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: 】
各地清潔的健康委:
geichuyunnanshengrenminzhengfulianfangliankongjilihua《duiyuzuihaoxinguantebierenqundangdedongtaifuwuyupeixunhe“kouanyiwei”yunzuodegaozhi》heyunnanshengrenminzhengfulianfangliankongjilihua、zhongxinxiangcunjiansheyunzuolingdaocengxiezuozu《duiyuguowuyuanjiadasuoxuanzhuangkuangxiangcunjianshezhongnanbuchuangxinguanzhuangfeiyanyiqingchuanran💮feiyanyiqingfangfanyunzuoyu🙈andegaozhi》zipwenjianyao,weiyinlingbeijingshijiedaobanshichuweishengxuefuwuyupeixunyiliaojigouwangdinengli,shizhongruyi“zaofaxian、zaoyiliao、zaobinggui”,youxiaofangfanhesuoduanxinguanfeiyanyiqingchuanranweizhongzhengfaxian,xianjiuzuihaosuoxuanzhuangkuangxiangguanlianyunzuogaozhixiamiande:
yi、weichijiaqiangjuweihuixinguanjiuzhuxiaolv
(一)扎實推進居委新冠診療擴盤增能
quxiananquananquanweiyaogeichuzhiliaogangweixuqiufenxi,xietonggongzuoxiaofangtongdaoxiangyingdebufen,huanmantuijinxiangmujianzhuzhuchengqushequnanquanfuwupeixunpeixunzhongjianxinguanzhiliaohuodongchangsuokuodajianzhu,daoluodaoweixiangyingdejianzhuzhuangzhijixiedezhuanyongshebeidengzengnengcunliang,biruhuizhendifang、jingmozhushedifang、yangliaodifang、fuyangshibingqudeng,lejiexindianfuyang、xueyangjiancejishu、gongyangdengjianzhuzhuangzhijixiedezhuanyongshebeidiaoshi。xiangdui jubeidetiaojiandeshequnanquanfuwupeixunpeixunzhongjian,feichangyaoqianghuactdengjixiedezhuanyongshebeidediaoshi,zhiyindujulaorenshepianjianyanxiaceng。tongguofuwupeixunpeixunrenkoushuliangbilizongede15%-20%dongtaidecunliangzhongyao、tuireyao、huatanyaojikangyuanjianyanhuaxueshiji🔯hexuanyong,baozhengzhongjiejigoufangshexingyaopincunliangliangyizhiyilaidoushixianzai2zhouyinei,renkoushuliangbilimijixinggedikegeichuyuqibuduanzengjiacunliangliang。
(二)提升居委產生熱量醫用提供服務
woshigetebiejiankangdailaifuwudewangzhandemeijidubangeyuejunyingdailaifagaoshaokouqiangcaozuodailaifuwude(hanjiexiuxiri),bingzaifangzhifagao♏shaokouqiangcaozuoyeyiyuanmenzhenbu,gaibianfagaoshaokouqiangcaozuobaodaodingshidailaifuwude;woshigetebiejiankangdailaifuwudefenzhongjiandemeijidubangeyuejunyingdailaifagaoshaokouqiangcaozuodailaifuwude(hanjiexiuxiri),youyigejiandekexinkaisheyeyiyuanmenzhenbu。woshigetebiejiankang♕dailaifuwudezhan、cunjiankangshiyingtuijinfagaoshaoshaodianzhensuo、linshiedufagaoshaokouqiangcaozuoliuguanqudeng,kaolvfagaoshaodengqingkuanghuanbingzhequyiyuanshijixuqiu。
er、jingjiunaiyongjinxingzhuzhongrenqundanglianghaojianceyudongtaishujutigongfuwu
(一)體現省級重點客戶群體應管盡可能
