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: 】
各市區環衛衛生委:
🦹yizhaoguojiabangongtinglianfangliankongyuanyou《duiwuwanchengxinguanyaodianrenqundangdongtaituyewuhe“shekoukouanlagao”benzhirenwudetonggaoduanxinhan》heguojiabangongtinglianfangliankongyuanyou、difangzhongguonongcunchengshibenzhirenwurenyuanyunzuozu《duiwuxiafadaidongtedingzhongguonongcunchengshichengshidangxiaguanzhuanghongbingjunganqichuanranbingchuanranbingfangzhibenzhirenwufangangeshidetonggaoduanxinhan》xitongwenjianyao,weichongfenliyongshanghaishequdefuwuzhananquanweishengyewubumenwangdimude,jianchixiaqu“zaofaxian、zaofangfa、zaoguodu”,yufanghetigaoxinguanhongbingjunganqibingqingbijiaozhongdeshihoutufa,xianjiuwanchengtedingyouguanxibenzhirenwutonggaoduanxinhanneirongruxia:
yi、buduandishangshengshequjuweihuixinguanzhenliaoshuiping
(一)促進片區新冠處置實現擴容增能
꧑gediqingjieqingkuangjiankangdeweiyaoyizhaojiuhurenwuxuyao,yitihuachanyeyuanquneizhongyaoxingdanwei,yuelaiyuekuaizhutuiquneijiedaobanshichuqingjieqingkuangfuwuzhiliangxingguanligongsixinguanjiuhudidiankuochongdajian,luoshigongzuozhongyaoxingchangdijiqizhuangzhijixiejiqizhuangzhidengzengnengzhubei,qizhongbaokuozhenzhidifang、guashuidifang、yangliaodifang、zhuyuanbubingqudeng,zhizuohaoxindianpeihu、xueyangwuranjiance、gongyangdengchangdijiqizhuangzhijixiejiqizhuangzhixingneng。zhenduiyuqihezhuangtaidejiedaobanshichuqingjieqingkuangfuwuzhiliangxingguanligongsi,bijiaoqianghuactdengjixiejiqizhuangzhidexingneng,yindaoxitongjuzhuzheshepianchaqingxie。mingquefuwuzhiliangxingguanlirenkouzongshubilishuliangtongjide15%-20%dongtaitupianzhubeizhongyaofang、tuireyao、huatanzhikeyaojikangyuanjiancehuaxuezhijihepeizhi,baozhenggouzaoxiaoduchanpinzhubeiliangyongyuanshixianzai2zhouyinei,renkouzongshubilifensandongbeibukeyizhaojutiyanchangzhubeiliang。
(二)提高社群發高燒臨床功能
⛦dangdigejuweihuishipinganjingqingkuangdejingzhunshouhoushouhoufuwupeixunpeixunhexinyingdangbenzhoudoubatianjunyinggongyingchanshengreliangyiyongdejingzhunshouhoushouhoufuwupeixunpeixun(hanjiejiaqi),bingkeyitongguosheweichanshengreliangyiyongyeyiyuan,dadaochanshengreliangyiyonglingchenshijianyanchidejingzhunshouhoushouhoufuwupeixunpeixun;dangdigejuweihuishipinganjingqingkuangdejingzhunshouhoushouhoufuwupeixunpeixunfenhexinyingdangbenzhoudoubatianjunyinggongyingchanshengreliangyiyongdejingzhunshouhoushouhoufuwupeixunpeixun(hanjiejiaqi),youyijiandekekaibanyeyiyuan。dangdigejuweihuishipinganjingqingkuangdejingzhunshouhoushouhoufuwupeixunpeixunzhan、cunshipinganjingqingkuangshiyingzhenghechanshengreliangshaodianmenzhenshi、zanshichanshengreliangyiyongliuguanqudeng,yaoqiuchanshengreliangdengbushifanyinghuanyoukanbingxuqiuliang。
er、hangshinonghaotebiekehuquntianquanjiancefanganyuzuixinfuwude
(一)落實責任要點客戶群體應管既然
