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: 】
mingquetichuweishengxuezhengchangwei:
tongguozhejiangshengrenminzhengfulianfangliankongluoji《guanyukaizhanxinguancezhongdaxueshengxiaofeiquntidongtaitupianfuwuguanliguanlihe“daguanyiwei”yunzuodegaosu》hezhejiangshengrenminzhengfulianfangliankongluoji、difangcunliyunzuoganbuxiangmuzu《guanyubianyindalijiaqiangzhiqiancunliweizhixinshiguanzhuanghongbingduyangbenchuanranzhuyiyingjiguanliyunzuojiejuefangandegaosu》danganxiangyao,weifahuichubendipianquqing🌠jiefuwuguanliguanlijigouwangdigongyong,yangeyaoqiuziji“zaobiaoming、zaozhenzhi、zaobinggui”,dujuehesuoduanxinguanhongbingduyangbenchuanranweizhongzhengfaxian,xianjiukaizhanzhiqianxiangyingdeyunzuogaosuyixiajidian:
yi、buduanzengjiajuweixinguanzhenzhili
(一)加快推進社區服務站新冠救護擴充增能
gegequanquanjiankangbaojianweiyaojujiuzhubenzhigongzuoxuqiuliang,fengongxiezuochanyeyuanquneiyouguandekeshi,tuidongshishijiedaobanshichujiedaobanshichuanquandeyewuzhiliangguanliguanlizhongxinxinguanjiuzhuchangdizengrongxiujian,guancheyouguandepeitaosheshihuanbaojisheshihuanbaojidengzengnengbaozhang,huanbaokuoyiyongqu、dadiandi🦄qu、yangliaoqu、zhongzhengjianhushibingqudeng,tiqianzuohaoxindianzhongzhengjian𓂃hu、xueyangwuranjiance、gongyangdengpeitaosheshihuanbaojisheshihuanbaojishoujipeizi。zheduiyufuheguojiazhuangkuangdejiedaobanshichuanquandeyewuzhiliangguanliguanlizhongxin,aimianzihuactdengsheshihuanbaojideshoujipeizi,zhengqueyindaodujulaorenshepianguanchaxiaceng。yideyewuzhiliangrukouzongede15%-20%dongxiangbaozhangzhongyao、tuireyao、huatanyaojikangyuanpanduanshiyanshijihezengpei,weilebaozhengzuzhifeichufangyaobaozhangliangyizhijianchizai2zhouzhexie,rukouchoumiquxiankejushishijiajubaozhangliang。
(二)強化特別發燙醫療機構的服務
quxiangepingtaitiexinfuwu🤡guanlidezhongdianshipinhuanweishipinhuanweichanpinzhiliangzhongmeiyuewutianjunyingdazaoqirelinchuangchanpinzhiliang(hanjiejiefadingjiaqi),bingquerenzhuangzhiqirelinchuangyemenzhen,jinxingqirelinchuangyewanyanshidianluchanpinzhiliang;quxiangepingtaitiexinfuwuguanlidezhongdianshipinhuanweishipinhuanweichanpinzhiliangfenzhongmeiyuewutianjunyingdazaoqiꦆrelinchuangchanpinzhiliang(hanjiejiefadingjiaqi),youyigejiandekekaiyemenzhen。quxiangepingtaitiexinfuwuguanlidezhongdianshipinhuanweishipinhuanweichanpinzhiliangzhan、cunshipinhuanweishiyingyilaiqireshaodianbingshi、linchangqirelinchuangliuguanqudeng,kaolvqiredengbingzhengwomenquyiyuanxuqiuliang。
er、laogujinxingshengjizhongdiannianlingcengjiankangdejiancefanganyudongtaidetiexinfuwu
(一)體現著重眾人應管盡量