chentuojiezhen、jucunwei,geshequnweishengjianduyewuzhongxindianyaotishengzizhulianjie,zaijiezhenjiangtuchuleirendingweiwanggehuajingyingjibenshangzhishishang,duituchuleirenjijikaizhangengshentijiankangjianceshujuyujingying。genghaodifahuirenjiayishiguanxishiminhezizhuyewuzuoyong,jiadatourulada6wusuibudiyuzhonglaonianjieduanrenqianhetongyewusuobaoguofanwei,jibenshangbaochituchuleirenqianhetongquansuobaoguo。heliliyongyunyewu、dianhuahaoma、xiaochengxu、shipinꩵbofangdengfeiwancelvehuoshangmensuifangdengmianxiangmianyewucelve,zuoshi“hong、huang、lv”biaoshi(biaoqian)tuchuleirengengshentijiankangyewu,yaozuodao“6gekaizhanjiuwei”。
1.yijiezhenweidanweimingcheng,yifuwanggehuaguanlixitonggongshijizhi,luodaoshichu“jiedao3renbanzu”shiqingzhizefanwei。
2.sandaleihexinxiaofeizhejiankangdelejiefenleigongzuoguanliqingxi,dongtaizhanshidiaozhunbingzujiantaizhanggeshi,gongzuoguanlinanpengyouduanxinqing෴xi。
3.juweihuihuanweishouไhoufuwuxingxuexiao24gexiaoshishouhoufuwuxingzixunrexianchangshun,xiaojiatingmazuiyishengdianhua𒅌qqyingwenzhudongdigaozhidetebienianlingduan,youlianghaobiaozhunshidangjijijidixiangying。
4.yongxuduozhongfangfa,duituchuxiaofeiquntijinxingjiamizhudongxinggaohaoguanxijieru,dui“hongsede”tuchuxiaofeiquntimeitiangaohaoguanxibubudayu3ci,dui“lanse”cituchuxiaofeiqunti,💎mei🌠tiangaohaoguanxibubudayu2ci。
5.jishidezhangwoletuchuzhongrenjibenbingdushihouheshentijiankangqingkuang。
6.duituchuxiaofeiqunpifuganranxinguanbingdumahuojibenzhishizhengzhuangjiaoqingdengxianxiang,jishijiankangshenghuopeixun、renzhiyuzhuanzhen。
(二)到落到位重點是客戶群體各類管理系統
ꦯdui“hong、huang、lv”zhongyaoquntifenkaizhixing“yi、er、siji”fangfabaozhangpeixun,dui“shengtai”qunti,tixian“tediyibaozhangpeixun”,zengjinshenꦕtijiaoyuxuexiao,zuohaosirenshentifangfang。dui“huang”qunti,zaitixian“tediyibaozhangpeixun”dedejichukuangjiashang,duichengyangxingzhujiazhiliaorenzhixing“wujibaozhangpeixun”,zengjinkangyuanjiancha、shentijianceshujuwang、shentizixunlejie。、yongyaozhiliaozhidaoxingdeng。dui“heise”qunti,zaitixian“yi、wujibaozhangpeixun”dejichukuangjiashang,zhixing“sijibaozhangpeixun”,jinjieshentijianceshujuwang,duijihuanzengduodegeiyuzhuanzhenjijipeihe。
san、jianchiwentidaoxiangzengjiabingqingbijiaozhongdeshihouzhongqibiaoming、huanjieyufenpei
geshiquhuanweishenxinjian♏kangweiyaoyituoyushi、quyeliaozhuanjiazuhuoli,jixujiaqiangduixiaoquhuanweifuwuzhiliangpeixunzhongliantongyuzhiyin,shizhong“zaochuxian 、zaoyeliao、zaofenli”guifan,shulixiaoquhuanweifuwuzhiliangpeixunzhong“guanzhayiwei”xiaoguo。
(一)深入推進新冠危重癥早會發現
geshequwangzhanweishengxue♕gongnengyiliaojigouxinxihuajucunwei,gaohaoduixinguanpifubingduxiedaizhedeanquanjiancewangfangan,tebieshizaishituchuyonghupifubingduxiedaizhe,zaiyangeluoshi“yi、er、san”jibiaozhunhua𝓰guanlidehexinshang,yaotuchugaohaoxinguanbingzhengyuhexinxingchuanranxingjihuanbingzhengzhuanhuadejiancewangfangan。
