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: 】
gediganjingjiankangbaojianwei:
geichuguojiafagaiweilianfangliankongrenwuxinjizhi《duiyuyaoxiehaoxinguanguanjianxingdaxueshengxiaofeiquntizuixintigongdegongzuohe“kouanshangyi”renwudewenxintishishu》heguojiafagaiweilianfangliankongrenꦆwuxinjizhi、zhongnongcunshenghuoshenghuorenwulingไdaocengbanji《duiyuchuwenqianghuadangxianongcunshenghuoshenghuodiquhuafenchuangxinguanzhuangaizibingyuantiranshangqinliuzhilirenwuyuandewenxintishishu》xitongwenjianguifan,weishulidangdijuweiweishengqingkuangtigongdegongzuozuzhijigouwangdinengli,nuli“zaodezhi、zaozhongyaozhiliao、zaofenke”,zenyangyufangheyijianshaoxinguanaizibingyuantiranshangweizhongzhengshiyoufasheng,xianjiuyaoxiehaodangxiagezhongxiangguanrenwuwenxintishishuruxiasuoshi:
yi、buduandijiakuaijuweixinguanzhenliaoyewunengli
(一)持續推進特別新冠診治增容增能
geshiquganjingxueyingyangweiyaoꦿjiyuyizhizuogongzuoshijishangxuqiu,fazhanchanyeyuanquneixiangguanneirongxingye,jiadafazhanzhuchengqujuweiganjingxuegongzuozhongxinguanyizhichangsuoshixiankuorongjibenjianshe,tixianxiangguanneirongshenghuopeizhijixiejiqidengzengnengzhubei,huanbaokuohuizhenlingyu、dadiandilingyu、yangliaolingyu、bingqubingqudeng,yaozuohaoxindiankanhu、xueyangjiancezhan、gongyangdengshenghuopeizhijixiejiqidapei。zhenduidadaoqingkuangdejuwei🔜ganjingxuegongzuozhong,haoqianghuactdengjixiejiqidedapei,yindaozuoyongdujulaorenshepianjianchaxiayi。shiyigongzuorenkoutongjitongjishutongjishude15%-20%dedongtaizhubeizhongyao、tuireyao、huatanyaojikangyuanjianyanmianyishijihepeiqi,youxiaoquebaozuzhiyiliaoyaopinzhubeiliangquebaoquebaozai2zhouyishangde,renkoutongjitongjishuximishengfenkejiyushijishangzengduozhubeiliang。
(二)做好片區發燒治療精準服務
quanxianqugeshequnjiankangjiankangzhanshi gongzuogongzuozhan🍸yitiandexingqibatianjunyingzhanshi falengdeyuanyinzhenzhizhanshi gongzuo(hanjieguojiajiejia),bingshunlitongguoruheshezhifalengdeyuanyinzhenzhiyezhensuo,tixianfalengdeyuanyinzhenzhiwanshangyanchangshijianzhanshi gongzuo;quanxianqugeshequnjiankang꧟jiankangzhanshi gongzuofengongzuozhanyitiandexingqibatianjunyingzhanshi falengdeyuanyinzhenzhizhanshi gongzuo(hanjieguojiajiejia),yitiaojiandekezengsheyezhensuo。quanxianqugeshequnjiankangjiankangzhanshi gongzuozhan、cunjiankangshiyingyijufalengdeyuanyinshaodianzhensuo、weilefangbianjielafalengdeyuanyinzhenzhiliuguanqudeng,chongfenkaolvfalengdeyuanyindengzhengzhuangwomenquyiyuanjutixuqiu。
er、zhuashiyaozuohaotuchurenanquanjiankangjiankongyudongtaihuafuwuguanli
(一)體現主要三高人群應管哪怕
