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: 】
各個區干凈營養委:
juguoneilianfangliankongtixi《zhiyukaizhanxinguanzhongzhongzhizhongkehuqundongtaihuagongnenghe“kouanyiwei”shiqingdexiaoxidexinxi》heguoneilianfang﷽liankongtixi、junweixiangcunshiqinglindaodangxiaozu《zhiyubianyinjinyibuqianghuamouyixiangcunweizhiduogongnengxinguanleibingduyounaxiepifugandongqinliuyingjichuzhishiqingjihuafangandexiaoxidexinxi》chengxuguifanyaoqiu,weiqidaodangdijiedaobanweishengjiangongnengyiyuanwangdixiaoyong,shizhong“zaodezhi、zaodiaoli、zaofenpei”,bimianhesuoduanxinguanleibingduyounaxiepifugandongbingqingbijiaozhong💮deshihoufaxian,xianjiukaizhanmouyiyixieshiqingxiaoxidexinxizhengque:
yi、chixushijiantigaozijipianquxinguanjijiuliliang
(一)進行片區新冠救護擴大增能
shiguanxiaquganjingjiankanganquanjiankangweiyaokeliyongyizhirenwugongxu,yitihuachanyeyuanquneiguanlianzhengfubumen,kuaisuzengchangshenhuaguanxiaqupianquganjingjiankangchanpinbaozhangxuexiaoxinguanyizhidizengrongjibenjianshe,luoshiyigangshuangzeguanliangongyonggongyongsheshizhuangzhidengzengnengshouchu,qizhongbaokuodezhenliaodi、jingmozhushedi、yangliaodi、zhuyuanbubingqudeng,jinxingꩵxindianshenfenshibie、xueyanglunwenjiance、gongyangdenggongyonggongyongsheshizhuangzhixiankayingjianpeizhi。zheduifuhebiaozhundetiaojiandepianquganjingjiankangchanpinbaozhangxuexiao,bijiaoqianghuactdengzhuangzhidexiankayingjianpeizhi,yindaozuoyongyezhushepianshenhechendian。mingquechanpinbaozhangrukoushuliangshude15%-20%dongtaizhanshishouchuzhongyao、tuireyao、zhiliaokesouyaojikangyuanlunwenjiancemianyishijihepeiyou,weilebaozhengxuexiaohuopinshouchuliangyongyuanquebaozai2zhoubudiyu,rukoushuliangmibudikekeliyongxianshijiadashouchuliang。
(二)帶動片區升溫診療規范貼心服務
dangdigetebieganjingjiandufuwuxinzhongmeixingqibatianjunyingtigaobiantangyiyongguifanfuwu(hanjieguojiafadingjieguojiaguojiajiejiari),bingshiyongfangzhibiantangyiyongguifanyemenzhen,quebaobiantangyiyongguifanlingchentingshifuwu;dangdigetebieganjingjiandufuwufenxinzhongmeixingqibatianjunyingtigaobiantangyiyongguifanfuwu(hanjieguojiafadingjieguojiaguojiajiejiari),🧔youyigejiandekesheliyemenzhen。dangdigetebieganjingjiandufuwuzhan、cunganjingjiandushiyingyifubiantangshaodianbingshi、feixingbiantangyiyongguifanliuguanqudeng,manzuxuyaobiantangdengbushifanyingrenqunyidiyibaoyaoqiu。
er、jingjiunaiyonggaohaozhongdianxiaofeizhezhengchangpingguyuzuixinfuwupeixun
(一)貫徹落實重大患者應管盡量
jiezhujiezhen、jucunwei,getebieanquangongnengxuexiaoyaozengqiangjijilianjie,zaijiezhenjiangzhongdasangaorennaweiwanggehuaanquanjingyinghexinshang,duizhongdasangaorengaohaoweishengjianceqiyuanquanjingying。𒀰chanshengqiyezixunshiguanxisheqingminyihejijigongnengjiaose,bianxiaotisheng6sisuiyineizhongguolaorenlaishuoruzhugongnengfugailvlvmian,jihugaibianzhongdasangaorenruzhuquanfugailvlv。yongyungongneng、dedianhua、huixin、shipintupiandengfeiyudaocelvehuomianfeishangmensuifangdengduiyumiangongnengcelve,zuoshi“hong、huang、lv”anquanbiaoshizhongdasangaorenweishenggongneng,zuodao“6gezhuahaobuzu”。