ꦛchentuojiezhen、jucunwei,geshequwangzhanweishengxuegongzuodebaozhangbaozhangjidiyaokaifahuoyueguajie,zaijiezhenjiangzhongyaonianlingduanbianruwanggehuacaozuotongchangshang,duizhongyaonianlingduankaifajiankangjiancejishuyucaozuo。fahuigongxiaojiayongyakeyishenglianxidazhonghehuoyuegongzuodebaozhangbaozhanggongxiao,tishengtisheng6sisuidayuzhongguo60suilaorenhezuogongzuodebaozhangbaozhangzhegaimian,tongchangquebaozhongyaonianlingduanhezuoquanzhegai。huishouliyongyungongzuodebaozhangbaozhang、dedianhua、weishang、shipinbofangdengfeilejiefangfahuoshangmenqusuifangdengtanranmianduimengongzuodebaozhangbaozhangfangfa,zuoshi“hong、huang、lv”guanggaozhongyaonianlingduanjiankanggongzuodebaozhangbaozhang,zuodao“6geluodaoshichuluodaoshichu”。
1.yijiezhenweijigou,yikaowanggehuajianguanchangxiaojizhi,tixian“shequn3renzu”shangbanzhizefanwei。
2.sanjizhongxinzhongrenanquanjiankangguanchadefenleimingxi,richangdongtaidiaozhunbingshelitaizhangzenmezuo,kongzhixiangqinduixiangshujuxinximingxi。
꧅3.shequjingzhunfuwuzhiliangzhongxinweishengguanlijingzhunfuwuzhiliangjigou24xiaoshijingzhunfuwuzhiliangkehufuwurexianliantong,jiazhongyishengzhuanjiabaochilianxicelvezijuezhijiegaosuyaodiansangaorenqun,youjiankangbaojianyaoqiushijinkuaijiazaishibai。
☂4.zaisanzhongdefangshi,duizhongxinsangaosangaoquntijiamijiemizhudongquanlianxixianjie,dui“chase”zhongxinsangaosangaoquntibenzhoulianxibubudiyu3ci,dui“chase”cizhongxinsangaosangaoqunti,benzhoulianxibubudiyu2ci。
5.anshijubeizhuzhongkehuquntijichukuangjiahuanbingzhuangtaiheyingyangjingkuang。
6.duiguanjianzhongrenganranxinguanxijunhuokuangjiafabingdanwudengqingkuangxia,kuaisudejiankangpingjiabiao、yingduiyuzhuanzhen。
(二)嚴格執行重要大學生消費群體的分類管理制度
🍌dui“hong、huang、lv”cezhongqunzhonggefenweizhixing“yi、er、erjizhiyezigezhengshu”gongzuotigongyewu,dui“huanglvse”qunzhong,tuijin“erjitigongyewu”,yaozuohaolvsedejiaoyu,yaozuohaomeigerenlvsejiagu。dui“zise”qunzhong,zaituijin“erjitigongyewu”delilunzhishishang,duichengyangxingjiayongzhiliaofangfashizhixing“2jikaoshitigongyewu”,yaozuohaokangyuanzaixianjiance、lvsejiancexitongxitong、lvselejie、yongyaozhidaoyijianzhidaoyijiandeng。dui“zhuhongse”qunzhong,zaituijin“yi、2jikaoshitigongyewu”lilunzhishishang,zhixing“erjizhiyezigezhengshutigongyewu”,shengjilvsejiancexitongxitong,duibingqingyanzhongjiaoqingdegeiyizhuanzhenbangmang。
san、zhulizhuahaojinyibutigaoweizhongzhengsuoyi,jinxingyouyuzhexieyuanyinkandao、yiliaoyufenli
💎quxianhuanjingjiankangshentijiankangweiyaopingjieshi、quzhenliaozhuanjiazushili,qianghuaduijiedaohuanjingjiankangdefuwubaozhangfuwubaozhangzhanjieruyufangtantigang,zhuiqiu“zaokandao、zaozhenliao、zaofenke”yuanzeyingwen,fahuidegongxiaojiedaohuanjingjiankangdefuwubaozhangfuwubaozhangzhan“daguanyiwei”degongxiao。
(一)進行新冠危重早察覺到
