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: 】
quxianweishengxueshentijiankangwei:
jiyujilinshengrenminzhengfulianfangliankongyuanze《duiyuzuodaoxinguantebiezhongrenqingkuangbaozhanghe“guanzhayiඣwei”gangweidetongbao》hejilinshengrenminzhengfulianfangliankongyuanze、difangrenmengangweilingdaocengzhuanban《duiyuchutaidaidongdaoxianjieduanrenmenshengshifuhexingxixiaobingyangbenzhanranzhuyifangfankongzhigangweiqingkuangbaogaodetongbao》xinxizhuiqiu,weifahuichulaidangdixiaoqujiankangbaozhangzhuangzhiwangdixiaoying,zhuiqiu“zaozhaodao、zaogenzhi、zaofenpei”,yingduihecainengjianshaoxinguanbingyuantiyangbenzhanranweizhongzhengfashengde,xianjiuzuodaodaoxianjieduanyouguandegangweitongbaoxiamiande:
yi、chixubaochizengjiajuweihuixinguanjijiubenshi
(一)促進居委會新冠救助擴張增能
gedianquanweishengjiandufangyishenxinjiankangweiyaojiyuqiangjiugongzuoshangshiyongxuqiu,xiezuofengjingquneishejidaojianguanzuzhijigou,liculicuzhenqujuweihuiyewubaozhangxiangmuzhananquanweishengjiandufangyiyewubaozhangxiangmuguanlizixunzhongxinxinguanqiangjiuhuodongchangsuokuochongjibenjianshe,luodaoshichushejidaojichushenghuosheshishengchanyiqidengzengnengzigeilvliangku,baohanzhensuodifang、diaopingdifang、yangliaodifang、zhenshibingqudeng,zhunbeihaoxindianpeihu、xueyangjiancexitong、gongyangdengjichushenghuosheshishengchanyiqixitongshoujipeizhi。zheduiyushihehuanjingdejuweihuiyewu𒁃baozhangxiangmuzhananquanweishengjiandufangyiyewubaozhangxiangmuguanlizixunzhongxin,bijiaoqianghuactdengshengchanyiqidexitongshoujipeizhi,yinlinggongminshepianguanchaxifen。quedingyewubaozhangxiangmuchengzhenrenyuanshumude15%-20%dedongtaizigeilvliangkuzhongyao、tuireyao、huatanzhikeyaojikangyuanjianyanmianyishijihezengpei,jiaqiangzuzhilingdaozuzhijigouchanpinzigeilvliangkuliangshizhongruyishizhongweichizai2zhoujiyishang,chengzhenrenyuanmijidudikejiyushijiancengjiazigeilvliangkuliang。
(二)增加社區衛生發燒的診療服務質量
quanxianggepingtaigonggonghuanweidebaozhangguanlizhongdiandemeiyizhoubangeyuejunyinggeichufalengyiliaojigoudebaozhangguanli(hanjieguodingxiuxiri),bingkeyitongguoshejifalengyiliaojigouyemenzhen,shixianmubiaofalengyiliaojigouyelitingshidebaozhangguanli;▨quanxianggepingtaigonggonghuanweidebaozhangguanlifenzhongdiandemeiyizhoubangeyuejunyinggeichufalengyiliaojigoudebaozhangguanli(hanjieguodingxiuxiri),yitiaojiandekezengsheyemenzhen。quanxianggepingtaigonggonghuanweidebaozhangguanlizhan、cungonggonghuanweishiyingjiezhuyufalengshaodianzhensuo、linshixingfalengyiliaojigouliuguanqudeng,nenggoumanzufalengdengqingkuangbingyuanyidijiuyixiaofeixuqiu。
er、laoguzuozhongdiankehuqunanquanjianceyudongtaixinxifuwu
(一)落實一崗雙責著重三高人群應管縱然
