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: 】
gexianquweishengfangyianquanjiankangwei:
൲geichuzhejiangshengrenminzhengfulianfangliankongguanlixinjizhi《bingyuzhuahaoxinguanzhongzhongzhizhongsangaorenqundongtaixingfuwuhe“kouanlagao”renwuzhongdexiaoxixiaoxizenmexie》hezhejiangshengrenminzhengfulianfangliankongguanlixinjizhi、zhongjiannongcunjianfangfangzirenwuzhonglingdaorenbanji《bingyuxiudingzhuahaosuoxuanshangbannongcunjianfangfangzishengshichuangxinguanzhuanghongbingduyangbenchuanranzaiqingfengxianfangkongrenwuzhongfangshidexiaoxixiaoxizenmexie》wenshurang,weiqizhudangdishequshouhoufuwuzhanhuanjingweishengfuwushebeiwangdifanying,jianchi“zaochuxian 、zaodezhiliao、zaofenke”,keyifangzhipifuganranhejianxiaoxinguanhongbingduyangbenchuanranbingqingbijiaozhongdeshihouchansheng,xianjiuzhuahaosuoxuanshangbanyouguanyurenwuzhongxiaoxixiaoxizenmexieyouyixia:
yi、jixushangshengshequfuwuzhanxinguanchuzhitexing
(一)促進社區服務中心新冠急救擴大增能
💞geshiquqingjiejiangengjiankangweiyaobiaomingzhiliaoyunxingjutixuqiu,chixutuijinxiaofangtongdaoxiangguanlianliantuandui,biankuaichixutuijinshixiaqujuweiqingjiejianyewuguanlizhongyangxinguanzhiliaohuodongchangsuozengrongjiansheguihua,yangezhixingxiangguanlianliantixixitongdengzengnengzhubei,fenweiyiliaoyewuxingzhengquyuzhonghuanjing、jingmoshuyexingzhengquyuzhonghuanjing、yangliaoxingzhengquyuzhonghuanjing、yiyuanbingfangbingqudeng,zuodaoweixindianpeihu、xueyangjiancezhan、gongyangdengtixixitongpeizi。duiheshinenglidejuweiqingjiejianyewuguanlizhongyang,haoqianghuactdengxitongdepeizi,ganyudujulaorenshepianguanchaxifen。yizhaoyewuguanlirenkoushutongjishutongjishude15%-20%zuixinzhubeizhongyaofang、tuireyao、huatanzhikeyaojikangyuanpanduancaixueguanhegouzhi,baozheng gouzaozhongyaoyinpianzhubeiliangyongyuanyaobaochizai2zhouzhexie,renkoushutongjishuximiweizhikebiaomingshijiantianjiazhubeiliang。
(二)進一步提高街道起熱醫療工作
꧃quanguogeshequnanquanfangyigongnengzhongxinmeiyuewutianjunyingchujushengwenkouqiangzhiliaogongneng(hanjiejiaqi),bingjinxingshedingshengwenkouqiangzhiliaoyemenzhen,baozhengshengwenkouqiangzhiliaoyejiantingchigongneng;quanguogeshequnanquanfangyigongnengfenzhongxinmeiyuewutianjunyingchujushengwenkouqiangzhiliaogongneng(hanjiejiaqi),youyigejiandekechuangbanyemenzhen。quanguogeshequnanquanfangyigongnengzhan、cunanquanfangyishiyingchentuoshengwenshaodianmenzhenshi、beilinshishengwenkouqiangzhiliaoliuguanqudeng,yongyoushengwendengzhengzhuangnvxingyidiyibaoxiaofeixuqiu。
er、hangshizuodaoweiyaodiankehuqunyingyangjiancefanganyudongtaidefuwubaozhang
(一)全面落實側重客戶群應管即便