1.yijiezhenweidanweimingcheng,tuijinwanggehuaguanlifangfakaohejizhi,guanche“shequfuwuzhansirenxiaozuchang”yunzuozhizequanxian。
2.jidaleizhongxinnianlingduanshentijiankangzhenchageleiqingxin,dongtaidexiuzhengbingjianshejilubiao,zhiliyinsushujuqingxin。
3.juweihuiweishengjianyewushebei24xiaoshiyewukefurexiantongchang꧂,jiayongdafujiehebanfajijizhudonggaozhiyaodiansangaorenqun,youlvsebiaozhunshishishihuifu。
4.jingyoujizhongneirong,duizhongzhongzhizhongsangaoxiaofeizhejiamifangshizidongjian🙈lilianjieguajie,dui“chenghongse”zhongzhongzhizhongsangaoxiaofeizhemeijidujianlilianjiebudiyu3ci,dui“zise”cizhongzhongzhizhongsangaoxiaofeizhe,meijidujianlilianjiebudiyu2꧅ci。
5.xunsubawozhuzhongyonghujichuzhishixiaohuadaojibingtiaojianhelianghaoxianzhuangfenxi。
6.duiguanjiansangaorenqunhuanshangxinguanhongbingduhuojibenzhishipifujibingjiaoqingdengshihou,jishidedejiankangmingling、zhidaoyuzhuanzhen。
(二)貫徹關鍵性患者類別服務管理
dui“hong、huang、lv”yaodianxiaofeiqunfenbianzhiding“yi、er、1jieduan”chulianquantigongyewuxiangmu,dui“molvse”xiaofeiqun,yangezhixing“1jieduananquantigongyewuxiangmu”,tigaolianghaobaojianjiaoyuxuexiao,yaozuohaowolianghaobaojianweishengfanghu。dui“chase”xiaofeiqun,zaiyangezhixing“1jieduananquantigongyewuxiangmu”degenbenzhishishang,duiyangxingjiayongzhenliaoderenyuanzhiding“ercianquantigongyewuxiangmu”,tigaokangyuanceliang、lianghaobaojianjiancefanganqi、lianghaobaojianzixunlejie、fuyaozhidiandeng。dui“lanse”xiaofeiqun♏,zaiyangezhixing“yi、ercianquantigongyewuxiangmu”genbenzhiﷺshishang,zhiding“1jieduananquantigongyewuxiangmu”,qianghuazhuangbeilianghaobaojianjiancefanganqi,duibingzhengzengjiazhongliangdegeiyuzhuanzhenbangzhudao。
san、xiagongfukaizhanweizhonghanqifaxianle、shoushuzhiliaoyufenke
shixiaquanquanjiankang🐈weiyaozuzhibaozhangshi、quyiliaozhuanjiajiaoshouzufali,qieshijiaqiangduijiedaoanquandefuwuyuxinzhongjiajieyuyindao,jiandingbuyi“zaozhaodao、zaoyiliao、zaofenli”dixian,biaoxianjiedaoanquandefuwuyuxinzhong“guanzhashangyi”fanying。
(一)深入推進新冠危重早發展
gejiedaoshequganjingweishengfuwubiaozhunhuaguanlizhongjiejigouxiezuojucunwei,kaizhanduixinguanཧranshangzhedeshenxinjiankangtance,youqishishineirongdaxueshengxiaofeiquntiranshangzhe,zaiquanmianluoshi“yi、er、♛san”jibiaozhunhuaguanlidedejichushangshang,yaoneirongkaizhanxinguanzhengzhaoyudejichushangxingwentizhengzhaofazhandetance。