chongfenbiaoxianjiezhen、jucunwei,gepianquweishengjiandugongnengxinzhong꧋yaotigaozizhudeliantong,zaijiezhenjiangzhongdianxiaofeiquntishouruwanggehuaweihutiaojianshang,duizhongdianxiaofeiquntishenrukaizhanyingyangjianceyuweihu。biaoxianrenjiayishengzhuanjiaguanlianganbuqunzhonghezizhudegongnengzuoyong,jianshaofangda64suishangmiandezhonglaonianrenqiandingxieyigongnengkuodamian,yibanjinxingzhongdianxiaofeiquntiqiandingxie💞yiquankuoda。caiyongyungongneng、zixundianhua、weixinqq、shipindengfeixuexitujinghuotianjinshangmensuifangdengduizhanmiangongnengtujing,zuoshi“hong、huang、lv”logozhongdianxiaofeiquntiyingyanggongneng,zuohao“sigeguanchejishi”。
1.yijiezhenweijigou,zhiliyuwanggehuafuwuguanlichangxiaojizhi,luoshiyigangshuangze“jiedaoshequ3renxiaozunei”gongzuodezhizequanxian。
2.sileizhongdianzhongrenshentidiaochabaogaojidaleijingzhun,jishuxingdiaozhengbingsheliqingdanbiaoge,jianligouzaohanshudexinxijingzhun。
3.jiedaobanshichujiankangfuwudepeixunzuzhijigou24xiaoshihoufuwudepeixunfuwudianhuajiaotong,putongjiaꦫtingmazuiyishengqudelianxiwanfazhudongquangaozhishumobantuchuxiaofeiqunti,youjiankangxuyaoshikuaisuyichang。
4.jingguohenduofangshi,duiguanjiandianshirenbeifenzhudongquanguanxizhidao,dui෴“xianhongse”guanjiandianshirenyizhouguanxibubudayu3ci,dui“huangyanse”ciguanjiandianshiren,yizhouguanxibu𒈔budayu2ci。
5.lijishulianneirongnianlingduanjibentiaojianchangdaojibingzhengzhuanghegengjiankangxianxiang。
6.duizhongdiancunxiaofeiqunpifuganranxinguanbingduyounaxiehuoji😼bentiaojianchangjianjibingjianruodengzhuangkuang,likeshenxinjiankangfudao、jiaozhiyuzhuanzhen。
(二)全面落實重要消費人群分級控制
dui“hong、huang、lv”zhongdiansangaoxiaofeizhegeshishixian“yi、er、sanji”jingyinganquangongzuo,dui“caolvse”sangaoxiaofeizhe,yangetuijin“1jianquangongzuo”,gaohaoanquanshenxinshenxindejiankangbaojianpeixun,nonghaowoanquanshenxinshenxindejiankangbaojianfangyu。dui“chenghuangse”sangaoxiaofeizhe,zaiyangetuijin“1jianquangongzuo”dejibenzhishishang,duikangtiyangxingshenghuozhenzhirenshixian“ercianquangongzuo”,gaohaokangyuanceshi、anquanshenxinshenxindejiankangbaojianwuranjianceshuju、anquanshenxinshenxindejiankangbaojianzhixun、zeyaofudaodeng。𒀰dui“heise”sangaoxiaofeizhe,zaiyangetuijin“yi、ercianquangongzuo”jibenzhishishang,shixian“sanjianquangongzuo”,qianghuazhuangbeianquanshenxinshenxindejiankangbaojianwuranjianceshuju,duiqingkuangzengjiazhongliangdebuyuzhuanzhenyuanzhu。
san、jianchiwentidaoxiangtigaoweizhongzhengzaoqishihouzhidao、yeliaoyufenpei
๊geshiqu𝓰qingjieqingjieguanlijiankangdeweiyaogoujianshi、quchuzhiyixuelingdaoxiaozudongli,daidongduiquyuqingjieqingjieguanlianquanyewuwangzhanzhanfangtantigangyufangtantigang,zhuiqiu“zaochuxian、zaokaizhan、zaojieliu”lilunyiju,chongfendiaodongquyuqingjieqingjieguanlianquanyewuwangzhanzhan“kouanshangyi”fanying。
(一)持續推進新冠病情比較重的時候早察覺
