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:
xuanzeguojialianfangliankongxitong《xiangduiyuzuodaoweixinguanzhongdianꦑrendongtaixinxigongnenghe“daguanlagao”yewudexinxi》heguojialianfangliankongxitong、dangzhongyangweixiangcunyewulindaozhuanban《xiangduiyubianyinzengjinsuoxuanweixiangcunquxianchuangxinxingguanzhuanghongxinguanbingdupifuganqiqinliuganfangzhiyewushejifangandexinxi》yixiewenjiandeyaoqiu,weifahuishiyongshineipianqu💝gonggongweishenggongnengdaikuanjigouwangdishiyong,zhuiqiu“zaohuifaxian、zaozhongyaozhiliao、zaofenke”,youxiaofangfanheyijianshaoxinguanhongxinguanbingdupifuganqiweizhongzaoshou,xianjiuzuodaoweisuoxuanyixieyewuxinxiyouyixiajidian:
yi、baochitigaoshequwangzhanxinguanjiuzhugongneng
(一)推行特別新冠治療擴存增能
gexianqushenxinjiankangshenxinjiankangweiyaojiyuchuzhigongzuobiaozhun,lianhedujulaorenquyouguandejianguanbumen,yuelaiyuekuaichixutuijinpianquxiaoqushenxinjiankangshouhouyewuhexinxinguanchuzhihuodongchangsuokuojianguihua,luoshigongzuoyouguandegonggongjianzhusheshiweishengguanlijianzhusheshidengzeng💧nengchanchu,zhuyaobaokuokouqiangzhenliaobankuai、jingmozhushebankuai、yangliaobankuai、zhenshibingqudeng,jinxingxindianpeihu、xueyangchace、gongyangdenggonggongjianzhusheshiweishengguanlijianzhusheshiyingjianshebei。laishuofuhezhuangtaidexiaoqushenxinjiankangshouhouyewuhexin,haoqianghuactdengweishengguanlijianzhusheshideyingjianshebei,zhidaodujulaorenshepianshenhechendao。quedingshouhouyewurukoubiligeshude15%-20%dongtaixingchanchuzhong⭕yaofang、tuireyao、zhikeyaojikangyuanchacezhijihepeifa,quebaoanquanzuzhiyiliaoyaopinchanchuliangzhongjiuchixuzai2zhoudayu,rukoubilimijixingshengshikejiyuzhenshixinzengchanchuliang。
(二)進一步提高社群發燒診療規范工作
𒊎quanxiangequyuanquanchanpinzhanganjinganquanguanlianquanchanpinzhuyingdangmeizhoudexingqidouyizhoujunyinggongyingfalengyiyonganquanchanpin(hanjiejiaqilvyou),bingzuodaozhuangzhifalengyiyongyemenzhen,zuodaofalengyiyongbaodaodingshiqian🧸quanchanpin;quanxiangequyuanquanchanpinzhanganjinganquanguanlianquanchanpinfenzhuyingdangmeizhoudexingqidouyizhoujunyinggongyingfalengyiyonganquanchanpin(hanjiejiaqilvyou),yitiaojiandekesheliyemenzhen。quanxiangequyuanquanchanpinzhanganjinganquanguanlianquanchanpinzhan、cunganjinganquanguanlishiyingpingjiefalengshaodianmenzhenshi、linchangfalengyiyongliuguanqudeng,nenggoumanzufalengdenglinchuangbiaoxianhuanyoukanbingyewuxuqiu。
er、jianshiganhaozhongdiankehuquntishentijiankangjianceqiyudongxiangjingzhunfuwu
(一)貫徹突出群眾應管總之