꧒gexiaoquweishengguanlifangfafuwuguanlifangfabumenliandongjucunwei,zengjinduixinguanbingduzhedelvsejiancejishujishu,yuefashizhongyaoshinianlingduanbingduzhe,zairenzhenzhixing“yi、er、san”jiguanlifangfadedijishang,yaozhongyaoshizengjinxinguandeqingkuangyudijixingjibingdeqingkuangbodongdejiancejishujishu。
💎jinyibujiaqiangduixinguanganhuazheyanggongdayuqiudushujujiancewang。gequyuhuanweixueyewuzuzhizhongjiejigouyaorenyuanpeiyouzuliangdezhijiashixinmoxueyangyi(yineidaichengzhiyangyi),youxiaoquebaomeizhongquyuhuanweixueyewugongsidehefengongsidezuishaorenyuanpeiyou20geyixiade、meizhongquyuhuanweixueyewuzhanhecunhuanweixueshizuishaorenyuanpeiyougeyixiade,meizhongjucunweizuishaorenyuanpeiyougeyixiade。huiweimeizhongzhongguojiatingfukeyishengxiangmutuanduirenyuanpeiyouhendazongshudezhiyangyi,zhiyinhaojucunweiyali,jiangyanggongdayuqiudushujujiancewangtuixinghexinxiaofeizheganhuazhejibenshangsuifangwanfa。gequyuhuanweixueyewuzuzhizhongjiejigouyaotigaorenshironghejucunwei,wei6liusuiyixiadeyouxinguanbingduyounaxieganhuaweizhongfengxianfenxiqiehuodongqingliangjiedehexinxiaofeizhebofuzhiyangyi,zhiyinjiajushounazhenduanxueyanggongdayuqiudu。
(二)加快推進新冠危重早診療
♏yaochentuoshi、qujiuzhuyouguanlingdaoxiaozudongli,luoshigongzuojuweihuiweishengguanliyewuxuexiaoduixinguanganhuazheduizhengyizhiyizhi,yijiyingyangsherubangzhu、yangliao、guashui、xiaoyuanzihekoufuyaowushiyongde、chengliqiyeyiyongbingchuangdeng。
1.加大對癥下藥診療。😼geshiquqingjiejiankangjiankangweiyaoyishequnqingjiejiankanggongzuozuzhi zengpeiguimoweiyideyangdai、yangpinghuoshizhiyangjidengdeshebei,baozhangkuaisuweizhensuopengyou、shenghuozhiyupengyounenggeichuleyangliaohuoyangzhuangguangongzuo。geshequnqingjiejiankanggongzuohexin、fenhexinjunyaoshezhichengzhensuo“xiyangqu”;shequnqingjiejiankanggongzuozhanyucunqingjiejiankangshiyaoqiushangjunyaoheliliyongdangxiayongdigerenkongjian,anzhuangyangguan,nenggeichule“yangliao”gongzuo,wufashiminzhuanchejiesongyangliaogongzuoshiyongxuqiu。gaohaoxiwuzhiyu,geshequnqingjiejiankanggongzuohexin、fenhexinyaoqiushangjunyaonenggeichulexiwuzhiyugongzuo。bingqie,gaohaoganhuazheyingyangyingyangjiankangjianrong,kuaisuzhixingyingyangjiankanghelishanshipingjiabiao,anzhengqueshishidadiandidengfuwude,cainengjianshaoweizhongzhengfashengfengxiancunzai。
2.當即采用抗蟲慢性毒藥物控制。ꦕduizhongxinnianlingduanhuanshangzhezuohaopinggu,zaizhuchengqulingyuzhuanjiatuandezhidaoyijianxia,duifuheyaoqiushoushuzhizhengdehuanshangzhe,yaojishidezhidaoyijianxuanyongkangchongjuduwu,baozhengzuodaozhuajinshijiandiaocha。
3.有效充分調動中西藥制療的功效。ꦏjiandingzhongxifangyizonghe、zhongyizhenjiuyaobingqi,huanman“sanyaosantong”dengzhongyaocaizaiquyushipinshipinweishengfuwudegongsidejubeiheshiyong。gequyushipinshipinweishengfuwudezhongxinzhanyaocaiquxinguanbingduyangbengandongduojianyoushenmezhengzhuang,yincunzhiyi,bianzhengshizhi。dongcha“zao”“kuai”deguifan,rangzhongyaopeifangzaixinguanleibingduranbingchuqizaoricanyugenzhi,jishidujueqingzhengbingyuanxiangdaxing、weidaxingjingjifazhan。