dalijiaqiangduixinguanganliangzheyangbaomanduwuranwuranjiance。gequyuhuanweitiexintigongjingzhunfuwuguanligouzaoyaodazaizuliangdezhijiashimoboxueyangyi(xialiyouchengzhiyangyi),quebaoanquanshengchanbutongquyuhuanweitiexintigongjingzhunfuwuguanlizhongyanghefenzhongyangbixudazai20gezhexie、butongquyuhuanweitiexintigongjingzhunfuwuguanlizhanhecunhuanweishibixudazai8gezhexie,butongjucunweibixudazaiyigezhexie。yaoyibutongxiao♓jiatingyiyuanyishengweishangtuanduidazaiyixieguimodezhiyangyi,lianjiehaojucunweiyongqi,jiangyangbaomanduwuranwuranjianceguiruzhongyaocunxiaofeiqunganliangzhejichusuifangfangmian。gequyuhuanweitiexintigongjingzhunfuwuguanligouzaoyaojijitaiduxieshoujucunwei,wei6liusuizhexieyouxinguanbingdumaganliangweizhonganquanyinhuanqiegongshibufangbiandezhongyaocunxiaofeiqunxiafazhiyangyi,jianyijiajuzhenduanxueyangbaomandu。
(二)積極推進新冠危重早的治療
yaoyijiayituo🍨yushi、quchuzhikeyanzhuanjiatuanli,guancheluoshijiedaobanshichugongꦯgongweishenggongzuoshebeiduixinguanganranzhexingzhenduikaizhan,shejijianyangshipei、yangliao、jingmozhushe、xiaoyuanziyaowuzhiliaoyunxing、jianlilianxijiatingshenghuoyiyongbingchuangdeng。
1.抓好性針對診治。geshiquanquanhuanbaoyingyangweiyaoyipianquanquanhuanbaoye𒆙wugouzaosheshishebeishuliangheshidedeo2dai、o2pinghuozhiyangjidengsheshishebei,zhuahaobunengweizhensuobuqiumeizhe、jujiazhuangxiuzhiliaoqiumeizhetigaoyangliaohuoo2guanzhuangyewu。gepianquanquanhuanbaoyewuzixunzhongyang、fenzixunzhongyangjunyaosheshizhensuobu“xiyangqu”;pianquanquanhuanbaoyewuzhanyucunanquanhuanbaoshililunyijushangjunyaoheliliyongmuqianyongyoubangongchangdiqianjing,peizhio2guan,tigao“yangliao”yewu,shixianzhuhujuminbenshiyangliaoyewuxuqiuliang。zuzhikaizhanzuoxiwuzhiliao,gepianquanquanhuanbaoyewuzixunzhongyang、fenzixunzhongyanglilunyijushangjunyaotigaozuoxiwuzhiliaoyewu。shihou,jinxingbingdubingduxiedaizheyingyangfengfuzhicheng,jinxingdejiankangyingyangyinshikaohepingjia,anzhengquezuzhikaizhanjingmoshuyedengshouhoufuwu,bianshaoweizhongfashengdewenti。
2.適時選擇抵抗疾病解藥物根治。duicezhongdianzhongrenhuanshangzhezhankaipingjiazhibiao,zaiquneilingyulingdaoxiaozujianyixia,duishiheyuanzedehuanshangzhe,bunengjianyideshiyongshenti✅manxingduyaowu,cainengzuodaoxunsujiaozhi。
3.有效發揮出來西藥醫治意義。chixuzhongxifangyigoujian、guoyiliaojixiejiecheng,yuelaiyuekuai“sanyaodisanfang”dengzhongyaochazaiquyujuweihuiganjingshouhougongzuozhongjiejigoudepeiqihexuanze。gequ𓆉yujuweihuiganjingshouhougongzuozhuyaoduiyuxinguanhongbingduranbingchangyong♋bingzheng,jianchiwentidaoxiang,bianzhengshizhi。xiyin“zao”“kuai”dedejibenyuanze,rangzhongcaoyaozaixinguanruchongbingduyingxiangqijianganjinruzhuyizhi,jizaokongzhiqingzhenghuanerxiangchaozhongxing、weichaozhongxingqushi。
(三)扎實推進新冠病情比較重的時候早截流
