguifanyeyiyuan,baochibiantangyiyongguifanyelishijianyanchidefuwupeixunbaozhangbaozhangzhiliangxiangmu꧂;gexianqugejiedaoanquananquandefuwupeixunbaozhangbaozhangzhiliangxiangmufenzixunzhongxinyizhou7tianbatianjunyingchushibiantangyiyongguifandefuwupeixunbaozhang🎀baozhangzhiliangxiangmu(hanjiejiaqi),youyijiandekexinkaisheyeyiyuan。gexianqugejiedaoanquananquandefuwupeixunbaozhangbaozhangzhiliangxiangmuzhan、cunanquanshiyingyituoyubiantangshaodianbingshi、weilefangbianjielabiantangyiyongguifanliuguanqudeng,zugoubiantangdengzhengzhuangpengyoujiuyiliuchengdexuqiu。
er、qieshijinxingguanjianleirenyingyangjiankangjianceqiyuxinxigongneng
(一)開展著重類人應管縱然
goujianjiezhen、jucunwei,geshequnweishengjianbaozhangxiangmujigouyaozuohaofenshouhoujiaojie,zaijiezhenjianghexinleirenhuaruwanggehuadegongzuoguanlililunzhishishang,duihexinleirenjijikaizhanlvsejiankangpingguyudegongzuoguanli。shulijialiyishijianlilianxibaixinghefenshouhoubaozhangxiangmuxiaoying,ladongtuozhan6liusuijiyishangzhonglaorenlaishuoruzhubaozhangxiangmushejilvmian,changguibianxianhexinleirenruzhuquanshejilv。caiyongyunbaozhangxiangmu、dianhuahaoma、diannaoweixin、duanshipindengfeilejiecelveyingwenhuogongnengshangmensuifangdeng♏🍷zhimianmianbaozhangxiangmucelveyingwen,zuoshi“hong、huang、lv”biaotiehexinleirenlvsejiankangbaozhangxiangmu,baochi“bagedaoluodaozhangdaozhang”。
1.yijiezhenweigongzuoshangdanwei,pingjiewanggehuagongzuoshangguanlixitong,tuijin“shequwangzhanwurengongzuoshangzu”gongzuoshanggongzuozhize。
2.sanjihexinzhongrenjiankangshenghuolejiezongleifenming,richangdongtaidiaozhengbingdajianzhangbiao,guanlizhiduguanjianzixiangguanxinxifenming。
3𓂃.quyuqingjieweishenggongzuoqiye24xiaodeshihougongzuozixunrexianchangxing,qiyeyayizhaohuatifangshiyingwenzhudongjiaodaizhongdiandaxueshengxiaofeiqunti,youjiankangshenghuoxuqiuliangshishishihuifu。
4.shunlitongguoduoleizuzhixingshi,duitebiexiaofeiquntijiasuojishijianlijianlizhaohuatixiangmuduijie,dui“se”tebiexiaofeiquntiqitianjianlijianlizhaohuatibugaoyu3ci,dui“tuhuangse”citebiexiaofeiqunti,qitianjianliꦬjianlizhaohuatibugaoyu2ci。
5.jishizhangwolezhongzhongzhizhonghuanzhejibentiaojianyiqingzhengzhuanghedejiankangxianxiang。
6.duiguanjiandianrenganranzhiyuantixinguanbingdushishenmehuojichuxinghuanbingjiajudengqingkuang,dangjiwendingdezhidao、zhidaoyuzhuanzhen。
(二)貫徹省級重點年齡段區分管理制度
dui“hong、huangඣ、lv”zhuyaokehuquntiyicituijin“yi、er、siji”fangfagongneng,dui“lvsede”kehuqunti,guanchezhixinggongzuo“tediyigongneng”,zengjingengshentipeiyang,zhunbeihaowomengengshentihuoxufanghu。dui“qianhuangse”kehuqunti,zaiguanchezhixinggongzuo“tediyigongneng”detiaojianshang,duiruoyangjiatingzhuangxiugenzhizhuanyerenyuantuijin“xiajigongneng”,zengjinkangyuanchace、gengshentishujujiancexitong、gengshentiguanlizixun、shiyongyaowupeixundeng。dui“jiehongse”kehuqunti,zaiguanchezhixinggongzuo“yi、xiajigongneng”tiaojianshang,tuijin“sijigongneng”,cuiliangengshentishujujiancexitong,duihuanbingjianruodeguijuzhuanzhentongyi。
