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: 】
gegequgonggongweishenglianghaowei:
anzhaoguojiafagaiweilianfangliankongcuoshi《guanyuxiehaoxinguancezhongzhongrengeshigeyangfuwuyuguanlihe“shekoukouanshangyi”gangweidegaozhifanwen》heguojiafagaiweilianfangliankongcuoshi、guojiashandongnongcundifanggangweilingdaoganbutuandui《guanyuqicaoshuomingtishengyanxiashandongnongcundifangdifangzuixinkejiguanzhuangxijunran✃shangyibingkongfanggangweijihuashudegaozhifanwen》wenjianmingbixu,weichanshengdangditebiegonggongweishengfuwuyuguanlizhuangzhiwangdigongxiao,jianding“zaokanjian、zaozhiyu、zaojieliu”,bimianhejianxiaoxinguanxijunranshangweizhongzhengfasheng,xianjiuxiehaoyanxiaguanliangangweigaozhifanwenyixiajidian:
yi、chixubuduanzengqiangshequfuwuzhongxinxinguanzhenzhishili
(一)促進居委新冠治療擴張增能
shipianqushipinqingjieguanlijiankangdeweiyaoliyongjiuzhugongzuoshanggonggei,fengongxiezuochanyeyuanquneishejijianguanbumen,tigaotuiguangpianqujuweidefuwuguanlizhiliangzhanshipinqingjieguanlidefuwuguanlizhiliangzhongdianxinguanjiuzhukongjianbuweikuozhangkaifa,tixianshejichangdipeizhizhuanyongshepeidengzengnengbaozhang,shizhizhiliaokongjianbuwei、diaopingkongjianbuwei、yangliaokongjianbuwei、yiyuanbingfangbingqudeng,lejiexindianpeihu、xueyangpinggu、gongyangdengchangdipeizhizhuanyongshepeixingneng。duiheshidetiaojiandejuweidefuwuguanlizhiliangzhanshipinqingjieguanlidefu꧃wuguanlizhiliangzhongdian,feichangyaoqianghuactdengzhuanyongshepeidexingneng,yindaohebangzhuzhurenshepianchakanhuixiachendaoyouzhajide。quedingdefuwuguanlizhiliangchangzhurukourenshude15%-20%richangdongtaibaozhangzhongyaofang、tuireyao、huatanzhikeyaojikangyuanjianyanhuaxueshijiheyou,qieshibaozhangpeixunjigouxiaoduchanpinbaozhangliangshichangbaochizhuzai2zhouyinei,changzhurukoumijidiandediqukeliyongjutiqingkuangbuduanzengjiabaozhangliang。
(二)強化平臺發燙診所提供服務
quanzhengejiedaobanwangzhanhuanbaogongnengxingpeixunxinzhongmeijiduyi꧒zhoujunyingzhanshiqireyiliaogongnengxinggongnengxingpeixun(hanjiegangwan),bingjingguoruanjianshezhiqireyiliaogongnengxingyezhensuo,yaoqiuqireyiliaogongnengxingxiawuyanchangshijiangongnengxingpeixun;quanzhengejiedaobanwangzhanhuanbaogongnengxingpeixunfenxinzhongmeijiduyizhoujunyingzhanshiqireyiliaogongnengxinggongnengxingpeixun(hanjiegangwan),yitiaojiandekekaiyeyezhensuo。quanzhengejiedaobanwangzhanhuanbaogongnengxingpeixunzhan、cunhuanbaoshiyingyinlingqireshaodianzhensuo、daoshiqireyiliaogongnengxingliuguanqudeng,yaoqiuqiredengxianxiangaimeizhejiuzhengongxu。
er、laokaokaizhanneironghuanzhewendingjianceshujuyudongtaizhanshibaozhang
(一)落實一崗雙責重要消費者應管盡量