tuijinjiezhen、jucunwei,geshequhuanbaohuanbaoshouhouanquangongzuodejidiyaozengqiangzijuejiajie,zaijiezhenjiangneirongnianlingduanguiruwanggehuadeguanlixitongjichulilunshang,duineirongnianlingduankaifashenxinjian🧔kangjiancezhanyudeguanlixitong。fahuixiaoyingjiatingshenghuoboshilianxiqilairenmenhezijueshouhouanquangongzuodexiaoying,jianxiaokuozhang66suiyishangneironglao𒊎lingrenrenzaixianqianhetongshouhouanquangongzuodelvgaimian,zongtishixianmubiaoneirongnianlingduanzaixianqianhetongquanlvgai。pingjieyunshouhouanquangongzuode、shouji 、weixinqq、shipindengfeiwancelvehuolaidiansuifangdengyingmianduishouhouanquangongzuodecelve,zuoshi“hong、huang、lv”biaoqianneirongnianlingduanshenxinjiankangshouhouanquangongzuode,zuode“jigewanchengrenzhenluoshi”。
1.yijiezhenweixingye,jiezhuyuwanggehuaguankongxinjizhi,qiaoding“quyuliurenzhuanban”gongzuozhongzhinengbumen。
2.sandaleizhongdianqunzhongjiankangdediaochayuandingyiqingxi,dongtaitupianjinxingdiaojiebingjiaruqingdanbiaoge,jianlirengerenxinxiqingxi。
3.shequfuwubaozhangpeixunzhananquanjiankangfuwubaozhangpeixunxitong24xiaoshineifuwubao𝕴zhangpeixunrexiandianhuatongxing,jiajuyihurenyuanlianxiqilaimoshijinkuaigaozhizhongdiancunrenqundang,youanquanjian✨kangyaoqiushijinkuaihuifu。
4.jingguohenduozhongshouduan,duizhuzhongrenmenjiasuohuoyuedianhuaququdelianxijieru,dui“hongyanse”zhuzhongrenmenmeiyizhoudianhuaququdelianxibuchaoguo3ci,♐dui“mihuangse”cizhuzhongrenmen,meiyizhoudianhuaququdelianxibuchaoguo2ci。
5.jishizhidaohexinqunzhonggenbenxiaohuadaojibingqingkuangfashengheweishengqingkuang。
6.duihexinkehuquntiranbingxinguanbingduyangbenhuodijihuanbingbingkuangdengshiqing,anshiwendingkaohepingjia、gansheyuzhuanzhen。
(二)落實工作關鍵患者分級工作管理
dui“hong、huang、lv”guanjiandianleirenzhuyaotuijin“yi、er、sanjieduan”jianlianquantiexindechanpinxing,dui“chuntianran”leiren,guancheluoshizerenzeren“yijianquantiexindechanpinxing”,buduanjinyibutishengshenxinwendingyouerjiaoyu,zuodaotarenshenxinwendingnaihuoban。dui“danhuangse”leiren๊,zaiguancheluoshizerenzeren“yijianquantiexindechanpinxing”delilunzhishikuangjiashang,duiyangxingfanyingjujiayanglaochanpinxingkongzhiderenyuantuijin“wujianquantiexindechanpinxing”,buduanjinyibutishengkangyuanyance、shenxinwendingshujuwuranjiance、shenxinwendingzixunzhongxin、fuyaomianfeizhidaodeng。dui“zise”leiren,zaiguancheluoshizerenzeren“yi、wujianquantiexindechanpinxing”lilunzhishikuangjiashang,tuijin“sanjieduananquantiexindechanpinxing”,tishengshenxinwendingshujuwuranjiance,duipeiyuzengjiadezechengzhuanzhenxiezhuzhixing。
san、gengjiazhuzhongzengjinweizhongqianzhaoganjue、genzhiyufenke
gediganjingguanlilvseweiꦅyaotuijinshi、quqiangjiuxiaobianzubaofali,tishengduijiedaobanshichuganjingguanlideyewuzhongjieguanyujutizhidao,jianding“zaodezhi、zaodiaoli、zaobinggui”guize,🧔huifajiedaobanshichuganjingguanlideyewuzhong“kouanyiwei”mude。
(一)深化新冠危重癥早知道
gepianquweishengjingyingfuwudedanweituijinjucunwei,tishengduixinguanganqizhedeshentijiankong,tebieshiyaodiandaxueshengxiaofeiquntiganqizhe,zaiwancheng“yi、erꦿ、san”jijingyingdetiaojianshang,yaoyaodiantishengxinguanzhengzhuangyutiaojianxingjibingzhengzhuangdebianhuadejiankong。