(三)促進新冠危重早過渡
1.立即輔助轉診𝄹。duixinguanzhengzhuanghuokuangjiaxingmanxingbingbianqingdeganqizhe,gexiaoqushipinweishengfuwuzhiliangzhongxinde、jiatingyishengzhuanjiaxiaoshoutuanduideyonghao120yingjiyuanzejiyunhongsetonglu,yuanzhuganranzhiyuantizhejizaozhuanzhen。zhenduijicengzhigongshouzhendebingqingbijiaozhongdeshihoubingyuan,yaoxunsujingquexingzhangwo,biaomingjutitiaojian,jizaogongyang,zhankaijijijinqujiuzhiyufangcuoshi,jinkenengdexingchengbingyuanlinghunzhengxiangwending,zaiyihuzhigongzaichangxiajizaozhuanzhen。
2.順暢雙項轉診。ౠgejuweianquandefuwusuojuyaoyijudiyuxingyiyuankouqiangkeguanlizhongxinju、yiliantishangjilingdaoyiyuankouqiangke,liantongxinguanqiangjiushuangzhongzhuanzhenchedao,geshiquanquanshentijiankangwei、geyiyuankouqiangkezuzhi yaomingquetuoshanchengjiezhuanzhengongzuo,jiandanhuaweizhongpengyouzhuanzhenguocheng,zengjinzhuanzhenxiaoying。ciwai,yaohenhaogenghaodifahuiwentihuabaozhangyong,jiezhuqqyuanchengguanjijiuzhen、qqyuanchengguanjipinggudengbanfa,yibaozhengpengyoudedaolejizaohenhaoqiangjiu。
🐼duijiedaopingtaigongzuojianduqingjieweishengjiandugongzuozhongshangzhuanxinguanranshangzhe,xuyaoshiguanjiankehuqunranshangzhe,shangjilingdaobumenyiyuanyaoshelishouzhicaolvsegongzuoqu。zaishangjilingdaobumenyiyuantijiaomengranqidiaolihou,deqingkuangquyuwendingderanshangzhekexiahuandaojiedaopingtaigongzuojianduqingjieweishengjiandugongzuozhongzhuyuanbu,jiedaopingtaigongzuojianduyiwugongzuorenyuanyaocaozuozhuanzhenfangan,jinxinggongzuosuochengjie。
🌸quxianhuanweiyingyangweiyingtongdengyidingbaoxianpianquneipaichujiguandangweigeyidingpingtaifangjianhuoxuyichuangyingshiziyuan,zhinenggenjugezhongbutongjibiehuafenyidingpingtaifangjianhuoxuyichuangjinengjingzhundingwei,zhidingtongdengyidingbaoxian、xifenanquancaozuodetizhi,yaotongdengyidingbaoxianquedingpianquneipaichujiguandangweigeyidingpingtaiyiwuzhigong,anzhaoxiapaizhuzha、xiezhujiaojiedengyuanze,keyizhichijuweihuiyewuzhanwangzhanhuanweigongnengdegongsijianhushigongnengde。yongyouyiyuanshoushuchuangdejuweihuiyewuzhanwangzhanhuanweigongnengdegongsi,jinguochengfangjianhuoxuyichuanganquancaozuolvyinggaoda95%zhexie,weiruheshezhiyiyuanshoushuchuangdejuweihuiyewuzhanwangzhanhuanweigongnengdegongsi,duifuheguojiatiaojiandezhanranzhe,yinganzhaoxiaojiatingyiyuanshoushuchuangmanzuxuyaozaijiashoushuzhiliaosuoxu。
si、daidongshequjuweihuitebiexiaofeizheqiangjiuziyuanpinghenghezhichengdianyoubaozhang
(一)足夠依靠街鎮網格化治理機理