zhenghejiezhen、jucunwei,gexiaoquanquanweishengfuwuxinzhongyaojiadatouruzhudonghezuo,zaijiezhenjiangtuchurenmentuixingwanggehuakongzhitongchangzhishishang,duituchurenmenzuoyingyangwuranjianceyukongzhi。chanshengjiatingshiyishijianlilianxigukehezhudongfuwubangzhu,jiadatouruqiansuoweiyou66suichaoguozhonglaorenshenghuorenqiandaofuwubaoguomian,tongchanggaibiantuchurenmenqiandaoquanbaoguoꦦ。yongyunfuwu、shouji、lianxidexingwei、shipinbofangdengfeixuexidexingweihuoshangmenjingzhunfuwubaozhangdianhuasuifangdenggengweimianfuwudexingwei,zuoshi“hong、huang、lv”logotu✱churenmenyingyangfuwu,zuo“qigeluodaoshichujiuwei”。
1.yijiezhenweiyuanxiao,pingjiewanggehuaweihucuoshi,tuijin“shequjuweihuijirenbanzu”gongzuodezhinengbumen。
🐓2.3leizhongdiancunqunzhongshentishididiaochaleibiebijiaoqingchu,dongtaitupiandediaozhengbingsheliqingdanbiaoge,guanlizhidudeduixiangduanxinbijiaoqingchu。
3.jiedaohuanjingweishengfuwuxingdejiegou24meixiaoshifuwuxingdefuwudianhuachangshun,💎putongjiatingzhuzhiyishengqulianxixingweimashanggaozhishumobanzhongzhongzhizhong✅kehuqunti,yougengjiankangdexuqiushimashangjiazaishibai。
4.keyitongguo𝄹xuduoxingtai,duituchunianlingcengduqujishijieheduijiede,dui“dahongse”tuchunianlingcengyitianjiehebudayu3ci,dui“huanglvse”cituchunianlingceng,yitianjiehebudayu2ci。
5.jinzaozhangwoletebiehuanzhejibentiaojianchangdaojibingtiaojianhezhengchangtiaojian。
6.duizhuyaohuanzhejiaochaganranxinguanxijunhuodejichufabingjialiaodengshijiqingkuang,bunenglvsefangtantigang、yufangyuzhuanzhen。
(二)到落到位著重消費人群進行分類處理
dui“hong、huang、lv”zhongyaoleirenyicishiyong“yi、er、liangji”guanligongzuoyewuzhiliang,dui“lvsewending”leiren,luodaoshichu“wujiyewuzhiliang”,jixuzengqiangwendingwenhuajiaoyu,zhizuohaomeigerenwendinggeli。dui“se♐”leiren,zailuodaoshichu“wujiyewuzhiliang”detiaojianshang,duiyangxingfanyingjiajuzhiyurenshiyong“erciyuanyewuzhiliang”,jixuzengqiangkangyuanjianze、wendingjiankong、wendinglejie、yongyaozhiliaojiaoyuzhidaodeng。dui“se”leiren,zailuodaoshichu“yi、erciyuanyewuzhiliang”tiaojianshang,shiyong“liangjiyewuzhiliang”,shengjiwendingjiankong,duihuanzhegengzhongdejinxingzhuanzhenqingqiu。
san、jianchiwentidaoxiangzhuahaoweizhonghanqizhidao、diaoliyubinggui
mingquetichuweishengjiandufangyijianlvseweiyaoyijiayituoyushi、quqiangjiulingyupingshenzuhuoli,dalijiaqiangduijuweiweishengjiandufangyijiandetiexinfuwuzhongguajieyujiaoyuzhidao,shizhong“zaodezhi、zaoওliaofa、zaojieliu”zunxunyuanze,fahuichulaijuweiweishengjiandufangyijiandetiexinfuwuzhong“guanzhashangyi”zuoyong。
(一)進行新冠病情比較重的時候早發現了
geshequjuweihuianquandefuwuxuexiaoxietonggongzuojucunwei,dalibuduanjiaqiangduixinguanbing꧙duzhedeyingyangpingguqi,youqiyaoshishengjihexinrenbingduzhe,zaiguancheluoshi“yi、er、san”jigongzuoguanlidedijishangshang,yaoshengjihexindalibuduanjiaqiangxinguanxianxiangyudijishangleijibingchuqizhengzhuangxianxiangbiandongdepingguqi。
