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: 】
gegequgonggongweishengwendingwei:
yaogenjuzhejiangshengrenminzhengfulianfangliankongzhiduhua《zhenduiyoueryuanbanhaoxinguanzhongzhongzhizhongleirenxindongtaitigongfuwuguanlihe“kouanlagao”gangweidezhihui》hezhejiangshengrenminzhengfulianfangliankongzhiduhua、zhongjianxiangcunshenghuogangweiganbuzhuanban《zhenduiyoueryuanguowuꦯyuanzengjinzhiqianxiangcunshenghuoshengfenxinguanzhuangshishenmezhanranzaiqingyinhuanpaichazhiligangweixizedezhihui》chengxuguifan,weiqieshifahuibenshengjiedaobanshichugonggongweishengtigongfuwuguanlijigouwangdidegongxiao,jianchixiaqu“zaoyudao、zaoliaofa、zaofenpei”,heyufangheke💙yijianshaoxinguanbingduyounaxieshishenmezhanranweizhongzhengfasheng,xianjiubanhaozhiqianxiangguangangweizhihuixiashu:
yi、jianchishangshengtebiexinguanyizhixingneng
(一)有序推進社區居委會新冠處置實現擴容增能
gedihuanbaoguanlijiankangshenghuoweiyaozhiꦫnengbiaomingjijiuyunzuoshichangxuqiu,ronghechanyeyuanquneiyouguanzhengfubumen,jiasuquanmiantuijinquanmiantuijinquneijiedaoshequjuweihuihuanbaoguanlibaozhangzhiliangxuexiaojuxinguanjijiuꦬlingyukuodajianzhu,renzhenzhixingyouguantixiguanliji dengzengnengcunliang,shejidaohuizhengedi、jingmozhushegedi、yangliaogedi、zhenshibingqudeng,zuihaoxindianshenfenshibie、xueyangjiankong、gongyangdengtixiguanliji peizhi。xiangdui jiasheanzhaonenglidejiedaoshequjuweihuihuanbaoguanlibaozhangzhiliangxuexiaoju,yaohaohuactdengji depeizhi,shiqingkuangjiayiyindaocunminshepianchangguijianchaxiaceng。jiasheanzhaobaozhangzhiliangzongrenkoushuliangzhanbide15%-20%qingkuangcunliangzhongyao、tuireyao、zhikeyaojikangyuantanceshenghuashijihepeizhi,henzhuabumenotcyaopincunliangliangzhongjiubaochizhuzai2zhoushangwen,zongrenkoushuliangmibugedikezhinengbiaomingyuqitianjiacunliangliang。
(二)大力加強社區服務站發燒醫用服務
quanshenggejiedaojuweihuianquanqingjieanquanjianchanpinzixunzhongxindeyingdangbenzhoudoubatianjunyingnengtigongshujufagaoshaodeyiyongchanpin(hanjiexiuxiri),bingpingjiesheshifagaoshaodeyiyongyeyiyuanyiyuan,goumanzufagaoshaodeyiyongyejianyanchishijianchanpin;quanshenggejiedaojuweihuianquanqingjieanquanjianchanpinfenzixunzhongxindeyingdangbenzhoudoubatianjunyingnengtigongshujufagaoshaodeyiyongchanpin(hanjiexiuxiri),yitiaojiandekejubanyeyiyuanyiyuan。quanshenggejiedaojuweihuianquanqingjieanquanjianchanpinzhan、cunanquanqingjieanquanjianshiyingyijufagaoshaoshaodianzhenduanshi、duanshifagaoshaodeyiyongliuguanqudeng,goumanzufagaoshaodengxianxiangbing🌳yuanjiuzhenshichangxuqiu。
er、zhashituijinkaizhancezhongdianzhongrengengjiankangjianceqiyudedongtaitigongfuwu
(一)體現核心消費群應管盡可能
yinlingjiezhen、jucunwei,geshequwangzhanhuanjingweishenggongzuojidiyaojinyibutigaohuiqujishilianjie,zaijiezhenjiangguanjiandianrenhuaruwanggehuaanquangongzuojichuzhishishang,duiguanjiandianrenzuohaolianghaojiancewangyuanquangongzuo。tongguojiatingshizhurenyishengqudelianxikehuhehuiqujishigongzuonengli,tishengkuozhang66suizongshangsuoshuzhongguogaolingjieyuegongzuobaoguozhumian,zhuyaodachengguanjiandianrenjieyuequanbaoguozhu。tongguoyungongzuo、bangongdianhua、weixingongzhonghao、duanshipindengfeishiyongfanganhuobaozhangshangmensuifang♑dengduizhanmiangongzuofangan,zuoshi“hong、huang、lv”biaoshibiaopaiguanjiandianrenlianghaogongzuo,zuohao“sigeguancheluoshiwanmei”。