🍸pingjiejiezhen、jucunwei,geshequnqingjieweishengfuwuzhuyaoquanmiantishenghuiquzhudongquanjieguan,zaijiezhenjiangcezhuyaorenhuaruwanggehuadezhilijihutiaojianshang,duicezhuyaorenkaizhanyewuweishengjiancejishuyudezhili。chanshenghunyinyishengzhuanjiajianlilianxizhigongqunzhonghehuiquzhudongquanfuwudezuoyong,zengjiafanchou6liusuijiyishangzhong60suilaorenqiandingfuwukuodamian,jihutuidongcezhuyaorenqiandingquankuoda。yunyongyunfuwu、dadianhua、xiaochengxu、shipintupiandengfeijiechuyuanzehuoshanghaishangmensuifangdengzhengshimianfuwuyuanze,zuoshi“hong、huang、lv”biaopaicezhuyaorenweishengfuwu,baozhengzuodao“5gewanchengmingque”。
1.yijiezhenweishangbandanwei,zhenghewanggehuafuwuguanlikaohejizhi,qiaoding“jiedaobanerrenbanji”shangbangangweizhize。
2.sanjizhongdanianlingduanshentijiankangguanchazhongleiqingxi,xindongtaidiaojiebingjianzaotaizhang,chuliwenbenxunxiqingxi。
ꦿ3.pingtaiweishengxuetiexinbaozhangpeixunjigou24jixiaoshitiexinbaozhangdianhuofangbianqunzhong,jiatingshenghuozixunshiqulianxixingweijujuezhijiegaosuzhongzhongzhizhongkehuqun,youlvsejutixuqiushiyouxiaosiji。
ꦕ4.nenggouduoxingshi,duituchunianlingduanjiamifangshijijirenshiduijiede,dui“zise”tuchunianlingduanqitianrenshibubuchao3ci,dui“heise”cituchunianlingduan,qitianrenshibubuchao2ci。
5.jishibakongzhongdarenlilunzhishidejibingzhengzhuanghejiankangzhuangkuang。
6.duiguanjianxingxiaofeiquntiganranzhiyuantixinguanleibingduhuojibenzhishifukejibinggengzhongdengzhuangkuang,anshigengjiankangzhidian、diaokongyuzhuanzhen。
(二)抓好重要消費群定義管理系統
🧔dui“hong、huang、lv”tuchuzhongrenqufenjutiguanchezhixing“yi、er、3ji”zhilishouhoufuwupeixunbaozhangdexiangmuzhiliang,dui“jiankang”zhongren,guanchezhixing“6jishouhoufuwupeixunbaozhangdexiangmuzhiliang”,buduanquanmiantishengjiankangjibentiaojianjiaoyu,zuodaobenrenjiankangfanghuyi。dui“huangbaise”zhongren,zaiguanchezhixing“6jishouhoufuwupeixunbaozhangdexiangmuzhiliang”dejibentiaojianshang,duichengyangxingjiatingzhuangxiufangfazhuanyerenyuanjutiguanchezhixing“2jishouhoufuwupeixunbaozhangdexiangmuzhiliang”,buduanquanmiantishengkangyuanjianze、jiankangshujujiancewang、jiankangzixun、yongyaoyindaoyindaodeng。dui“heise”zhongren,zaiguanchezhixing“yi、2jishouhoufuwupeixunbaozhangdexiangmuzhiliang”jibentiaojianshang,jutiguanchezhixing“3jishouhoufuwupeixunbaozhangdexiangmuzhiliang”,jinxingqianghuajiankangshujujiancewang,duibingzhongjialiaodeyingyuyizhuanzhenshouquanweituo。
san、zhulijiejuedalijiaqiangweizhongzaoqichajuedao、shoushuzhiliaoyufenke
𒆙mingquetichuanquanshentiweiyaoyilaishi、qujiuzhuzhuanyezulidu,zhuahaoduijuweianquanfuwupeixungongsijiajieyuzhidaoyijian,jianding“zaofajue、zaozhiyu、zaoguodu”biaozhun,chongfendiaodongjuweianquanfuwupeixungongsi“shekoukouanshangyi”fanying。
(一)落實新冠危重早找到
ꦬgeshequwangzhanganjingweishengfuwuxinggouzaoxieshoujucunwei,gaohaoduixinguangandongzhedejiankangbaojianjiance,yuefashiyaodiandaxueshengxiaofeiquntigandongzhe,zaiguanche“yi、er、san”jiguanlizhidudejichuxingxingshang,yaoyaodiangaohaoxinguanchuqizhengzhuangyujichuxingxingxingmanxingbingchuqizhengzhuangzhuanhuadejiance。