chentuojiezhen、jucunwei,geshequnqingjieanquananquanfuwuyuyubaozhangguanligongsizhanyaozengjiaxianghuwufengduijie,zaijiezhenjiangcezhongquntibeilieruwanggehuaweihufangfatiaojianshang,duicezhongquntirenzhenluoshizhengchangjiancexitongyuweihufangfa。jinxingjiarenyishibaochilianxikehuhexianghuanquanan🏅quanfuwuyuyubaozhangguanli🃏yiyi,jiashangdafazhan66suibudiyulaonianxingrenqianshuanquananquanfuwuyuyubaozhangguanlihangaimian,jibenxingquebaocezhongquntiqianshuquanhangai。jinxingyunanquananquanfuwuyuyubaozhangguanli、rexian、weixinqq、shipintupiandengfeidajiaodaoshouduanyingwenhuoshangmenlaisuifangdengzaimianxieduimiananquananquanfuwuyuyubaozhangguanlishouduanyingwen,zuoshi“hong、huang、lv”biaoshicezhongquntizhengchanganquananquanfuwuyuyubaozhangguanli,quebao“wugerenzhenluoshibuli”。
1.yijiezhenweidedanwei,zhiliyuwanggehuaguanlifangfacuoshi,yangezhixing“jiedaoshequsigerenlingdaozu”shiqinggongneng。
2.3leizhuyaoquntiweishengchakanhuafenjingzhun,dongtubiandongbingchuangjiantaizhangzenmezuo,guanlixitongxiangmushujuxinxijingzhun。
3.quyuweishengjianchanpinyugouzao24xiaoshichanpinyurexiandianhuachangshun,xiaojiatinghushigaohaoguanxixingshijijizhu❀dongmianzezhongxinkehuqunti,yougengjiankangxuyaoshishishibengkui。
4.shixianduozhongduoyangneirong,duineirongsangaokehuquntupianjiamihuiquzhudongbaochilianluojiajie,dui“wanghong”neirongsangaokehuqunbenzhoubaochilianluobudiyu3ci,dui“huanglvse”cineirongsangaokehuqun,benzhoubaochilianluobudiyuꦯ2ci。
5.jishishujizhongxinrenmenjibenzhishifukejibingxianxianghelianghaoqingkuang。
6.duizhongxinquntifukeganranxinguanhongbingduhuojibenjihuanbianqingdengjutiqingkuang,jishidejiankangjiandu、jiaozhiyuzhuanzhen。
(二)貫徹落實省級重點消費群體分類管理系統管理系統
dui“hong、huang、lv”guanjianxingleirenzhuyaozhixing“yi、er、wuji”anquanguanlitiexinanquanjingzhunfuwupeixunxiangmubaozhang,dui“lanse”leiren,kaizhan“6jitiexinanquanjingzhunfuwupeixunxiangmubaozhang”,jinyibujixujiaqianganquanjiankangwenhuajiaoyu,zuowomenanquanjiankanghujia。dui“huang”leiren,zaikaizhan“6jitiexinanquanjingzhunfuwupeixunxiangmubaozhang”dejichuxingkuangjiashang,duiyangxingfanyingjujiazhuangxiugaishanzhezhixing“wujitiexinanquanjingzhunfuwupeixunxiangmubaozhang”,jinyibujixujiaqiangkangyuanjiace、anquanjiankangjiankong🍌jishu、anquanjiankangzixunlejie、koufuyaowumianfeizhidaodeng。dui“fenhongse”leiren,zaikaizhan“yi、wujitiexinanquanjingzhunfuwupeixunxiangmubaozhang”jichuxingkuangjiashang,zhixing“wujitiexinanquanjingzhunfuwupeixunxiangmubaozhang”,jinjieanquanjiankangjiankongjishu,duiqingkuangzengduodeyingdangzhuanzhenyuanzhu。
san、jiandingbuyikaizhanweizhongzhiqianganjue、yizhiyufenpei
geshiqushipinweishengguanlifangyianquanjiankangweiyaozhutuishi、quqiangjiuyixuezhuanjiatuanzhandouli,jinyibuqianghuaduijiedaobanshichushipinweishengguanlifangyifu🤡wupeixunxiangmuzhongyanglianjieyupingjiabiao,jianchixiaqu“zaochuxian 、zaoyeliao、zaojieliu”yaosu,qieshifahuijiedaobanshichushipinweishengguanlifangyifuwupeixunxiangmuzhongyang“guanzhayiwei”jiaose。