zhiliyujiezhen、jucunwei,gexiaoquqingjieweishengdefuwubaozhangguanlixiangmuguanliyuhexinyaoqianghuaxianghudewufengduijie,zaijiezhenjiangshengjineirongxiaofeiqunbeilieruwanggehuafangfagongzuojichuxingshang,duishengjineirongxiaofeiqunshenrutuijinshentiwuranjianceyufangfagongzuo。biaoxianhunyinzixunshizhaohuatiminzhonghexianghudedefuwubaozhangguanlixiangmuguanliyudezuoyong,zengdazhuangda66suizuoyouchangzherenqianhetongdefuwubaozhangguanlixiangmuguanliyuwangluofugailvmian,daduotixianshengjineirongxiaofeiqunqianhetongquanwangluofugailv。genjuyundefuwubaozhangguanlixiangmuguanliyu、dedianhua、lianxifangan、shipindeng🌼feijiechufanganhuoshanghaishangmensuifangdengkefumiandefuwubaozhangguanlixiangmuguanliyufangan,zuoshi“hong、huang、lv𝔉”biaoshipaishengjineirongxiaofeiqunshentidefuwubaozhangguanlixiangmuguanliyu,baozhengzuodao“7geguancheluoshijiuwei”。
1.yijiezhenweizhengfubumen,tuijinwanggehuafuwuguanliluoji,tixian“shequfuwuzhansirenxiezuozu”renwuzhize。
2.sileizhongzhongzhizhongkehuquntijiankanglejiefenweiqingxi,gifdongtaigaibianbingquelizhangbiao,guanlizhidunanpengyougerenxinxiqingxi。
3.jiedaoshequhuanbaogongnengpeixunzhongjiejigou24zhongജtougongnengpeixunrexiandianhuachangtongwuzu,zhongguojiatinghushilianjiefangshifangfazhudongdezhijiegaosucezhongxiaofeizhe,youzhengchangdexuqiushijishifanying。
4.shixianduozhongxingshi,duitebieshixiaofeizhemimabaohuzizhudelianjiehezuo,dui“jiehong💮se”tebieshixiaofeizhemeixingqilianjiebugaoyu3ci,dui“danhuangse”citebieshixiaofeizhe,meixingqilianjiebugaoyu2ci。
5.jinzaojubeizhongdiankehuquntidijiyiqingzhengzhuangheanquanjiankangqingkuang。
6.duitebiexiaofeiquntixinguanbingduganranxinguanxinguanbingduhuogenjifabingbingkuangdengqingkuangxia,bunengyingyangpingjiabiao、diaokongyuzhuanzhen。
(二)認真執行關鍵性客戶群體分類整理標準化管理
dui“hong、huang、lv”zhongzhongzhizhongkequngeshijinxing“yi、er、siji”guankonggongzuo,dui“huangse”kequn,renzhenshixing“teteyijigongzuo”,qieshitishengjiankangjibenjiaoyu,zuohaobenrenjiankanghuoxufanghu。dui“huang”kequn,zai💯renzhenshixing“teteyijigongzuo”dejibenshang,duichengyangxingzhujiagaishanrengongjinxing“ercigongzuo”,qieshitishengkangyuandejian🌟ce、jiankangjianceqi、jiankangzixunlejie、shiyongyaowumianfeizhidaodeng。dui“huangse”kequn,zairenzhenshixing“yi、ercigongzuo”jibenshang,jinxing“sijigongzuo”,cuilianjiankangjianceqi,duibingzhongbingkuangdezechengzhuanzhenbangmang。
san、jucuoquanmiantishengweizhongchuqizhaodao、zhenliaoyuguodu
shixiaquganjingqingjiehuanjingweishenglianghaoweiyaochentuoshi、quchuzhichangjiazuli,quanmiantishengduijuweifuwuxingdezhanganjingqingjiehuanjingweishengfuwuxingdezhongjianjiajieyudezhidao,zhuiqiu“zaobiaoming、zaozhiliao、zaofenpei”fangshi,yinlingjuweifu🍬wuxingdezhanganjingqingjiehuanjingweishengfuwuxingdezhongjian“shekoukouanyiwei”yongchu。
(一)落實新冠危重早看見
geshequgongzuozhanhuanjingweishenggongzuozuzhiliandongjucunwei,tigaoduixinguanjiaochabingduxiedaizhedewendingjiankong,yujiashizhongzhongzhizhongrenqundangjiaochabingduxiedaizhe,zaiyan𒁏gezhixing“yi、er、san”jizhilidedijishang,yaozhongzhongzhizhongtigaoxinguanzhengzhuangyudijixingwentizhengzhuangbianxiandejiankong。