🎀zuohaoduixinguanganranzheyangguodadaoguobaohezhuangtaidutancejishu。gepingtaianquanjianxueshouhoufuwujigouyaobiaozhundazaizuliangdezhijiashixueyaxueyangyi(yixiadesuoxiezhiyangyi),weilebaozhengmeiyipingtaianquanjianxueshouhoufuwujididianhefenjididianzuiqimabiaozhundazai20geshangwen、meiyipingtaianquanjianxueshouhoufuwuzhanhecunanquanjianxueshizuiqimabiaozhundazai8geshangwen,meiyijucunweizuiqimabiaozhundazai1gedagaishangwen。yaoyimeiyijiazhongboshixiaoshoutuanduibiaozhundazaixurenshudezhiyangyi,liantonghaojucunweishili,jiangyangguodadaoguobaohezhuangtaidutancejishubeilierucezhongrenganranzheshouyaosuifangneibu。gepingtaianquanjianxueshouhoufuwujigouyaozhengmianxieshoujucunwei,wei66suishangwenyouxinguanbingdushishenmeganranbingqingbijiaozhongdeshihougaofengxianqiexingdongqilaibutuodecezhongrenlingquzhiyangyi,pingjiabiaojiajuhuanjingzhenduanxueyangguodadaoguobaohezhuangtaidu。
(二)穩步推進新冠危重癥早治療方法
ꦛyaoyituoyushi、quqiangjiuchangjiazulidu,yangeluoshipingtaiweishengqingkuanggongzuodanweiduixinguanzhanranzheheshishoushuzhiliao,shejiyingyangsheruyong、yangliao、jingmozhushe、xiaoyangfenziyaowujiliangyong、shixianjialishoushuchuangdeng。
1.抓好立竿見影醫治。꧒geshiquanquanjiankanganquanjiankangweiweilexiaoquanquanjiankanggongnengyuyiyuanzengpeizongliangshiyudeco2guanguandai、co2guanguanpingtongshizhiyangjidengzhuangzhi,jiaqiangzuzhilingdaojishideweizhuankemenzhenhuaner、shenghuogaishanhuanergonggeiyangliaohuoco2guanguanfenzhuanggongnengyu。gexiaoquanquanjiankanggongnengyuxuexiao、fenxuexiaojunyaoshiyongzhuankemenzhen“xiyangqu”;xiaoquanquanjiankanggongnengyuzhanyucunanquanjiankangshizunxunyibanjunyaoheliliyongshejidifangsanweikongjian,peizhico2guanguanguan,gonggei“yangliao”gongnengyu,manzuxuyaodangdijuminjiujinyuanliyangliaogongnengyushichangxuqiu。zuzhikaizhanzuowuhuaxirugaishan,gexiaoquanquanjiankanggongnengyuxuexiao、fenxuexiaozunxunyibanjunyaogonggeizuowuhuaxirugaishangongnengyu。tongshi,ganhaoranbingzheyingyangjiankangdezhicheng,shiyongjiankangdeyinshipingjiabiao,anguifanxingfazhandadiandidengshouhoufuwu,xianzhibingqingbijiaozhongdeshihoufaxiangailv。
2.不能運行抗病性砒霜物的治療。🥂duizhuzhongyonghujiaochaxiedaizheshixingpingding,zaizhuchengquyishengzuzhidingfanganxia,duihehuyuanzedejiaochaxiedaizhe,zhijiezhidingfangandeshiyongkangbingxingjieyaowu,shixianjinkuaiyingdui。
3.充足切實發揮中葯冶療用處。♌nulidongxifangyijinmijiehe、zhongyiyaoheyong,jiada“sanyaosanfangxieyishu”dengzhongyaozaishequnanquanjianduyewuxingzuzhidedazaihexuanyong。geshequnanquanjianduyewuxingguanlizhongxinyaozhenduixingxinguanxijunzhanranzuichangjianzhengzhao,jijitansuo,bianzhengshizhi。xiyinzhu“zao”“kuai”delilunyiju,rangchengyaozaixinguanbingyuantixijunganranzuichuzhuajinshijianruzhuzhiyu,jinkuaidizhiqingzhenghuanerxiangdaxing、weidaxingzhuanxing。
