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: 】
shixiaqugonggongweishengshentiwei:
huianzhaojilinshengrenminzhengfulianfangliankongkaohetizhi《duiwugaohaoxinguanguanjianxingrenqundangdongtaizhanshiyewuhe“daguanyiwei”bangongdegaozhishu》hejilinshengrenminzhengfulianfangliankongkaohetizhi、zhonggongzhongyangcunlibangonglingdaocengtuandui《duiwuguowuyuanjinyibujiaqiangsuoxuancunligedixinshidequanguanzhuangaizibingduyangbenaizibing🌟duzaiqingkongfangbangongcuoshidegaozhishu》chengxuguiding,weichongfendiaodongbendishequwangzhangonggongweishengyewuzhongjiejigouwangdidezuoyong,jianchi“zaochuxian 、zaoliaofa、zaofenpei”,bimianhexuejianxinguanaizibingduyangbenaizibingduweizhongzhengdefasheng,xianjiugaohaosuoxuanguanyubangonggaozhishuyixiajidian:
yi、jianchitishengzijijuweixinguanjiuzhutexing
(一)落實社區服務站新冠診治實現擴容增能
geshiquanquanfangyilvsejiankangweiyaoyijujiuzhuzuoyeyewuxuqiu,ronghedujulaorenqushejituandui,tuidongzhashituijinguanqujuweijuweihuianquanfangyichanpinzhuxinguanjiuzhuchansuokuozhangwangzhanjianshe,yangezhixingshejigongyongsheshihuanbaoshebeidehuanbaoshebeidengzengnengchanchu,zhuyaobaokuodezhenliao💝weizhihuafen、jingmozhusheweizhihuafen、yangliaoweizhihuafen、zhuyuanbubingqudeng,nonghaoxindiankanhu、xueyangwuranjiance、gongyangdenggongyongsheshihuanbaoshebeidehuanbaoshebeipeizhi。duiyuneixieshiyibibeitiaojiandejuweijuweihuianquanfangyichanpinzhu,aimianzihuactdengdehuanbaoshebeidepeizhi,ganyudujulaorenshepianjianxiuxiahua。shiyichanpinchengshizongrenkoushuliangde15%-20%jishuxingchanchuzhongyao、tuireyao、zhi🎃kehuatanyaojikangyuanjiancemianyishijiheshebei,baochiwendinggouzaochanpinchanchuliangyizhiyilaidoubaochiwendingzai2zhouyishangneirong,chengshizongrenkoumijidiandiyukeyijushijixiaoguojiaruchanchuliang。
(二)進一步提高平臺發冷操作服務質量
quanzhengejiedaoanquanqingjiefangyichanpinhexinzhanyizhoubatianjunyinggonggeifalenglinchuangchanpin(hanjiexiuxiri),bingjingguosheweifalenglinchuangyeyiyuan,shixingfalenglinchuangbaodaodingshichanpin;quanzhengejie🍨daoanquanqingjiefangyichanpinfenhexin🐈zhanyizhoubatianjunyinggonggeifalenglinchuangchanpin(hanjiexiuxiri),yitiaojiandekekaizhanyeyiyuan。quanzhengejiedaoanquanqingjiefangyichanpinzhan、cunanquanqingjiefangyishiyingtuijinfalengshaodianhouzhenshi、linshixingfalenglinchuangliuguanqudeng,nenggoumanzufalengdengyoushenmezhengzhuangyonghujiuyiliuchengshiyongxuqiu。
er、hangshiyaozuohaozhongdiancunyonghujiankangbaojianjiancewangyuxinxibaozhang
(一)推進關鍵人們應管雖說
yijiayituoyujiezhen、jucunwei,gejiedaoweishengxuegong🍸zuoꦚgongsiyaozhuahaobeidongguajie,zaijiezhenjiangguanjianyonghulieweiwanggehuajianguantiaojianshang,duiguanjianyonghukaishianquanshenghuojianceyujianguan。qiqiyeboshiqulianxibaixinghebeidonggongzuodezuoyong,jiuyuedatigao6sisuizhineizhongguoshanglenianjiderenjieyuegongzuopugaimian,guanjiankongzhiguanjianyonghujieyuequanpugai。heliliyongyungongzuo、lianxidianhua、weishang、duanshipindengfeixiangchuwanfahuoqinzishangmensuifangdengduimengongzuowanfa,zuoshi“hong、huang、lv”biaozhibiaoshiguanjianyonghuanquanshenghuogongzuo,zuochu“5gekaizhandaozhang”。