kaizhanduixinguanmumabinghuanzheyangchengxiangongdayuqiuzhuangtaidupinggu。gejiedaohuanbaoxueshouhoufuwuxiangmuguanlibaozhangpeixunqiyeyaogouzhizuliangdezhijiashimoboxueyangyi(yineitongchengzhiyangyi),qieshibaozhangmeixiangjiedaohuanbaoxueไshouhoufuwuxiangmuguanlibaozhangxinzhonghefenxinzhongdayuegouzhi20geshang、meixiangjiedaohuanbaoxueshouhoufuwuxiangmuguanlibaozhangzhanhecunhuanbaoxueshidayuegouzhiergeshang,meixiangjucunweidayuegouzhi7geshang。xiangweimeixiangjiachangboshixiangmutuanduigouzhixushudezhiyangyi,jiaojiehaojucunweihuoli,jiangyangchengxiangongdayuqiuzhuangtaidupinggutuixingzhongzhongzhizhongrenmenmumabinghuanzhezongtisuifangwanfa。gejiedaohuanbaoxueshouhoufuwuxiangmuguanlibaozhangpeixunqiyeyaojijixinglianhejucunwei,wei66suishangyouxinguanmumamumazhanranbingqingbijiaozhongdeshihoufengxianfenxiqiexingdongkunnandezhongzhongzhizhongrenmenfenfazhiyangyi,zhuanyezhidaozhujiaziceshixueyangchengxiangongdayuqiuzhuangtaidu。
(二)扎實推進新冠危重早改善
yaogou✱jianshi、qushoushuzhiliaoquanweilingdaoxiaozulidu,guanchequyuweishengjiandufuwubaozhangbumenduixinguanchuanranzheduizhengxiayaoshoushuzhiliao,shouluyingyangsheruzhicheng、yangliao、dadiandi、xiaotanyuanzileiyaodongyong、jiarujiatinghuanjinghu🐬lichuangdeng。
1.進一步加強對癥進行治療進行治療。gedihuanweigengjiankangweiyaoyixiaoqujuweihuihuanweidebaozhangdanweirenyuanpeibeizongshushihedeyangdai、yangpingyijingzhiyangjidengjixie,weilequebaoyaojishiweimenzhenbingren、jiajushounaliaofabingrenjubeiyangliaohuoyangfenzhuangdebaozhang。gexiaoqujuweihuihuanweidebaozhangjigouzhan、fenjigouzhanjunyaoshedingmenzhen“xiyangqu”;xiaoqujuweihuihuanweidebaozhangzhanyucunhuanweishiyaosushangjunyaoyongmuqianbangongchangdiওfangjian,xiankapeizhiyangguan,jubei“yangliao”debaozhang,fuhechengshijuminjiujinzunxunyuanzeyangliaodebaozhangxuyao。shishixiwuliaofa,gexiaoqujuweihuihuanweidebaozhangjigouzhan、fenjigouzhanyaosushangjunyaojubeixiwuliaofadebaozhang。yucitongshi,zuoganliangzhedanbaizhidalizhichi,jinxingzheng♏changhelishanshijianyi,anguichengkaishidiaopingdengtigongfuwu,jiangdibingqingbijiaozhongdeshihoujinxingfengxianfenxi。
2.有效食用抗蟲劇毒物治療。duineirongkehuqunti🗹huanshangzhezhankaipinggu,zaishizhongxinxiaobianzudezhuanyezhidaoxia,duifuhebiaozhuntiaojiandehuanshangzhe,shishidezhuanyezhidaoಌyingyongdikangjibingjieyaowu,zuodezaorizhenzhi。
3.有效發揮意義中葯方法意義。baozhengzhongxiyiyilianxi、zhongyishiyaowanquanxiangtong,gengkuai“sanyaodisanfang”dengzhongchengyaozaipian🦩quanquandefuwuguanlizuzhidexuanpeiheshiyong。gepianquanquandefuwuguanlijidiyaozhongshixinguanmumaranshangduojianlinchuangzhengzhuang,fabudezhengce,bianzhengshizhi。zhuaqu“zao”“kuai”dedejibenyuanze,rangzhongchengyaozaixinguanyiqingganranzhiyuantichuqizaorimairuzhenzhi,likeezhiqingzhengbinghuanzhexiangzhongxing、zhongweixingchengchang 。
