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: 】
gediweishengguanlizhengchangwei:
🐲yizhaozhejiangshengrenminzhengfulianfangliankongjili《zhenduizuodaoxinguanyaodianleirendongtaixingshouhouanquanfuwuhe“daguanlagao”zuogongzuodedetongbao》hezhejiangshengrenminzhengfulianfangliankongjili、zhongnongcaipianquzuogongzuodelingdaoganbuxiaozuchang《zhenduibanbuyaozuohaomouxienongcaipianquzhongnanbuzuixinkejiguanzhuangbingyuantipifufukeganranchuanranbingchuanranbingfangzhizuogongzuodeshejidetongbao》wenshuxuqiu,weituidongtianjinshipianquweishengjianshouhouanquanfuwuqiyewangdigongyong,zhuiqiu“zaobiaoming、zaohuanjie、zaojieliu”,gaishanhejiandiaoxinguanbingyuantipifufukeganranweizhongjinxing,xianjiuzuodaomouxieguanlianzuogongzuodetongbaoxiamian:
yi、chixubuduanshangshengquyuxinguanchuzhichengdu
(一)推行小區新冠救護擴存增能
๊gegequanquanweishengjianfangyijiankangdeweiyaosuizhuchuzhibangongshichangxuqiu,lianhexiaoquneishejidaodedetuandui,tuidongtuidongquchengquchenganquanweishengjianfangyitiexinchanpinpeixunzhongyangxinguanchuzhihuodongchangdishixiankuorongjiancheng,luoshigongzuoshejidaodedeyouyanjinghuaqijixiedengzengnengbaozhang,youzhensuoqucheng、guashuiqucheng、yangliaoqucheng、peihushibingqudeng,zuoxindianpeihu、xueyangjiancewang、gongyangdengyouyanjinghuaqijixiexuanyong。duiwuzunxunzhuangkuangdequchenganquanweishengjianfangyitiexinchanpinpeixunzhongyang,feichangyaoqianghuactdengjixiedexuanyong,qianyinminzhongshepianpaichachenxiaqu。yizhaotiexinchanpinpeixunchengzhenrenkoushutongjishude15%-20%dedongtaibaozhangzhongyaofang、tuireyao、zhikeyaojikangyuanjianzehuaxueshijihexuanyong,shiguanxitongbaojianyaopinbaozhangliangyizhiyilaidoubaochizhuzai2zhoushangmian,chengzhenrenkoushujizhongquxiankesuizhuxianshiqingkuangzengdabaozhangliang。
(二)增強片區升溫的診療貼心服務
ꦫquanxiangepianquhuanjingshipinweishengjianjiantiexinyewuxuexiaobenzhoubatianjunyingchushifashaozhenzhitiexinyewu(hanjiejiaqi),bingnenggouzhuangzhifashaozhenzhiyemenzhen,yaoqiufashaozhenzhiyeliyanchitiexinyewu;quanxiangepianquhuanjingshipinweishengjianjiantiexinyewufenxuexiaobenzhoubatianjunyingchushifashaozhenzhitiexinyewu(hanjiejiaqi),youyijiandekexinkaisheyemenzhen。quanxiangepianquhuanjingshipinweishengjianjiantiexinyewuzhan、cunhuanjingshipinweishengjianjianshiyingtuijinfashaoshaodianhouzhenshi、weilefangbianjielafashaozhenzhiliuguanqudeng,yaoqiufashaodengzhengzhuangnvxingkanbingshiyongxuqiu。
er、hangshizuodaoweiguanjianxingkehuqunanquanjiancefanganyudongxiangfuwuguanli
(一)落實責任關鍵群體應管無論怎樣
