关于做好本市社区卫生服务机构重点人群动态服务和新冠救治相关工作的通知
【信息来源:】
【信息时间:2024-01-16 阅读次数: 】
gexianquanquanweishengyingyangwei:
liyongyunnanshengrenminzhengfuwenjianjialianfangliankongguanlicuoshi《gengduozuihaoxinguancezhongxiaofeirenqundongxiangyewuhe“daguanyiwei”yunzhuandetonggao》heyunnanshengrenminzhengfuwenjianjialianfangliankongguanlicuoshi、zhongyangjunshixinzhongguonongcunyunzhuanlaobantuandui《gengduoguowuyuandalijiaqiangxianjieduanxinzhongguonongcunquxianchuangxinxingguanzhuanghivxinguanbingdugandongqinliuchuanranbingfangzhiyunzhuanjihuashudetonggao》wenjianjiadeyaoqiu,weiqieshifahuishineipingtaijiankangye♎wugouzaowangdigongyong,baochi“zaochuxian 、zaozhiliaofangfa、zaofenpei”,zhiliaohesuoduanxinguanhivxinguanbingdugandongbingqingbijiaozhongdeshihouhuifasheng,xianjiuzuihaoxianjieduanguanyuyunzhuantonggaoruxiasuoshu:
yi、baochitigaozijixiaoquxinguanqiangjiudenengli
(一)落实区域新冠医治扩大增能
gegequganjingdejiankangweiyaojichuyiyongshangbanyiyuan,xiezuochanyeyuanquneiyixiexingzhengbumen,suoduanshenhuazhenqujiedaoganjingdeyewuzixunzhongdianxinguanyiyongbangongchangsuokuodadajian,yangeluoshiyixieshenghuosheshiguanlijidengzengnengchanchu,baokuoyiyongbuwei、dadiandibuwei、yangliaobuwei、zhuyuanbubingqudeng,gaohaoxindiankanhu、xueyangpinggu、gongyangdengshenghuosheshiguanlijixiankafenpei。erduiyufuhebiaozhunyinsudejiedaoganjingdeyewuzixunzhongdian,ꦰhenyaoqianghuactdengjidexiankafenpei,shiqingkuangjiayiyindaoshiminshepianchaxiaxian。genjudeyewurenkoushujiegouzongliangde15%-20%jingtaichanchuzhongyao、tuireyao、zhiliaokesouyaojikangyuanzaixianjiancehuaxueshijihexuanpei,quebaoanquanbumenjinkouyaopinchanchuliangyizhiyilaidoubaochizhezai2zhouyishangde,renkoushujiegoujujidifangkejichuqishizengzhangchanchuliang。
(二)切实加强社区卫生起热医疗机构服務
quanguogejiedao🍬shipinhuanweijianguanligongzuozhongdianjuyizhouyizhoujunyinggongyingfatangzhiliaogongzuo(hanjiejiaqilvyou),bingliyongsheweifatangzhiliaoyemenzhenbu,dadaofatangzhiliaowanshangyanchishijiangongzuo;quanguogejiedaoshipinhuanweijianguanligongzuofenzhongdianjuyizhouyizhoujunyinggongyingfatangzhiliaogongzuo(hanjiejiaqilvyou),youyijiandekejubanyemenzhenbu。quanguogejiedaoshipinhuanweijianguanligongzuozhan、cunshipinhuanweijianguanlishiyingzhenghefatangshaodianbingshi、duanshifatangzhiliaoliuguanqudeng,fuhefatangdengbingzhengderenyidiyibaoxuyaoliang。
er、jingjiunaiyongzuozhongdianshikequnlvsejianceqiyuxindongtaibaozhang
(一)全面落实省级重点消费群应管即便
tuijinjiezhen、jucunwei,gete♛bieweishengqingkuangchanpinzhongjianyaotishenghuiquzhudongdeduijiede,zaijiezhenjiangzhongyaonianlingcengbianruwanggehuacaozuojichuzhishishang,duizhongyaonianlingcengkaizhandiaoyanlvsejiankangshenghuojianceqiyucaozuo。shulijiatingzhurenyishenglianluodazhonghehuiquzhudongdechanpinxiaoguo,tishengkuozhan6wusuiyishangneirongnianlingjiaodaderenqiandingxieyichanpinbianjimian,changjianshixingzhongyaonianlingcengqiandingxieyiquanbianji。caiyongyunchanpin、dianhua、weixingongzhonghao、shipintupiandengfeixiangchudefangfahuoqinzishangmensuifangdengmianduichanpindefangfa,zuoshi“hong、huang、lv”biaojizhongyaonianlingcenglvsejiankangshenghuochanpin,zuochu“7geluoshizerenhege”。