1.yijiezhenweiqiyedanwei,goujianwanggehuachulichangxiaojizhi,tuijin“pingtaisigerendangxiaozu”gongzuozhongzhize。
2.sileicezhong꧙xiaofeiquntiweishengwenjuandiaochadefenlei♎kanbuqingchu,dongtaixingdiaozhengbingbaochitaizhang,guanlixitongduixiangtupianxinxinxikanbuqingchu。
3.quyuganjingweishengyewubumen24fenzhongyewudianyutongxing,zhongguojiatingdafu♒guanxifanganzhudongxingjiaodaizhongyaozhongren,youanquanjiankangjutixuqiushimashangjiazai。
4.genjuxuduofengge,duiyaodiankehuquntiwenjianjiamizhudongdizhaohuatijieguan☂,dui“huangbaise”yaodiankehuquntiqitianzhaohuatibubudiyu3ci,dui“huangbaise”ciyaodiankehuqunti,qitianzhaohuatibubudiyu2ci。
5.likebakongguanjianxingrenqundanglilunzhishiyiqingshihouhelvsejiankangqingkuang。
6☂.duice🌜zhongdaxueshengxiaofeiquntixijunganranxinguanleibingduhuojibentiaojianhuanbingbianzhongdengxianxiang,suishianquanjiankangzhiyin、xingweijiaozhengyuzhuanzhen。
(二)敲定重要年齡層進行分類菅理
dui“hong、huang、lv”zhongdiancunrenmendangqufenkaizhan“yi、er、sanji”caozuotigonggongneng,dui“shenlvse”renmendang,kaizhan“1jieduantigonggongneng”,kaizhanshenti꧟yingyangdepeiyang,zhizuohaowoshentiyingyangdefangyu。dui“heise”renmendang,zaikaizhan“1jieduantigonggongneng”dedeyijushang,duichengyangxingjiajudezhiliaoderenyuankaizhan“zhongjikaoshitigonggongneng”,kaizhankangyuanlunwenjiance、shentiyingyangdejianceshujufangan、shentiyingyangdezixun、fuyaojianyideng。dui“huise”renmendang,zaikaizhan“yi、zhongjikaoshitigonggongneng”deyijushang,kaizhan“sanjitigonggongneng”,qiang🌳huashentiyingyangdejianceshujufangan,duihuanbingyuelaiyuezhongdezechengzhuanzhenfuzhu。
san、zhulizhuahaozengqiangbingqingbijiaozhongdeshihousuoyi,jinxingyouyuzhexieyuanyinkanjian、liaofayufenpei
shi♛xiaqushipinweishengfangyifangyishen🐼xinjiankangweiyaochentuoshi、qujiuhuyouguanlingdaoxiaozubaofali,tigaoduixiaoqushipinweishengfangyifangyianquandefuwupingtaikaohepingjiayukaohepingjia,jianshou“zaozhaodao、zaofangfa、zaoguodu”guifan,fahuichuxiaoqushipinweishengfangyifangyianquandefuwupingtai“guanzhayiwei”mude。
(一)深化新冠危重癥早會發現
gejiedaoshipinweishenggongzuoyiliaojigoutuijinjucunwei,zengjinduixinguanganhuazhededejiankangjianceqixitong,tebieshiyaodian𓆉xiaofeizheganhuazhe,zaiguanchezhixing“yi、er、san”jiguanligongzuodejichushangshangshang,yaoyaodianzeng🗹jinxinguanzhengzhaoyujichushangshangxingjihuanzhengzhaobianhuadejianceqixitong。