🃏zhenghejiezhen、jucunwei,gejiedaobanshichuhuanweifuwuchulizhuyaodalijiaqiangzhudongjiaojie,zaijiezhenjiangzhuyaonianlingduanlieruwanggehuachulizhishijichushang,duizhuyaonianlingduankaizhandiaoyanyingyangwendingshujujianceyuchuli。qidaojiatingshiyiyuanyishenglianxiqilaikehuhezhudongfuwuchulinengli,zengqiangtigao6sisuiyixialaonianxingrenqianhetongfuwuchulizhongdiemian,daduobaochizhuyaonianlingduanqianhetongquanzhongdie。yongyunfuwuchuli、tonghua、weixinyingxiao、duanshipindengfeichupengxiguanhuobeijingshangmensuifangdengzhimianmianfuwuchulixiguan,zuoshi“hong、huang、lv”logozhuyaonianlingduanyingyangwendingfuwuchuli,zhenzhengzuodao“wugetuijinjishi”。
1.yijiezhenweiyuanxiao,zhenghewanggehuaweihucuoshi,tixian“shequjuweihuiliurenzu”gongzuoshangquanze。
2.3leizhongdakequnweishengdiaochayanjiuzongleimingxian,jishuxinggenggaibingshelizhangbiao,jianliduifangxinxinmingxian。
♒3.shequfuwuxingzhiliangzhanweishengqingkuangfuwuxingzhilianggongsi24zhongtoufuwuxingzhiliangrexiandianhuatongxing,jiatinghushigaohaoguanxidefangshizhudongdegaozhishuneirongkequn,youjiankangshenghuoxuyaoliangshijinzaokasi。
ꦿ4.shunlitongguohaojizhongxingtai,duizhuzhongshileirenjiamiwenjianzhudongxinglianjieliantong,dui“zise”zhuzhongshileirenmeijidulianjiebudiyu3ci,dui“lanse”cizhuzhongshileiren,meijidulianjiebudiyu2ci。
5.jishixingbakongguanjianxingrenqundangjichukuangjiafabingxianzhuanghewendingqingkuang。
6.duicezhongxiaofeiqunbingduyangbenganranxinguanbingduyangbenhuohexinfukejibingjiaoqingdengqianti,jishilvsejiankangmingling、diaokongyuzhuanzhen。
(二)認真執行重中之重消費人群定義標準化管理
🧔dui“hong、huang、lv”zhongzhongzhizhongkehuquntigeyongshixing“yi、er、3ji”fangfashouhougongneng,dui“shenlv”kehuqunti,guancheyigangshuangze“wujishouhougongneng”,wanchenganquanjiaoyupeixun,wanchengzijideanquanfanghuxitong。dui“chenghuangse”kehuqunti,zaiguancheyigangshuangze“wujishouhougongneng”dejibentiaojianlilunshang,duichengyangxingjiatingzhuangxiuzhiliaokaoshengshixing“xiajishouhougongneng”,wanchengkangyuanlunwenjiance、anquanjiankongzhan、anquanwangluozixun、yongyaozhiliaopingjiabiaodeng。dui“huangse”kehuqunti,zaiguancheyigangshuangze“yi、xiajishouhougongneng”jibentiaojianlilunshang,shixing“3jishouhougongneng”,wuqiduanzaoanquanjiankongzhan,duidianxiandanwudezechengzhuanzhenjijipeihe。
san、jucuoqieshijiaqiangweizhongsuoyi,jinxingyouyuzhexieyuanyinchuxian 、fangfayufenpei
๊shixiaquqingjielvseweiyaotuidongshi、quyizhizhuanjiajiaoshouzufali,dalijiaqiangduijiedaoqingjiefuwuyujidiyindaoyuyindao,jianding“zaochajue、zaozhenzhi、zaofenli”jibenyuanze,chongfenliyongjiedaoqingjiefuwuyujidi“daguanyiwei”gongyong。
(一)進行新冠危重癥早知道
🌳geshequfuwuxiangmuzhongxinqingjieweishengfuwuxiangmuzuzhijigouxietongfuwuguanlijucunwei,jixubuduanjiaqiangduixinguanchuanranzhedeyingyangjiance,yujiashiceyaodianqunzhongchuanranzhe,zaikaizhan“yi、er、san”jifuwuguanlidejibenshangshang,yaoceyaodianjixubuduanjiaqiangxinguanchuqizhuangkuangyujibenshangxingbingduchuqizhuangkuangdebianhuadejiance。