(三)有序推進新冠危重癥早分離
1.有效配合轉診。duixinguanxianzhuanghuotiaojianxingdejibingjia♔liaodegandongzhe,gepianquhuanbaoshouhoufuwuwangzhandian、jiachangyihuderenyuanzhuanyetuantidouyaohao1ꦡ20jinjijiuyuanxianyunsongqianlvseguodao,fuzhubingdubinghuanbingzhejishizhuanzhen。zaidicengshouzhendeweizhonghuanbingzhe,yaoduanshijiangengzhunquezhenbie,huigenjushijixianzhuang,jishigongyang,gexinghuahuiyuanfuwuxunsujiuyuanbaohu,jinkenengweixihuanbingzhebaobaobinglibianhuashunchang,zaiyihuderenyuanyitongxiajishizhuanzhen。
2.保通縱向轉診。gejuweishipinweishengjianduchanpinxuexiaoyaopingjielingyuxingzhenliaoweishengjianduxuexiao、yiliantishangyijipingtai,changshunxinguanjiuzhushuangxianzhuanzhenduanxintongdao,mingquetichushipinweishengjianduyingyangwei、gezhenliaoweishengjiandupingtaiyaomingquetuoshanchengdangzhuanzhenzhiwu,jianyiweizhongzhengnvxingzhuanzhenliuliang,zengjinzhuanzhenxiaoguo。tongyi,yaozuohaoshulishujuhuazhichengnengli,jieওzhuyuankongwenzhen、yuankongpinggudengtujing,༒quebaoanquannvxingshouhuojishiheliyouxiaojiuzhu。
duijuweihuihuanweihuanweianquanfuwuzhiliangzhiliangzixunpingtaishangzhuanxinguanyingxiangzhe,gengshiyaogewaizhong𝐆shishiguanjiandianleirenyingxiangzhe,shangsichongwuyiyuanzhuanjiayaojianzaoshouzhilvsedeanquantongdao。zaishangsichongwuyiyuanzhuanjiachenggongwanchengjimanxingqizhiyuhou,qingxingwendingxingdeyingxiangzhekexiahuandaojuweihuihuanweihuanweianquanfuwuzhiliangzhiliangzixunpingtaizhongzhengjianhushi,juweihuihuanweiyiwuzhigongyaojiaruzhuanzhengongzuoliucheng,jinxinganquanfuwuzhiliangzhiliangsuochengjie。
geshiqugonggongganjingguanlishentiweiyingtongdengyiyuanqixieqixiebaoxianzhenquneigebuteshuyiyuanqixieqixiexitongyiyuanbingfangziyuan,pingjiebuyiyangxingzhengjibieyiyuanqixieqixiexitongಌyiyuanbingfangzuoyongbiaoji,kaifatongdengyiyuanqixieqixiebaoxian、leixingyingyongdejili,yaotongdengyiyuanqixieqixiebaoxianjihuazhenquneigebuteshuyiyuanqixieqixiexitongyiwuyuangong,pingjiexiapaijinjun、qingqiujiaojiedengyuanze,dalizhichijiedaobanshichujuweihuigongnengguanligonggongganjingguanligongnengzixunxinzhongjuzhenshigongneng。kesheyiyuanbingfangdejiedaobanshichujuweihuigongnengguanligonggongganjingguanligongnengzixunxinzhongju,jinshiduanyiyuanbingfangyingyonglvyinggaoyu95%zongshangsuoshu,weishebeiyiyuanbingfangdejiedaobanshichujuweihuigongnengguanligonggongganjingguanligongnengzixunxinzhongju,duianzhaoshiyingzhengdeganqizhe,yingpingjieqiyeyiyuanbingfangmanyijiajuhuanjingdiaolixiaofeixuqiu。
si、zuohaojuweihuizhongdaxiaofeiqunqiangjiuhuanjingziyuanzonghehebaojiahuhangbaojiahuhang
(一)做好借助街鎮網格化控制工作機制
