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: 】
quxiangengjiankanggengjiankangwei:
anzhaoqiguojialianfangliankongtixi《jiugaohaoxinguanguanjiansangaorenqungeshigeyangfuwuguanliguanlihe“kouanlagao”bangongdezhihuigeshi》heguojialianfangliankongtixi、🙈zhonggongzhongyangxiangcunjianfangbangonglaobanxiezuozu《jiufabujixujiaqiangdangxiaxiangcunjianfangdiquhuafenxinxingguanyiqingganhuaganhuaqinliuzhilibangongshishifangandezhihuigeshi》wendangguiding,weiqishang💫haishixiaoquweishengguanlifuwuguanliguanligouzaowangdibangzhu,jiandingbuyi“zaoyudao、zaozhenliao、zaojieliu”,yingduihexuejianxinguanyiqingganhuaganhuabingqingbijiaozhongdeshihoufasheng,xianjiugaohaodangxiayouguanbangongzhihuigeshiruxiatusuoshi:
yi、dingqizengqiangshequfuwuzhongxinxinguanjijiugongzuonengli
(一)實施區域新冠治療擴盤增能
gegequqingjiejianqingjieweiyaozunzhaoqiangjiuzuogongzuoqishixuqiu,liandongrenxiaoquguanlianxingzhengbumen,suoduanshishijiedaoshequwangzhanjiedaoshequwangzhanqingjiejianbaozhangguanlihexinxinguanqiangjiuchangdikuozhangwangzhanjianshe,tuijinguanliandeyouyan🌠jinghuaqichanpindengzengnengcunliang,liruzhensuoweizhi、diaopingweizhi、yangliaoweizhi、icubingfangbingqudeng,tiqianzuohaoxindianpeihu、xueyangjianceshuju、gongyangdengdeyouyanjinghuaqichanpinshoujipeizhi。zhenduifuheshenghuotiaojiandejiedaoshequwangzhanqingjiejianbaozhangguanlihexin,henyaoqianghuactdengchanpindeshoujipeizhi,shiqingkuangjiayiyindaorenshepianchajianwangxiachen。zunzhaobaozhangguanlichengshichengshirenkouzongrenshude15%-20%dongtaixingcunliangzhongyaofangji、tuireyao、zhikeyaojikangyuanceshizhijihepeiqi,baozhengbumenzhijicunliangliangshulaoshulaozai2zhouyixia,chengshichengshirenkouchoumidediqukezunzhaoqishizenggaocunliangliang。
(二)增加居委發燒的診療提供服務
quanshenggequyuwangzhananquanjiankangxuefuwuzhongmeijiduyizhoujunyingdazaodiredezhenzhifuwu(hanjie🎶jiejia),bingjinxingshezhichengdiredezhenzhiyemenzhen,wanchengdiredezhenzhishenyeyanshidianlufuwu;quanshenggequyuwangzhananquanjiankangxuefuwufenzhongmeijiduyizhoujunyingdazaodirede🍌zhenzhifuwu(hanjiejiejia),youyigejiandekekaizhanyemenzhen。quanshenggequyuwangzhananquanjiankangxuefuwuzhan、cunanquanjiankangxueshiyingjiezhuyudireshaodianbingshi、yididiredezhenzhiliuguanqudeng,tigongdiredengzhengzhaohuanerquyiyuangonggei。
er、guoyinggaohaozhongdiancunrenmenshentitanceyudongtaidetigongfuwu
(一)實施側重點客群應管其實
jiezhujiezhen、jucunwei,geshequnshipinweishengfuwuzhongjianyaozuohaohuiqujujuelianjie,zaijiezhenjianghexinkehuquntuixingwanggehuagongzuojichushangshang,duihexinꦿkehuqunshenrutuijinanquanjiankangpingguyugong𓂃zuo。biaoxianjiatingzhurenyishenglianxishiminhehuiqujujuefuwuyongtu,ladongkuozhang64suidayulaonianjiankangrenxuyuefuwushejimian,chabuduoyaozuodaohexinkehuqunxuyuequansheji。yongyunfuwu、zixundianhua、weixinqq、shipintupiandengfeiwanfangfahuozhaoshangmensuifangdenggengweimianfuwufangfa,zuoshi“hong、huang、lv”biaoshibiaopaihexinkehuqunanquanjiankangfuwu,yaozuodao“wugeyangezhixingjingzhun”。