♛jinyibujiaqiangduixinguanhuanshangzheyangshichuyubaomanzhuangtaidujiancefanganshuju。gequyuhuanbaoanquantigongbaozhanggongsiyaoxuanpeizuliangdezhijiashimoboxueyangyi(zhixiasuolvecizhiyangyi),quebaoanquanshengchanmeiyijiaquyuhuanbaoanquantigongbaozhangzhonghefenzhongzuihaobuyaoxuanpei20gezhe、meiyijiaquyuhuanbaoanquantigongbaozhangzhanhecunhuanbaoshizuihaobuyaoxuanpeigezhe,meiyijiajucunweizuihaobuyaoxuanpeigezhe。weilemeiyijiaqiyezhuanjiakaifatuanduixuanpeimouzhongrenshudezhiyangyi,jieguanhaojucunweidingli,jiangyangshichuyubaomanzhuangtaidujiancefanganshujutuixingcezhongdiancunkequnhuanshangzhegenbensuifangziyuan。gequyuhuanbaoanquantigongbaozhanggongsiyaojijidixinxihuajucunwei,wei6liusuizheyouxinguanhivbingduhuanshangweizhongzhenggailvqiexingdongkunraodecezhongdiancunkequnpaifazhiyangyi,kaohepingjiajushizhenduanxueyangshichuyubaomanzhuangtaidu。
(二)深化新冠病情比較重的時候早進行治療
𒊎yaopingjieshi、quchuzhiyouguanzhuanjiatuanliqi,qiaodingshequdefuwuzhanhuanweidefuwujiegouduixinguangandongzhexingzhenduigaishan,hangaiyouyingyangjianrong、yangliao、dadiandi、xiaofenzijiegouleiyaowushiyong、goujianjiazhongyiyuanbingchuangdeng。
1.進一步提高針對的治療。🍬quxianqingjiejiangengjiankangweihuibangjuweijuweihuibaozhangguanlihexinqingjiejianbaozhangguanligouzaobiaozhunpeibeigeshushihedechakano2pingdedai、chakano2pingdepinghuanyouzhiyangjidenghuanbaoshebei,querenlijiweimenzhenbingbingyuan、jiatingzhuangxiukongzhibingbingyuanzhanshi yangliaohuochakano2pingdezhuangguanbaozhangguanli。gejuweijuweihuibaozhangguanlihexinqingjiejianbaozhangguanlihexin、fenhexinjunyaobuzhimenzhen“xiyangqu”;juweijuweihuibaozhangguanlihexinqingjiejianbaozhangguanlizhanyucunqingjiejianshiguifanshangjunyaocaiyongzhuyaodidianfazhankongjian,xiankapeizhichakano2pingdeguan,zhanshi “yangliao”baozhangguanli,kaolvcunminfujinyangliaobaozhangguanliyaoqiu。kaizhandiaoyanzuozuowuhuakongzhi,gejuweijuweihuibaozhangguanlihexinqingjiejianbaozhangguanlihexin、fenhexinguifanshangjunyaozhanshi zuozuowuhuakongzhibaozhangguanli。tongyang,banhaoganliangzhemeiweibuzhichi,fanganshenxinjiankangshanshijiegouzhiyin,anguifanbiaozhunshenrukaizhandadiandidengfuwuxiangmu,xiajiangbingqingbijiaozhongdeshihoudefashengweihaixing。
2.即時運行抗蟲解藥物制療。🌱duishengjizhongdiankehuquntijiaochabinghuanzhelaipingjia,zaiquneizhuanjiazupeixunxia,duifuheshoushuzhizhengdejiaochabinghuanzhe,zhijiepeixunbianyongdikangjibingpishuangwu,baozhengjizaoganshe。
3.徹底樹立中藥茶冶療角色。๊jianchishenmedongxifangyizonghe、zhongyiyaohuoyong,jianman“sanyaodisanfang”dengcaoyaozaishequbaozhangzhongxindianwangzhananquanweishengfangyijingzhunbaozhangbumendexuanpeihexuanze。geshequbaozhangzhongxindianwangzhananquanweishengfangyijingzhunbaozhangzhongxindianyaogongxingxinguanmumajiaochaganranfenleizhengzhao,yinshizhiyi,bianzhengshizhi。xiyin“zao”“kuai”deyaoqiu,rangzhongyaocaizaixinguanhongbingduyingxiangjieduangenghaodimairuzhongyaozhiliao,shishieshaqingzhengbinghuanzhexiangqingxing、weiqingxingfazhanqianjing。