(一)落實新冠病情比較重的時候早挖掘
gepingtaiweishengjiandugongnengzhongjiejigouyitihuajucunwei,jinyibutigaoduixinguanranshangzhedeshentijiankangjianceshujuxitong,feichangshizhongxinrenmenranshangzhe,zaituijin“yi、er、san”jiguanligongzuodejibenzhishishang,yaozhongxinjinyibutigaoxinguanbiaoxianyujibenzhi💞shixingchangdaojibingbiaoxiangaibiandejianceshujuxitong。
zengjinduixinguanhuanshangzheyangbaomandujiankong。gejuweiganjinggongnengbumenyaoshebeizuliangdezhijiashihexinxueyangyi(zhetongchengzhiyangyi),quebaorenhejuweiganjinggongnengpingtaihefenpingtaibixushebei20gezhinei、renhejuweiganjinggongnengzhanhecunganjingshibixushebei5gezhinei,renhejucunweibixushebei3gezhinei。xiangweirenhejiatingdafutuanduitupianshebeikendingzhanbidezhiyangyi,jieruhaojucunweijingshenliliang,jiangyangbaomandujiankonghuaweituchurenmenhuanshangzhejihusuifangzhuyaoneirong。🌠gejuweiganjinggongnengbumenyaojijicanyulianhejucunwei,wei64suizhineiyouxinguandiannaobingduhuanshangweizhongkenengxingqiegongshikunnandetuchurenmenlingquzhiyangyi,peixunjiatingzhuangxiuceshixueyangbaomandu。
(二)深入推進新冠病情比較重的時候早制療
yaozhiliyushi、quyizhiyixuezhuanjiatuannengli,guancheluoshipianquganjingdefuwuzuzhi duixinguanganranzheliganjianyingdezhiliao,yijiyingyangjiazhizhicheng、yangliao、dadiandi、xiaofenzijiegouyongliangbianyong、jianliജqirenyiyuanbingfang🅰deng。
1.切實加強性針對療法。gegequgonggongganjingxuewendingweixiangweijiedaochanpinzhugonggongganjingxuechanpinxuexiaopeiyongzongshubuyideeryanghuatanqidai、eryanghuatanqipinghuozhezhiyangjidengsheshishebei,quebaoyouxiaoweizhuankemenzhenbuhuaner、zhujiadekaizhanhuanerbaozhengleyangliaohuoeryanghuatanqizhuangguanchanpin。gejiedaochanpinzhugonggongganjingxuechanpinzhu、fenzhujunyaoruanjianshezhizhuankemenzhenbu“xiyangqu”;jiedaochanpinzhugonggongganjingxuechanpinzhanyucungonggongganjingxueshitiaojianshangjunyaoyongmuqianxianchangkongjian,biaozhunpeizhieryanghuatanqiguan,baozhengle“yangliao”chanpin,jubeigongminfujinyangliaochanpinxuqiufenxi。zhuahaozuowuhuaxirudekaizhan,gejiedaochanpinzhugonggongganjingxuechanpinzhu、fenzhutiaojianshangjunyaobaozhenglezuowuhuaxirudekaizhanchanpin。detongshi,zhuahaoranshangzheyingyangsherubangzhu,shishijiankanghuoshizhuanyezhidao,anguizeshenrutuijinguashuidengfuwuxing,tigaoweizhongtufa𓄧weixian 。
2.直接操作抵抗毒物物控制。duizhongdianshidaxueshengxiaofeiquntizhanranzheduiqi♋jinxingkaohe,zaiquneiquanweizhuanjiatuanfangtantigangxia,duianzhaotiaojiandezhanranzhe,⛎xunsufangtantigangliyongdikangjibingduwuwu,lianhaozaorijiuzheng。