zengjiaduixinguanchuanranzheyangchengxianguoshengzhuangtaidujiankong。gequyuwangzhanshipinjiankangshouhoufuwuyujiegouyaopeiqizuliangdezhijiashixinmoxueyangyi(xiashusuchengzhiyangyi),quebaoanquanshengchanmeijiaquyuwangzhanshipinjiankangshouhoufuwuyuzhongxinzhanhefenzhongxinzhantongchangpeiqi20gezongshangsuoshu、meijiaquyuwangzhanshipinjiankangshouhoufuwuyuzhanhecunshipinjiankangshitongchangpeiqilianggezongshangsuoshu,meijiajucunweitongchangpeiqi9gezongshangsuoshu。weilemeijiajiazuyishengzhuanjiatuanduihezuopeiqiqianwanzongshudezhiyangyi,lianjiehaojucunweiliqi,jiangyangchengxianguoshengzhuangtaidujiankonghuaruguanjianxingnianlingduanchuanranzhezhuyaosuifangdongxi。gequyuwangzhanshipinjiankangshouhoufuwuyujiegouyaogenghaodironghejucunwei,wei6sisuizongshangsuoshuyouxinguanxijunchuanranbingqingbijiaozhongdeshihoufengxiandianqie🥀jingwangxingdongbulianghouguodeguanjianxingnianlingduanshouquzhiyangyi,zhuanyezhidaojiatingzhuangxiuziceshixueyangchengxianguoshengzhuangtaidu。
(二)落實新冠危重癥早診治
🐻yaogoujianshi、qujiuzhuzhuanjiatuanduizudongli,zhuahaojiedaobanshichuqingjieanquanfuwuzuzhijigouduixinguanbingdubinghuanzhexingzhenduijinxingzhiliao,juyouyingyangsudalizhichi、yangliao、guashui、xiaodafenziyaocaishiyongde、kaifajiatingyiyongbingchuangdeng。
1.加大對癥下藥的治療。geshiquanquanhuanweijianduanquanhuanweiweiyaoyipingtaianquanhuanweijiandushouhouchanpinyuxitongtianzhizongshuliangheshidedekongqizhongdeo2dai、kongqizhongdeo2pingyijingzhiyangjidengshengchanshebei,quebaoanquanshengchanlikeweimenzhentangniaobingtigao、zijidefangzizhenliaotangniaobingtigaotigaoyangliaohuokongqizhongdeo2guanzhuangshengchanxianshouhouchanpinyu。gepingtaianquanhuanweijiandushouhouchanpinyuguanliguanliguanlishouhoufuwuzhongxin、fenguanliguanliguanlishouhoufuwuzhongxinjunyaoruanjianshezhimenzhen“xiyangqu”;pingtaianquanhuanweijiandushouhouchanpinyuzhanyucunanquanhuanweijiandushiyuanliyingwenshangjunyaoliyongtihuanchengyongdihuanjingkongjian,peizhikongqizhongdeo2guan,tigao“yangliao”shouhouchanpinyu,xuyaomanzuzhurenbenshiyangliaoshouhouchanpinyushijixuqiu。kaifazuowuhuaxiruzhenliao,gepingtaianquanhuanweijiandushouhouchanpinyuguanliguanliguanlishouhoufuwuzhongxin、fenguanliguanliguan🐼lishouhoufuwuzhongxinyuanliyingwenshangjunyaotigaozuowuhuaxiruzhenliaoshouhouchanpinyu。tongyang,nonghaohuanshangzheyingyangsherukeyizhichi,shiyonglvseyinshimianfeizhidao,anzhiyuejijikaizhanjingmoshuyedengfuwupeixun,jiandiaobingqingbijiaozhongdeshihouzaicifashengdefengxian。
2.立即運行抵抗疾病砒霜物治療方法。duiyaodianxiaofeirenqunfukebinghuanzheduiqijinxingkaohe,zaizhuzhaiquzhongyipingshenzupingjiabiaoxia,duiwanquanfuhetiaojiandefukebinghuanzhe,yaojishipingjiabiaoyongdaokangbinglijuduwu,shixian💮jinkuaizhidao。
3.充分地產生西藥中藥治療能力。zhuiqiuzhongwaiyironghe、zhongyililunyaozaiyong,jiaokuai“sanyaodisanfang”dengzhongyaozaijuweidefuwudexinzhongjiankangdefuwudeshebeidezengpeiheshiyong。gejuweidefuwudexinzhongjiankangdefuwudexinzhongyaoduiwuxinguanhongbingdujiao⛎chaganranzuichangjianzhengzhuang,quyuxiediaofazhan,bianzhengshizhi。bawozhu“zao”“kuai”delilunyiju,rangzhongyizaixinguanleibingduchuanranchujinkuaijizaocanyukaizhan,suishiezhi♒qingzhengbinghaoxiangchaozhongxing、weichaozhongxingchengchang。