gejuweianquanshouhoufuwuxitonglianhejucunwei,buduandaidongduixinguanganliangzhedeshentijiankangjianceshujuzhan,tebieshishizhongdianke🥃huqunganliangzhe,zairenzhenzhixing“yi、er、san”jicaozuodegenbenshang,yaozhongdianbuduandaidongxinguandeqingkuangyugenbenxingbingdeqingkuangfazhandejianceshujuzhan。
qieshijiaqiangduixinguanbingdushishenmexiedaizheyangchengxianbaomanzhuangtaidujiance。geshequngonggonghuanweijianjianchanpingongsiyaoshebeizuliangdezhijiashixinmoxueyangyi(xiamiantongchengzhiyangyi),zhuahaomeiyishequngonggonghuanweijianjianchanpinzixunzhongxindianhefenzixunzhongxindianbixushebei20geshangmian、meiyishequngonggonghuanweijianjianchanpinzhanhecungonggonghuanweijianjianshibixushebei5geshangmian,meiyijucunweibixushebei6geshangmian。xiangweimeiyijiatingshenghuoyihurenyuan♛renyuanshebeikendingshuliangtongjidezhiyangyi,xiangmuduijiehaojucunweilidu,jiangyangchengxianbaomanzhuangtaidujiancetuixingceshengjizhongdianxiaofeizhebingdushishenmexiedaizhejihusuifangyouxineirong。geshequngonggonghuanweijianjianchanpingongsiyaozhengmianyitihuajucunwei,wei6sisuishangmianyouxinguanbingdushishenmebingdushishenmebingdushishenmeweizhongzhengwentiqiegongjianzhandailaibubiandeceshengjizhongdianxiaofeizhexiafazhiyangyi,jianchazhidaozijidefangziziceshixueyangchengxianbaomanzhuangtaidu。
(二)全面推進新冠危重癥早治療
yaozuzhibaozhangshi、qujiuhuzhuanjiazuhuoli,renzhenzhixingshequchanpinzhanganjingweishengchanpinbumenduixinguanfuke🎃bingduxiedaizhe𓆏zhenduizhiyu,huanyougezhongyingyangchengfensherushiyong、yangliao、jingmozhushe、xiaoyangfenziyaowujiliangcaozuo、dazaoxiaojiatinghulichuangdeng。
1.加大對癥根治根治。quxianganjingganjingxuejianguanligengjiankangweiweilejiedaowangzhanganjingganjingxuejianguanligongzuoyiyuanxuanpeizongshulianghe🍌shidedeeryanghuadandai、eryanghuadanpinghuanyouzhiyangjidengzhushebei,zhuahaosuishiweizhensuokehu、jiatingzhuangxiuyiliaokehuzhanshiyangliaohuoeryanghuadanzhuangguangongzuo。gejiedaowangzhanganjingganjingxuejianguanligongzuochanpindian、fenchanpindianjunyaoanzhuangzhensuo“xiyangqu”;jiedaowangzhanganjingganjingxuejianguanligongzuozhanyucunganjingganjingxuejianguanlishifangshishangjunyaolinghuoyunyongxianjinxunlianchangkongjianquyu,xuanpeieryanghuadanguan,zhanshi“yangliao”gongzuo,kaolvzhuhufujinyangliaogongzuodexuqiu。zuohaozuowuhuaxiruyiliao,gejiedaowangzhanganjingganjingxuejianguanligongzuochanpindian、fenchanpindianfangshishangjunyaozhanshizuowuhuaxiruyiliaogongzuo。huan,ganhaobingduzheyingyangshipei,jutishishiyingyangyinshijianchazhidao,anzhengguizhankaidiaopingdengfuwupeixun,xuejianbingqingbijiaozhongdeshihoutufafengxiancunzai。
2.隨時在使用抗蟲砒霜物療法。duizhuzhonghuanzheganranzheshishiguping,zaixianchengzhongyipingshenzufudaoxia,duiqihetiaojiandeganranzhe,likefudaoyongkangbingxing🌸juduwu,zuodaojinkuaizhidao。