1.yijiezhenweiyuanxiao,pingjiewanggehuajingyingjili,guanche“shequweisheng3renxiaozunei”shiqinggongneng。
2.sandaleizhongyaozhongrenwendingdiaochabaogaofenjiqingxin,xindongtaidiaozhengbingdazaoqingdanbiaoge,biaozhunhuaguanlinvpengyoushujuqingxin。
3.xiaoquhuanbaoyewugongsi24gezhongtouyewuwangzhanmingchengbaotong,hunyindafuguanlianwan🌜fazhudongxingshumiantongzhiyaodianqunzhong,youshenxinjiankangxuqiufenxishilikeweilexiangying。
4.shixianbutongxingshi,duishengjiguanjianxiaofeiquntiduqujiji💙gaohaoguanxihezuo,dui“heise”shengjiguanjianxiaofeiquntimeixing𝓀qigaohaoguanxibugaoyu3ci,dui“jinse”cishengjiguanjianxiaofeiqunti,meixingqigaohaoguanxibugaoyu2ci。
5.shishilijieshengjizhongdianhuanzhehexinbingqingkuanghewendingqingkuang。
6.duiguanjiandianxiaofeizheranbingxinguanmumahuodijichangjianjibingbianqingdengzhuangtai,bunenglianghaozhidaoxing、renzhiyuzhuanzhen。
(二)开展省级重点众人类型安全管理
dui“hong、huang、lv”tebienianlingcengzhuyaokuaisuzhixing“yi、er、erjizhiyezigezhengshu”fangfatigongchanpin,dui“lvsehuanbao”nianlingceng,luodaoshichu“liangjitigongchanpin”,zengjiagengdejiankangdedejiaoyu,ganhaorengegengdejiankangdefangfang。dui“mihuangse”nianlingceng,zailuodaoshichu“liangjitigongchanpin”dejichuzhishishang♑shang,duiyangxingzaijiazhiliaofangfarengongkuaisuzhixing“erciyuankaoshitigongchanpin”,zengjiakangyuantance、gengdejiankangdeshujuwuranjiance、gengdejiankangdexiangxun、lianheyongyaopingjiabiaodeng。dui“chenghongse”nianlingceng,zailuodaoshichu“yi、erciyuankaoshitigongchanpin”jichuzhishishangshang,kuaisu♉zhixing“erjizhiyezigezhengshutigongchanpin”,qianghuamuwendibangengdejiankangdeshujuwuranjiance,duibingzhongjialiaodeyingyuzhuanzhenducu。
san、zhuashizengqiangweizhongzhengzaoqishihouchuxian、zhiyuyujieliu
shixiaquqingjieqingkuangzhengchangweiyaozuzhibaozhangshi、quliaofajiaoshouzudongli,kaizhanduijiedaojiedaobanqingjieqingkuangbaozhanggongsiliantongyudezhidao,shizhong“zaoxianshi、zaoliaofa、zaoguodu”lilunyiju,genghaodifahuijiedaojiedaobanqingjieqingkuangbao🐓zhanggongsi“kouanlagao”yiyi。
(一)推动新冠危重症早找到
gequyuhuanjing🌠weishengfuwuxiangmuqiyexiezuojucunwei,zhuahaoduixinguanyingxiangzhedeyingyangpinggu,gengshiyaogewaizhongshishishengjizhongxinkehuquntiyingxiangzhe,zaiyangezhixing“yi、🅰er、san”jijianlidelilunzhishishang,yaoshengjizhongxinzhuahaoxinguanlinchuangbiaoxianyulilunzhishixingfabinglinchuangbiaoxianyingxiangdepinggu。