jinyibuqianghuaduixinguanyingxiangzheyang🀅baomandujiancezhanzhan。gepingtaihuanweibaozhangpeixunzhuangzhiyaoshebeizuliangdezhijiashiguilvxueyangyi(yineiyejiaozhiyangyi),baozheng meigepingtaihuanweibaozhangpeixunzhongzhongzhizhonghefenzhongzhongzhizhongzuihaobuyaoshebei20geyineide、meigepingtaihuanweibaozhangpeixunzhanhecunhuanweishizuihaobuyaoshebei3geyineide,meigejucunweizuihaobuyaoshebei4geyineide。huiweimeigejiaboshituantishebeiyidingdezhanbidezhiyangyi,hezuohaojucunweibaofali,jiangyangbaomandujiancezhanzhanlieruzhongzhongzhizhongnianlingcengyingxiangzhedaduosuifangyouxineirong。gepingtaihuanweibaozhangpeixunzhuangzhiyaochongfenyitihuajucunwei,wei6liusuiyineideyouxin🍷guanmumabingduyingxiangweizhonggailvqietongyixingdongnanyidezhongzhongzhizhongnianlingcengshouquzhiyangyi,pingjiabiaojujiazhuangxiuziceshixueyangbaomandu。
(二)進行新冠病情比較重的時候早手術治療
yaozuzhibaozhangshi、quzhen🐟liaokeyanlingdaoxiaozunengli,luoshizerenshequqingjieweishengqingjieweishengfuwuzhiliangjiegouduixinguangandongzheheshigaishan,baokuojiankangdezhichi、yangliao𒁃、guashui、xiaoyuanziyaodeshiyong、jianliqijiatingshiyiliaochuangdeng。
1.切實加強針對性調理。gegequhuanweiqingjieweiyaoyipianquhuanweigongzuodeguanlideyiyuanheliyunxinghuanjingzhanbiweiyideco2dai、co2pinghuoshizhiyangjidengji ,qieshibaozhanglikeweiyiyuanmenzhentigao、zaijiayizhitigaodailaiyangliaohuoco2guanzhuangshebeigongzuodeguanlide。gepianquhuanweigong💖zuodeguanlidezhongyangju、fenzhongyangjujunyaoshedingyiyuanmenzhen“xiyangqu”;pianquhuanweigongzuodeguanlidezhanyucunhuanweishiyaosushangjunyaoyunyongyuanyouyongdidifang,yunxinghuanjingco2guan,dailai“yangliao”gongzuodeguanlide,nenggoumanzuzhuhujuminfujinyangliaogongzuodeguanlidexuqiuliang。shishiwuhuaxiruxiruyizhi,gepianquhuanweigongzuodeguanlidezhongyangju、fenzhongyangjuyaosushangjunyaodailaiwuhuaxiruxiruyizhigongzuodeguanlide。tongyang,zuihaoranshangzheyinshixianweishiyong,shixingyingyangjiankangyinshizhidingfangan,anguizezhuahaodadiandidengtigongfuwu,xiajiangweizhongzhengxingchengfenxian。
2.立刻食用抗蟲砒霜物醫治。duizhuyaoxiaofeiqunfukebingduxiedaizhewanchengfengxianpinggu,zaizhuzhaiquyixuelingdaoxiaozuzhuanyezhuanyezhidaoxia,duibaohanshoushuzhizhengdefukebingduxiedaizhe,dangjizhuanyezhuanyezhidaoxuanyongkangchongmanxingduyaowu,🧔zuodaolikejieru。
3.能夠充分派揮中藥茶手術治療的功效。jiandingzhongxiyiyidapei、zhongyililunyaobingqieyong,jiakuaituijin“sanyaochengbaofang”dengzhongyaocaizaijuweihuihuanbaojingzhunfuwuguanlidanweideyouheshiyong。gejuweihuihuanbaojingzhunfuwuguanlizhongxindeyaozhongshixinguanbingduganqiganqizuichangjianfanying,tongchouguihua,bianzhengshizhi。nazhuཧ“zao”“kuai”deyuanli,rangzhongxiyaozaixinguanhivbingdugan✨ranjieduanjinkuaichazuyeliao,jizaoeshaqingzhenghuanerxiangzhongxing、jiweizhongzhengxingdefazhan。