san、zhulijiejuetishengbingqingbijiaozhongdeshihouzaoqifajue、zhiliaoyufenli
gegequweishengjianguanlijiandulianghaowei♍yaogoujianshi、qujiuzhuzhuanyerenyuanzuyongqi,jixujiaqiangduijiedaoweishengjianguanlijiandufuwuxinzhonglianjieyupingjiabiao,baochi“zaokandao、zaozhiyu、zaofenpei”deyuanze,fahuichulaijiedaoweishengjian🌌guanlijiandufuwuxinzhong“shekoukouanlagao”shiyong。
(一)推動新冠危重癥早找到
geshequnanquanfuwuguanlixitongpeixunjigoutuijinjucunwei,jinyibuzengjin🅠duixinguanchuanranzhedezhengchangshujujiancexitong,gengshiyaogewaizhongshishicezhongsangaorenqunchuanranzhe,zaiyangeluoshi“yi、er、san”jiguanlixitongdejichuxingzhishishang,yaocezhongjinyibuzengjinxinguanzhuangkuangyujichuxingzhishixingbingxianzhuangkuangbianhuawuchangdeshujujiancexitong。
daidongduixinguanpifuaizibingduxiedaizheyangbaomandiandupingguqi。gejuweihuitiexinfuwupeixunbaozhangxiangmuzhananquantiexinfuwupeixunbaozhangxiangmuyiliaogouzaoyaopeifazuliangdezhijiashijiezouxueyangyi(xialiejianxiezhiyangyi),youxiaoquebaorenhejuweihuitiexinfuwupeixunbaozhangxiangmuzhananquantiexinfuwupeixunbaozhangxiangmuxuexiaohefenxuexiaozuihaopeifa20gewangshang、renhejuweihuitiexinfuwupeixunbaozhangxiangmuzhananquantiexinfuwupeixunbaozhangxiangmuzhanhecunanquanshizuihaopeifa4gewangshang,renhejucunweizuihaopeifa6gewangshang。huiweirenherenjiahushidetuanduipeifayidingdeshujudezhiyangyi,jieruhaojucunweiyali,jiangyangbaomandiandupingguqihuaweihexindaxueshengxiaofeiquntidangpifuaizibingduxiedaizhezuijibensuifangneirong。gejuweihuitiexinfuwupeixunbaozhangxiangmuzhan🍒anquantiexinfuwupeixunbaozhangxiangmuyiliaogouzaoyaogenghaodiliandongjucunwei,wei6liusuiwangshangyouxinguanaizibingdupifujiaocharanshangweizhongzhengdefengxianqiexingdongqilaibulianghouguodehexindaxueshengxiaofeiquntidangbofuzhiyangyi,zhidaoxingjiatingshenghuozhenduanxueyangbaomandiandu。
(二)力促新冠危重早治療
yaotuidongshi、quzhenliao✨xuezhezudeliliang,shishixiaoquhuanweichanpinshebeiduixinguanhuan🐭shangzheduizhengxiayaogenzhi,hangaijiankangpinguozhichi、yangliao、diaoping、xiaotuanhuoyaowujiliangcaiyong、chuanglijiarenyiliaochuangdeng。
1.進一步加強合適控制。quxiananquanhuanbaoxueweihuiweijiedaotebiejuweihuianquandebaozhangzhiliangpeixunyiliaojigouzhuangbeigeshuyiyudeyangdai、yangpinggeleizhiyangjidengji,quebaokuaisuweizhuankezhenꦉsuoqiumeizhe、jujiashenghuodezhiyuqiumeizhekeyizhanshi yangliaohuoyangbaozhuangdebaozhangzhiliangpeixun。gejiedaotebiejuweihuianquandebaozhangzhiliangpeixunzixunzhongxindianzhandian、fenzixunzhongxindianzhandianjunyaoshezhizhuankezhensuo“xiyangqu”;jiedaotebiejuweihuianquandebaozhangzhiliangpeixunzhanyucunanquanshiyijushangjunyaotongguoyiyouyongdigerenkongjian,xiankapeizhiyangguan,keyizhanshi “yangliao”debaozhangzhiliangpeixun,fuhejuminjiatingbenshiyangliaodebaozhangzhiliangpeixungonggei。tuijinzuozuowuhuadezhiyu,gejiedaotebiejuweihuianquandebaozhangzhiliangpeixunzixunzhongxindianzhandian、fenzixunzhongxindianzhandianyijushangjunyaokeyizhanshi zuozuowuhuadezhiyudebaozhangzhiliangpeixun。tongyang,zuohaozhanranzheyangfenfuchi,shixingjiankangbaojianhuoshipingjiabiao,anguifanbiaozhunkaishidiaopingdengfuwuguanli,jiandiaobingqingbijiaozhongdeshihoujinxingweixian 。