(三)力促新冠病情比較重的時候早并軌
1.迅速配合轉診。duixinguanlinchuangbiaoxianhuozhishijichuxingpifujibingzengjiazhongliangdeganliangzhe,gejiedaobananquanweishenggongzuojigou、jialiboshizhuanyetuantiyaojiahao120yingjishouxianyunshulvrukoutongdao,bangmangranbingzheshishixingzhuanzhen。mianduijichushouzhendebingqingbijiaozhong🐎deshihourenqun,yaohenkuaizhunqueduzhangwo,anzhaoqishishishangshuqingkuang,shishixinggongyang,shishijijizhudongshijiudejuticuoshi,yidingbaozhengrenqunshengmingzhi🌃binglibianhuanengbaochiwending,zaiyihurengongyitongxiashishixingzhuanzhen。
2.暢通無阻正向轉診。geshequnqingjieshouhoufuwudaikuanjigouyaoyijiayituoyuquyuhuanjingxingyixuedaikuanjigou、yiliantishangsizhuankeyiyuan,hutongxinguanzhenliaozhengxiangzhuanzhenjianxiutongdao,quxianqingjiewendingwei、geyi🧔xuedaikuanjigouyaomingquezhuanmenfuzerenfuzerenzhuanzhengongzuogangwei,youhuaweizhonghuanerzhuanzhenliuchengtu,tishengzhuanzhenzhuanhualv。shi,yaowanquanfahuixiaoyongwentihuachengzhongxiaoyong,jinxingyuankongguanlijiuzhen、yuankongguanlizhenduandengfangshifangfa,yibaozhenghuanernenggoudedaojishiyouxiaoguozhenliao。
duishequngonggongweishengguanlianquantigongfuwubaozhanghexinshangzhuanxinguanjiaochabingduxiedaizhe,tebiedeshizhuzhongzhongrenjiaochabingduxiedaizhe,shangyijiyiyuankeshizhuanjiayaochenglishouzhimolvsejiedian。zaishangyijiyiyuankeshizhuanjiadaoweiyajixingdiaolihou,qingxingbaochiwendingdejiaochabingduxiedaizhekexiahuandaoshequngonggongweishengguanlianquantigongfuwubaozhanghexinbingqu,shequnyiwurenyaoluxucanyuzhuanzhenzhu🎀yishixiang,tiqian☂zuohaoanquantigongfuwubaozhangduijie。
quxianqingjiexueanquanweiyingpinghengpianquneigebudangweizhongleiyidinggongzuodebaojianshebeidanchuangziranziyuan,anzhaochayizhiwujibieyidinggongzuodebaojianshebeidanchuangzuoyongjingzhundingwei,jianzaopingheng、gegeyongdaodeguanlijizhi,yaopinghengchouhuapian𝔍quneigebudangweizhongleiyidinggongzuodebaojianshebeiyiwukaosheng,jingyouxiapaizhujin、daiweidayadengfangan,shipeijiedaopingtaiqingjiexuegongzuodezhongyangbingqugongzuode。xianyouyiyuanbingfangdejiedaopingtaiqingjiexuegongzuodezhongyang,jindeshihoudanchuangyongdaolvyingyidadao🐼95%dayu,weisheyouyiyuanbingfangdejiedaopingtaiqingjiexuegongzuodezhongyang,duijuyoushiyingzhengdeganqizhe,yingjingyouqiyeyiyuanbingfangxuyaomanzujiajuzhenliaoyaoqiu。
si、zengqiangshequfuwuzhongxinzhongdiancunsangaorenqunqiangjiushichangtongchouyiliaobaoxianhezhichidedaobaozhang
(一)徹底的依附街鎮網格化控制工作機制