(三)助推新冠危重早過渡
1.要及時幫助到轉診。duixinguanzhengzhaohuojibentiaojianxinghuanbingbingkuangdegandongzhe,gejiedaohuanweifuwubaozhangzixunzhongxinꦅ、jiachangyishituanduixiezuoyao𝄹hao120jiuhuhelizhuangyunyoujitonglu,qingqiubingdubingduganranzhejizaozhuanzhen。zheduijichushouzhendeweizhongzhenghuanyou,yaozaiduanshijiangengzhunquezhangwo,anzhaoshishishanghuanjing,jizaogongyang,caiquyouxiaoguanjianjiuyuanfangfa,buyingxingchenghuanyourenshenanquanzhengxiangyouxu,zaiyihuzheyitongxiajizaozhuanzhen。
2.寬敞通暢雙邊轉診。gepianquweishengjianfangyifuwudezixunzhongxinyaoyikaofanwei𝕴xingshequyidingzixunzhongxin、yiliantishangjilingdaochongwuyiyuan,jiaotongxinguanzhenzhishuangbianzhuanzhenguodao,mingquetichuweishengjianfangyianquanjiankangwei、geshequyidingxitongyaozhidaozhuanzhirenyuantigongzhuanzhenzhiwu,jianhuabingqingbijiaozhongdeshihoubingyuanzhuanzhenjutibuzou,zengchangzhuanzhenrexiaolv。detongshi,yaoyouxiaodichongfendechongfenshiyongshuzihuachengshouyingxiang,shiyongjiyuanchengkongzhiyingzhen、jiyuanchengkongzhizhenduandengfangfa,yibaozhengbingyuannenggou shishiyouxiaodizhenzhi。
duijuweihuiwangzhanganjingjingzhuntiexinfuwuxingzhongshangzhuanxinguan🔯bingdubinghuanzhe,tebieshishineirongnianlingcengbingdubinghuanzhe,shangjiayiliaoyaozujianshouzhilvhuagongzuoqu。zaishangjiayiliaotijiaomanxingqizhiyuhou,zhuangkuangwendingxingdebingdubinghuanzhekexiazhuandaojuweihuiwangzhanganjingjingzhuntiexinfuwuxingzhongyiyuanbingfang,juweihuiwangzhanyiwuzhuanyerenyuan🦩yaocanyuhuodongzhuanzhenfangan,jinxingjingzhuntiexinfuwuxingchengban。
gexianquqingjiefangyigengjiankangweiyingtongdengguanquneidifangdangweigezhongyiyongshebeigouzaopuweinengyuan,biaomingbutongdejibieyiyongshebeigouzaopuweizhinengshichangdingwei,jianlilianxitongdeng、zhongleiyunyongdeyuanyou,yaotongdengjihuaguanquneidifangdangweigezhongyiyongshebeigouzaoyiwurengong,yijuxiapaizhuzha、weituodailidayadengfangshi,gulishequjuweihuijuweihuidegongnengzhanqingjiefangyidegongnenghexinzhuyuanbudegongneng。ruheshezhishoushuchuangdeshequjuweihuijuweihuidegongnengzhanqingjiefangyidegongneng🌺hexin,jindiyijieduanpuweiyunyonglvyingshixian95%budiyu,weiruheshezhishoushuchuangdeshequjuweihuijuweihuidegongnengzhanqingjiefangyidegongnenghexin,duishiheshoushuzhizhengdebingduzhe,yingyijuputongjiatingshoushuchuangmanzuxuyaojujiayanglaofuwudiaolixuqiuliang。
si、zengjinpingtaiguanjianyonghuqiangjiuziyuanzonghehezhizhudebaozhang
(一)加以助推街鎮網格化的管理考核機制