1.yijiezhenweizuzhi,jiezhuyuwanggehuachuliluoji,renzhenzhixing“shequwangzhansirenlingdaozu”shiyegangweizhize。
2.3leituchurenmenjiankangdediaochayuanqufenjingzhun,dongtaituxiuzhengbingchuangjianqingdanbiaoge,biaozhunhuaguanlixiangmuxunxijingzhun。
3.juweishipin🐓weishengjingzhunfuwupeixungongsi24zhongtoujingzhunfuwupeixunzixunrexianliuchang,𓆏jiazhuanjiaqudelianxifangfabunenggaozhihanzhongzhongzhizhongyonghu,youwendinggonggeishibunengjijidixiangying。
4.caiyongduogezuzhixingshi,duihexinxiaofeiqunshujujiamizijuelianjielianjie,dui“lanse”hexinxiaofeiqun🧸yingdangmeizhoudoudexingqilianjiebuchaoguo3ci,dui“huang”cihexinxiaofeiqun,yingdangmeizhoudoudexingqilianjiebuchaoguo2ci。
5.anshixuehuizhongdiancunkequnqiantijibingzhengzhuangzhuangtaihegengjiankangguanlizhuangkuang。
6.duitebiequntihivbingduganranxinguanhivbingduhuojichulilunpifujibingzengjiadengtiaojian,mashangjiankangbaojianjian🧸du、yufangyuzhuanzhen。
(二)貫徹重大客戶群類型菅理
dui“hong、huang、lv”zhongdarengezidaoluodaowei“yi、er、erjishipin”caozuodetiexindefuwuxingxiangmude,dui“lv”ren,daoluodaowei“1jieduandetiexindefuwuxingxiangmude”,daidonglvselvsebaojiandexueqianjiaoyu,jinxingrengelvselvsebaojiandejiagu。dui“huangyanse”ren,zaidaoluodaowei“1jieduandetiexindefuwuxingxiangmude”dekuangjiashang,duiruoyangshenghuogaishanrenshidaoluodaowei“liangjidetiexindefuwuxingxiangmude”,daidongkangyuanjiance、lvselvsebaojiandejiancexitongwang、lvselvsebaojiandezixun、yongyaozhiliaozhidingfangandeng。dui“chenghongse”ren,zai𒀰daoluodaowei“yi、liangjidetiexindefuwuxingxiangmude”kuangjiashang,daoluodaowei“erjishipindetiexindefuwuxingxiangmude”,jinxingqianghualvselvsebaojiandejiancexitongwang,duidianxianyoufadegeiyuzhuan⛦zhenweituo。
san、jianchiwentidaoxiangbuduanjiaqiangbingqingbijiaozhongdeshihouzaoqidezhaodao、huanjieyuguodu
shixiaquhuanweidejiankangweiyaochongfenliyongshi、quyizhijiaoshouzuhuoli,jinyibujiaqiangduijiedaohuanweibaozhangzhujiaojieyufangtantigang,jianchishenme“zaofajue、zaozhongyaozhiliao、zaobinggui”yuanzeyingwen,liyongjiedaohuanweibaozhang🔴zhu“guanzhalagao”gongyong。
(一)加快推進新冠危重早出現
gejiedaoshequanquananquanfuwuxitongliandongjucunwei,tigaoduixinguanganqizhedeweishengpinggu,tebiedeshicezhongdiancun🐻sangaorenqunganqizhe,zailuoshigongzuo“yi、er、san”jianquanguanlidelilunzhishishang,yaocezhongdiancuntigaoxinguanzhengzhaoyulilunzhishixingbingduzhengzhaobian♍huandepinggu。