gejiedaobanju🔯weihuiganjingtiexinfuwuxingdezhuyaozhudongdizhidaogejiezhen、jucunwei,kuanyuyikaojiezhenwanggehuaweihuxitongchangxiaoluoji,shulijiezhen、jucunweizhudaoxingmude,yangezhixingduineirongxiaofeiquntijiedaobanjuweihuiweihuxitong,xiehaoweishengguanlijiancexitongyudongtaizhanshitiexinfuwuxingde。yikao“jiedaobanjuweihuijirenxiaodui”benzhibangongchangxiaoluoji,yangezhixingduineirongxiaofeiquntidebaobaogaohaoguanxi。gejiedaobanjuweihuiganjingtiexinfuwuxingdeyiyuanyaozhenduijiezhen,zunzhaoquyingjichuzhibanbenzhibangongdebushu,xiehaoduigaolingyunfulaorenjiajia、youdejichuxingchuanranxingchuanranbingderendengwei💫zhongzhenggaoweixianxiaofeiquntihefazhanpingjingxiaohaidengxiaofeiqunti“weishengguanlibao”paifa,tuijinjucunwei,quanmiantishengduikongchaolaorenjiajia、jinyujingshencanjizinvjiaoyuzhutijuminzhong60suilaorenrendepingchanggaohaoguanxi。
(二)全面提升區城醫療保健資源英文城鄉醫療保險的支撐
gegequganjingjiankangxuelvseweiyaoshehuitongchouyiliaoganjingweishengbaoxianjuminxiaoqufenleiyidingganjingjiankangjigouyiwuzhe,wanchengxiaxianxunzhen、zhepaizhu🍸、chuangliyuanchengdiannaoyidingganjingjiankangxietongwangdengtujing,fangzhijichengyidingganjingjiankangganjingjiankangxuejigourenliziyuanzhaopinkuifakunnan,baochipianquxinguanyizhitigongfuwubaozhangzhiliangnengbaochiwendingjijijijikaizhan。zuzhibaozhangchengquduojiyizhizhuanjiarenyuanzuheshangjilingdaoyidingganjingjiankangjigouxiangyingxunhuimianfeixuexichangxiaojizhi,duipianquganjingjiankangxuetigongfuwubaozhangzhiliangjigoujijijijikaizhanjiyimianfeixuexi,xuexijichengyiwuzheguifanleshiyongdexiaoyuanziheyaoheyaocai“sanyaosanfangxieyi”,yitigongjichengfangweizhongzhengbenshi。gaohaoyidingganjingjiankangqiangjiuziyuanshehuitongchouyiliaoganjingweishengbaoxian,kuodayidingganjingjiankangqiangjiuxiaojiaocheyushilixingneng,weipianquganjingjiankangxuetigongfuwubaozhangzhiliangpingtai、qiyezhuzhiyishengrenyuanchuangliyouxianquanzhuanyundetongdao。
(三)做好群眾醫務人工陪訓
yijushizhongxinerjijijiuzhuanjiatuanzu,quelizhenduixingdicenggongzuoyiwudeyuanpeizhenfanganfanwen,kaishixianshangzhifu、xianshang、tonglixiezuochongwuyiyuanhuixiachendaoyouzhajidedaijiaodeng𒁃haojizhongpeizhen。chedijinxingguojiadiqu、dishijidengyouguandexinxipeizhenhuanjingziyuan,zhengmianzuzhixingdicenggongzuoyiwudeyuancanyupeizhen。gaohaochayan,yangeguifanpeizhenkaocha,quedingpeizhenshijixiaoguo,shidicenggongzuoyiwudeyuan(baohanxiangcunlvyoumazuiyisheng)zaizhongduanqiqiandexinyingshoubawoxinguanzhongzhongzhizhongxiaofeirenqunjibiehuafenqufengongnengjiqiaobuzou、bingduchuqizhengzhuangkaocha、bingduzhejiajuhuanjinggongzuohezhiliaojiqiao、zhongyifukeyaojijiuhekangfuzhanlinchuang、diyangxuezhengwanqizhaodao、xinzangtiaodongbubiandecepinghejiuzhenjiqiaobuzou、zhiyangyideshiyong、zhuyaozhuanzhenshoushuzhizheng、xiaotuanhuozhongchengyaodeshihezhengheyouxiaoshiyongjiqiaobuzoudeng。
(四)提升新冠搶救廢舊物資切實保障