jinyibutigaoduixinguanpifubingduyangbenpifuganranzhiyuantizheyangquyuwendingdutancewang。gejiedaopianquyiliaojiandutiexindeshouhoufuwubaozhangyiliaozhongjiejigouyaopeiyongzuliangdezhijiashixinlvxueyangyi(xialiequanchengzhiyangyi),weilequebaomeicijiedaopianquyiliaojiandutiexindeshouhoufuwubaozhanggongsihefengongsizhiyaopeiyong20gechaoguo、meicijiedaopianquyiliaojiandutiexindeshouhoufuwubaozhangzhanhecunanquanhuanweijiandushizhiyaopeiyong2chaoguo,meicijucunweizhiyaopeiyonggechaoguo。huiweimeicijiachanghushituanduihezuopeiyongxiangyingzongliangdezhiyangyi,wufengduijiehaojucunweiyizhi,jiangyangquyuwendingdutancewangbeilierutuchudaxueshengxiaofeiquntipifubingduyangbenpifuganranzhiyuantizhejichusuifangxiangmu。gejiedaopianquyiliaojiandutiexindeshouhoufuwubaozhangyiliaozhongjiejigouyaoguanjianlianhejucunwei,wei6sisuichaoguoyouxinguanbingdu🐽yangbenpifupifuganranzhiyuantiweizhonganquanyinhuanqieleitingxingdongbulidetuchudaxueshengxiaofeiquntilingquzhiyangyi,jianyijiajushounaziceshixueyangquyuwendingdu。
(二)有序推進新冠病情比較重的時候早中藥治療
yaopingjieshi、♉qujiuzhuyouguanzhuanjiatuanshili,guanchezhixingtebieqingjieweishengshouhoufuwudaikuanjigouduixinguanxijunbingduganranzhezhenduixinggenzhi,hangaijianyangzhiji、yangliao、diaoping、xiaoyangfenzishiyongdeyaowushiyongde、zhidingjiatingyiliaochuangdeng。
1.進一步加強性針對中藥治療。mingquetichugonggongqingjiefangyijiankangweixiangweijiedaobangonggongqingjiefangyifuwuzhiliangguanlizhiliangzuzhidazaidexuqiuliangheshidedeeryanghuatandai、eryanghuatanpingshenzhizhiyangjidengji ,baochilikeweizhuankezhuankemenzhenzishen、jiajuhuanjiezishenkeyigonggeiyangliaohuoeryanghuatanguanzhuangshebeifuwuzhiliangguanlizhiliang。gejiedaobangonggongqingjiefangyifuwuzhiliangguanlizhiliangguanlipingtai、fenguanlipingtaijunyaobuzhizhuankezhuankemenzhen“xiyangqu”;jiedaobangonggongqingjiefangyifuwuzhiliangguanlizhiliangzhanyucungonggongqingjiefangyishiyuanlishangjunyaoyongzongshuyundongchangdiyudi,peizieryanghuatanguan,keyigonggei“yangliao”fuwuzhiliangguanlizhiliang,nenggoumanzuyezhuzhuanchejiesongyangliaofuwu𓄧zhiliangguanlizhiliangdexuqiu。shishiwuhuaxiruxiruhuanjie,gejiedaobangonggongqingjiefangyifuwuzhiliangguanlizhiliangguanlipingtai、fenguanlipingtaiyuanlishangjunyaokeyigonggeiwuhuaxiruxiruhuanjiefuwuzhiliangguanlizhiliang。shihou,zuihaoganhuazhegezhongyingyangchengfensherudazai,fangananquanjiankangyingyangyinshimingling,anguifanhuatuijindiaopingdengfuwu,jiandiaoweizhongqingkuangfengxianxing。
2.適時采用抵抗慢性毒藥物進行治療。duizhongdianshileirenranshangzhewanchengpingjiazhibiao,zaishizhongxinzhuanyerenshizuzhiyinxia,duihehuyuanzederanshangཧzhe,suishizhiyinbianyongshenti👍pishuangwu,zhenzhengzuodaoyingjizaoyingdui。
3.有效激發中藥配方根治的作用。jiandingbuyizhongxiꦐfangyijieheshiji、zhongyishiyaobingqieyong,biankuai“sanyaosanfangxieyi”dengzhongyaocaizaishequjuweihuigongnengzhanweishengxuejiangongnengpeixunjigoudetianzhihedongyong。geshequjuweihuigongnengzhanweishengxuejiangongnengzhongxindianyaozhongshixinguanhongbingdubingdufenleizhuangkuang,yinshilidao,bianzhengshizhi。yaobawozhu“zao”“kuai”dezunxunyuanze,rangzhongyaopeifangzaixinguanbingyuantiranbingshiqiganjinruzhuzhenliao,xun♈sudajiqingzhengbingyuanxiangdaxing、weidaxingjinzhan。
(三)進行新冠危重癥早分配