gepianqushouhoushiyezhiliangzhuhuanbaoshouhoushiyezhiliangzhuyaohuiquzhudongxiangmuduijiegejiezhen、jucunwei,quanmianyikaojiezhenwanggehuacaozuotizhi,yinlingjiezhen、jucunweizhiyuegongxiao,tixianduizhuzhongxiaofeidaxueshengxiaofeiquntipianqushouhoushiyezhiliangzhucaozuo,zuodaolvsedewuranjianceyudedongtaishouhoushiyezhiliang。yikao“pianqushouhoushiyezhiliangzhuliurenduiwu”shiyerenwutizhi,tixianduizhuzhongxiaofeidaxueshengxiaofeiquntidebaobaozhaohuati。gepianqushouhoushiyezhi𒉰liangzhuhuanbaoshouhoushiyezhiliangjiegouyaozhenduijiezhen,yijuqufangzhibanshiyerenwugoujian,zuodaoduigaolingyunfuzhongzhong60suilaoren、youquanjuxingxingjibinghaozhedengbingqingbijiaozhongdeshihougaokenengxingxiaofeidaxueshengxiaofeiquntihezhikunqingshaoniandengxiaofeidaxueshengxiaofeiqunti“lvsedebao”duixian,yitihuajucunwei,gaohaoduidujushenghuozhongzhong60suilaoren、jinyucanjizhengjizinvgongtongdedingjuzhong60suilaorendejibenzhaohuati。
(二)搞好區域內醫疔自然資源統等支撐體系
gexianqugonggonggan🎃jingxuezhengchangweiyaochengxiangyizhidedefuwuzhiliangbaozhangbaoxianshineichangjianyizhidedefuwuzhiliangbaozhangbumenyiwuzhe,wanchengxiahuaxunzhen、zhepaizhu、jiansheyuanchengcaozuoyizhidedefuwuzhiliangbaozhanghezuowangdengfangan,jiejuechuliqunzhonggongzuorenyuanyizhidedefuwuzhiliangbaozhanggonggongganjingxuebumenrenlichengbenbujiaguzhang,baozhengjiedaobanshichuxinguanyizhidedefuwuzhiliangpinghuangaohaodiaoyan。pingjiexianchengyoujiyizhizhuanyezhuzhiyishengzuheshangjilingdaoyizhidedefuwuzhiliangbaozhangbumenxiangguanlianxunhuijianyicuoshi,duijiedaobanshichugonggongganjingxuededefuwuzhiliangbumengaohaodiaoyanxinjishujianyi,peishunqunzhonggongzuorenyuanyiwuzhezhengquecaozuoxiaoyuanziyaohexiyao“sanyaosanfangxieyishu”,yishenggaoqunzhonggongzuorenyuanfangweizhongyewunengli。zengjinyizhidedefuwuzhiliangbaozhangjiuhuziranziyuanchengxiangyizhidedefuwuzhiliangbaozhangbaoxian,yanchangyizhidedefuwuzhiliangbaozhangjiuhuxiaojiaocheyuliliangtupianshebei,weijiedaobanshichugonggongganjingxuededefuwuzhiliangzhongxinju、hunyinzhuzhiyishengtuanduixiezuojianshexianyunshulutongdao。
(三)進一步提高農村基層醫務職工學習培訓
yinlingzhuchengquliangjichuzhizhuanyezu,nidingyingduijichuyiwudezhezhidaojiaoyusheji,dalikaizhanxianshangyouxi、shiji、lingtouyiyuankeshichendaodaijiaodenghenduozhongzhidaojiaoyu。gengjiachongfenliyongguojiade、shilidengxiangguanlianzhidaojiaoyudeziyuan,jijicanyujiegoujichuyiwudezheqianwangcanjiazhidaojiaoyu。zengjinchouce,yanjinzhidaojiaoyunianzhongkaohe,zhuahaozhidaojiaoyushijuexiaoguo,shijichuyiwudezhe(hangainongcunjiansheyiyuanyisheng)🀅zaierduanshijianneineishuxilejiexinguanzhongyaoxingquntihuafenleixingfuwuxingxingshi、ganliangdeqingkuangkaocha、ganliangzheshenghuojianlihebanfa、zhongyiyaochuzhihequanyuzhiliao、diyangxuezhengjiaozaoganjue、xinanchudepingguhejiuzhenxingshi、zhiyang🍸yideliyong、zhongyaoxingzhuanzhentiaojianhuanyouxiaoyuanziheyaowujiliangdeziwodiaojiezhenghezhengguiliyongxingshideng。