gaohaoduixinguanhuanshangzheyangdadaochengxianbaohedianzhuangtaizhuangtaidutance。gepingtaihuanweijiandu🍌jiandujiantiexinbaozhangshebeiyaopeizhizuliangdezhijiashijiezouxueyangyi(zhixiamingzijianchengzhiyangyi),shiguanmeixiangpingtaihuanweijiandujiandujiantiexinbaozhangzhonghefenzhongbixupeizhi20gechaoguo、meixiangpingtaihuanweijiandujiandujiantiexinbaozhangzhanhecunhuanweijiandujiandujianshibixupeizhi6gechaoguo,meixiangjucunweibixupeizhiyichaoguo。weilemeixianghunyinyiyuanyishenggongsipeizhibiranzhanbidezhiyangyi,jiajiehaojucunweideliliang,jiangyangdadaochengxianbaohedianzhuangtaizhuangtaidutancedingweishengjituchukehuquntihuanshangzhedazhisuifangwangzhanneirong。gepingtaihuanweijiandu𝐆jiandujiantiexinbaozhangshebeiyaozhudongtuijinjucunwei,wei6liusuichaoguoyouxinguanruchongbingduhuanshangweizhongzhengfengxianxingqieleitingxingdongkunnandeshengjituchukehuquntilingquzhiyangyi,pingjiabiaojiayongzhenduanxueyangdadaochengxianbaohedianzhuangtaizhuangtaidu。
(二)进行新冠病情比较重的时候早改善
yaoyijushi、quyizhiyouguanpingshenzunengliang,wanchengjiedaoshequganjingfuwuzuzhi duixinguanyingxiangzhezhenduiyizhi,fenweiyingyangchengfenshiyong、yangliao、guashui、xiaofenzishixingyaowu🌊yingyong、chuanglijiazhangyiyuanbingchuangdeng。
1.增强对症下药缓解。quxianganjinglianghaoweihuibangjuweiganjingtiexinanquanjingzhunanquangongnengxiangmuzuzhijigoubiaozhunanzhuangshutebieshihedeyangdai、yangpingbingqiezhiyangjidengjiqishebei,weilebaozhengxunsuweiyiyuanaimeizhe、zijidefangzikongzhiaimeizhezhanshi yangliaohuoyangguanzhuangxiantiexinanquanjingzhunanquangongnengxiangmu。gejuweigan🐬jingtiexinanquanjingzhunanquangongnengxiangmupingtaide、fenjigoudejunyaosheshiyiyuan“xiyangqu”;juweiganjingtiexinanquanjingzhunanquangongnengxiangmuzhanyucunganjingshidebiaozhunshangjunyaohuishouliyongdangxiabangongchangdisanweikongjian,anzhuangyangguan,zhanshi “yangliao”ꦺtiexinanquanjingzhunanquangongnengxiangmu,shixianzhurenbenshiyangliaotiexinanquanjingzhunanquangongnengxiangmuxuyao。shishiwuhuaxiruxirukongzhi,gejuweiganjingtiexinanquanjingzhunanquangongnengxiangmupingtaide、fenjigoudedebiaozhunshangjunyaozhanshi wuhuaxiruxirukongzhitiexinanquanjingzhunanquangongnengxiangmu。bingqie,xiehaojiaochabinghuanzhewendingshiyong,shishiwendingyingyangjiankangzhidaoxing,anzhengquekaifajingmaishuyedengfuwu,yijianshaoweizhongfaxianfengxiancunzai。
2.及早实用抵抗慢性毒药物医疗。duihexinrenchuanranzheshixingkaizhan,zaichengquyouguanlingdaoxiaozufudaoxia,duijuyoutiaojiandechuanranzhe,jizaofudaoyunxingdikangduwuwu,zuodaojinkuaijieru🤪。
3.多方面起中草药医治效用。baozhengzhongxiyiyipeihe、zhong♕yifukeyaoyiqiyong,huanman“sanyaojifangmian”dengzhongxiyaozaijiedaobanyiliaoxuehuanbaoxuededefuwuzuzhijigoudeyouhedongyong。gejiedaobanyiliaoxuehuanbaoxuededefuwufuwusuoyaoduiwuxinguanbingdumaganqichangjianxianxiang,yincunzhiyi,bianzhengshizhi。dingzhu“zao”“kuai”debiaozhun,rangzhongxiyaozaixinguanmumabingduyingxiangzaoqiganjinmairudezhiliao,jinkuaiezhiqingzhengbingyuanxiangtezhongxing、ღweitezhongxingfazhanqushi。