gaohaoduixinguanpifubingdushishenmexiedaizheyangguogongdayuqiudiandujiancejishuzhan。geshequnhuanbaoqingkuangjiandugongnengpeixundaikuanjigouyaojubeizuliangdezhijiashijiezouxueyangyi(xiamiandesuolvecizhiyangyi),quebaomeitaishequnhuanbaoqingkuang🗹jiandugongnenggongsihefengongsishaoyujubei20gezhe、meitaishequnhuanbaoqingkuangjiandugongnengzhanhecunhuanbaoqingkuangjiandushishaoyujubei3gezhe,meitaijucunweishaoyujubei8gezhe。huiweimeitaijiazhongyiyuanyishengjingyingtuanduijubeiyiding꧙chengduguimodezhiyangyi,jieguanhaojucunweizhandouli,jiangyangguogongdayuqiudiandujiancejishuzhanbianrutuchushikequndangpifubingdushishenmexiedaizhechabuduosuifangxinxineirong。geshequnhuanbaoqingkuangjiandugongnengpeixundaikuanjigouyaoleguanxietongzuozhanjucunwei,wei64suizheyouxinguanbingdushishenmepifujiaochajiaochaganranbingqingbijiaozhongdeshihouanquanyinhuanqieshijixingdongbulidetuchushikequndanglingquzhiyangyi,jiaoyuzhidaozijidefangziceshixueyangguogongdayuqiudiandu。
(二)穩步推進新冠危重早緩解
yaoyijushi、qukongzhijiaoshouzudongli,luoshigongzuojiedaoweishengguanligongওzuogongsiduixinguanganqizheduizhengxiayaokongzhi,zhuyaobaokuoyingyangfengfufuchi、yang💙liao、jingmoshuye、xiaotuanhuozhongyaocaiyong、shulizhongguojiatingyiliaochuangdeng。
1.增強對癥下藥治療方法。gexianquhuanbaoshen😼xinjiankangweiyaoyijuweihuihuanbaogongnengdezhuangzhitianzhizongshuliangshushidekongqizhongdekongqidai、kongqizhongdekongqipingbaokuozhiyangjidengjixie,jiaqiangzuzhilingdaosuishiweiyiyuanaimeizhe、zaijiazhiliaoaimeizhejubeiyangliaohuokongqizhongdekongqifenzhuanggongnengde。gejuweihuihuanbaogongnengdejidi、fenjidijunyaoshiyongyiyuan“xiyangqu”;juweihuihuanbaogongnengdezhanyucunhuanbaoshiguifanshangjunyaojinxingshejixunlianchangdimianji,xuanpeikongqizhongdekongqiguan,jubei“yangliao”gongℱnengde,tigongshujujuminjiatingfujinyangliaogongnengdesuqiu。gaohaozuowuhuaxiruzhiliao,gejuweihuihuanbaogongnengdejidi、fenjidiguifanshangjunyaojubeizuowuhuaxiruzhiliaogongnengde。bingqie,wanchengranshangzheyingxiangnenggou,tuijinyingyangjiankangyinshikaohepingjia,anyuanzegaohaoguashuidengfuwupeixun,xianzhiweizhongchanshengyinhuan。
2.有效便用抵抗解藥物療法。duitebiexiaofeizheganhuazhecanyufenxipinggu,zaichengquzhuanjiazuzhidianxia,duiju🧔beiyuanzedeganhuazhe,suishizhidianzaishiyongdikangꦰduwuwu,zuodaozhuajinshijianjiuzheng。
3.充分的充分調動草藥治療影響。jiandingbuyidongxifangyilianxi、zhongyizhenjiuyaojiecheng,kuaisu“sanyaosanfangxieyi”dengzhongyaopeifangzaixiaoquweishengguanlijianduyewubaozhangzuzhi debiaozhunpeizhiheshiyong。gexiaoquweishengguanlijianduyewubaozhangxuexiaoyaogenjuxinguanyi🍸qingpifuganranchangyouqingkuang,zhuzhongshixiao,bianzhengshizhi。daizhu“zao”“kuai”deyaoqiu,rangxiyaozaixinguanbingyuantifukeganranshiqijinkuaijizaojiaruzhiliao,shishikongzhiqingzhengbinghaoxiangtezhongxing、weitezhongxingfazhanqianjing。
(三)加快推進新冠病情比較重的時候早分科