3.做好起著中醫方法的作用。jiandingbuyizhongxiyiyijieheqilai、zhongyifukeyaoyiqiyong,huanman“sanyaochengbaofang”dengzhongcaoyaozaixiao🌜quqingjieganjingweishengtiexingongzuojiegoudetianzhiheyong。gexiaoquqingjieganjingweishengtiexingongzuozhongxindeyaocaiquxinguanbingyuantiganqishuxixianzhuang,yinshilidao,bianzhengshizhi。zhuadao“zao”“kuai”defangshi♍,rangzhongyaofangzaixinguanruchongbingduganliangzaoqijinkuaidemairuyizhi,lijiyazhiqingzhengbinghaoxiangzhongzhongxing、weizhongzhongxingjingjifazhan。
(三)全面推進新冠病情比較重的時候早分配
1.盡快幫忙轉診。duixinguanfanyinghuojibentiaojianxingyiqingjiashendeganliangzhe,gequyugonggongweishenganquanfuwuxinzhong、ren🎃jiayihukaoshengzuzhidouyaohao120jiuhushouxuanyunsongyoujichurukou,yuanzhuyingxiangzhejishizhuanzhen。eryandicengshouzhendeweizhongzhenghuaner,yaosuishigengzhunquebianbiede,huianzhaoshijishangshuqingkuangshangshuqingkuang,jishigongyang,cushizhudongxingjiuhuyufangcuoshi,keyiweihuhuanerbaobaoxianxiangyouxu,zaiyihukaoshengreqingjiedaixiajishizhuanzhen。
2.通暢雙相轉診。gejuweihuishipinshipinweishengtigongfuwugongsiyaozhenghequyuzhongxingzhenliaobaozhanggongsi、yiliantishangjilingdao🧸qingdaoboshizhengxingyiyuanyiyuan,liuchangxinguanjiuhuzongxiangzhuanzhenlvsetongdao,gexianqushipinshipinweishengshentiwei、gezhenliaobaozhangxuexiaoyaolaiquedingzhibanrenyuanzerenrenzhuanzhenzhugang,jiandanhuaweizhongbingrenzhuanzhenliuliang,shangshengzhuanzhenzhiliang。tongshi,yaochongfendefahuichuneironghuazuoweizhichengmude,linghuoyunyongkuawangguanjizhuanjiahuizhen、kuawangguanjiceshidengbanfa,zhuahaobingrendedaoleanshigengyouxiaojiuhu。
duijiedaoqingjiexuechanpinpingtaishangzhuanxinguanranshangzhe,shifenshicezhongdiansangaorenqunranshangzhe,shangsibumendazhensuoyaozujianshouzhishenlvchedao。zaishangsibumendazhensuowanchengrenwumengranqigaishanhou,xianxiangpingjingderanshangzhekexiayizhijiedaoqingjiexuechanpinpingtaibingqu,jiedaoyiwugongzuoyuanyaojiaruzhuanzhengongyiliucheng,wanchengchanpinshigongzi𓂃zhizhuanrang。
gexianquqingjiehuanweijiandujiananquanjiankangweiyingzonghequyugongzuozhanbaozhangzhanneixianjigezhongzhenliaozhongjieqiyechuangpuwangluoziyuan,zhinenggenjubuyiyangdexingzhengjibiezhenliaozhongjieqiyechuangputedianweizhidingwei,zujianzonghe、dengjifenleidong🦋yongdezhiduhua,yaozonghekexueanpaiquyugongzuozhanbaozhangzhanneixianjigezhongzhenliaozhongjieqiyeyiwugongren,liyongxiapaijinzhu、qingqiushouhuidengmoshi,fuchiquyugongzuozhanbaozhangzhanqingjiehuanweijiandujianbaozhangzhongxinchanfangbaozhang。xiasheyiyongbingfangdequyugongzuozhanbaozhangzhanqingjiehuanweijiandujianbaozhangzhongxin,💦jinshiduan.chuangpudongyonglvyingkedadao95%shangwen,weishezhichengyiyongbingfangdequyugongzuozhanbaozhangzhanqingjiehuanweijiandujianbaozhangzhongxin,duitieheshiyingzhengderanbingzhe,yingliyongdejiatingyiyongbingfangchongfenkaolvjujiayanglaofuwushoushuzhiliaosuoxu。
si、buduanjiaqiangpianqucezhongdianxiaofeirenqunzhiliaoxinxizonghehezhichengzhubaojiahuhang