1.盡早幫助轉診。duixinguanlinchuangzhengzhuanghuokuangjiaxingbingdujiaoqingdejiaochaxiedaizhe,gejuꦗweianquanweishenganquanfuwuzhongdian、jiarenhushikaifatuanduiyaoshiyonghao120jiuhuweixianzhuangyunjingcaifenchengdetongdao,zhudongpeiheganranzheanshizhuanzhen。xiangdui jicengyiyuanshouzhendeweizhongzhenghuanyou,yaojinkuaiqueqieshebie,jiyuxianshishiji,anshigongyang,tongguozhudongjiurenjucuo,yidingyaowendinghuanyoushengwuxianxiangwendingxing,zaiyihu𓃲rengongreqingjiedaixiaanshizhuanzhen。
2.寬敞通暢雙重轉診。geshequnhuanjingweishengjiandufuwuzhiliangxinzhongyaojiezhubufenxingyiliaofuwushebeixinzhong、yiliantishangyijiyiyuanzhuanjia,jiaotongxinguanzhiliaoshuang൲xiangzhuanzhenguodao,gedihuanjingweishengjiandugengjiankangwei、geyiliaofuwushebei꧒peixunjigouyaojuedingzhibanrenyuandanrenzhuanzhenguanligangwei,huanjianhuaweizhongzhenghuanbingzhezhuanzhenliuliang,tigongzhuanzhenyouxiaolvlv。tongyang,yaochedideqieshifahuiduanxinhuazhichengdianxiaoguo,zaishengliyongyuankongyingzhen、yuankongjibingzhenduandengwanfa,qieshibaozhanghuanbingzhenenggousuishiyouxiaolvzhiliao。
duijiedaoshequqingjieweishengwangzhanqingjieweishengxuetigongjingzhunfuwuxuexiaoshangzhuanxinguanfukexiedaizhe,yuefashizhongdiancunrenfukexiedaizhe,shangjilingdaolingdaoyiruankouqiangkeyaoquelishouzhiyoujigongzuoqu。zaishangjilingdaolingdaoyiruankouqiangkeganhaojimanxingqifangfahou,tiaojiannengbaochiwendingdefukexiedaizhekexiayizhijiedaoshequqingjieweishengwangzhanqing🐼jieweishengxuetigongjingzhunfuwuxuexiaochanfang,jiedaoshequqingjieweishengwangzhanyiwuzhuanyeren꧒yuanyaocaozuozhuanzhenzhuyishixiang,ganhaotigongjingzhunfuwuchengbao。
gexianquganjinglvseweiyingshehuichengxiangyiliaobaojianbaoxianguanguanquneigebudangxiajuweiyiliaobaojianshouhoutiexinfuwuxiangmubaozhangqiyeyichuangyingshiziyuan,kegenjudebutongcengcijuweiyiliao🅰baojianshouhoutiexinfuwuxiangmu✤baozhangqiyeyichuanggongnengmokuaishoujidingwei,shixianshehuichengxiangyiliaobaojianbaoxian、fenleiguanlibianyongdexinjizhi,yaoshehuichengxiangyiliaobaojianbaoxianfangzhiguanguanquneigebudangxiajuweiyiliaobaojianshouhoutiexinfuwuxiangmubaozhangqiyeyiwuderenyuan,keyiyongxiapaiqianzhi、shouquanweituoshujieshoudengmoshi,zhijijuweiganjingshouhoutiexinfuwuxiangmubaozhangzhongxinzhuyuanbushouhoutiexinfuwuxiangmubaozhang。xianyouhulichuangdejuweiganjingshouhoutiexinfuwuxiangmubaozhangzhongxin,jinguochengyichuangbianyonglvyingtigao95%yixia,weifangzhihulichuangdejuweiganjingshouhoutiexinfuwuxiangmubaozhangzhongxin,duifuheshoushuzhizhengdepifuxiedaizhe,yingkeyiyongjiatinghuanjinghulichuangchongfenmanzujiayongkaizhanshichangxuqiu。
si、daidongquyuhexinkehuquntijiuzhuziyuanyingwentongchouyiliaobaoxianhezuoweizhichengquebao
(一)加以依賴街鎮網格化管理制度原則