1.按時請求轉診。duixinguanbingzhuanghuozhishijichuxingfukejibingjianshaodeganliangzhe,geshequyiliaoxueweishengxuefuwuzhongxinzhan、jiatingshiyayijishutuanduishiyonghao120jiuzhiyouxianxuanzezhuanyungongsishengtaiquyu,bangmangzhanranzhejishixing🔯zhuanzhen。jiubiaocengshouzhendeweizhongzhengyonghu,yaofazhanweizhunkuaisujingque,liyongshijishangyuanyin,jishixinggongyang,jinxingduofangmianjiuhufangan,tuodangwendingyonghushengmingzhilinchuangbiaoxianwending,zaiyihuyuanqinzixiajishixingzhuanzhen。
2.連通橫向轉診。geshequanquananquanbaozhangzhongxinyaopingjiediquxingpeixunjigouzhongxin、yiliantilingdaopeixunjigou,jiaotongxinguanqiangjiujiaochazhuanzhenquyu,quxiananquangengjiankangwei、gepeixunjigoupeixunjigouyaopanbiezhuanzhirenyuanyoudandangzhuanzhenguanligangwei,biandejianhuaweizhongzhengaimeizhezhuanzhenfangan,zengjiazhuanzhenzhuanhualv。tongyi,🔯yaokuanyushulixinxichaxunhuazhichenglishiyong,caiquyuankongjiezhen、yuankongdezhen🎃duandengfangan,zhuahaoaimeizhedemashangyoujiaoqiangjiu。
duitebiehuanweihuanweigongzuojidishangzhuanxinguanchuanranzhe,yujiashineirongxiaofeizhechuanranzhe,shangsiqingdaoboshizhengxingyishengyishengyaoshelishouzhihuanbaolutongdao。zaishangsiqingdaoboshizhengxingyishengyishengjinxingjixingbangguangqizhiliaohou,deqingkuangwendingdechuanranzhekexiazhuandaotebiehuanweihuanweigongzuojidiicubingfang,tebiehuanweiyiwurenqun🐬yaojijicanyuzhuanzhenfangan,banhaogongzuoshigongzongchengbao。
quxianweishengqingkuangqingkuangjianjianlvsejiankangweiyingtongdengguanquneigejidangweizhengfugezhongzhenliaoshebeidanrenjiancailiao,anzhaoqiyuzhongbutongleibiezhenliaoshebeidanrenjiangongnengxingjingquedingwei,jiarutongdeng、qufenbianyongdedecelve,yaotongdengbuzhiguanquneigejidangweizhengfugezhongzhenliaoshebeiyiwuzhuanyerenyuan,yongxiapaijinjun、shenqingyijiaodengfangshi,zhichiruanjianjuweihuiweishengqingkuangqingkuangjianjiantigongtigongfuwuzhiliangdetigongfuwuguanlipingtaizhanbingqutigongtigongfuwuzhiliangde。shezaiyiyongyiyongyiyuanbingfangdejuweihuiweishengqingkuangqingkuangjianjiantigongtigongfuwuzhiliangdetigongfuwuguanlipingtaizhan,jinshiduan.danrenjianbianyongdelvyinggaoda95%zongshangsuoshu,weisheliyiyongyiyongyiyuanbingfangdejuꦑweihuiweishengqingkuangqingkuangjianjiantigongtigongfuwuzhiliangdetigongfuwuguanlipingtaizhan,duiwanquanfuheshoushuzhizhengdeganqizhe,yingyongjiayiyongyiyongyiyuanbingfangmanyijiayongzhenliaojutixuqiu。
si、jiadajiedaobanshichuzhongdianshirenmenyizhiwuzitongchouguihuahezhichidebaozhang
(一)更加充分依據街鎮網格化治理系統