(三)推行新冠危重癥早分配
1.直接輔助轉診🉐。duixinguanzhengzhaohuojichuzhishixingjihuanzhengzhuangyanzhongdehuanshangzhe,geshequhuanweihuanweigongnengzhongxinzhan、jiatingshiyishengzhuanjiazhuanyetuantinengyonghao120jiuhuxianxingzhuanyungongsiyoujilutongdao,fuzhuganranzheyaojishixingxingzhuanzhen。zaijichengshouzhendeweizhongqiumeizhe,yaokuaisufazhanjingquexingshibiexitong,yaogenjuxianshishiqing,yaojishixingxinggongyang,cushijijixiangshangjijiuduice,jinkenengdedadaoqiumeizherenshengzhengxiangshunchang,zaiyihugongzuoyuansuituanxiayaojishixingxingzhuanzhen。
2.暢通無阻雙相轉診。𓂃gejuweishipinweishengguanlifuwubaozhangzhuangzhiyaozuzhibaozhangbufenxingyizhizhuangzhi、yiliantishangyijiyiyuan,liantongxinguanjijiuzongxiangzhuanzhengongzuoqu,gexianqushipinweishengguanliwendingwei、geyizhizhuangzhiyaoxuandingzhibanrenyuanchengjiezhuanzhengongzuo,jianhuabingqingbijiaozhongdeshihouaimeizhezhuanzhenbiaozhunliucheng,tishengzhuanzhenlv。tongyishijian,yaowanquanyinlingjingxihuachengzhongyongtu,zaishengliyongqqyuanchengdiannaoyingzhen、qqyuanchengdiannaoceshidengfangshifangfa,qieshibaozhangaimeizhenenggou jishiyouxiaolvjijiu。
ไduishequnanquanfuwuyupeixunbaozhangzhongxindianjushangzhuanxinguanganliangzhe,tebieshizaishiyaodianxiaofeiqunganliangzhe,shangjibumenlingdaoyiliaoyaochuanglishouzhiyoujitongchang。zaishangjibumenlingdaoyiliaowanquanmengranqikongzhihou,xianxiangpingjingdeganliangzhekexiazhuandaoshequnanquanfuwuyupeixunbaozhangzhongxindianjuchanfang,shequnyiwurenyaocanyuhuodongzhuanzhenchengxu,zhunbeihaofuwuyupeixunbaozhangshigongzizhizhuanrang。
✅gegequdejiankangdejiankangweiyingshehuichengxiangyiyuanbaoxianyiyuanbaoxianshiquyutiexinfuwudezhanwangzhanneigebudangxiazhengxingpingtaipuweijiaoyuziyuan,liyongyousuobutongdiyijieduanzhengxingpingtaipuweigongnengxingjingquedingwei,jianliqishehuichengxiangyiyuanbaoxianyiyuanbaoxian、jidaleicaozuodetizhi,yaoshehuichengxiangyiyuanbaoxianyiyuanbaoxianjihuashiquyutiexinfuwudezhanwangzhanneigebudangxiazhengxingpingtaiyiwuyuangong,anquanshiyongxiapaizhujin、shoutuoyijiaodengdefangfa,renkequyutiexinfuwudezhanwangzhandejiankanggongzuoxinzhongbingqugongzuo。xianyouyiyuanbingfangdequyutiexinfuwudezhanwangzhandejiankanggongzuoxinzhong,jindiyijieduanpuweicaozuolvyingchaoguo95%budiyu,weisheyouyiyuanbingfangdequyutiexinfuwudezhanwangzhandejiankanggongzuoxinzhong,duihehushoushuzhizhengdeganqizhe,yinganquanshiyongjiayiyuanbingfangmanyijiajukongzhiyiyuan。
si、dalijiaqiangquyuzhongyaoxiaofeirenqunchuzhicailiaotongchouguihuahechengqiyouxiaobaozhang
(一)積極引領街鎮網格化管理方法緣由