1.yijiezhenweiqiye,yifuwanggehuaguankonggongshijizhi,tuijin“juweierrentuandui”shangbanzhinengzuoyong。
2.sanjineirongleirenjiankangdiaochatongjiguileimingle,dongtaizhanshixiugaibingbaochitaizhang,chuliwutichanpinxinximingle。
3.jiedaobanshipinweishengfuwuxiangmupeixungouཧzao24xiaoshihoufuwuxiangmupeixundianhuatongchang,jiatingshifukeyishenggaohaoguanxiyuanzejijixunwencezhongdiannianlingceng,youyingyangjiankangshiyongxuqiushilikemeiyouxiangying。
4.genjuhenduofangfa,duicezhongxiaofeixiaofeiquntitupianjiamizizhudelianjielianjie,dui“xianhongse”cezhongxiaofeixiaofeiquntiqitianlianjiebuzhishao3ci,dui“lanse”cicezhongxiaofeixiaofeiqunti,♏qitianlianjiebuzhishao2ci。
5.anshilijiehexinleirenjichutiaojianchuanranxingjibingqiantiheyingyangzhuangkuangfasheng。
6.duiyaodiankehuqunyingxiangxinguanbingduyounaxiehuogenjichuanranxingjibinggengzhongdengwenti,likelianghaozhidaoyijian、jiuzhengyuzhuanzhen。
(二)抓好側重點消費群的分類監管
dui“hong、huang、lv”cezhongdaxueshengxiaofeiquntibutongfangan“yi、er、liangjishipin”de🅷guanligongnengbaozhang,dui“huanbao”daxueshengxiaofeiqunti,luodaoshichu“6jigongnengbaozhang”,jixujixujiaqiangdejiankangyouerjiaoyu,wanchengzijidejiankangbaohu。dui“heise”daxueshengxiaofeiqunti,zailuodaoshichu“6jigongnengbaozhang”dejichushangkuangjiashang,duikangtiyangxingjiajuzhiyuyuanfangan“teshukaoshigongnengbaozhang”,jixujixujiaqiangkangyuanjianyan、dejiankangwuranjianceqi、dejiankangzixunzhongxin、lianheyongyaojiandudeng。dui“hongbaise”daxueshengxiaofeiqunti,zailuodaoshichu“yi、teshukaoshigongnengbaozhang”jichushangkuangjiashang,fangan“liangjishipingongnengbaozhang”,cuiliandejiankangwuranjianceqi,duibingshizengduodebuyuzhuanzhenbangzhu。
san、zhulijiejuejinyibuqianghuaweizhongqianmianyudao、genzhiyubinggui
gedihuanjingshipinweishengguanlilvseweiyaojiezhushi、quchuzhiyouguanzhuanjiatuanyongqi,jinyibujiaqiangduijiedaohuanjingshipinweishengguanlishouhoufuwude꧋zhongyanglianjieyuyindao,jianchibuxie“zaochajue、zaohuanjie、zaoguodu”yaosu,genghaodifahuijiedaohuanjingshipinweishengguanlishouhoufuwudezhongyang“guanzhala🍃gao”fanying。
(一)積極推進新冠危重早會發現
geshequyiliaojianweishengjianyewudanweiliandongjucunwei,zengqiangduixinguanxijunxiedaizhedezhengchangtancezhan,shifenshitebienianlingcengxijunxiedaizhe,zairenzhenluoshi“yi、er、san꧒”jigongzuoguanlidejibenshang,yaotebiezengqiangxinguanzhuangkuangyujibenxingfabingzhuangkuanggai🦋biandetancezhan。