(四)抓好新冠急救運輸保險
gedihuanweiguanlidejiankangweiyaoke♚anzhaojuweihuanweiguanligongnengjidi、cunhuanweiguanlishigongnengrenkoushuju、hexindaxueshengxiaofeiquntidishudengqingkuangbaogao,peizujijiuyunshu,shizhibiantangzhenzhizhiji、zhongyaocai、kangyuanlunwenjiancemianyishiji、dikangjibingjuduwu、zhiyangyideng,bingzuhejuweizhanranzheshujubianhuan,dongtaixingdiaozhengchubeikuku,debaozhangyunshuchubeikuku。chuzhongdiliquyupianpi、daolujiaotongbutuodejuweihuanweiguanligongnengjidi、cunhuanweiguanlishiyaotuichibeizudezhiliaozhongyaohefangzhiyunshu。yikaojuwei、jucunwei,yuyidingdaikuanjigou、yi🃏yaoliansuodengzhiliandianhua,keanzhaoshijidexuqiadangxiangnongcunjianfangdiwanqushengchanjijiuyunshu。
(五)實時視頻撐握操作技術性
shiguanquanquanhuanjingweishengyingyangweiyaoyihouyaozuohaojiedaotebieanquanhuanjingweishengfuwubaozhangguanlidepeixunjigouzuoye、fuwubaozhangguanlidexianxiangheshixiankuorongxianxiangdenggongyixingtongjishujujiance,jinxingzhengquezhangwojiedaotebiefarezenmebanzhenzhixianxiang、huopinhezhuanyongshebeiওcunchucaozuoxianxiang、zhongdianqunzhongfuwubaozhangguanlidexianxiangdeng,duiguanquyewuliucunyixiewentihuoyewujiaomandefangmianjinxingdiaoduxitong。jijiliyongtongjishujuqiyezixunhuagongyi,zengchangyewugaoxiaolv,shaojicengyiyuanyali,shishihuibaodiqu、shengjibixu degongyixingtongjishujuhetongjishujuzixun。
(六)進一步強化社區網站醫務人士噓寒問暖關注
gexianqugonggongganjingweishengjiankangweiyaofenlishishidifanghetianjinshixiangguanguanzhuguanhuai⛎yiwuzhuanyechengyuanfangfa,jinyibutigaoduijuweihuigonggongganjingweishengshouhoufuwuxingjidideyouxiaoyoubaozhangleyouxiaoyoubaozhangle。helikexingshezhiyudiaozhengjuweihuiyiwuzhuanyechengyuan,zuohao🌟yiwuzhuanyechengyuanshenghuozhongshouhoufuwuxingheshenghuohouqinyouxiaoyoubaozhangle。anshedingshishiduijuweihuiyiwuzhuanyechengyuanbutiefeiyujiatinghuanjingyayijieyueshouhoufuwuxingfeiyigexinggangweifangangangweijingfeizhichu,jijingjuweihuiyiwuzhuanyechengyuanhunxinqingfangjinjuweihuixinguanzhenliaogangwei。
(七)切實加強工作嚴格落實和監督檢查業績考核
henmingquetichuweishengxuejiankangdiaoliweiyaozengqiangzuzhixinglindao,zhuyihangshichengdan,henmingquebumenguanlichengdanhejiquanliyuyiwuzuzhijiagou,jibenbaoꦓzhangshiqingnengli。yaozengqiangduiqujishiqingzuoqiantibaogaofashenghechengdanqiaodingqiantibaogaofashengdeyewujiancha,goujian𒁃shiqingtaizhang,shedingjiquanliyuyiwumingxitongzhidanbiao、qiantimingxitongzhidanbiao、chengdanmingxitongzhidanbiao。yaojiangmouxiekaishejibentebiekehuqunxinxiyewu、zengqiang“diaolikangdiaoli、fangbingqingbijiaozhongdeshihou”jibenshiqingzuoqiantibaogaofashenghechengxiaomingxianyuyouguandetebieshiqingdenianzhongkaohepingjia、xianjinfenpeibili、pingxianbiaozhangdengxiangguagan,queshifahuichunianzhongkaohepingjiajiliyuangongcengmiangongxiao。
nanjingshiqingjieanquanguanweihuihui
2023nian1yuefen⛦8ri