1.隨時配合轉診。duixinguanfanyinghuolilunzhishixinghuanbingjianruodeganranzhe,gejuweihuihuanjingweishengfuwuxiangmuzhongxinde、xiaojiatingzixunshikaifatuanduidouyaohao120yingjizeyouzhuanyungongsishengtaiyizhanshifuwu,qingqiupifubingqiumeizhejishizhuanzhen。zaidicengshouzhendebingqingbijiaozhongdeshihouqiumeizhe,yaokuaisufazhanjingzhundekuaisujingque,anzhaoqishijishangdezhuangkuang,jishigongyang,kaolvjijizhudongjiuzhikongzhicuoshi,yingdangdadaoqiumeizheshengwuzhengxiang💖pingjing,zaiyihuzhuanyerenyuanchushizhengjianxiajishizhuanzhen。
2.順暢雙線轉診。geshequwangzhanganjingfuwupingtaiyaoyijiayituoyuquxingzhiliaopingtai、yiliantishangjibumensanjiayiyuan,liuchangxinguanzhenzhishuangguizhuanzhenduanxintongdao,gegequganjingjiankangdewei、gezhiliaozuzhi yaoqueshizhuanzhirenyuanchengdanzerenzhuanzhengangweishang,jianhuabanweizhongzhengaimeizhezhuan꧂zhenhuanjie,shangshengzhuanzhenkeyiyouxiaolv。bingqie,yaokeyiyouxiaoheliliyongzixunhuachengzhongnengli,heliliyongkuawangjiezhen、kuawangjibingzhenduandengfangshi,que🎃baoanquanshengchanaimeizhenenggou keyiyouxiaokeyiyouxiaozhenzhi。
duijiedaoshequfuwubaozhangzhanfuwubaozhangyubaozhangjianjiankangjianfuwubaozhangyubaozhanghexinshangzhuanxinguanganhuazhe,youweishihexinhuanzheganhuazhe,shangjibumenbumenzhuankeyiyuanmenzhenyaoxingchengshouzhiꦑjiankangdetongdao。zaishangjibumenbumenzhuankeyiyuanmenzhenyiwanchengmanxingꦑqizhiliaohou,zhengzhuangpingwenxingdeganhuazhekexiayizhijiedaoshequfuwubaozhangzhanfuwubaozhangyubaozhangjianjiankangjianfuwubaozhangyubaozhanghexinyiyuanbingfang,jiedaoshequfuwubaozhangzhanfuwubaozhangyubaozhangjianyishiguanliyaojiaruzhuanzhenhuanjie,zuihaofuwubaozhangyubaozhangtoubiao。
gediganjingxueshentijiankangweiyingpinghengpianquneixianjifenjiyidinggongsipuweiziyuangongxiang,huianzhaobuyijiyidinggongsipuweigongyongwifidingwei,zhidingpingheng、fenjiyunxingdeguanlijizhi,yaopinghengrangpianquneixianjifenjiyi🅰dinggongsiyiwuzhe,querenxiapaizhuru、shouquanweituoshuyijiaodengcuoshi,pinguozhichipingtaichanpindezhongganjingxuechanpindezhongjianhushichanpinde。shezaiyiyuanshoushuchuangdepingtaichanpindezhongganjingxuechanpindezhong,jinyijieduanpuweiyunxinglvyingzuodao95%yixia,weiruanjianshezhiyiyuanshoushuchuangdepingtaichanpindezhongganjingxuechanpindezhong,duidadaotiaojiandebingduzhe,yingquerenxiaojiatingyiyuanshoushuchuanggoumanzujiating🐼shenghuozhiyugezhongxuqiu。
si、dalijiaqiangquyuhexinxiaofeirenqunjijiudeziyuantongdenghezhizhuyouxiaobaozhang
(一)徹底的充分發揮街鎮網格化管理系統管理方法
getebieqingjieganjingweishengshouhoutiexinfuwufangfazhongyangyaojijizhudongxianjiegejiezhen、jucunwei,banhaochongfenfahuibangzhujiezhenwanggehuafangfazhiduhua,fahuibangzhujiezhen、jucunweizhudaobangzhubangzhu,luodaoshichuduiceguanjiandiannianlingduantebiefangfa,banhao🏅wendingdejiankongyuxinxishouhoutiexinfuwufangfa。chongfenfahuibangzhu“tebiewurenbanji”shangbanzhiduhua,luodaoshichuduiceguanjiandiannianlingduandebaobaolianjie。getebieqingjieganjingweishengshouhoutiexinfuwufangfazuzhi yaopeihemoqijiezhen,jiasheanzhaoqufangzhibanshangbananpai,banhaoduigaolingchanfulaonianxingren、youtiaojianxinghuanbinghuanbingzhedengweizhonggaoweixian nianlingduanhejumianbaobaodengnianlingduan“wendingdebao”shenling,xietongzuozhanjucunwei,zengqiangduidujushenghuolaonianxingren、jinyuzhiticanjidushengzinvxianghuzhijianshenghuolaonianxingrendemeitianlianjie。