2.盡早食用抵抗劇毒物醫治。duiyaodiankehuqunxijunxiedaizheshixingpinggubaogaogeshi,zaizhuzhai🎃ququanweipingshenzupingjiabiaoxia,duidadaoshoushuzhizhengdexijunxiedaizhe,xunsupingjiabiaoyongdaokangbingxingduwuwu,zuohaotiqianyufang。
3.寬裕起中藥材手術治療的功效。shizhongjianchidongxifangyirongru、laozhongguoyaobingqieyong,huanman“sanyaosanfangxieyi”dengzhongyaochazaitebieanquanchanpindejigouderenyuanpeibeihezaishiyong。getebieanquanchanpindezhongdianyaoyingduixinguandiannaoxijunganranzhiyuantidianxinglinchuangbiaoxian,quyuxiediaofazhan,bianzhengshizhi。yaozhu“zao”“kuai”deyuanli,⛄rangxiyaozaixinguanxijunganranqibujieduangengkuaidijierushoushuliaofa,xunsuzhizhiqingzhengbinghuanzhexiangzhongzhongxing、weizhongzhongxingfazhanjinbu。
(三)有序推進新冠危重癥早分離
1.不能協助執行轉診。duixinguandeqingkuanghuojichuzhishixingbingzhengdanwudegandongzhe,gejiedaobanshipinweishengchanpinzhongxindian、jiatingܫhuanjingyishengzhuanjiagongsihuiyonghao120yingjibixuzhuanyunhongsehuanchongqu,yuanzhuranshangzheshishizhuanzhen。tantanjichengshouzhendebingqingbijiaozhongdeshihourenqun,yaohenkuaigengzhunquemianbushibie,yijushijishangwenti,shishigongyang,jinxingchongfenjiurenfangshi,jinliangyongyixiehuifurenqunrenshenanquanlinchuangbiaoxianpingwenxing,zaiyihuxiangguanrenyuanreqingjiedaixiashishizhuanzhen。
2.保通雙邊轉診。geshequfuwupeixunzhujiankangshenghuofuwupeixunzhuyaozhutuichengshixingyiyaozhu、yiliantishangyijiyiruan,shunchangxinguanqiangjiuzhengxiangzhuanzhenduanxintongdao,gegequjiankangshenghuojiankangshenghuowei、geyiyaodaikuanjigouyaoshedingzerenrenkaizhanzhuanzhenzhiwei,youhuaweizhongrenqunzhuanzhenbuzou,tinggaozhuanzhengongzuoxiao♌lv。huan,yaochedidefahuiyongwentihuazhichengtixiyong,liyonglvjiyuanchengdenglujiezhen、jiyuanchengdengluzhenduanbaogaodengbanfa,quebaoanquanrenqunqudejishiyouxiaoguoqiangjiu。
duipingtaiju💯weihuishipinshipinweishengdefuwuxingguanlizhujushangzhuanxinguanganranzhe,gengshiyaogewaizhongshishizhongyaonianlingduanganranzhe,shangsilingdaoyiliaoyaoquelishouzhimolvseguodao。zaishangsilingdaoyiliaolaiwanchengyamanxingqizhiliaohou,shihouwenbudeganranzhekexiahuandaopingtaijuweihuishipinshipinweishengdefuwuxingguanlizhujuzhongzhengjianhushi,pingtaijuweihuiyiwurenshiyaocanyujinlaizhuanzhenliuchengbuzou,nonghao🃏defuwuxingguanlichengbao。
geshiquhuanbaoanquanweiyingshehuichengxiangjiedaobanhuanbaojuweihuiyiliaobaoxianpianquneigebujidaleiyiyongzhuangzhiyiyonghulichuangziyuan,yaogenjuqubiecengmianyiyongzhuangzhiyiyonghulichuanggongyongdiwei,jianliqishehuichengxiangjiedaobanhuanbaojuweihuiyiliaobaoxian、jidaleiyunxingdeyuanze,yaoshehuichengxiangjiedaoban💛huanbaojuweihuiyiliaobaoxianpeibeipianquneigebujidaleiyiyongzhuangzhiyiwurenshu,shixianxiapaiqianzhi、weituoxieyijiaojiedengfangshi,zhichixitongjiedaobanhuanbaojuweihuihuanbaoshouhoufuwuxiangmubaozhangzhiliangzhongjianzhuyuanbushouhoufuwuxiangmubaozhangzhiliang。kaisheyiyonghulichuangdejiedaobanhuanbaojuweihuihuanbaoshouhoufuwuxiangmubaozhangzhiliangzhongjian,jindejieduanyiyonghulichuangyunxinglvyingdabiao95%shang,weipeizhiyiyonghulichuangdejiedaobanhuanbaojuweihuihuanbaoshouhoufuwuxiangmubaozhangzhiliangzhongjian,duifuheguojiashoushuzhizhengdezhanranzhe,yingshixianjiachangyiyonghulichuangnenggoumanzuzijidefangzizhenliaoxuyaoliang。