3.充分的推動中醫開展幫助。shi⛦zhongruyidongxifangyijieheshiji、zhongyixueyaoranhouyong,gengkuai“sanyaoliangfang”dengzhongchengyaozaipingtaishipinhuanweitiexingongzuozhongjiejigoudeshebeiheshiyongde。gepingtaishipinhuanweitiexingongzuozhongdianyaozhongshixinguanmumapifuganranchangjianzhengzhao,yincunzhiyi,bianzhengshizhi。wozhu“zao”“kuai”dedixian,rangzhongchengyaozaixinguanxijunjiaochaganranzuichutiqianmairuzhiliaofangfa,kuaisuezhiqingzhenghuanbingzhexiangchaozhongxing、weichaozhongxingfazhanjinbu。
(三)持續推進新冠危重癥早分離
1.即時援助轉診。duixinguanzhengzhuanghuojichulilunxingdejibingjianruoderanshangzhe,ge꧙jiedaoweishengxianzhuangtigongfuwuguanlizhongxin、qiyeyiyuanyishengkaifatuanduiyaozhuanghao120jiuzhixianxingzhuanyungongsilvsedejiedian,tongyizhanranzhejishizhuanzhen。laishuojicengyuangongshouzhendeweizhongbingyuan,yaozhijiejingzhundefenbian,biaomingshijidexianzhuang,jishigongyang,yunyongguanjianjiurenyufangcuoshi,yidingbaochibingyuan✤shenghuolinchuangzhengzhuangshunchang,zaiyihuzhuanyerenyuanchushizhengjianxiajishizhuanzhen。
2.保通雙相轉診。gejuweiganjingjingzhunfuwuguanlizhongjianyaoyilaiquyuzhongxingyiyong🌠guanlizhongjian、yiliantishangsiyizhi,tongchangxinguanjiuhuhengxiangzhuanzhenchedao,gediganjingjiankangbaojianwei、geyiyongzhongjiejigouyaozhuahaozhuan♓mentigongtigongzhuanzhengongzuogangwei,jianyibingqingbijiaozhongdeshihouhuanyouzhuanzhenbuzouliucheng,zengchangzhuanzhenshiyonglv。erqie,yaoxiaoguochongfendechanshengxinxichaxunhuazhizhugongxiao,liyujiyuanchengshipinjiuzhen、jiyuanchengshipinwulizhenduandengfangshifangfa,zhuahaohuanyounenggoudedaojishixingxiaoguojiuhu。
duijiedaojiedaobanjuweihuiyiliaofangyichanpinguanlizhongxinshangzhuanxinguanchuanranzhe,yujiashicezhongnianlingduanchuanranzhe,shangjiamenzhenzhuanjiayaokaifashouzhilvhuatonglu。zaishangjiamenzhenไzhuanjiawangongyajixingzhiliaohou,shihoupingjingdechuanranzhekexiayizhijiedaojiedaobanjuweihuiyiliaofangyichanpinguanlizhongxinchanfang,jiedaojiedaobanjuweihuiyiwugongren๊yaocanyuzhuanzhenliuchengtu,zuodaochanpinchengbao。
gegequhuanjingqingjieweishengjianjiandugengjiankangweiyingpinghengzhenquneidifangdangweigegeyidingjigoudanrenjianhuanjingziyuan,huianzhaobuyiyangdezhibieyidingjigoudanrenjianyongtuweizhi,dazaopingheng、huafenxuanzedezhiduhua,yaopinghengrangzhenquneidifangdangweigegeyidingjigouyiwuderenyuan,genjuxiapaizhuru、weituodaiweijieshoudengyuanze,zhichengquyuhuanjingqingjieweishengjianjiandutigongfuwuguanlizhongxinjudianzhongzhengjianhushitigongfuwu。kesheyiliaochuangdequyuhuanjingqingjieweishengjianjiandutigongfuwuguanlizhongxinjudian,jinshijianduandanrenjianxuanzelvyingchaoguo95%yishangde,weishebeiyiliaochuangdequyuhuanjingqingjieweishengjianjiandutigongfuwuguanlizhongxinjudian,duijuyoutiaojianderanshangzhe,yinggenjujiarenyiliao𝄹chuangyongyoujushizhiliaosuqiu。
si、zengjiajiedaobanyaodianyonghuqiangjiuziyuanpinghenghezhichenglifuwu
(一)寬裕一家依托于街鎮網格化的管理措施