mingquetichuganjinganquanguanlizhengchangweiyaobiaomingxiaoquganjinganquanguanlideshouhoufuwuzhiliangzhongyang、cunganjinganquanguanlishideshouhoufuwuzhiliangchengzhenrenkou、neirongkequndishudengqingkuangxia,peizuqiangjiufangxungongchengcailiaowuzicaigou,youdirehuizhenbaojianyaopin、zhongyaopeifang、kangyuanlunwenjiancehuaxueshiji、dikangjibingduwuwu、zhiyangyideng,bingqiehexiaoquyingxiangzheshufashengbianhua,dedongtaidiaodichanchu,weihufangxungongchengcailiaowuzicaigouchanchu。zirandilididianpianpiquyu、chengshijiaotongkunraodexiaoquganjinganquanguanlideshouhoufuwuzhiliangzhongyang、cunganjinganquanguanlishiyaotiqianjiubeizukaizhankoufuyaoheyifangfangxungongchengcailiaowuzicaigou。jiezhuyudedajieshang、jucunwei,yuyiliaoqixiezongheyiyuan、yiyaoliansuodengzhidadianhuo,biaomingshijiqingkuangbixuyaoshifenxiangnongcunjianfangquyuqing🦄xiejiaopifashangqiangjiufangxungongchengcailiaowuzicaigou。
(五)實時時間熟知事業的動態
gexianqudejiankangdejiankangweiyaoyihoulejiejiedaobanshichudejiankangdegongzuoguanlizhongjiejigouqiyong、degongzuo🎶guanlixianzhuanghekuopanxianzhuangdengqingkuanghuajiancegongyi,24xiaoshilukuangkongzhijiedaobanshichuchanshengreliangdezhenliaoxianzhuang、yiliaohaocaihejichubeiliangdeshiyongxianzhuang、zhongdiancunxiaofeiquntidegongzuoguanlixianzhuangdeng,duizhenqugongzuoyoujiantihuogongzuozhihouxiaoyingdewenti24xiaoshilukuangdiaoduzhongxin。nenggouchongfenqiaoyongchanpinshuzihuaguanligongyi,shenggaogongzuodexiaolv,bimianjicenggongzuochengdan,dangjibaobeifadaguojia、shilixuyongdeqingkuanghuashujuziliaohechanpinqiyexinxi。
(六)帶動平臺醫務職工注意關注
quxianganjinglianghaoweiyaojinliluodaoshichuguojiahetianjinshiguanyuzunzhongguanaicanjirenyishihushiguanlianquancuoshi,gaohaoduijiedaobanjuweihuiganjingganjingyunxingxiangmuzhongdiandezhichengjiayouxiaobaojiahuhangle。helikexingquedingyupeizhijiedaobanjuweihuiganjingyishihushiguanli,zuohaoyishihushiguanlirichangshenghuoyunxingxiangmuhehouqinguanliyouxiaobaojiahu𝐆hangle。anzanxingguidingluodaoshichuduijiedaobanjuweihuiganjingyishihushiguanlijingjibutieyurenjiayishijieyueyunxingxiangmufeiyihuixingzhuanyeyunxingshiyefei,jianglijiedaobanjuweihuiganjingyishihushiguanlishentixinjinxingjiedaobanjuwei🌌huiganjingxinguanzhenzhiyunxing。
(七)加大權責落實一崗雙責和工作檢查測試
shixiaquganjingwendingweiyaozengqiangjujilingdaoganbu,zhujihuitiansunshi,queligebumensunshihedeshijierenwuzhize,baozhangcuoshiyewushenghuotiaojian。yaozengqiangduiqujiyewuzuzhiluoshishiqinghesunshiluodaoshichushiqingdejiandujiancha,queliyewutaizhanggeshi,shixingdeshijierenwucaidan、yuanyincaidan、sunshicaidan。yaojiangdaoxianjieduanlejiedicengshengjizhongdahuanzhedongtaitufuwude、tupo“baowending、fangweizhongzheng”meiyixiangyewuzuzhiluoshishiqinghexiaoyiyuxiangyingdeshengjizhongdayewudekaopingfangan、xianjinpingjunfenpei、pingxianpingxuanxianjindengxiangxiangguan,juticuoshigenghao🐬difahuikaopingfangangulizhiyingongneng。
zhongqingshiweishengjiandejiankangchangwuzhengfaweiyuanhui
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