si、jinyibutigaojiedaobanhexinrenmenqiangjiuchengbentongchouyiliaobaoxianhechengzaibaozhangcuoshi
(一)徹底的依賴街鎮網格化的管理邏輯
gejuweihuiqingjieweishengqingꦜkuangbangonghexinyaozhudongdelianjiegejiezhen、jucunwei,nenggouchongfenyinlingjiezhenwanggehuajianguanjineng,genghaodifahuijiezhen、jucunweihexingongxiao,guancheduizhongzhongzhizhongrenmenjuweihuijianguan,nonghaoshentipingguyugifdongtaibangong。yinling“juweihuijirenxiangmuzu”bangongjineng,guancheduizhongzhongzhizhongrenmendebaobaolianxu。gejuweihuiqingjieweishengqingkuangbangongzhongjiejigouyaozuodaoweijiezhen,zunxunquyingjichuzhibanbangongshishi,nonghaoduigaolingfumu、youjibentiaojianxingjibingrenqundangzhedengweizhongzhenggaoweixianrenmenhekunnanyingyouerdengmen“shentibao”xiafa,yitihuajucunwei,buduanjiaqiangduiduzishenghuofumu、jinyushangcanrensunbeianfengongyouzhuzhainianjirendetaizhanglianxu。
(二)不斷加強板塊醫藥產品統籌醫療保險保障
gedihuanbaojiankangdeweiyaotongdengfengjingquneigexiangyiyaoxuexiaoyiwushi,jiezhuchendaoxunzhen、shipai🎃zhu、jiaruqqyuanchengyiyaohezuowangdengtujing,jiejuebanfajibenyiyaohuanbaoxuexiaorengongshoudongcaozuobudaoguzhang ,tishengrenshishequnxinguanzhenliaoyewupingjingkaishi。zuzhibaozhangzhuzhaiquliangjizhenliaolingyupingshenzuheshangsiyiyaoxuexiaogezhongxiangguanxunhuipingjiabiaochangxiaojizhi,duishequnhuanbaoyewuxuexiaokaishijishugongyipingjiabiao,jinengpeixunjibenyiwushiguichengdongyongxiaofenzijiegouyaohezhongxiyao“sanyaojifangmian”,yitishengjibenfangweizhongzhengzhuanyenengli。dalijiaqiangyiyaojiuhuziyuanxingtongdeng,jiajuyiyaojiuhujidongcheliangyudeliliangpeizhidan,weishequnhuanbaoyewuzhongxinzhan、zhongguojiatingzhurenyishengtuanduijiarushouxuanjiyunguandao。
(三)全面提升基成醫務者技術培訓
yijiayituoyuquneiyoujiqiangjiulingyupingshenzu,jihuaduiyingjibenzuzhikaizhanyiwuderenxunlianxuexikechengfangangeshi,zuohaoxianshangzhifu、qudao、zengjiazuzhikaizhanlingdaozhensuoqingxiedaijiaodenghenduoxunlianxuexikecheng。duofangmianyingyongdeguojia、shengjidengguanyixunlianxuexikechengchanpin,guanjianzuzhikaizhanjibenzuzhikaizhanyiwuderensanjiaxunlianxuexikecheng。zengjiachayan,yaoyanxunlianxuexikechengkaohebiao,weilebaozhengxunlianxuexikechengjieguo,shijibenzuzhikaizhanyiwuderen(yebaokuoxinnongcunzhurenyishi)zaiyuanyinianhoushulianshujishujixinguanzhuyaonianlingduanfenjizuijiandandejiqiaofenjifuwubaozhangzuofa、jiaochachuanranbiaoxianjiancha、jiaochachuanranzhezaijiazuijiandandejiqiaohekaizhan、zhongguochuantongyixueyaoqiangjiuhe💮kangfuxunlianyiliaojigou、diyangxuezhengqianzhaobiaoming、rengonghuxijiannandeceshihehuizhenzuofa、zhiyangyideyunyong、guanjianzhuanzhenyuanzehuozhexiaofenzishiyaowuzhiliaodezhuanbianzhengheduiyunyongzuofadeng。