gaohaoduixinguandiannaobingduzheyangbaomandujiance。gejiedaogonggongganjingqingjiejiankangxuejingzhunjingzhunyewuyiliaozhongjiejigouyaochangbeizuliangdezhijiashixinlvxueyangyi(xialeimingzijianchengzhiyangyi),baochiyigejiedaogonggongganjingqingjiejiankangxuejingzhunjingzhunyewuzhongjiejigouhefenzhongjiejigouyingweichangbei20geshang、yigejiedaogonggongganjingqingjiejiankangxuejingzhunjingzhunyewuzhanhecungonggongganjingqingjiejiankangxueshiyingwei🐻changbei4geshang,yigejucunweiyingweichangbei3geshang。xiangweiyigeputongjiatingyakeyishengzhuanyetuanduichangbeibiranzongshuliangdezhiyangyi,xianjiehaojucunweinengliang,jiangyangbaomandujianceliruzhuyaohuanzhediannaobingduzheyibansuifangwanfa。gejiedaogonggongganjingqingjiejiankangxuejingzhunjingzhunyewuyiliaozhongjieꩵjigouyaolianghaoxinxihuajucunwei,wei6wusuishangyouxinguandiannaobingdudiannaobingduweizhongzhengweixian qieyidongbulianghouguodezhuyaohuanzheduixianzhiyangyi,kaohepingjiajiajujiancexueyangbaomandu。
(二)實施新冠危重早手術治療
yaoyituoyuꦛshi、qujijiuxuezhezudingli,yangezhixingjiedaobanshichuweishengxuebaozhangbumenduixinguanranshangzheduizhengzhiyuzhiyu,shuyudanbaizhirenke、yangliao、jingmoshuye、xiaotanyuanzizhijianquanshiyong、shulijiazhongyiliaochuangdeng。
1.增加針對冶療。shixiaqugonggongqingjiehuanjingweishengjianfangyixuejiankangdeweihuibangjuweihuigonggongqingjiehuanjingweishengjianfangyixuetigonggongzuoguanliyujixieshebeipeiqishujubuyideeryanghuadandai、eryanghuadanpinghezhiyangjidengjixieshebei,shiguanyouxiaoweizhuankemenzhenbutangniaobingaimeizhe、zhujiagenzhitangniaobingaimeizhetigongyangliaohuoeryanghuadanzhuangguantigonggongzuoguan♒liyu。gejuweihuigonggongqingjiehuanjingweishengjianfangyixuetigonggongzuoguanliyuzhongjian、fenzhongjianjunyaozhidingzhuankemenzhenbu“xiyangqu”;juweihuigonggongqingjiehuanjingweishengjianfangyixuetigonggongzuoguanliyuzhanyucungonggongqingjiehuanjingweishengjianfangyixueshifangshishangjunyaoliyongxiancunchangsuohuanjingkongjian,xitongpeizhieryanghuadanguan,tigong“yangliao”tigonggongzuoguanliyu,yaoqiudujulaorenbenshiyangliaotigonggongzuoguanliyuyao。shenrukaizhanzuowuhuaxirugenzhi,gejuweihui🌊gonggongqingjiehuanjingweishengjianfangyixuetigonggongzuoguanliyuzhongjian、fenzhongjianfangshishangjunyaotigongzuowuhuaxirugenzhitigonggongzuoguanliyu。tongyi,jinxingbingduzheyingyangsherudazai,kuaisuzhixingjiankangyingyangyinshipeixun,anzhengguikaizhandiaoyandadiandidengfuwubaozhang,jidajianshaoweizhongzhenghuichuxianwenti。
2.盡快操作抵抗毒物物改善。duineirongquntichuanranzhequpinggubaogaogeshi,zailaochengquzhuanyezudejianyixia,duifuheguo🌠jiashiyingzhengdechuanranzhe,mashangdejianyizaishiyongkangbinglijieyaowu,tixianjinkuaijizaodiaocha。
3.寬裕起到中藥茶治療方法功能。jianshoudongxifangyiyunyong、zhongyigongsixueyaoranhouyong,tuidong“sanyaosanfangxieyi”dengzhongxiyaozaijiedaopingtaishipinganjingdefuwubaozhangbumendechangbeihexuanze。gejiedaopingtaishipinganjingdefuwubaozhangzhongyaozhenduixinguanyiqingchuanranpubianyoushenmezhengzhuang,zhuzhongshixiao,bianzhengshizhi。jianliwanshanzhidu“zao”“kuai”dedixian,rangzhongchengyaozai✱xinguanbingyuantichuanranqibujieduanjinkuaijinruyiliao,jishidizhiqingzhengzhuyuanbingrenxiangdaxing、weidaxingfazhanzhuangda。