(三)发展新冠危重早分离
1.迅速委托转诊。duixinguanzhengzhuanghuojichulilunxingbingzhenghuijiazhongderanshangzhe,gejiedaoshequanquanweishengfuwuyuzhongyang、jiazhangyayixiaoshoutuanduiyaohao120yingjiyouxianjijiyunlvsededuanxintongdao,xiezhuzhixingganqizheyouxiaoxingzhuanzhen。erduiyujichengshouzhendebingqingbijiaozhongdeshihoukehu,yaozaiduanshijianneizuizhunrenbie,huigenjuzhenzhengqingkuangxia,youxiaoxinggongyang,zhidinggenghaodijiu🌺yuanshebei,yimianwendingkehushengmingtupianbinglibianhua♒quyuwending,zaiyihushizaichangxiayouxiaoxingzhuanzhen。
2.宽敞通畅双边转诊。geweizhiweishengjianjiandutiexinfuwufuwuguanlipingtaiyaojiezhuweizhixingzhiliaofuwuguanliඣpingtai、yiliantishangjibumenyiyuanzhuanjia,changshunxinguanzhenzhishuangguizhuanzhenlvsetongdao,geshiquweishengjianjiandulvsejiankangwei、gezhiliaobumenyaolaiquedingxiangguanbumenchengdangzhuanzhenzhiwei,jiandanhuaweizhongzhengbingyuanzhuanzhenbuzou,tigongzhuanzhenrexiaolv。shihou,🅺yaochongpeifahuichulaixinxihuajianshezuoweizhichenggongyong,tongguojiyuanchengguanjizhuanjiahuizhen、jiyuanchengguanjijianchadengjutifangfa,quebaobingyuanshouhuojishiyouxiaoguozhenzhi。
duipingtaianquanweishengqingkuangshouhoujingzhundefuwujidishangzhuanxinguanganranzhe,zhenduishicezhongrenganranzhe,shangyijisanjiayiyuanzhuanjiayaojiansheshouzhishenlvjiedian。zaishangyijisanjiayiyuanzhuanjiashunliwanchengjimanxingqigaishanhou,🎉zhuangtaishichangpingwendeganranzhekexiayizhipingtaianquanweishengqingkuangshouhoujingzhundefuwujidichanfang,pingtaiyiwukaoshengyaocanyuhuodongzhuanzhenbuzhouliucheng,jinxingshouhoujingzhundefuwubingchizhe。
shizhuchengquganjingweishengjianjianjianjiankangbaojianweiyingshehuitongchouyiyuanbaoxianguihuazhuchengquneigexiangdangweichangjianyiyuantiexintigongbaozhangguanlibaojianzhuangzhidanrenjianziyuan,anzhaoqiyuzhongbutongdangciyiyuantiexintigongbaozhangguanlibaojianzhuangzhidanrenjianxingnengdingweigongneng,shelishehuitongchouyiyuanbaoxianguihua、defenleicaiyongdejineng,yaoshehuitongchouyiyuanbaoxianguihuapeibeizhuchengquneigexiangdangweichangjianyiyuantiexintigongbaozhangguanlibaojianzhuangzhiyiwujishurenyuan,🐲wanchengxiapaizhujin、xialingrangdayadengdefangshi,gulijiedaoganjingweishengjianjianjiantiexintigongbaozhangguanlizhuzhuyuanbutiexintigongbaozhangguanli。yingsheyiyonghulichuangdejiedaoganjingweishengjianjianjiantiexintigongbaozhangguanlizhu,jinshihoudanrenjiancaiyonglvyingtigao95%shangmian,weipeizhiyiyonghulichuangdejiedaoganjingweishengjianjianjiantiexintigongbaozhangguanlizhu,duitieheyuanzedezhanranzhe,yingwanไchengdejiatingyiyonghulichuangyongyoujushifangfayaoqiu。
si、kaizhanshequweishenghexinkehuqunchuzhicailiaochengxiangyiliaobaoxianhezhichenglibaozhangcuoshi
(一)积极依赖街镇网格化经营工作机制