gejiedaobananquanfangyifuwubaozhangzhiliangzhiliangzhongxinyaozhudongduijiedegejiezhen、jucunwei,chongzuzhutuijiezhenwanggehuajianliluoji,chongfenfahuijiezhen、jucunweizhudaodiweidezuoyong,quanmianrenzhenzhixingduitebiekequnjiedaobanjianli,xiehaogengzhengchangjiancezhanyudongtaitupianfuwubaozhangzhiliangzhiliang。zhutui“jiedaobanliurenlingdaozu”caozuoluoji,quanmianrenzhenzhixingduitebiekequndebaobaolianxiqilai。gejiedaobananquanfangyifuwubaozhangzhiliangzhiliangjiegouyao⛦pipeijiezhen,quedingquchuanranbingfangzhibancaozuoshishi,xiehaoduibashisuilaodayejia、youjichutiaojianxingjibingrenzhedengbingqingbijiaozhongdeshihougaogailvkequnhejiyuyutiaozhanertongdedengkequn“gengzhengchangbao”duixian,tuijinjucunwei,jinyibutigaoduidujushenghuolaodayejia、jinyujingshencanjijizinvzhijianjusuolaonianxingrenderichanggongzuolianxiqilai。
(二)提升區域劃分醫用網絡資源社會統籌承受
gezhuchengquhuanjinggonggongshipinweishengjianshentiweiyaotongdengguihuaxiaofangquyufenleizhengxingjiegouyiwuzhe,nenggou chendaoxunzhen、zhepaizhu、shixianyuanchengshipinzhengxinghezuowangdengfangshifangfa,bimiannongcunnongcunjicengzhezhengxinghuanjinggonggongshipinweishengjianjiegoulaowuguoshaozhuangkuang,quedingjiedaobanshichuxinguanchuzhiti🍃gongchanpinjinengpeixunwendingxingkaifa。chongfenfahuizhuchengquerjichuzhizhuanjiajiaoshouzuhelingdaozhengxingjiegouduiyingxunhuizhidianxinjizhi,duijiedaobanshichuhuanjinggonggongshipinweishengjiantigongchanpinjinengpeixunjiegoukaifajishuzhidian,jinengpeixunnongcunnongcunjicengzheyiwuzheguifanleshiyongxiaodafenziyaohezhongxiyao“sanyaodisanfang”,yiyanchangnongcunnongcunjicengzhefangbingqingbijiaozhongdeshihoushuiping。quanmiantishengzhengxingjinjiuzhiyuanziyuangongxiangtongdengguihua,cengjiazhengxingjinjiuzhiyuanweixiuyufalifenpei,weijiedaobanshichuhuanjinggonggongshipinweishengjiantigongchanpinjinengpeixunzhongdian、jiazhurenyishengtuanduihezuoshixianyouxianxuanzezhuangyunquyu。
(三)大力加強基礎醫務考生專業培訓
yifushineierjijijiukeyanzhuanjiatuan,shixingshejimiancengyiwushixunlianyuan,kaizhanyewuzaixian、xianxiashiti、lingtouzhurenyishixiacengdaijiaodengduogexunlian。chongpeilinghuoyunyongguojiadiqu、shilidengguanyuxunlianwuzi,chongfenzuzhihuamiancengyiwushijubanxunlian。jinyibutigaochouyangjiance,xuyangexunliankaolv,youxiaoquebaoxunlianxiaoyong,shimiancengyiwushi(younongcunjianshezhurenyishi)zaiduanshineixianshubawohaoxinguanshengjizhongdiannianlingduanfenjihuafenhuafenfuwuxingshi、huanshangzhiyuantixianxiangchakan、huanshangzhiyuantizhejujiashenghuojingyinghegaishan、laozhongguoyaojijiuhekangfucaozuo、diyangxuezhengqianmianfazhan、qixikunkudepinggujishuhejiuzhenxingshi、zhiyangyideliyong、zhiguanzhongyaozhuanzhengai꧟bianzhengbingqie xiaoyuanzihekoufuyaowudegaibianzhenghezhengquewuwuliyongxingshideng。
(四)加大新冠救助工程材料的保障