(三)推動新冠危重早分科
1.及早援助轉診。duixinguan🔯linchuangbiaoxianhuojichushangxingfukejibingjiaoqingdejiaochaxiedaizhe,geshequyewuzhanweishengzijideshijiqingkuangyewugongsi、xiaojiatingzhuanjiajingyingtuanduiyaohao120jiuhubixuzhuanyungongsilvsejiankangtonglu,peihebingduzhejishizhuanzhen。duinongcunjicengshouzhendeweizhongzhenghuaner,yaoxunsuzuizhunshebie,kegenjuxianshizijideshijiqingkuang,jishigongyang,tixianꦇletigaorenshishijiucuoshi,keyibaochihuanershengwuzhengxiangquyuwending,zaiyihujishurenyuanreqingjiedaixiajishizhuanzhen。
2.通行雙項轉診。getebiegonggongweishengjianfuwugongsiyaozhutuiquxingshequyiliaobaozhanggongsi、yiliantishangsiweishengjianyuan,liuchangxinguanzhenzhijiaochazhuanzhenduanxintongdao,gedigonggongweishengjiandejiankangwei、🌺geshequyiliaobaozhangdanweiyaoquerenzhuanyerenyuanguanlizhuanzhengangweishang,biandejianhuaweizhongzhengaimeizhezhuanzhenbuzou,jiakuaizhuanzhenshengchanlv。tongshi,yaozugoufahuiwentihuazhichengzhudezuoyong,yingyongqqshoujiyuanchengjiezhen、qqshoujiyuanchengceshidengdefangshi,quebaoaimeizhedesuishikeyiyouxiaozhenzhi。
duijuweihuijiankangshouhoutigongfuwuyuzhandeshangzhuanxinguanfukebingduxiedaizhe,gengshishicezhongleirenfukebingduxiedaizhe,shangyijizhensuokouqiangkeyaojianzaoshouzhilvsedequdao。zaishangyijizhensuokouqiangkedadaojixingbangguangqizhongyaozhiliaohou,shijiqingkuangpingwenxingdefukebingduxiedaizhekexiayizhijuweihuijiankangshouhoutigongfuwuyuzhandezhongzhengjianhushi,juweihuiyiwuchengyuanyaozuzhizhuanzhenfangfa,🌠zuoshouhoutigongfuwuyutoubiao。
mingquetichuqingjiejiankangwendingweiyingpinghengzhen🐼quneigejizhengfudangweisizhongyiyongshebeixuexiaodanrenjianchanpin,yizhaoyouchayi cengciyiyongshebeixuexiaodanrenjiangongnengjiandingweigongneng,kaifapingheng、huafencaiyongdeluoji,yaopinghengquedingzhenquneigejizhengfudangweisizhongyiyong🗹shebeixuexiaoyiwuren,shixianxiapairuzhu、shouquanweituoduijiedengshouduan,jianrongjuweihuichanpinpeixunxingpeixunpingtaiqingjiejiankangchanpinpeixunxingpeixunpingtaizhenshichanpinpeixunxingpeixun。huanyongyouyiyuanbingfangdejuweihuichanpinpeixunxingpeixunpingtaiqingjiejiankangchanpinpeixunxingpeixunpingtai,jinguanjianqidanrenjiancaiyonglvyinggoumanzu95%shangmiande,weiruanjianshezhiyiyuanbingfangdejuweihuichanpinpeixunxingpeixunpingtaiqingjiejiankangchanpinpeixunxingpeixunpingtai,duijubeishiyingzhengdeganranzhiyuantizhe,yingshixianxiaojiatingyiyuanbingfanggoumanzuzijidefangzishoushuzhiliaoxuyao。
si、zengjiashequntuchukequnyizhiziranziyuantongchouguihuahezhichiliqieshibaozhang
(一)更加充分構建街鎮網格化方法考核機制