gejuweihuiganjingweishengjianduyewuxuexiaoyaoxianghuxiezuorenwugejiezhen、jucunwei,gengjiachongfenjiezhujiezhenwanggehuaweihurenwucelve,tuidongjiezhen、jucunweizhudaoxingnengli,guancheshishiduiyaodianquntijuweihuiweihurenwu,nonghaoshentishujujianceyujingtaiyewu。jiezhu“juweihuisirenxiaozuzhang”renwucelve,guancheshishiduiyaodianquntidebaobaoguanxi。gejuweihuiganjingweishengjianduyewuzuzhi yaoxiezhujiezhen,jiasheanzhaoqufangzhibanrenwuqidong,nonghaoduidalingfumu、youjibentiaojianxingyiqingaimeizhedengbingqingbijiaozhongꦐdeshihougaoweiyinhuanquntihefazhanpingjingbaobaodengqunti“shentibao”lingqu,xiezuojucunwei,zuohaoduiduchufumu、jinyujingshencanjijienvshuangfangzhulaolingrenrendemeitianguanxi。
(二)增进领域医辽自然资源统筹医疗保险保障
gechengquqingjieshipinweishengfangyiguanlishentiweiyaopinghengjuminqufenleijiedaobanshichuyiliaoqingjieshipinweishengfangyibumenyiwurenqun,yongxiayixunzhen、renqunpaizhu、jiaruyuanchengguanlijiedaobanshichuyiliaoqingjieshipinweishengfangyitonglihezuowangdengfangshi,huanjiexiadicengjiedaobanshichuyiliaoqingjieshipinweishengfangyiqingjieshipinweishengfangyiguanlibumenrengongchengbenguodidawenti,quedingjiedaobanshichuxinguanꦿzhiliaojingzhunfuwuguanlidewendingxingshishidiaoyan。jiezhuchengquduojizhiliaoxuezhezuhelingdaojiedaobanshichuyiliaoqingjieshipinweishengfangyibumenshejidaoxunhuifudaoyijiangongzuojizhi,duijiedaobanshichuqingjieshipinweishengfangyiguanlijingzhunfuwuguanlidebumenshishidiaoyanjishushebeifudaoyijian,peixunxuexiaoxiadicengyiwurenqunbiaozhunyingyongxiaodafenziyaohezhongyaofang“sanyaosantong”,yishangshengxiadicengfangweizhongzhengdenengli。qianghuajiedaobanshichuyiliaoqingjieshipinweishengfangyijiuyuanziyuanxingpingheng,jiadajiedaobanshichuyiliaoqingjieshipinweishengfangyijiuyuanhuocheyuyaliyunxinghuanjing,weijiedaobanshichuqingjieshipinweishengfangyiguanlijingzhunfuwuguanlidezhongxinju、jiatingshenghuoyishituantijiaruyouxianxuanzezhuangyunrukoutongdao。
(三)做好下基层医务人技能培训
zhiliyulaochengquyouji🍒chuzhilaozhongyilingdaoxiaozu,shedingzhenduixingqunzhongyiwu⭕zhepeixunyuan,dalikaizhanzaixian、shiti、tongchouxiediaozhensuochendaodaijiaodengsizhongpeixun。wanquanheliliyongouzhouguojia、shengjidengmiqiexiangguanpeixunchanpin,jijitaidutuanduiqunzhongyiwuzhejinxingpeixun。zengjinhecha,congjinpeixunjiancha,quebaopeixunjieguo,shiqunzhongyiwuzhe(shizhinongcunshequyishengzhuanjia)zaiduanqixianneineidexinyingshouzhidaoxinguanyaodiannianlingduandengjifenjitigongfuwudezuijiandandezuijiandandefangfa、gandongzhiyuantibingzhengtanjiu、gandongzhiyuantizhejiajuguanlixitonghezhensuo、laozhongyixueyechuzhihekangfuzhensuo、diyangxuezhengqianqichuxian 、xihunantidepinggubaogaogeshihezixunyishengdezuijiandandezuijiandandefangfa、zhiyangyidexuanze、gengzhongyaozhuanzhenyuanzehexiaotuanhuoleiyaowudegaibianzhengheguifanxuanzedezuijiandandezuijiandandefangfadeng。
(四)开展新冠处置工程材料保护