(三)積極推進新冠危重早過渡
1.及時性輔助轉診ဣ。duixinguanzhengzhaohuozhishijichuxingchuanbojibingzhengzhuangbianzhongdexijunxiedaizhe,gejuweiqingjieweishengfuwuzhiliangzhongxinzhan、jiatingshiyiyuanyishengtuanduixiezuoxuyaoyonghao120yingjishouxianyunshujiankangduanxintongdao,xiezhuzhixingyingxiangzhejinzaozhuanzhen。zhenduiyujicengyiyuanshouzhendeweizhongzhengaimeizhe,yaozaiduanshijianhelishebie,zhinenggenjuzhenzhengqianti,jinzaogongyang,caiquyouxiaojijitaidushijiufangshi,yaojinkenengdexingchengaimeizheshengmingzhibinglibianhuawendingxing,zaiyihuzhigongsuitongxiajinzaozhuanzhen。
2.保通雙軌轉診。🥀geshequjuweihuiweishengqingkuangxueanquanfuwuzhuyaojiezhubufenxingyiyaoguanlizhu、yiliantishangsiqingdaoboshizhengxingyiyuanyiyuan,baotongxinguanzhenliaohengxiangzhuanzhenguandao,shixiaquweishengqingkuangxuejiankangdewei、geyiyaoguanlizhuangzhiyaoquerenzhuanmenchengdangchengdangzhuanzhenzhiwei,jianlveweizhongbinghaozhuanzhenbuzou,tisheng zhuanzhenrexiaolv。detongshi,yaojijifahuichulaishujujiaoyuxinxihuazhichengjiajiaose,caiquyuanjuliguanlijiezhen、yuanjuliguanlipinggudengdefangshi,tigaorenshibinghaodechudangjigaoxiaozhenliao。
꧂duijuweihuihuanweichanpinpeixunxiangmuzhongyangshangzhuanxinguanchuanranzhe,youqishishizhongdiankequnchuanranzhe,lingdaoqingdaoboshizhengxingyiyuanyiyuankeshiyaozhidingshouzhilvhuaqingsuantongdao。zailingdaoqingdaoboshizhengxingyiyuanyiyuankeshidadaofashengjixinggenzhihou,xianxiangpingjingdechuanranzhekexiazhuandaojuweihuihuanweichanpinpeixunxiangmuzhongyangzhenshi,juweihuiyiwugongzuorenyuanyaocanyujinlaizhuanzhenjutiliucheng,zuihaochanpinpeixunxiangmuchengban。
🔴geshiqushipinqingjieqingjieweishengguanlijiankangweiyingzonghejuweineixianjigeyangyiyuangongsidanrenjianziyuanyingwen,kegenjugezhongjibieyiyuangongsidanrenjiangongnengjianzhunquedingwei,dazaozonghe、leixingshiyongdegongzuojizhi,yaozonghejutianpaijuweineixianjigeyangyiyuangongsiyiwukaosheng,jiezhuxiapaizhuzha、xiezhushouhuidengdefangfa,buzhichijuweishipinqingjieqingjieweishengguanliyewuzhongdedezhuyuanbuyewu。baokuoyiyuanyiyuanyiyuanbingchuangdejuweishipinqingjieqingjieweishengguanliyewuzhongdede,jindejieduandanrenjianshiyonglvyingqidao95%shangwen,weibuzhiyiyuanyiyuanyiyuanbingchuangdejuweishipinqingjieqingjieweishengguanliyewuzhongdede,duijuyoushoushuzhizhengdechuanranzhe,yingjiezhujiatingshenghuoyiyuanyiyuanyiyuanbingchuangfuhejiajushounazhiliaofangfashijixuqiu。
si、dalijiaqiangjuweicezhongkehuqunchuzhinengyuanchengxiangyiliaobaoxianhechengshoubaohu
(一)有效充分的依附街鎮網格化經營邏輯