♓gejuweiganjingtigongbangongxinghexinyaojishiliantonggejiezhen、jucunwei,nenggouchongfenzhiliyujiezhenwanggehuaguankongzhiduxinchangxiaojizhi,chanshengjiezhen、jucunweishichangdaoxiangbangzhu,renzhenzhixingduineirongxiaofeihuanyoujuweiguankongzhidu,yaozuodaoweigengjiankangbaojianjianceqiyuzuixintigongbangongxing。zhiliyu“juweijirenduiwu”gangweixinchangxiaojizhi,renzhenzhixingduineirongxiaofeihuanyoudebaobaobaochilianxiqilai。gejuweiganjingtigongbangongxinggongsiyaojiehejiezhen,zunzhaoquyingjiguanlibangangweizhaokaihuiyi,yaozuodaoweiduigaoshouchangbei、youjichulilunxingjibinghuanyouzhedengbingqingbijiaozhongdeshihougaogailvxiaofeihuanyouhekunjingshaoerdengxiaofeihuanyou“gengjiankangbaojianbao”shenqing,xiezuojucunwei,jinyibutigaoduiyigerenzhuchangbei、jinyushangcanrenzhixiqinshuyiqizhujunianjirendepingshibaochilianxiqilai。
(二)開展區域劃分社區醫療信息綜合撐起、
🎀gexianqugonggongqingjieweishengqingkuangfangyigengjiankangweiyaotongchouguihuayizhigonggongqingjieweishengqingkuangbaoxianfengjingquneijidaleiyizhigonggongqingjieweishengqingkuangzuzhiyiwuderenshi,pingjiechendixunzhen、derenshipaizhu、sheliyuanchengguanliyizhigonggongqingjieweishengqingkuangxietonggongzuowangdengxingshi,manzuqunzhongzhuanyerenyuanyizhigonggongqingjieweishengqingkuanggonggongqingjieweishengqingkuangfangyizuzhirenweiguoshaofangmian,quedingxiaoquxinguanjiuhutiexinbaozhangbaozhangpinghengjijigaohao。yijuchengquerjijiuhuzhuanyerenshizuheshangjibumenyizhigonggongqingjieweishengqingkuangzuzhiyixiexunhuimianfeimianfeizhidaoxinjizhi,duixiaoqugonggongqingjieweishengqingkuangfangyitiexinbaozhangbaozhangzuzhijijigaohaojiqiaomianfeimianfeizhidao,zhuanyepeixunqunzhongzhuanyerenyuanyiwuderenshizhengqueshiyongxiaoyuanziheyaoheyaocai“sanyaoliangfang”,yishenggaoqunzhongzhuanyerenyuanfangbingqingbijiaozhongdeshihoubenshi。jixujiaqiangyizhigonggongqingjieweishengqingkuangjinyingjiyuanziyuanyingwentongchouguihuayizhigonggongqingjieweishengqingkuangbaoxian,zenggaoyizhigonggongqingjieweishengqingkuangjinyingjiyuanweixiuyulidupeizhi,weixiaoqugonggongqingjieweishengqingkuangfangyitiexinbaozhangbaozhangzhongxin、xiaojiatingzhurenyishengtuanduitupianshelixianzhuanyungongsidetongdao。
(三)搞好下基層醫務員學習培訓
🅘zhengheshineiduojichuzhizhuanyeyishizu,shishimianduijichenggongzuogongzuoyiwurenjiaoxuekexuexifangshi,fazhanwangshang、ditui、tigaozushilingdaochongwuyiyuanxifendaijiaodenghaojizhongjiaoxuekexuexi。chedicaiyongguojia、dishijidengyouguandejiaoxuekexuexiwuzi,leguanzushijichenggongzuogongzuoyiwurenjiaonajiaoxuekexuexi。tigaochayan,congyanjiaoxuekexuexipanduan,baozheng jiaoxuekexuexigongneng,shijichenggongzuogongzuoyiwuren(baohancuntunyishi)zaiduanqidaikuanneishulianshulianshulianxinguanzhongdianxiaofeizhedingjifenleibiechanpinfangshi、gandongchuqizhengzhuangtanjiu、gandongzhezaijiajianguanheyeliao、zhongguochuantongyixueyaochuzhihekangfuyiyong、diyangxuezhengqianzhaohuifaxian、ganshoubudaonandudepinggubaogaogeshihezixunyishengfangshi、zhiyangyideyongdao、guanjianxingzhuanzhenshiyuzhenggeleixiaoyuanzizhongliuyaowudeshiyuzhengheduideyongdaofangshideng。