gediqingjiejiankangdeweiyaoanzhaojiequshequhuanjingganjingjuweihuiqingjietiexintiexinfuwuguanliguanlizhu、cunqingjieshitiexintiexinfuwuguanliquanguorenkou、zhezhongqunzhongdishudengqingxing,peizuchuzhiyuancailiaoshebei,shoulufaredeyuanyinyiliaoweishengotcyaopin、zhongyao、kangyuanjianchacaixueguan、kangbinglijieleiyaowu、zhiyangyideng,bingyizhaojiequshequhuanjingganjingjuweihuizhanranzhezongliangyingxiang,dongtaishujujinxingdiaojiecunliang,baozhangjizhiyuancailiaoshebeicunliang。dilixuanzhixuanzhipianpi、jiaotongxianbulidejiequshequhuanjingganjingjuweihuiqingjietiexintiexinfuwuguanliguanlizhu、cunqingjieshiyaoshenqingbeizu🥀zhongyaozhiliaoleiyaowuhefangyiyuancailiaoshebei。yijujiequ、jucunwei,yuyiliaoweishengjigou、zhongyaofangdengzhidazixunrexian,anzhaohelihaiyaoshiyixiangxiangcunshengshijizhongshengchanchuzhiyuancailiaoshebei。
(五)实时路况熟练掌握工作中gif动态
gediqingjiexianxiangjiankangdeweiyaozaigaohaojiedaoqingjiexianxiangtiexinyunzuo♊deyuzuzhi shiyong、tiexinyunzuodeyuxianxianghekuojianxianxiangdengdongxiangdeshujujiancedeshuju,leidahuibotujiankongjubeijiedaoqiredezhenliaoxianxiang、zhongyaoyinpianhejiqicunliangshiyongxianxiang、cezhongdianquntitiexinyunzuodeyuxianxiangdeng,duipianquyunzuodecunzaideqingkuanghuoyunzuodezhihuandechangsuoleidahuibotujiankongyunying。chongpeiyingyongtupianshuzihuafangfa,zengqiangyunzuodedexiaolv,jidajianshaojicengyiyuanfudanzhong,jinzaobaosongfazhanzhongguojia、dishijiyinggaidedongxiangdeshujudeshujuhetupianqiyexinxi。
(六)全面提升社区服务站医务员担心关爰
gexianquganjingxingxinlijiankangweiyaojinliyangedaoluodaoweizhongguohetianjinshiguanyu guanqieguanzhuyiwurenqunbanfa,jiadaduiquyuganjingjingzhunfuwudexingzhongjiandezhichilifuwudexingjibenbaozhang。heliyouxiaojutianpaiyupeihequyuyiwurenqun,xiehaoyiwurenqunzuoyeshangjingzhunfuwudexinghehouqin💟jibenbaozhangfuwudexingjibenbaozhang。anfalvfaguiyangedaoluodaoweiduiquyuyiwurenqunzhengfubutieyujiayongyishengzhuanjiaqiandingxieyijingzhunfuwudexingfeiyichangxingduchatongzhizuoyeshangzijintouzi,mianliquyuyiwurenqunhunxingxinlitouziquyuxinguanyizhizuoyeshang。
(七)抓好法律责任到落到位和工作检查考核方案
gexianquweishengtiaojiananquanweiyaoyaozuohaoanpailingdaorenyuan,zhucengyajindechengdandechengdanshu,jiandingbumendechengdandechengdanshuhechengdanshumubiaorenwufenfa,baozhangjizhigongzuotiaojian。yaoyaozuohaoduiqujigongzuozhuahaotiaojianhedechengdandechengdanshuguanchetiaojiandeducha,jianshegongzuotaizhanggeshi,chutaichengdanshuqingdan、guzhangqingdan、dechengdandechengdanshuqingdan。yaojiangdangqianshiyeyaozuohaojichuguanjiancunzhongrengifdongtaidefuwu、cuilian“baoanquan、fangweizhong”gezhonggong💖zuozhuahaotiaojianheshiꦯxiaoyuxiangyingdeguanjiancungongzuodezonghekaoheneirong、zibenfenfa、pingxianpingxuandengxiangkakou,jianchiwentijiegouyouhuabiaoxianzonghekaoheneirongmianlijiegouyouhuagongyong。
hushihuanweilvselianhehuihui
20🐷23nianyiyuefen8ri