൲gejiedaobanshichujuweihuijuweihuiganjingweishengfangyichanpinzixunzhongxinyaojijizhudonglianjiegejiezhen、jucunwei,nenggouchongfenyinlingjiezhenwanggehuacaozuozhidutizhi,yinlingjiezhen、jucunweizhudaoquanmude,guancheduiceyaodiankehuqunjiedaobanshichujuweihuijuweihuicaozuozhidu,zhizuohaolvsebaojianjiancewangyuqingkuangchanpin。yinling“jiedaobanshichujuweihuijuweihuisangerenxiaodui”caozuotizhi,guancheduiceyaodiankehuqundebaobaozhao。gejiedaobanshichujuweihuijuweihuiganjingweishengfangyichanpinxitongyaotingqujiezhen,yiquyinhuanpaichazhilibancaozuodebushu,zhizuohaoduigaolinglaolingren、youzhishijibenyuanzejiyonghuzhedengweizhonggaoanquanfengxiankehuqunhekunjinghaizidengkehuqun“lvsebaojianbao”shenling,xietongzuozhanjucunwei,daidongduiduzishenghuolaolingren、jinyucanjiernvxianghuzhusuzhongguozhonglaonianrendepingshidezhao。
(二)開展部分醫遼成本統籌醫療保險支持
🧜gechengqushipinqingjieweishengxueqingkuangdejiankangweiyaochengxiangzhiliaobaoxianfengjingquneidangxiazhiliaojinengpeixunxuexiaoyiwugongzuorenshi,jingyouxifenxunzhen、gongzuorenshipaizhu、zujianyuanchengkongzhizhiliaocaozuowangdengfangshifangfa,huanjiequnzhongzhiliaoshipinqingjieweishengxueqingkuangjinengpeixunxuexiaolaodonglibuchongzuguzhang ,qieshibaozhangjiedaobanshichuxinguanqiangjiuanquangongzuoxingpinghuankaifa。yijiayituoyuchengquyoujiqiangjiulingyulingdaoxiaozuheshangyijizhiliaojinengpeixunxuexiaoxiangguandexunhuizhuanyezhidaoyijianguize,duijiedaobanshichushipinqingjieweishengxueqingkuanganquangongzuoxingjinengpeixunxuexiaokaifajiyizhuanyezhidaoyijian,jinengpeixunqunzhongyiwugongzuorenshibiaozhunhuayunxingxiaoyangfenziyaohezhongyaocai“sanyaoliangfang”,yijiakuaiqunzhongfangweizhongshili。zhuahaozhiliaoqiangjiucailiaochengxiangzhiliaobaoxian,zengdazhiliaoqiangjiujidongcheyudeliliangshoujipeizhi,weijiedaobanshichushipinqingjieweishengxueqingkuanganquangongzuoxingzhongxinzhan、zhongguojiatingyihurenyuangongsizujianshouxianzhuanhuajianxiutongdao。
(三)不斷加強基本醫務人教學
ꦐyinlingquneierjiyizhiquanweilingdaoxiaozu,shixinghexinxingnongcunqunzhonggongzuoyiwudegongrenpeizhenfanganzenmexie,tuijinxianshangjiaoyu、shiti、zengjiajujilingdaoyiyuanmenzhenchendiandaijiaodengduozhongleipeizhen。chedidejiezhuwoguo、dishijidengxiangguanlianpeizhenziyuanliang,jijixiangshangjujinongcunqunzhonggongzuoyiwudegongrenliexipeizhen。zengjiachayan,yanjinpeizhenyejikaohe,querenpeizhenjieguo,shinongcunqunzhonggongzuoyiwudegongren(lirunongcunshequmazuiyisheng)zaiyuqijianqieyaoshuxiyewuleshebeizhangwolexinguanhexinleirenfenjiafenleibiegongzuodefangshi、zhanranyoushenmezhengzhuangguancha、zhanranzhezijidefangziguanligongzuoheshoushuzhiliao、laozhongyiliaojixieyizhihekangfuhulizhiliao、diyangxuezhengqianmianchajuedao、kouchuanqikunnanzhongzhongdekaopinghechuzhendefangshi、zhiyangyideshiyong、hexinzhuanzhentiaojianbaokuoxiaotanyuanziyaojideyingyongzhengheduishiyongdefangshideng。
(四)增加新冠治療東西有效保障了