gejuweishentijingzhunchanpinhexinyaojijizhudongxietongguanlishangbangejiezhen、jucunwei,kuanyuchentuojiezhenwanggehuafangfayuanze,genghaodifahuijiezhen、jucunweiweihexinzuoyong,shishiduishengjituchuyonghujuweifangfa,zengjinshentijiancewangyuji꧅shuxingjingzhunchanpin。chentuo“juweisigerenxiaozuchang”shangbanyuanze,shishiduishengjituchuyonghudebaobaolianxi。gejuweishentijingzhunchanpinpeixunjigouyaojijipeihejiezhen,shiyiqukongfangbanshangbanqidong,zengjinduigaolingyunfulaofu、yougenjixingwentiqiumeizhedengweizhonggaodefengxianyonghuhejiyu🧔yutiaozhanhaizi dengyonghu“shentibao”bofu,xietongguanlijucunwei,zengjinduiyigerenzhulaofu、jinyucanjirenqinshengzinvtongyizhuzainianlingjiaodaderendechangguilianxi。
(二)大力加強部位醫療機構資源共享城鄉醫療保險支撐架
shixiaquhuanjingqingjieqingjieweishengfangyijiankangshenghuoweiyaochengxiangyizhiguanlibaoxianjuminxiaoquchangjianyizhiguanlijiegouyiwuguanyukaosheng,yongxiayixunzhen、guanyukaoshengpaizhu、shixianjiyuanchengyizhiguanliquyuhezuowangdengfangshifangfa,fangzhijicengrenyuanderenyuanyuangongyizhiguanlihuanjingqingjieqingjieweishengfangyijiegourenlichengbenguogaokunnan,qieshibaozhangjiedaogongnengzhiliangpingtaixinguanjiuhugongnengzhiliangyouxuzhankai。goujianlaochengquduojijiuhuzhongyizhuanjiatuanheshangyijiyizhiguanlijiegouguanyuxunhuixuexi🍷peixunxinjizhi,duijiedaogongnengzhiliangpingtaihuanjingqingjieqingjieweishengfangyigongnengzhiliangjiegouzhankaijiyixuexipeixun,xuexipeixunjicengrenyuanderenyuanyuangongyiwuguanyukaoshengshiyanshiguanlibiaozhuncaozuoxiaoyangfenziyaohezhongyaocha“sanyaosanfangxieyishu”,yigaishanjicengrenyuanderenyuanyuangongfangweizhongzhengchengdu。zengduoyizhiguanlijiuyuanziranziyuanchengxiangyizhiguanlibaoxian,zengduoyizhiguanlijiuyuanxingshiyujingshen꧋liliangfenpei,weijiedaogongnengzhiliangpingtaihuanjingqingjieqingjieweishengfangyigongnengzhiliangpingtai、jiachangzhuanjiatuanduitupianshixianxianqizhuanhuaquyu。
(三)增進底層醫務專業人員課程培訓
yifuxianchengyoujijijiulingdaoxiaozuzu,cehuamianxiangxianongcunjicengdangjujiyiwurenxuexipeiyangkechengfangshi,zhankaixianshangdaili、xianshangxianxia、lingdaoxiaozuqingdaoboshizhengxingyiyuanyiyuanxifendaijiaodengjizhongxuexipeiyangkecheng。kuanyuheliliyongdiqu、shilidengguanyuxuexipei𒁃yangkechengziyuanliang,jishijujixianongcunjicengdangjujiyiwurenliexixuexipeiyangkecheng。jixujiaqiangchouyangjianyan,biaozhunxuexipeiyangkechengkaohepingjia,quebaoxuexipeiyangkechengliaoxiao,shixianongcunjicengdangjujiyiwuren(shizhinongcunshequzhuzhiyisheng)zaiduanqijihuaneijingtonglijiexinguanzhuyaoxiaofeiqunfenjizhiduleibiebaozhangfangan、ranshangzhengzhuangguancha、ranshangzhejiajuhuanjinggongzuoheshoushuzhiliao、zhongguochuantongyixueyaojijiuhefuyuanyiliaojigou、diyangxuezhengqianzhaochuxian 、hu🥀rudewentidegupinghejiezhenfangan、zhiyangyidedexuanyong、zhongyaoxingzhuanzhenshoushuzhizhengjixiaodafenzixingyaowudeshiyingxingzhenghezhengquewuwudexuanyongfangandeng。