gaoꦍhaoduixinguanranbingzheyangquyuwendingdujiancexitongjishu。gejuweihuianquantiexintigongbaozhangxiangmuxuexiaoyaoxuanyongzuliangdezhijiashixinlvxueyangyi(xialijianxiezhiyangyi),henzhuameizhongjuweihuianquantiexintigongbaozhangxiangmuguanlizhongjianhefenguanlizhongjianyicixuanyong20geyinei、meizhongjuweihuianquantiexintigongbaozhangxiangmuzhanhecunanquanshiyicixuanyongliageyinei,meizhongjucunweiyicixuanyong2geyinei。weilemeizhongjiarenzhuzhiyishengchuangyetuanduixuanyongxiangyingyonghudezhiyangyi,xianjiehaojucunweishili,jiangyangquyuwendingdujiancexitongjishubianruzhongxinsangaozhongrenranbingzhezuijibensuifangwangzhanneirong。gejuweihuianquantiexintigongbaozhangxiangmuxuexiaoyaojijileitingxingdongfengongxiezuojucunwei,wei6sisuiyineiyouxinguanmumaranbingweizhongzhenggailvqieleitingxingdongཧbulianghouguodezhongxinsangaozhongrenbanfazhiyangyi,zhidingfanganshenghuoziceshixueyangquyuwendingdu。
(二)積極推進新冠危重癥早冶療
yaochongꦅfenfahuishi、quzhenliaoyixuepingshenzuyongqi,yangezhixingjuweihuiweishengfangyigongnengyiliaojigouduixinguanyingxiangzheheshihuanjie,yebaokuogezhongyingyangchengfensherukeyi、yangliao、dadiandi、xiaoyangfenzizhongliuyaowuyong、kaifadejiatingshoushuchuangdeng。
1.加大性針對中藥治療。mingquetichuqingjiegonggongganjingshenxinjiankangweiweileshequdegongnengzhanwangzhanjuweihuijuweihuiqingjiegonggongganjinganquangongnengguanlidaikuanjigoupeizhizongshuliangweiyidechakano2de🌌guanguandai、chakano2deguanguanpinghuanyouzhiyangjidengxitong,querenmashangweizhensuopengyou、jujiayanglaogongnengguanligaishanpengyoubaozhengyangliaohuochakano2deguanguanzhuangguananquangongnengguanli。geshequdegongnengzhanwangzhanjuweihuijuweihuiqingjiegonggongganjinganquangongnengguanlizhongxindian、fenzhongxindianjunyaoruheshezhizhensuo“xiyangqu”;shequdegongnengzhanwangzhanjuweihuijuweihuiqingjiegonggongganjinganquangongnengguanlizhanyucunqingjiegonggongganjingshitiaojianyingwenshangjunyaoheliliyongzhuyaoyundongchangdidegongnengxiangmuzhiliangqi,peizhichakano2deguanguanguan,baozheng“yangliao”anquangongnengguanli,fuhechengshijuminfujinyangliaoanquangongnengguanliyiyuan。tuijinxiwuxirugaishan,geshequdegongnengzhanwangzhanjuweihuijuweihuiqingjiegonggongganjinganquangongnengguanlizhongxindian、fenzhongxindiantiaojianyingwenshangjunyaobaozhengxiwuxirugaishananquangongnengguanli。ciwai,wanchengzhanranzheyouyingyangkeyi,tuixinglvseyingyangshanshifudao,anguifanhuakaishedadiandidengchanpin,cainengjianshaobingqingbijiaozhongdeshihouhuifashengtouzifengxian。
2.及時的運用身體劇毒物進行治療。duizhongdaqunzhonghuanshangzhelaijianding,zaishizhongxinxuezhezudepingjiabiaoxia𒊎,duiqiheshoushuzhizhengdehuanshangzhe,jishixingdepingjiabiaoyingyongkangbinglimanxingduyaowu,zuochujinkuaijizaodiaocha。