(一)充分的推進街鎮網格化治理措施
gexiaoquanquanbaozhangzhiliangzhongxindianyaozhudongdelianjiegejiezhen、jucunwei,zuodaogoujianjiezhenwanggehuayunzhuanjingyingcuoshi,shulijiezhen、jucunweizhuyaodezuoyong,tixianduituchuleirenxiaoquyunzhuanjingying,zuodaoanquantanceyugifdongtaibaozhangzhiliang。goujian“xiaoqusangerenduiwu”yunzhuancuoshi,tixianduituchuleirendebaobaolianxi。gexiaoquanquanbaozhangzhiliangdaikuanjigouyaohuxiangpeihejiezhen,yiqufangzhibanyunzhuanbaoleijibeibushu,zuodaoduigaoling60suiren、youjichushangxingzhengzhuangnvxingdengbingqingbijiaozhongdeshihougaoweidianleirenhejiyuyutiaozhanxiaohaidengleiren“anquan⛦bao”banfa,liandongjucunwei,kaizhanduiduzhu60⛦suiren、jinyushangcanpeiouyitongzhu60suirendeshenghuolianxi。
(二)做好區域中治療信息綜合作為支撐點
mingquetichugonggongqingjiexueshenxinjiankangweiyaoshehuitongchouguihuaquyuneisizhongyiyongzuzhi yiwuchengyuan,yongxiahuaxunzhen、chengyuanpaizhu、jiaruyuanchengdiannaoyiyongxiediaowangdengfangan,henhaojiejuexiabiaocengyiyonggonggongqingjiexuezuzhi renweibuchongfenjianti,youxiaoquebaopingtaixinguanqiangjiutiexinjingzhunfuwuwendingkaifa。chongfenfahuixianchengduojiqiangjiuzhuanjiajingyingtuanduizuheshangjiayiyongzuzhi youguanxixunhuiminglingtixi,duipingtaigonggongqingjiexuetiexinjingzhunfuwuzuzhi kaifajishuxingmingling,jishupeixunxiabiaocengyiwuchengyuanzhengguiyunyongxiaoyangfenziyaohezhongyaopeifang“sanyaodisanfang”,yishenggaoxiabiaocengfangbingqingbijiaozhongdeshihoubenshi。jixujiaqiangyiyongjizhenziyuangongxiangshehuitongchouguihua,jiaqiangyiyongjizhencheziyubaofalipeizi,weipingtaigonggongqingjie🐽xuetiexinjingzhunfuwuxinzhong、jialiyishijingyingtuanduijiaruzeyouyunsongchedao。
(三)帶動基成醫務員工課程培訓
zhiliyuxianchengduojizhenzhizhuanjiajiaoshouzu,zhidingxizezhenduixingnongcunqunzhonggongzuoyiwujishurenshixuexizhidao🦋xuexiaoxize,leguankaizhanxianshangtuiguang、xianxiaqudao、tongchouxiediaoyiyuanzixunshichenxiaqudaijiaodenghenduoxuexizhidaoxuexiao。quanmianliyuguojiade、dishijidengguanyuxuexizhidaoxuexiaonengyuan,leguangongsinongcunqunzhonggongzuoyiwujishurenshijubanxuexizhidaoxuexiao。daidongchouyan,yangedexuexizhidaoxuexiaokaoyan,zhuahaoxuexizhidaoxuexiaozuoyong,shinongcunqunzhonggongzuoyiwujishurenshi(huanbaokuonongcunjianshezixunshi)zaiduanqideneijingtongzhangkongxinguantuchuhuanzhedengjihuafenfenjifuwupeixunxingshi、jiaochabingdufanyingguankan、jiaochabingduzhejujiayanglaofuwuguanlixitonghezhiliao、zhongyishiyaozhenzhihezhiyukouqiangzhenliao、diyangxuezhengzaodezhi、chuanqiwentidepingjiazhibiaohehuizhenxingshiꦛ、zhiyangyidexuanyong、gengzhongyaozhuanzhenyuanze、xiaoyangfenziyaocaiderongruzhenghehelidexuanyongxingshideng。
(四)做好新冠救護工程設備保險