gejiedaojiedaopingtaiyiliaojiandubaozhangxuexiaoyaoxianghuxinxihuayunxinggejiezhen、jucunwei,chongfendeyilaiyujiezhenwanggehuafangfachangxiaoyuanze,shulijiezhen、jucunweizhudaoquanfanying,tixianduicezhongxiaofeiquntijiedaojiedaopingtaifangfa,zuohaoyingyanglvsejiankangjiancewangyuxinxibaozhang。yilaiyu“jiedaojiedaopingtaisangerenzuchang”yunxingchangxiaoyuanze,tixianduicezhongxiaofeiquntidebaobaogoutong。gejiedaojiedaopingtaiyiliaojiandubaozhangpeixunjigouyaoxiediaoyizhijiezhen,caiyongqukongfangbanyunxingzhaokaihuiyi,zuohaoduigaoshougugualaorenjia、youjichutiaojianxingjibingrenzhedengweizhongfengxiandakongzhixiaofeiquntihekunanxueshengdengxiaofeiqunti“yingyanglvsejiankangbao”duixian,xinxi🐟huajucunwei,tigaoduidujushenghuogugualaorenjia、jinyucanfeizinvjiaoyugongtongdezhudizhongzhongnianrenrendemeitiandegoutong。
(二)不斷加強區域劃分醫療器械物資城鄉醫療保險支持力
gegequqingjieanquanhuanbaolvseweiyaopinghengquyuneiyijiyiyuanguanlibumenyiwuguanlianshi,liyongxiaxianxunzhen、guanlianshipaizhu、zhidingkuawangyiyuanguanligongjianwangdengfangfa,laijiejuejibenyiyuanguanliqingjieanquanhuanbaobumenrenbuchongfenyixiewenti,quebaoanquanxiaoquxinguanjiuhuyewuxingshichangpingwenfazhan。🉐tuidongzhuzhaiquduojijiuhuzhuzhiyishengzuheshangyijiyiyuanguanlibumenguanlianxunhuijianyijili,duixiaoquqingjieanquanhuanbaoyewuxingbumenfazhangaojishujianyi,peixunxuexijibenyiwuguanlianshiyaoqiushiyongdexiaofenzishiyaohezhongyao“sanyaojifangmian”,yizengjinjibenfangweizhongzhengzhuanyenengli。qieshijiaqiangyiyuan🎃guanliqiangjiunengyuanpingheng,zengqiangyiyuanguanliqiangjiubimianyudongliyunxinghuanjing,weixiaoquqingjieanquanhuanbaoyewuxingfuwusuo、jiazhongzhuzhiyishengtuanduihezuozhidingyuanzezhuangyunlutongdao。
(三)進一步提高面層醫務者技術培訓
yilailaochengquliangjijiuzhuzhuanjiajiaoshouzu,cehuaerduimiancengyiwuxiangguanyuankechengjiaoxuekejihuafangan,tuijinxianshangtuiguang、wangshang、lingtouzhuankeyiyuanxiayidaijiaodenghenduokechengjiaoxueke。youxiaoyingyongguojiade、sheng💜jidengxiangguandekechengjiaoxuekeziranziyuan,zhengjizushimiancengyiwuxiangguanyuanbaomingkechengjiaoxueke。tishengchoujian,yaocongyankechengjiaoxuekekaohefangan,quebaokechengjiaoxuekeshiyongxiaoguo,shimiancengyiwuxiangguanyuan(birunongcunshequdafu)zaiyuqijianjiaqingjiushulijiexinguantuchukequndingjijidaleiyewuxingshi、bingdulinchuangzhengzhuangguancha、bingduzhejiatingzhuangxiuweihuhegenzhi、yixueyaojiuzhuhezhiyuzhenzhi、diyangxuezhengzaoqishihouchuxian、rengonghuxijicuzhongzhongdejiandinghejiuzhenxingshi、zhiyangyideshiyong、zhongyaodezhuanzhenyuanzeshenzhixiaotuanhuoyongyaodeshiyinghuanjingzhengheduishiyongxingshideng。
(四)進一步提高新冠治療物品服務保障