geshiquqingjieqingjiexuexuelvsejiankangwei⛄yaoanzhaoqiquyuqingjieqingjiexuexuefuwuzhongjian、cunqingjieqingjiexuexueshifuwurenshu、zhongyaozhongrendishudengshiqing,peizujijiuyuancailiaoshebei,juyoufashaozhenzhibaojianyaopin、zhongxiyao、kangyuanjianchaceliangshiyanshiji、shentiduwuwu、zhiyangyideng,bingzuhequyujiaochabingduxiedaizhecishubianhuan,dongtaitupiandiaokongzigeilv,baozhengyuancailiaoshebeizigeilv。gaokaodilididianpianyuanzhongnanbu、jiaotongyunshubutuodequyuqingjieqingjiexuexuefuwuzhongjian、cunqingjieqingjiexuexueshiyaotiqianjiaochangdeshijianlaizhunquedeyujingchudizhendefashengbeizukongzhiyongyaohemianyijiezhongyuancailiaoshebei。jiezhujiedaoban、jucunwei,yuzhenliaoxuexiao、yiyaoliansuodengzhitongshidianhua,anzhaoqishijishangdebixuyaoyouxiaoxiangnongminzhongnanbuqingxiejiaoxiaoshoujijiuyuancailiaoshebei。
(五)實時監控熟記的工作動態的
shiguanxiaquganjingshentijiankangweiyaoyijingganhaojiedaobanshichufuwuguanlibaozhangguanlizhongxinganjingfuwuguanlibaozhangguanlidan💝weiyundong、fuwuguanlibaozhangguanliqingxinghezengrongqingxingdengzuixintance,jishishujijiedaobanshichufuwuguanlibaozhangguanlizhongxinfaredeyuanyincaozuoqingxing、fangshexingyaopinhejixiechanchuxuanyongqingxing、shengjizhongdiandaxueshengxiaofeiquntifuwuguanlibao﷽zhangguanliqingxingdeng,duiguanxiaquyunzuolaiyuanyujiantihuoyunzuoyouyidingdezhihouxingdequyujishidiaoduzhongxin。chongpeitongguoziliaohuashuiping,detishengyunzuocuowulv,cainengjianshaodicengyilai,youxiaoshenbaozhengfu、dishijixudezuixindeshujuheziliao。
(六)強化區域醫務者考慮關注
gegequqingjieweishengxueanquanweiyaoquanfangweidaoluodaoweifazhanzhongguojiaheshineimiqiexiangguanguanhuaixianaixinyiwurenshichuli,jixujiaqiangduijiedaobanshichuqingjieweishengxuefuwuhexindexiechengbaohu。helihefaquedingyudiaozhijiedaobanshichuyiwurenshi,yaozuohaoyiwurenshiyishizhuxingfuwuheneiqinbaohu。anzhidingdaoluodaoweiduijiedaobanshichuyiwuren꧒shibuzhufeiyujiatinghuanjingzhuzhiyishengqianshufuwufeilianxuxingzhuanxiangzhengzhibangonglaowufei,jijingjiedaobanshichuyiwurenshiquanshenxingxintouzihuibaojiedaobanshichuxinguanqiangjiubangong。
(七)強化承擔的責任嚴格執行和督導檢查考核制度
shixiaquyingyangyingyangweiyaozengjinzujianlingdaobanzi,cengcengguancheyashiduyunxing,quedinggebumenyunxinghezhuxianchengjiufengongxiezuo,danbaoyunxingzhuangkuang。yaozengjinduiqujiyunxingzuozhuangkuangheyunxingguanchezhuangkuangdejiandujiancha,chuangliyunxingtaizhang,shedingzhuxianchengjiushenbaodan、dewentishenbaodan、yunxingshenbaodan。yaojiangmougeyaozuohaonongcunjicengzhong💛zhongzhizhongdaxueshengxiaofeiquntigeshigeyangfuwubaozhang、zengqiang“baoyingyang、fangbingqingbijiaozhongdeshihou”naxiangyunxingzuozhuangkuanghechengxiaoxianzhuyuxiangguanzhongzhongzhizhongyunxingdejixiaokaopingzhidu、zhuanxiangzijinpingjunfenpei、pingxianpingxiandengxiangguagou,yingyongfahuiyongtujixiaokaopingzhidujijingdaoshiyongtu。
zhengzhoushiqingjieweishengyingyangjiankanglishihuihui
&nb♚sp; &nb⭕sp; 2023nianyiyue8ri