(四)強化新冠救護物資采購保障機制
gegequhuanweishentiweiyaoronghejiebanshichuhuanweianquanjingzhun🎉fuwuguanlizhuzhong、cunhuanweishianquanjingzhunfuwuguanlirenkouzongshu、zhuzhongleirendishudengxianshiqingkuangqingkuang,peizujiuzhuwuqizhuangbei,lirufatanglinchuangjinkouyaopin、zhongxiyao、kangyuanzaixianjianceweishengwupeiyangji、dikangjibingduwuwu、zhiyangyideng,bingronghejiebanshichuganliangzherenshu♓yingxiang,geshigeyangdediaozhengcunchuliang,zhiliangbaozhangwuqizhuangbeicunchuliang。zirandilixuanzhipianpishengfen、jiaotongchuxingkunnandejiebanshichuhuanweianquanjingzhunfuwuguanlizhuzhong、cunhuanweishiyaotiqianjiubeizuzhiyuzhongchengyaohefangyiwuqizhuangbei。yikaojie、jucunwei,yuzhenliaojiegou、zhongyaofangdengkuaijiedianhua,ronghexianshiqingkuanghuanyaoyouxiaoxiangnongcunshengfenshengfenzhichigongyingxinxijiuzhuwuqizhuangbei。
(五)實時時間熟悉運作的動態
gexianquqingjieweishengjianjiankangweiyaojiduzhunbeihaoxiaoquqingjieweishengjiangongnengzhiliangbumendiannaoyunxing、gongnengzhiliangqingkuanghekuopanqingkuangdengdongxiangzhanshitance,24xiaoshijiaotongbakongxiaoquqireyiliaofuwuxingqingkuang、fangshexingyaopinhechanpinshouchuyunyongqingkuang、hexinsangaoren🌸qungongnengzhiliangqingkuangdeng,duipianquyunzhuanchangqicunzaikunnanhuoyunzhuanshizhidekongjian24xiaoshijiaotongjianxiu。quanmian🐠jinxingxunxihuanengli,tigaozijiyunzhuanshengchanxiaolv,jidajianshaojichengdefudan,xunsutijiaoguo、dishijibixudedongxiangzhanshitongjiziliaohexunxi。
(六)切實加強區域醫務工作人員擔心喜愛
quxianweishengjianfangyianquanweiyaoduocuobingjuguanchediquheshineiyouguandezuiguanxinguanyuanyiwubangongyuanzhengce,daidongduipingtaiweishengjianfangyitigongyouxiaobaozhanglezhongyangdechengqiyouxiaoyouxiaobaozhanglele。🌼heshianpaihaoyudiaodupingtaiyiwubangongyuan,gaohaoyiwubangongyuanjuzhutigongyouxiaobaozhangleheneiqinyouxiaoyouxiaobaozhanglele。anguidingguancheduipingtaiyiwubangongyuanbutieyujiatingyayiqianhetongtigongyouxiaobaozhanglefeiliangcixingzhuanxiangbangongshiyefei,jiliyuangongpingtaiyiwubangongyuanshentixintoushenpingtaixinguanzhenliaobangong。
(七)帶動義務落實工作和督察考核內容
quxiananquanweishengjiankangyangshengbaojianweiyaojinyibutigaogongsi﷽yibashou,zishangerxiahuitiantuchengdandezhongrenxin,quedingkeshichengdandezhongrenxinhedeshijierenwushijierenwufenxiao,dedaobaozhangzuoyexianjuetiaojian。yaojinyibutigaoduiqujizuoyezuzhijijikaizhanshiqinghechengdandezhongrenxinqiaodingshiqingdejiandujiancha,jianliqizuoyeqingdanbiaoge,quedingdeshijierenwuqingdan、jiantiqingdan、chengdandezhong♒renxinqingdan。yaojiangmouxienonghaojicengzuzhizhuzhongxiaofeiquntidongtaidefuwuguanli、jinglian“yangshengbaojiankangyangshengbaojian、fangweizhong”tiexindeshouhoufuwuzuoyezuzhijijikaizhanshiqingheshixiaoyuduiyingzhuzhongzuoyedekaoyan、xianjinfenxiao、pingxianpingxuandengxiangguagan,juticuoshiqieshifahuikaoyanguwuzhuashoudegongxiao。
hushiweishengxuejiankangshenghuochangwufenweihui
&🧸nbsp; &ওnbsp; 2023nian5yue8ri