gexianquganjingdejiankangweiyaoyizhaoshequfuwuzhongxinpianqugongnenggongsiganjinggongnenggong💮si、cun🍸ganjingshigongnengrenkoutongji、tebiedaxueshengxiaofeiquntidishudengqingkuangxia,peizuzhenzhishangpin,huanbaokuofashaocaozuoyiliaohaocai、zhongyaocha、kangyuanzaixianjianceweishengwupeiyangji、kangbinglijuduwu、zhiyangyideng,bingdapeishequfuwuzhongxinpianqugongnenggongsiranbingzhebilifashengbianhua,jingtaiyouhuacunchu,zhiliangbaozhangshangpincunchu。gaokaodilijiaodupianpiquyu、jiaotongyunshubulianghouguodeshequfuwuzhongxinpianqugongnenggongsiganjinggongnenggongsi、cunganjingshiyaodiqianbeizudiaoliyaopinhefangyishangpin。tuidongshequfuwuzhongxin、jucunwei,yuyiliaozhuangzhi、yiyaoliansuodengzhidadianyu,yizhaoshijianbixuyaoheshixiangnongminquyuwanqutigongzhenzhishangpin。
(五)即時撐握工作的各式各樣
geshiquganjingweishengzhuangtaijiankangbaojianweiyaozhongxinjiaqiangshequnganjingweishengzhuangtaitiexinfuwupeixunxiangmupingtaizidongyunxing、tiexinfuwupeixunxiangmuzhuangtai𓄧hekuochongzhuangtaidenggeshigeyangjiancefangan,lijizhangkongshequnshengwenhuizhenzhuangtai、yiliaoyaopinhechanpinzigeilvshiyongzhuangtai、zhongdianxiaofeirenquntiexinfuwupeixunxiangmuzhuangtaideng,duiguanquzuoyedoucunzaiguzhang huozuoyeshoudaozuaidepingtailijishengchandiaodu。youxiaoyunyongziliaochaxunhuajiqiao,tigaolezuoyechenggonglv,jiangdibiaocengdeyali,shishitijiaofazhanzhongguojia、shilixuqiudegeshigeyangshujuheziliaochaxun。
(六)提高居委會醫務人著想關心
mingquetichushipinweishengjianshipinweishengweiyaodaliyangezhixingyigeguojiahebendiyouguanxizuiguanxinguanzhuyiwuzhetigongfuwuguanliyouxiaobaozhanglecuoshi,jinyibuqianghuaduitebieshipinweishengjianjingzhuntigongfuwuguanliwangzhanjudedezhichengtigongfuwuguanliyouxiaobaozhangle。shidupeibeiyupeihetebieyiwuzhe,zhizuohaoyiwuzheshengmingjingzhuntigongfuwuguanlihexingzhenghouqintigongfuwuguanliyouxiaobaozhangle。anyuedingyangezhixingduitebieyiwuzhebuzhukuanyujiazhuzhiyishengmaiduanjingzhuntigongfuwuguanlifeicixingzhuanxiangzhengzhigongzuozhuanxiangzijin,jijingtebieyiwuzheyishenxinlingzijin🦩tourutebiexinguanjiuzhugongzuo。
(七)帶動權責抓好和督查考核辦法
queqietichugengjiankanggengjiankangweiyaozhenshizhenshijiaqiangzuzhijiegoulingdaobanzi,zhujianyashixishuyiwu,queqiegangweiyiwuhederenwumingquefengong,weihuyunzhuanxianjuetiaojian。yaozhenshizhenshijiaqiangduiqujiyunzhuanfazhanxianzhuangheyiwuguanchexian🌌zhuangdezhuanxiangducha,queliyunzhuanjilubiao,zhidingderenwumingxidan、yixiewentimingxidan、yiwumingxidan。yaojiangdangxiajiaqiangjicengrenyuanguanjianxingxiaofei𝐆renqunjishuxingyewu、zengfu“baogengjiankang、fangweizhong”duliufangjiamengzongbudeyunzhuanfazhanxianzhuangheshixiaoyuguanyuguanjianxingyunzhuandepanduan、xianjinpingjunfenpei、pingxianpingxiandengxiangguagou,zhenshiliyongpanduanjilijizhiyinlinggongyong。
foshanshiganjinglvsecujinhuihui
2023🧜nian7yue8ri