(四)提升新冠救護武器裝備確保
🤪gedihuanbaoxueyingyangjiankangweiyaoliyongquyuhuanbaoxuefuwuxiangmugongsi、cunhuanbaoxueshifuwuxiangmurenkoutongji、zhongdianshixiaofeiquntidishudengzhuangtai,peizuyizhifeijiugongchengshebei,shejifashaogenzhihuopin、zhongyi、kangyuanlunwenjiancehuaxueyaopin、kangbinglijuduwu、zhiyangyideng,bingrongruquyuganranzhebilizhuanbian ,dongtaitudiaodishouchuku,quebaofeijiugongchengshebeishouchuku。quyuweizhishangpinkun、gonggongjiaotongbulianghouguodequyuhuanbaoxuefuwuxiangmugongsi、cunhuanbaoxueshiyaotizaobeizugenzhixingyaowuheweishengfangyifeijiugongchengshebei。zhiliyujiedaobanshichu、jucunwei,yuyiyuanzuzhi 、zhongyaofangdengzhilianzixunrexian,liyongxianshikeyishifenxiangcunkouquyuqingjiaogonggeiyizhifeijiugongchengshebei。
(五)公交實時熟記運行日常動態
🉐shizhenquanquanjiankanganquanjiankangweiyaozaijixuzuojiedaoshequweishenganquanjiankangbaozhangdaikuanjigouyundong、baozhangshijiqingxinghekuochongshijiqingxingdengdongtaitongjishujutongjishujujiancetongjishuju,shishijiankongjiankongshuzhijiedaoshequweishengfashaoyiyongshijiqingxing、yaowuhechanpinbaozhangbianyongshijiqingxing、hexinrenbaozhangshijiqingxingdeng,duizhenqushangbandoucunzaiyuanyinhuoshangbanxiangweizhihoudeweizhishishijiankongjiankongdiaoduxitong。jijizhudongliyonglvtongjishujudatongjishujuyingyongjishu,tishengshangbangaoxiaolv,suojianbiaocengewaifudan,yaojishizhibaodiqu、shiliyaodedongtaitongjishujutongjishujutongjishujuhetongjishujuneirong。
(六)提高特別醫務人關心關心
🐼shixiaquganjingqingkuangdejiankangweiyaoquanxinquanyikaizhangangweizhengfuhebendiguanyuzaiyiguanyuanyiwujishuzhefangshi,qianghuaduijuweiganjingqingkuangfuwuzhilianghexindexiechengqieshiyouxiaobaozhang。kexuepeibeiyudapeishejijuweiyiwujishuzhe,zuodaoyiwujishuzheshenghuozhongfuwuzhilianghehouqinguanliqieshiyouxiaobaozhang。anguichengkaizhangangweiduijuweiyiwujishuzhebutieshenqingshuyujiatinghuanjingzhurenyishenghuiyuefuwuzhiliangfeimeicixingzhuandinggangweifeiyong,jianglijuweiyiwujishuzhezhouxinqingfuchujuweixinguanyizhigangwei。
(七)進一步強化承擔認真落實和工作檢查年終考核
🐠shixiaquweishengjiandugengjiankangweiyaozengqiangzuzhianpaiyinling,zhujianyajinzhizexin,mingxibufenzhizexinherenwuanpai,quebaoyewunengli。yaozengqiangduiqujiyewuzuoshihouhezhizexinquanmianluoshishihoudeducha,baochiyewutaizhangzenmezuo,zhixingrenwutongzhidan、xianxiangtongzhidan、zhizexintongzhidan。yaojiangrujinxiehaojichuzhongyaorendongtaihuashiye、shengji“baogengjiankang、fangweizhongzheng”jixiangyewuzuoshihouhechubuchengxiaoyuguanlianzhongyaoyewudekaohebiaopingjia、dezijinfenfa、pingxianpingxuanxianjindengxianglianxi,yingyongqieshifahuikaohebiaopingjiagulijilidaoxiangxingmude。
shenzhenshiganjingweishengshentijiankanglishihuihui
🐟 2023nian3yue8ri