3.積極主動樹立成藥中藥治療用處。nulizhongwaiyixiangjiehe、zhongyizhen𝓰jiuyaozaiyong,jianman“sanyaoliangfang”dengzhongyaopeifangzai🧜xiaoquqingjiebaozhangshebeidebiaozhunpeizhiheyongdao。gexiaoquqingjiebaozhangzhongdianyaoyingduixinguanmumabingduganliangchangyoubingzhuang,fabudezhengce,bianzhengshizhi。zhuishang“zao”“kuai”deguifan,rangzhongyaopeifangzaixinguanhivbingduganliangshiqilikejiarudezhiliao,mashangyizhiqingzhenghuanzhexiangchaozhongxing、weichaozhongxingdefazhan。
(三)持續推進新冠危重早分離
1.按時配合轉診。duixinguanxianxianghuojibentiaojianxingpifujibingbianzhongdeyingxiangzhe,gepianquhuanweitigongfuwuzixunzhongxin、jiazhongyakeyishengtuanduixiezuoyaohuanhao120yingjizeyouzhuanyungongsicaolvseguandao,ducuchuanranzheyouxiaozhuanzhen。zaimiancengshouzhendeweizhongzishen,yaojinkuaizuizhunquepanduan,huigenjushishishangxianxiang,youxiaogongyang,jinxinggenghaodijijiuyufangcuoshi,yingdangtishengzishenshengmingtuꦏpianlinchuangzhengzhuangyouxu,zaiyihushisui♔tongxiayouxiaozhuanzhen。
2.連通正向轉診。geshe🦩qujuweihuigonggongweishengjiananquanfuwugongsiju🌳yaoyikaodiyuxingzhenliaopingtaizhongxindeju、yiliantishangjiamenzhen,liantongxinguanyizhishuangxiangzhuanzhenqudao,gedigonggongweishengjianshentijiankangwei、gezhenliaopingtaipingtaiyaolaiquedingqinzizhuyaofuzezhuanzhenguanligangwei,jianyibingqingbijiaozhongdeshihouaimeizhezhuanzhenfangfa,shenggaozhuanzhensudu。erqie,yaoquanmianchongfenzhanxianshujuhuazhichengligongneng,jinxingjiyuanchengdiannaojiuzhen、jiyuanchengdiannaopanduandengfangan,weilebaozhengaimeizhedechushishiyoujiaoyizhi。
duitebiegonggongweishengxueꦅanquanfuwudedepingtaideshangzhuanxinguanpifubinghuanzhe,tebieshishizhongzhongzhizhongxiaofeiquntipifubinghuanzhe,lingdaolingdaojigouyaochuanglishouzhilanseguandao。zailingdaolingdaojigouzuodaoweituranqigenzhihou,shihoupinghuandepifubinghuanzhekexiahuandaotebiegonggongweishengxueanquanfuwudedepingtaideicubingfang,tebieyiwujishurenyuanyaoluxucanyuzhuanzhenbuzouliucheng,zuodaoweianquanfuwudedeshigongzizhizhuanrang。
geshiquanquanyingyangjiankangweiyingchengxiangyiliaoshebeibaoxianguihuapianquneipaichujiguangedayiliaozhongjiezhongjiedaikuanjigouyichuangcailiao,yizhaobutongyujibieyiliaozhongjiezhongjiedaikuanjigouyichuangshiyonggongnengwifidingwei,jianlilianxichengxiangyiliaoshebeibaoxianguihua、leibieyongdaodegongzuojizhi,yaochengxiangyiliaoshebeibaoxianguihuazhidingjihuapianquneipaichujiguangedayiliaozhongjiezhongjiedaikuanjigouyishiguanli,jingguoxiapairuzhu、shoutuojiaojiedengfangfa,shiyong💫jiedaobananquanbaozhangzhubingqubaozhang。xianyoubingfangdejiedaobananquanbaozhangzhu,jinguochengyichuangyongdaolvyingdao95%chaoguo,weishezhibingfangdejiedaobananquanbaozhangzhu,duianzhaoyuanzedeyingxiangzhe,yingjingguojiabingfangtigongjiayongyiliaoxuqiuliang。
si、tishengjiedaozhuzhongrenqiangjiuyingshiziyuanpinghenghechengshoubaozheng
(一)全面整合街鎮網格化管理系統長效機制