ওgepingtaiweishengfangyifangyitigonggongnengzhilianghexinyaozhudongdiwufengduijiegejiezhen、jucunwei,nenggouchongfenjiezhuyujiezhenwanggehuazuocaozuojili,huifajiezhen、jucunweizhuyaofanying,tixianduiyaodianqunzhongpingtaizuocaozuo,wanchengzhengchangshenghuojiankongyudongtaishujutigonggongnengzhiliang。jiezhuyu“pingtaisangerenxiaozunei”zuocaozuojili,tixianduiyaodianqunzhongdebaobaogoutongqilai。gepingtaiweishengfangyifangyitigonggongnengzhiliangyiliaojigouyaopeihemoqijiezhen,genjuquyufangbanzuocaozuoanpai,wanchengduibashisuiyeye、youyijuxingjibingrenzhedengweizhonggaotouzifengxianqunzhonghezhikunertongdedengqunzhong“zhengchangshenghuobao”paifa,xietonggongzuojucunwei,quanmiantishengduidujushenghuoyeye、jinyuzhiticanjijienvyizhijuzhufanglaonianxingrenderichanghuagoutongqilai。
(二)增進區醫療保障資源英文統籌規劃承載
♎shixiaquqingjiejiankangqingkuangfangyilvseweiyaochengxiangzhengxingbaoxianzhuzhaiqugezhongleixingzhengxingpingtaiyiwurenshu,anzhaowangxiachenxunzhen、renshupaizhu、chuangjianyuanjulizhengxingxietonggongzuowangdengyuanze,fangzhiqunzhongzhengxingqingjiejiankangqingkuangfangyipingtairendabudaowenti,zhuashijiedaobanjuweihuitiexinfuwubaozhangdezhanxinguanjiuhutiexinfuwubaozhangdewenbuzhuahao。zhengheshipingtailiangjijiuhuyouguanlingdaoxiaozuhelingdaozhengxingpingtaigezhongxiangguanxunhuijiaoyupeixunjizhihua,duijiedaobanjuweihuitiexinfuwubaozhangdezhanqingjiejiankangqingkuangfangyitiexinfuwubaozhangdepingtaizhuahaojiqiaojiaoyupeixun,jiaoyupeixunqunzhongyiwurenshuguifanleyongdaoxiaoyangfenziyaohezhongyao“sanyaojifangmian”,yishenggaoqunzhongfangbingqingbijiaozhongdeshihouli。qieshijiaqiangzhengxingjiuzhijiaoyuziyuanchengxiangzhengxingbaoxian,xinzengzhengxingjiuzhicheyunengliangyingjianpeizhi,weijiedaobanjuweihuitiexinfuwubaozhangdezhanqingjiejiankangqingkuangfangyitiexinfuwubaozhangdepingtai、putongjiatingyayituanduixiezuochuangjianxianxingjiyunqingsuantongdao。
(三)進一步加強基層醫院醫務員培訓班
🔯tuidonglaochengquyoujizhiliaozhuanjiajiaoshouzu,shishishejijichugongsiyiwuchengyuanxuexipeixunqingkuangbaogao,jijixingdongkaizhanxianshangxiaoshou、wangshang、lingdaozhensuoxiahuadaijiaodenghenduoxuexipeixun。duofangmianqiaoyongguojia、shilidengyouguanyuxuexipeixunziyuande,jijixingdonggongsijichugongsiyiwuchengyuanchuxixuexipeixun。tigaochoujian,congyanxuexipeixunyejikaohe,zhuashixuexipeixunzhiliaoxiaoguo,shijichugongsiyiwuchengyuan(shoulucuntunmazuiyisheng)zaichangduanqiqianshulianchengdulejiexinguantuchuxiaofeizhefenjifenjifenjigongzuocelvebuzou、gandongbushifanyingtanjiu、gandongzhejushichulihezhiliao、zhongyiyaozhiliaoheshuhoukangfuyiliaojigou、diyangxuezhengzaobiaoming、huxixitongdekunnandefenxipingguhezhenzhicelvebuzou、zhiyangyideshiyong、guanjianxingzhuanzhenyuanzeshenzhixiaofenzijiegouyaojideshiyongyuzhenghejingzhunshiyongcelvebuzoudeng。
(四)增強新冠救護物資供應有保障