🉐gediqingjiejiankangguanliyingyangjiankangweiyaohuianzhaodedajieshangqingjiejiankangguanlidetigongfuwupeixunzhongyang、cunqingjiejiankangguanlishidetigongfuwupeixunrenkoujiegou、zhongdianshinianlingcengdishudengzhengzhuang,peizuzhenzhigongchengshebei,youfashaoyiyongxiaoduchanpin、xiyao、kangyuanjianchahuaxuezhiji、shentipishuangwu、zhiyangyideng,binglianxidedajieshangganliangzhezhanbifashengbianhua,jishuxingdiaozhengzhubei,zhiliangbaozhanggongchengshebeizhubei。shengwuxuefangweipianpi、gonggongjiaotongfangbiandededajieshangqingjiejiankangguanlidetigongfuwupeixunzhongyang、cunqingjiejiankangguanlishiyaojinzaobeizuzhiyuzhiliaoyaowuheyifanggongchengshebei。goujiandedajieshang、jucunwei,yuyiliaoweishengshebei、yaodiandengliantongzixunrexian,huianzhaozhenzhengbixufeichangheshixiangnongcunjiansheguojiaqingjiaochanshengzhenzhigongchengshebei。
(五)時時熟悉掌握工做動態化
🍷gexianquhuanweiguanlihuanweiweiyaorengzaizuihaoquyuhuanweiguanligongnengxitongxuanze、gongnengtiaojianhezengrongtiaojiandengdedongtaizhanshijiancewang,shishichengwoquyufagaoshaozhiliaotiaojian、yiliaoyaopinhejiqishebeichubeiliangxuanzetiaojian、hexinrenqundanggongnengtiaojiandeng,duiguanquyunzhuandechanshengguzhang huoyunzhuandeluowudedianshishirenwudiaodu。gengjiachongfenyingyongxiangguanshuzihuaxinjishu,tigaozijiyunzhuandesulv,xuejianjichengfudanguozhong,anshishangchuanyigeguojia、shilikeyidededongtaizhanshishujuyuanhexiangguanxunxi。
(六)切實加強區域醫務工人體諒關愛留守兒童
🗹shixiaqushipinhuanweijiankangbaojianweiyaoquanfangweirenzhentuijinguoneiheshineiguangyufeichangguanxinguanzhuyiwukaoshengqieshiyouxiaobaozhangcuoshi,daidongduishequnshipinhuanweifuwuxiangmuzhiliangguanlizhongdiandezhichengqieshiyouxiaobaozhang。shiyikexueanpaiyudiaozhishequnyiwukaosheng,nonghaoyiwukaoshengdechengshifuwuxiangmuzhiliangguanlihexingzhenghouqinqieshiyouxiaobaozhang。anfaguirenzhentuijinduishequnyiwukaoshengbuzhukuanyujiajudafuhezuofuwuxiangmuzhiliangguanlifeidancixingzhuanxiangjihuayewurenwuzhuanxiangzijin,jilieshequnyiwukaoshengzhouziwoyishichengbenshequnxinguanqiangjiuyewurenwu。
(七)提高責任狀敲定和督導檢查績效考評
ꦑmingxitichugonggongweishengjiankangyangshengbaojianweiyaobuduanjinyibucuiliantuanduiyinlingzhe,zhujihuitiantuchengdan,mingxikeshichengdanhezhuxianmeirirenwuzhizefengong,youxiaobaozhanglecaozuoyaoqiu。yaobuduanjinyibucuilianduiqujicaozuodalizuzhikaizhanqingxinghechengdanquanmianluoshiqingxingdeshangbanjiancha,jiarucaozuomingxidanbiaoge,bianxiezhuxianmeirirenwumingxidan、wentimingxidan、chengdanmingxidan。yaojiangzaidangxiatiqianzuohaojicengyuangongyaodiankehuquntidongtaishujuyunzuo、cuilian“yangshengbaojiankangyangshengbaojian、fangbingqingbijiaozhongdeshihou”meiyixiangcaozuodalizuzhikaizhanqingxinghegongxiaoyuduiyingyaodiancaozuodepanduan、xiangmuzijinhelianpai、pingxianbiaozhangdengxiangkakou,jianchiwentimubiaofahuigongxiaopanduangujingmubiaogongxiao。
kunmingshihuanjingweishenglvselishihuihui
🀅 2023nian7yue8ri