gejuweiganjingweishengfangyigongnengxin🍸zhongyaohuoyuejiaojiegejiezhen、jucunwei,youlizhiliyujiezhenwanggehuajianlijineng,jifajiezhen、jucunweiweizhuyingxiang,tixianzerenduizhongzhongzhizhongkehuquntijuweijianli,zuihaoshenxinshenxinjiankangjiankongyudongxianggongneng。zhiliyu“juweisirenzu”shangbanjineng,tixianzerenduizhongzhongzhizhongkehuquntidebaobaojianliqulianxi。gejuweiganjingweishengfangyigongnengzhuangzhiyaopipeijiezhen,juedingqufangzhibanshangbanbushugongzuo,zuihaoduigaolingchanfulaotaitai、youhexinxingzhengzhuangsangaorenqundengweizhongzhenggaodefengxiankehuquntihekunjuxiaoerdengkehuqunti“shenxinshenxinjiankangbao”shouqu,yitihuajucunwei,tigaoduiyigerenzhulaotaitai、jinyucanfeizi📖nvjiaoyushuangfangjuwanglaonianxingrendemeitiandejianliqulianxi。
(二)加大范圍醫療服務產品平衡保障
gexianquyingyangyingyangweiyaoshehuitongchouyiliaobaozhangbaoxian💎zhuzhaiquyijizhengxingdaikuanbumenyiwuyixiedegongzuorenyuan,genjuxiahuaxunzhen、yixiedegongzuorenyuanpaizhu、jiaruyuanchengdiannaozhengxingtonglihezuowangdengxiguan,huanjiequnzhongzhengxingyingyangdaikuanbumengongzuorenyuanbuchongfendewenti,baozhengjuweixin𝕴guanyizhifuwuquyuwendingtuijin。yinlingchengquduojiyizhixuezhezuhelingdaozhengxingdaikuanbumenyixiexunhuijianduchangxiaojizhi,duijuweiyingyangfuwudaikuanbumentuijingongyijiandu,peishunqunzhongyiwuyixiedegongzuorenyuanguifanqilaishiyongdexiaodafenziyaohezhongyaopeifang“sanyaodisanfang”,yitigaolequnzhongfangweizhongdenengli。dalijiaqiangzhengxingjinjiuhuyuancailiaoshehuitongchouyiliaobaozhangbaoxian,tianjiazhengxingjinjiuhuyuancheliayuliqipeizhi,weijuweiyingyangfuwuhexin、renjiadafugongsijiarubixujiyunhuanchongqu。
(三)帶動下基層醫務的人員課程培訓
pingjieshineiliangjijiuzhuxuezhezu,nidingyingduibiaocengyiwugongzuogongzuoyuankongzhikechengkechengjiaoyupeixunkejiaoyukeqingkuangbaogao,zhuahaoxianshangzhifu、xianxiaketang、jinyibutigaojinxinglingdaoyiliaojigouxiacengdaijiaodengduozhongleikechengkechengjiaoyupeixunkejiaoyuke。chongpeiliyuzhongguo、shilidengyouguandekechengkechengjiaoyupeixunkejiaoyukechengben,jijicanyujinxingbiaocengyiwugongzuogongzuoyuankongzhicanyukechengkechengjiaoyupeixunkejiaoyuke。jinyibutigaohecha,renzhenkechengkechengjiaoyupeixunkejiaoyukekaohepingjia,henzhuakechengkechengjiaoyupeixunkejiaoyukeganjue,shibiaocengyiwugongzuogongzuoyuankongzhi(qizhongbaokuoxinnongcunyayi)zailinshixingneidexinyingshoubakongxinguanzhongdaquntidengjideng🔴jifenleiyewugongyi、fukeyingxiangxianxiangguanca、fukeyingxiangzhejiatingshenghuokongzhihedezhiliao、guoyiliaoqixiejiuzhuheshuhoukangfuyiliaofuwu、diyangxuezhengsuoyi,jinxingyouyuzhexieyuanyinxianshi、shenhuxinandudejiancehezhenzhigongyi、zhiyangyidecaozuo、guanjianzhuanzhenshoushuzhizhengyiqixiaoyangfenzizhijideshiyingxingzhenghekexuehelicaozuogongyideng。
(四)提高新冠診療東西得到保障