gepianquwangzhanshipinweishengqingkuangbaozhangpingtaiyaozidonglianjiegejiezhen、jucunwei,jiayiyilaijiezhenwanggehuajianguanshangbanzhongguanlijizhi,yinlingjiezhen、jucun꧂weishichangdaoxiangdezuoyong,renzhentixianduizhongzhongzhizhongyonghupianquwangzhanjianguan,zuoshipinweishengjianceshujuyudongxiangbaozhang。yilai“pianquwangzhanliurenbanzu”shangbanzhongshangbanzhongguanlijizhi,renzhentixianduizhongzhongzhizhongyonghudebaobaolianxu。gepianquwangzhanshipinweishengqingkuangbaozhangjigouyaopeihemoqijiezhen,genjuqufangfanbanshangbanzhongyanjiubushu,zuoduibashisuizhonglaolingrenren、youlilunzhishixingjibingrenzhedengweizhongzhenggaowentiyonghuhekunanbaobaodengyonghu“shipinweishengbao”paifa,xietongzuozhanjucunwei,zengjinduidujushenghuozhonglaolingrenren、jinyucanzhangjienvtongshirichanggongzuojuzhulaolingrenrenderichanggongzuolianxu。
(二)不斷加強空間醫用成本統籌規劃撐起
shixiaqushipinjiankangfangyixuelvseweiyaotongchouguihuayiജxuebaoxianquyuneiduozhongyixuejigouyiwurenshi,yijuchendaoxunzhen、renshipaizhu、chuangjianyuanchengguanjiyixuexietonggongzuowangdengfangfa,jiejuexiaxiaxiajicengyixueshipinjiankangfangyixuejigourencaiyingshiziyuanbudaoweizhuangkuang,baochijiedaobanshichujiankangfangyixinguanqiangjiutigongfuwuxingdenengbaochiwendingtuijin。zhiliyuzhuzhaiquerjiqiangjiuzhuanyerenshizuheshangjilingdaoyixuejigougezhongxiangguanxunhuijianduxinjizhi,duijiedaobanshichujiankangfangyishipinjiankangfangyixuetigongfuwuxingdejigoutuijingaojishujiandu,peixunkechengxiaxiaxiajicengyiwurenshizhengqueshiyongxiaofenzijiegouyaohexiyao“sanyaosanfangxieyi”,yitigongxiaxiaxiajicengfangweizhongzhengxiaoguo。qianghuayixueyingjiyingshiziyuantongchouguihuayixuebaoxian,jiaqiangyixueyingjijidongcheyuliqiyingjianpeizhi,weijiedaobanshichujiankangfangyishipinjianℱkangfangyixuetigongfuwuxingdezhu、jiayongyihurenyuantuanduixiezuochuangjianyouxianxuanzezhuanyunqudao。
(三)繼續加強群眾醫務工作人員培訓課程
jiezhuquneierjiyizhiyihurenyuanzu,nidingshejixiaxiajicenggongzuoyiwurenshuzhuanyepeishunfangangeshi,dalikaizhanwangshangyingxiao、wangshang、lingtouyiyuanmenzhenxiahuadaijiaodengduoleizhuanyepeishun。duofangmiancaiqufadaguojia、shengjidengyouguanyuzhuanyepeishunwuzi,jijitaidujitixiaxiajicenggongzuoyiwurenshujiaruzhuanyepeishun。jixujiaqiangchoujian,renzhenzhuanyepeishunkaolv,quebaozhuanyepeishunmude,shixiaxia🧸jicenggongzuoyiwurenshu(shizhixiangyeyihurenyuan)zaiyuanqihoujiaqingjiushuxuehaoxinguanyaodiannianlingcengjibiehuafenzongleianquanfuwuxingshi、huanshangbingzhuangguanca、huanshangzhejujiashenghuojianlihekaizhan♔、yixueyaoyizhihezhiyukouqiangzhenliao、diyangxuezhengwanqibiaoming、xiangshouhenkunnandepinggubaogaohejiezhenxingshi、zhiyangyideyunxing、weizhongyaozhuanzhentiaojianxiangyingxiaodafenziyaowujiliangdegaibianzhengheheshiyunxingxingshideng。
(四)進一步提高新冠救助東西有效保障了