🌠gexianquanquananquanweiyaozhinengjupianqujuweihuianquantiexinfuwuzhiliangdianzhan、cunanquanshitiexinfuwuzhiliangrukou、cezhongdiankehuquntidishudengjutiqingkuang,peizujiuzhuyuancailiaoshebei,huanyoufashaofangfafangshexingyaopin、chengyao、kangyuanjianchaceliangshenghuashiji、dikangjibingduwuwu、zhiyangyideng,bingzhenghepianqujuweihuiganranzheliangbianxian,dongtaihuajinxingdiaojiecunchu,baozhengyuancailiaoshebeicunchu。dilixueweizhishangyuan、luwangkunraodepianqujuweihuianquantiexinfuwuzhiliangdianzhan、cunanquanshiyaotiqianjiubeizufangfayongyaohefangzhiyuancailiaoshebei。yituoyujiedaoshequ、jucunwei,yuzhiliaopeixunjigou、dayaofangdengzhitongcherexiandianhua,zhinengjushijishangdeyaoyouzhengquexiangnongcunjianshediquhuafenqingdaogongyingshangjiuzhuyuancailiaoshebei。
(五)公交實時了解工作上日常動態
🧜gedishipinjiankangjiankangweiyaolikebanhaojiedaoshipinjiankanganquanfuwuguanliyujigouzhengchangyunxing、anquanfuwuguanliyuzhuangkuanghekuojianzhuangkuangdenggeshigeyangjianceshujutongji,shishishujijiedaofarezenmebanzhiliaozhuangkuang、zhongyaoyinpianhezhuangbeizhubeicaiyongzhuangkuang、zhongxinrenanquanfuwuguanliyuzhuangkuangdeng,duizhenquzuogongzuoshangzhongyouzhushiqinghuozuogongzuoshangzhongxiangweizhihoudedifangshishidiaoyong。kuanyujiezhugerencaiwuxinxinxihuaxinjishu,detishengzuogongzuoshangzhongsulv,xiajiangjicengyuangongdefudan,shishichengbaoguodu、shengjiyinggaidegeshigeyangshujutongjihegerenxinxinxi。
(六)增加社群醫務專業人員著想呵護
𒆙mingquetichuhuanjingweishengjiananquanjiankangweiyaoquanfangweirenzhenluoshizuoyefadaguojiaheshanghaishiyouguanyuzuiguanxinguanzhuyiwujishuzheyufangcuoshi,zengqiangduitebiehuanjingweishengjiantiexintiexinanquanfuwuwangdedezhichilidebaozhangjizhi。heqingheliquedingyuanpaitebieyiwujishuzhe,gaohaoyiwujishuzherichangshenghuotiexintiexinanquanfuwuheshenghuohouqindebaozhangjizhi。anzhongguidingrenzhenluoshizuoyeduitebieyiwujishuzhebutieyujiarenyayihezuotiexintiexinanquanxinxifeiyicixingzuoyefanganzuoyefeiyong,jiliyuangongtebieyiwujishuzhezhengtixintoufangtebiexinguanjiuhuzuoye。
(七)提升負責實施和督查考核內容
🌸shixiaquqingjieweishengzhengchangweiyaojinyibuquanmiantishengzuzhilingdaoceng,zishangerxiajipeisuishidezhongrenyiwuzhuang,zhunquekeshidezhongrenyiwuzhuangherenwumingquefengong,baozhangjizhizuoyeshenghuotiaojian。yaojinyibuquanmiantishengduiqujizuoyejijituijintiaojianhedezhongrenyiwuzhuangyangeluoshitiaojiandejiandujiancha,quelizuoyemingxiqingdanbiaobiaoge,zhixingrenwumingxiqingdanbiao、guzhangmingxiqingdanbiao、dezhongrenyiwuzhuangmingxiqingdanbiao。yaojiangtedingyaozuohaodicengzhongdianhuanzhezuixinfuwuyu、tisheng“baozhengchang、fangbingqingbijiaozhongdeshihou”tiexindeshouhoufuwuzuoyejijituijintiaojianhechengxiaoxianzhuyuyouguanzhongdianzuoyedejiangcheng、xiangmuzijinqueding、pingxianpingxuanxianjindengxiangxiangguan,tigaorenshiliyongjiangchengjilijieguodaoxiangyongchu。
chengdoushiganjingyingyangweihuihui
🌃 2023nianjiuzaijinnian1yuefen8ri