shixiaqugonggonghuanweijianlvseweiyaogenjujuweihuigonggonghuanweijiangongzuoxiangmujididian、cungonggonghuanweijianshigongzuoxiangmuchengshirenkou、neirongkequndishudengjutiqingkuang,peizuqiangjiuyuancailiaoshebei,qizhongbaokuofarezenmebanzhensuobaojianyaopin、zhongchengyao、kangyuanjianyanhuaxueyaopin、kangbinglimanxingduyongyao、zhiyangyideng,binglianxijuweihuiyingxiangzhedeshuliangbianxian,dongtaishujugenggaizhiliangbaozhang,zhi⛎liangbaozhangyuancailiaoshebeizhiliangbaozhang。shuxueweiziyuan、gonglujiaotongbulianghouguodejuweihuigonggonghuanweijiangongzuoxiangmujididian、cungonggonghuanweijianshiyaoyanhoubeizudezhiliaoyongyaohefangzhiyuancailiaoshebei。chongfenfahuishequ、jucunwei,yushequyiliaosanjiyiyuan、wangshangyaodiandengzhitongcherexiandianhua,genjuxianchangyaoxiangdangxiangrenmenzhongnanbupianxieshengchanshangqiangjiuyuancailiaoshebei。
(五)進行知道操作的動態
gexianquqingjieanquanjiankangweiyaochixugaohaopingtaiqingjiedefuwubaozhangguanliyiliaojigouchengxuyunxing、defuwubaozhangguanliyuanyinhezengrongyuanyindengshijitiaojianjiankong,gongjiaoshishishipinshujipingtaidirezhensuoyuanyin、zhongyaoyinpianhesheshishebeibaozhangshiyongdeyuanyin、zhongdiannianlingduandefuwubaozhangguanliyuanyindeng,duishequzuoyeliucunnantihuozuoyejiaomandededifanggongjiaoshishishipindiaodushi。jiayiliyongziliaochaxunhuazhishu,congertigaozuoyesudu,bianshaojicengzuzhifushui,jishichengbaoguo、shengjihuan🌜yaodeshijitiaojianshujuziliaoheziliaochaxun。
(六)切實加強平臺醫務成員體諒關心
geshiquganjingzhengchangweiyaoquanxinquanliguancheluoshizerenbuweihebeijingshimiqiexiangguanfeichangguanxinguanzhuyiwurengongjizhi,kaizhanduipingtaiweishengdeanquanfuwupeixunzhanganjingdeanquanfuwupeixunpingtaidedezhichengbaoxian。kexuehelizhidingyudiaozhipingtai🅷weishengdeanquanfuwupeixunzhanyiwurengong,jiaqiangyiwurengongrizideanquanfuwupeixunhehouqinbumenbaoxian。anguizeguancheluoshizerenduipingtaiweishengdeanquanfuwupeixunzhanyiwurengongjintieyudejiatingyishengzhuanjiaqiandingxieyideanquanfuwupeixunfeiyiqixingzhuanxiangduchayunxingzhuanxiangzijin,gulipingtaiweishengdeanquanfuwupeixunzhanyiwurengonghunshenxinjiankangtouzihuibaopingtaiweishengdeanquanfuwupeixunzhanxinguanzhiliaoyunxing。
(七)加大職責貫徹執行和工作檢查考核制度
mingquehuatichuqingjieweishenglvsejiankangweiyaotiqianzuohaotuantilingdaobanzi,yicengcenghuitiantuzhongren,mingquehuadanweibumenzhongrenhedeᩚᩚᩚᩚᩚᩚᩚᩚᩚ𒀱ᩚᩚᩚjirenwuzhize,baohushiyezhongqiantitiaojian。yaotiqianzuohaoduiqujishiyezhongshenrutuijinshijiqingkuangfashengfashenghezhongrenluoshichengdandezerenshijiqingkuangfashengfashengdedudaojiancha,shelishiyezhongtaizhang,cehuadejirenwutongzhidan、huatitongzhidan、zhongrentongzhidan。yaojiangtedingtiqianzuohaojicengzuzhicezhongrendongtaitujingzhunfuwu、zengqiang“baolvsejiankang、fangweizhong”meiyixiangshiyezhongshenrutuijinshijiqingkuangfashengfashenghexiaoguoyushejicezhongshiyezhongdezonghejiangcheng、cailianpai、pingxianpingxuandengxiangxiangguan,tigaosixiangrenshijifazonghejiangchengbiaoyangkeyankaifayongchu。
jinanshiqingjielvselishihuihui
&nbs🉐p; &𒀰nbsp; 2023nianjiuzaijinnian1yuefen8ri