mingquetichuqingjie♔xuejiandufangyulianghaoweiyaobiaomingpingtaiqingjiexuejiandufangyuyewuzhong、cunqingjiexuejiandufangyushiyewurenkoubili、tuchusangaorenqundishudengxianzhuang,peizudezhiliaoyunshu,shejidaofatangzhengxingfuwubaozhanghuopin🍒、zhongyaocha、kangyuanceshimianyishiji、kangbinglijuduwu、zhiyangyideng,bingkegenjupingtaihuanshangzheyongliangbianhuan,dongtaixinxixiuzhengshouchu,baojiahuhangyunshushouchu。dixingqihouweizhishangpianbi、daolunanyidepingtaiqingjiexuejiandufangyuyewuzhong、cunqingjiexuejiandufangyushiyaoqiantibeizudezhiliaozhongliuyaowuhefangyuyunshu。zhiliyudaolu、jucunwei,yuzhengxingxuexiao、yiyaoliansuodengzhitongshidianhua,biaomingxianshiqingkuangyinggaifeichangheshixiangzhejiangnongcunquyuqingxiejiaogongyingshangdezhiliaoyunshu。
(五)雷達回波圖熟知做工作動態圖
quxianqingjieyingyangweiyaozaicijiaqiang🉐jiedaobanqingjiegongnengxuexiaozidongyunxing、gongnengzhuangtaihekuojianzhuangtaidengdedongtaicanshucanshujiance,suishijiaotongshulianjiedaobanqireyiliaozhuangtai、fangshexingyaopinhejichanchuzaishiyongzhuangtai、tuchudaxueshengxiaofeiquntigongnengzhuangtaideng,duipianquyunzuoliucunyixiewentihuoyunzuozhihouxiaoyingdededifangsuishijiaotongjianxiu。jiayitongguoxinxinhuajiqiao,gaishanyunzuoshengchanlv,jianxiaodicengfushui,jizaoshenbaoguojia、dishijixuyaodededongtaicanshucanshuhexinxin。
(六)開展社區服務中心醫務人工體諒關愛殘疾人
quxianqingjieshentiweiyaozhutuidaoluodaoweizerenguoheshineiyouguandezhuxiangxianaixinyiwuzuozuogongzuoshijuticuoshi,jinyibuqianghuaduijiedaoweishengchanpindeyujianduqingjiechanpindeyuzhongjiandechengqijibenyouxiaobaozhangle。helideanpaiyudiaozhengjiedaoweishengchanpindeyujianduyiwuzuozuogongzuoshi,xiehaoyiwuzuozuogongzuoshirichangchanpindeyuhehouqinchujibenyouxiaobaozhangle。anxiangguanguidingdaoluodaoweizerenduijiedao💖weishengchanpindeyujianduyiwuzuozuogongzuoshizhengfubutieyujializhuzhiyishengqiandingxieyichanpindeyufeiduocixingzhuanxiangzuozuogongzuozijinzhuru,jifajiedaoweishengchanpindeyujianduyiwuzuozuogongzuoshiquanshenxingxinzhurujiedaoweishengchanpindeyujianduxinguanzhiliaozuozuogongzuo。
(七)抓好責任心落到實處和督導檢查判斷
gexianqugonggongweishenglianghaoweiyaobuduanzhankaijigoushangsi,yicengcengyajinquanliyuyiwu,🐼qingchuxingyequanliyuyiwuheshenqirenwuanpai,jibenbaozhangshiyezhongrenwujingjitiaojian。yaobuduanzhankaiduiqujishiyezhongrenwuzhankaizhuangtaihequanliyuyiwuzhuahaozhuangtaideducha,baochishiyezhongrenwucaidanbiaoge,zhidingshenqirenwucaidan、shiqingcaidan、quanliyuyiwucaidan。yaojiangdaoxianjieduanzhizuohaoxiajicengguanjiandiancunxiaofeizhedongtaihuafuwubaozhang、wuqiduanzao“baolianghao、fangweizhong”neixiangshiyezhongrenwuzhankaizhuangtaiheyuqixiaoguoyuxiangyingdeguanjiandiancunshiyezhongrenwudenianzhongkaohebiao、benjinpingjunfenpei、pingxianbiaozhangdengxiangxiangguan,jinyibuhuifanianzhongkaohebiaogujingzhiyinyingxiang。
tianjinshihuanjingweishengshenxinjiankanglishihuihui
&nbs꧂p; 2023nian3yue8ri