gepingtaianquanweishengguanligongnengxuexiaoyaofenshouhoulianjiegejiezhen、jucunwei,chedizhutuijiezhenwanggehuaweihujili,fahuichujiezhen、jucunweizhudaoxingyingxiang,daoluodaoweiduituchuxiaofeiqundangpingtaiweihu,wanchenglvseshujujianceyuxinxigongneng。zhutui“pingtaisigerenrenwuzu”renwujili,daoluodaoweiduituchuxiaofeiqundangdebaobaolian💖xi。gepingtaianquanweishengguanligongnengxuexiaoyaonengmoqipeihejiezhen,yijuquguankongbanrenwutoufang,wanchengduigaolingyunfulaotaitai、youjibentiaojianxingbingkehudengweizhongzhenggaoweihaixingxiaofeiqundanghekunhuoxiaohaizidengxiaofeiqundang“lvsebao”lingqu,yitihuajucunwei,qianghuaduikongchaolaotaitai、jinyucanjirenjiashugezizhusuzhongnianlingdaderenderichangshenghuolianxi。
(二)不斷加強區域環境醫療管理資源的平衡承載
gedihuanjinganquanjiankangshentiweiyaopinghengzhengxingbaoxianquyuneiteshuzhengxingzhuangzhiyiwukaosheng,yongxiahuaxunzhen、kaoshengpaizhu、chuangliqiꩵjiyuanchengzhengxinghezuowangdengfangshiyingwen,gaodingjibenzhengxinghuanjinganquanjiankangzhuangzhirenlizikuifayixiewenti,weilebaozhengjiedaobanshichuxinguanjiuhuchanpinwendinggaohao。zhiliyushizhongyangliangjijiuhulingdaoxiaozuzuhelingdaozhengxingzhuangzhiyouguanxixunhuizhiyinjizhihua,duijiedaobanshichuhuanjinganquanjiankangchanpinzhuangzhigaohaozhishuzhiyin,peixunkechengjibenyiwukaoshengguifanhuayongxiaoyuanziheyaohezhongcaoyao“sanyaojifangmian”,yitishengjibenfangbingqingbijiaozhongdeshihoutexing。jixujiaqiangzhengxingyingjiziyuanpinghengzhengxingbaoxian,tianjiazhengxingyingjicheyuhuolixiankapeizhi,weijiedaobanshichuhuanjinganquanjiankangchanpinzhongyang、jiachangyishiduiwuchuangliqiyouxianxuanzezhuanyungongsijiedian。
(三)強化面層醫務員培訓學習
yijiayituoyuchengquyoujikaizhanzhuanjiazu,dingzhierduimiancengyiwurenshu🌟jiaoyuzhidaoyuan,fazhanxianshangdaili、xianxiashiti、tonglixiezuoyiyuankouqiangkeqingxiedaijiaodengduozhongjiaoyuzhidao。chongpeijinxingdeguojia、shengjidengyouguandexinxijiaoyuzhidaojiaoyuziyuan,tigaorenshicehua miancengyiwurenshuliexijiaoyuzhidao。kaizhanchouyangjiancha,yangedejiaoyuzhidaojiangcheng,baochijiaoyuzhidaoxiaoguohao,shimiancengyiwurenshu(liruxiangcunlvyouyakeyisheng)zaiyinianyinianhouchunshuzhangkongxinguanguanjiandaxueshengxiaofeiquntihuafenleibiejingzhunfuwujutifangshi、jiaochaganliangbiaoxiantongguoguancha、jiaochaganliangzhejiajuhuanjingguanligongzuohe💝kaizhan、laozhongguoyaokaizhanhequanyuyiyong、diyangxuezhengqianzhaochajuedao、huqijiannandeceshihejiezhenjutifangshi、zhiyangyideyunyong、genbenzhuanzhentiaojianhuoshixiaoyangfenzizhongchengyaodebushiyingzhenghezhunqueyunyongjutifangshideng。
(四)大力加強新冠救助油料有效保障了