(四)帶動新冠救護物質的保障
gexianquganjinghuanweijiankangweiyaoanzhaoxiandaobanganjinghuanweigongzuoxuexiao、cunganjinghuanweishigongzuorenkoushuju、zhuyaokehuquntidishudengqingxing,peizuyizhigongchengshebei,huanyoufaredeyuanyinlinchuanghuopin、zhongcaoyao、kangyuanyancehuaxuezhiji、kangbingliduwuwu、zhiyangyideng,bingronghexiandaobanganqizherenshufazhan,xinxidiaokongchanchu,baoxiangongchengshebeichanchu。gaozhongdilijutiweizhipianbi、jiaotongpeitaobufangbiandexiandaobanganjinghuanweigongzuoxuexiao、cunganjinghuanweishiyaotiqibeizu🍒zhiliaozhiliaoyaowuhefangyigongchengshebei。yinlingxiandao、jucunwei,yuyidingminyingyiyuan、yiyaoliansuodengkuaijiedianhua,anzhaoyuqihuanyaozhengquexiangshandongnongcunchengshipianyigonggeiyizhigongchengshebei。
(五)實時視頻熟知上班的動態
shizhenquhuanbaoyingyangweiyaoyanxuwanchengtebiehuanbaofuwuzuzhijinxing、fuwuzhuangtaihekuodazhuangtaidengzuixinpinggu,jishizhangkongtebiechansheng🔥reliangcaozuozhuangtai、zhijihejixiecunchushiyongdezhuangtai、zhongdiancunrenmenfuwuzhuangtaideng,duizhenqurenwuhuiyouyixiewentihuorenwuxiangweizhihou🎐dequchujishidiaodushi。gengjiachongfenyingyongxiaoxineironghuajishuxing,zengjiarenwubanshixiaolv,xuejianjicengzuzhiyali,kuaisuzhibaodeguojia、shengjiyaodezuixinshujufenxihexiaoxineirong。
(六)帶動居委會醫務工人噓寒問暖獻愛心
quxiananquanqingjieweishenggengjian💧kangweiyaozhuliluodaoshichuyunzuoguojiadiquheshanghaishiyouguanzhuyiguanzhuyiwurenshucuoshi,⭕tigaoduitebieanquanqingjieweishenggongnengfuwubaozhangzhiliangpingtaidexiechenganquanbaozheng。shidangpeibeiyudiaopeichutebieyiwurenshu,gaohaoyiwurenshushengcungongnenghehouqinchuanquanbaozheng。anfalvfaguiluodaoshichuyunzuoduitebieyiwurenshubutiezhengceyujiatinghuanjingyihurenyuanguanlihezuogongnengfeiduocixingduchatongzhiyunzuoshiyefei,gulijilitebieyiwurenshuyixinshenzhurutebiexinguanqiangjiuyunzuo。
(七)增加重任嚴格執行和督導檢查判斷
quxianhuanjingweishengwendingweiyaoquanmiantishengzuzhiguanyuan,cengcengquanmianluoshitianzhuzhongrenxin,liqingxingzhengbumenzhongrenxinhemubiaobangongren💦wuzuzhijiagou,zhiliangbaozhangshiqingshangzhuangkuang。yaoquanmiantishengduiqujishiqingshangjijizhankaiqingxinghezhongrenxinquanmianluoshiqingxingdebenzhibangongjiancha,chuanglishiqingshangtaizhangzenmezuo,nidingmubiaobangongrenwumingxicaidanbiao、guzhang mingxicaidanbiao、zhongrenxinmingxicaidanbiao。yaojiangsuoxuanyaozuohaojichengguanjianrenqundangdongtaitufuwuxing、qianghuazhuangbei“baowending、fangweizhongzheng”duozhongshiqingshangjijizhankaiqingxinghechengguoyushejidaodeguanjianshiqingshangdejiangcheng、feiyongdoufenpeihao、pingxianpingxuandengxiangguagou,zhuliliyongjiangchengtuanduijilizhuashoushiyong。
chengdoushihuanjingweishengshenxinjiankanglishihuihui
ꦛ 2023nianyiyuefen8ri