gexianquqingjieganjinganquananquanguanlijiankangdeweiyaogeichuxiandaobanshichuju♛weihuiqingjieganjinganquananquanguanligongnengxuexiao、cunqingjieganjinganquananquanguanlishigongnengchangzhurenkou、zhuzhongquntidishudengdeqingkuang,peizuqiangjiufangxungongchengshebeiyuyingjiwuzidecaigou,baokuobiantangzhensuoyiyao、yaocai、kangyuanjiacemianyishiji、dikangmanxingduxingyaowu、zhiyangyideng,bingdapeixiandaobanshichujuweihuiranbingzherenshubutong,dongtaixinggenggaizigeilvku,baoxianfangxungongchengshebeiyuyingjiwuzidecaigouzigeilvku。quyudiliweizhibianyuanguojia、jiaotongyinxingbubianyudexiandaobanshichujuweihuiqingjieganjinganquananquanguanligongnengxuexiao、cunqingjieganjinganquananquanguanlishiyaofenpibeizuzhongyaozhiliaoxingyaowuheyifangfangxungongchengshebeiyuyingjiwuzidecaigou。yijiayituoyuxiandao、jucunwei,yuyiliaobaozhangzuzhi 、zhongyaofangdeng꧂zhilianrexiandianhua,geichujutiqingkuanghuanyaoheshixiangnongcunshenghuoguojiaqingxieduxiaoshouqiangjiufangxungongchengshebeiyuyingjiwuzidecaigou。
(五)實時時間熟記本職工作信息
quxianganjingganjingweishengweiyaoyiranzuihaopianquganjingshiyexingpeixunjigouqiyong、shiyexingjutishiqinghezengrongjutishiqingdengxindongtaiziliaojiance,shishizhangkongpianqufaredeyuanyincaozuojutishiqing、yaowuheshebeichubeikuyunxingjutishiqing、neirongnianlingduanshiyexingjutishiqingdeng🌜,duiquneishiyehuichuxianfangmian🍸huoshiyezhihouxiaoyingdehaodifangshishirenwudiaodu。zugoujiezhutongjiziliaohuajishuxing,tinggaoshiyecuowulv,suoduanmiancengfudanzhong,shishibaobeiouzhouguojia、dishijixuqiudexindongtaiziliaotongjiziliaohetongjiziliao。
(六)做好街道辦事處醫務師非常關注關心
mingquetichuanquanqingjieshenxinjiankangjiankangweiyaozhulirenzhenluoshizerenguojiadiquhebeijingshixiangguanliantiliangguanyuanyiwurenqundecuoshi,kaizhanduipianquanquanqingjieanquanfuwuyuyuzhongjiandezhichengzhuyoubaozhangcuoshi。zhengquenidingyu♒diaozhipianquyiwurenqun,kaizhanyiwurenqunshengminganquanfuwuyuyuheshenghuohouqinyoubaozhangcuoshi。anfalvfaguirenzhenluoshizerenduipianquyiwurenqunjingjibutieyujiatingshifukeyishengqianhetonganquanfu🎉wuyuyufeimeicixingzichabaogaoshangbanjinfei,jiliepianquyiwurenqunshentixinzhurupianquxinguanzhenzhishangban。
(七)開展責任事故認真執行和督察獎懲
queqietichuweishengxueshentijiankangweiyaotigaotuanduiguanyuan,zhucengyashixishudanze,queqiezhinengbumendanzehemubiaoshenqirenwufengongxiezuo,fuwuzhiliangshiqingshuiping。yaotigaoduiqujishiqingganhaoxianzhuanghedanzeluodaoshichuxianzhuangdezhuanxiangducha,shelishiqingzhangbiao,zhidingmubiaoshenqirenwumingxibiao、duiyingwentimingxibiao、danzemingxibiao。yaojiangmougeganhaoji🐻benneirongnianlingcengdongtaishujufuwuzhiliang、shengxing“baoshentijiankang、fangweizhongzheng”shujulaishiqingganhaoxianzhuanghexiaoyiyuduiyingneirongshiqingdekaocha、zibenjisuan、pingxianpingxiandengxiangkoujin,queshiliyongkaochatuanduijilishichangdaoxiangxiaoguo。
xianshiqingjieshentijiankangzhuanweihuihui
&nbs✅p; 𒊎 2023nian2yue8ri