shixiaqulvsejiankanglvsejiankangweiyaohuianzhaopianqulvsejiankangtigongjingzhunfuwuguan🌱lizixunxuexiao、cunlvsejiankangshitigongjingzhunfuwuguanlirenkoushuju、zhongdianyonghudishudengzhuangtai,peizujijiugongchengshebeishengchan,huanbaokuofatangfangfafangshexingyaopin、chengyao、kangyuanjianchaceliangmianyishiji、kangbingxingjuduwu、zhiyangyideng,bingzhenghepianquranbingzherenshu𝄹biandong,jishuxingshedingchubeikuku,youxiaobaozhanglegongchengshebeishengchanchubeikuku。chuyidilisuozaiweizhibianyuan、jiaotongguanlibushidepianqulvsejiankangtigongjingzhunfuwuguanlizixunxuexiao、cunlvsejiankangshiyaotuichibeizufangfayaowuzhiliaohefangyigongchengshebeishengchan。zhenghejie、jucunwei,yuyiliaoweishengpingtai、yaodiandengzhitongshirexiandianhua,huianzhaoshijishangdouyaoxiangdangxiangxiangcunyanhaidiquwaixieshengchanjijiugongchengshebeishengchan。
(五)隨時理解工作中動圖
shizhuchengquweishengjianjiandushentiweiyaoyiranzuodaoweijiedaobanshichuweishengjianjiandubaozhangpingtaiqiyong、baozhanghuanjinghekuocunhuanjingdengxinxiaoxijiankong,jishi꧃shuxijiedaobanshichuchanshengreliangzhiliaohuanjing、yiliaohaocaiheyiqicunchushiyonghuanjing、guanjianxingsangaorenqunbaozhanghuanjingdeng,duizhuchengqurenwucunzaizhu༒nantihuorenwuchizhidetedianjishidiaodushi。zuohaolinghuoyunyongxinguanlichuangxinjishugongyi,yanchangrenwunengli,yijianshaoqunzhongfuhe,shishichengbaoguojia、dishijiyinggaidexinxiaoxitongjiziliaohexinxiaoxi。
(六)加大小區醫務工人注意喜愛
gedianquanhuanweijiankangdeweiyaoduocuobingjurenzhenzhixingzhengfuheshanghaishixiangguanlianzhuxiangxianaixinyiwurengongdejuticuoshi,zhunbeihaoduijuweihuianquan𓄧huanweigongnengzhongdiandezhichilibaozhangcuoshicuoshi。helidezuzhiyudiaozhengjuweihuiyiwurengong,zhunbeihaoyiwurengongshenghuozhonggongnenghegongchengbubaozhangcuoshicuoshi。anshedingrenzhenzhixingduijuweihuiyiwurengongbutieyuputongjiatingfukeyishengmaiduangongnengfeizuocixingzichazijiushangbanlaowufei,jijingjuweihuiyiwurengongzhoushentitouzihuibaojuweihuixinguanjijiushangban。
(七)帶動損失落實工作和監督檢查考核制度
geshiquanquanweishengjiankangweiyaotigaozushiguanyuan,zhucengyajinzhuzeyiwu,ꦦmingquedebufenzhuzeyiwuhejishenqirenwushenqirenwujisuan,houqinbaozhangdeshiyeshenqirenwujutitiaojian。yaotigaoduiqujideshiyeshenqirenwuzhuahaoxianzhuanghezhuzeyiwuzhuahaoxianzhuangdeducha,chuangjiandeshiyeshenqirenwuzhangbiao,jihuajishenqirenwumingxidan、yiwenmingxidan、zhuzeyiwumingxidan。yaojiangmuqianzhunbeihaoxiajicengzhongdiansangaorenqundongxiangfuwuxiangmu、jinjie“baojiankang、fangweizhongzheng”shujulaideshiyeshenqirenwuzhuahaoxianzhuanghezhuanhuaxiaoguoyuduiyingzhongdiandeshiyeshenqirenwudejiancha、zhuanxiangzijinjisuan、pingxianpingxiandengxianglianxi,yingyongjifajianchagujingzhuashouyongtu。
wuhanshiweishengxuelvsejiankangchangwucujinhui
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