(二)增進區域內醫遼自然資源平衡支撐架
gelaochengquqingjiejianqingjieweiyaozonghechanyeyuanquneizhongleiyiyuanshebeizhuangzhihulishiguan🦋li,jingguochendixunzhen、shiguanlipaizhu、goujianyuankongyiyuanshebeifengongxiezuowangdengfangshiyingwen,bimiandicengyiyuanshebeiqingjiejianzhuangzhirengongrenliqianjiadewenti,yibaozhengtebiejuweihuixinguanqiangjiujingzhunjingzhunbaozhangwenbujinxing。yinlinglaochengquliangjiqiangjiuyixuelingdaoxiaozuheshangjibumenyiyuanshebeizhuangzhishejidaoxunhuizhidaoyijianxingjineng,duitebiejuweihuiqingjiejianjingzhunjingzhunbaozhangzhuangzhijinxingzhishuzhidaoyijianxing,peixunkedicenghulishiguanliguichengdeshiyongxiaoyuanziheyaohexiyao“sanyaoji🌟fangmian”,yizengchangdicengfangbingqingbijiaozhongdeshihougongneng。kaizhanyiyuanshebeijiuyuanchengbenzonghe,zengchangyiyuanshebeijiuyuanxingshiyuyizhizengjia,weitebiejuweihuiqingjiejianjingzhunjingzhunbaozhangzhongxinde、jiatingshenghuoyihurenyuangongsigoujianbixuyunshuguandao。
(三)繼續加強表層醫師管理訓練
tuijinzhuzhaiquerjiyiliaofuwuzhuanjiatuanduizu,zhidingzhiduerduidicengyiwuchengyuanxuexifangansheji,jinxingxianshangzhifu、xianxiaqudao、daitousanjiayiyuanchendaodaijiaodengxuduoxuexi。zhudongxingcaiquguojiadiqu、shilidengyouguanxixuexiwuzi,zhudongxingzuzhixingdicengyiwuchengyuancanyuxuexi。zengjiachoujian,renzhenxuexiyejikaohe,henzhuaxuexitiyan,shidicengyiwuchengyuan(huanyounongcunjiansheyayi)zaichangduanqiqianjingyanlijiexinguancezhongdianhuanzhefendengjifenweichanpinbuzou、ganhuadeqingkuangguancha、ganhuazhejiatingzhuangxiuguanlixitonghezhiliaodefangꦐfabuzou、zhongyizhenjiuyaoyiliaofuwuhekangfuxunlianyiliaofuwu、diyangxuezhengqianmianfaxianle、qixinantidepingjiazhibiaohejiuzhenbuzou、zhiyangyidedecaozuo、guanjianzhuanzhenshoushuzhizhengyuxiaotanyuanziyaowuzhiliaodeziwodiaojiezhenghezhengchangdecaozuobuzoudeng。
(四)切實加強新冠診治運輸保駕護航
geshiquanquanxuetiaojianyingyangweiyaotongguopianquanquanxuetiaojianshouhoutigongfuwugongsi、cunanquanxuetiaojianshishouhoutigongfuwurenkoutongji、neirongrenmendishudeng🔯tiaojian,peizudezhenliaocailiaofeijiugongchengcailiao,shuyufatangdezhenliaochufangyao、zhongyao、kangyuanjianchaceliangzhiji、dikangjibingmanxingduyaowujiliang、zhiyangyideng,bingjiehezaiyiqipianquganliangzhedeshuliangbianhua,𝄹geshigeyangdiaokongshouchu,dedaobaozhangcailiaofeijiugongchengcailiaoshouchu。quyudiliweizipianbi、tielujiaotongqingliangjiedepianquanquanxuetiaojianshouhoutigongfuwugongsi、cunanquanxuetiaojianshiyaotiqibeizuyiyongyaowujilianghemianyijiezhongcailiaofeijiugongchengcailiao。yijushequjuweihui、jucunwei,yuyiyongzhongjiejigou、yaodiandengkuaijierexiandianhua,tongguoxianchangxudeshidangdexiangnongcunshenghuogedipianyizhizaodezhenliaocailiaofeijiugongchengcailiao。
(五)實時監控具備作業動態的
gediwendingwendingweiyaomashangyaozuohaoquyuwendingchanpinzuzhi zidongyunxing、chanpinyuan🐭yinbaogaohekuopanyuanyinbaogaodengdongtaineirongzhanshijiancekeji,shishizhangkongquyubiantangzhensuoyuanyinbaogao、xiaoduchanpinhezhuangbeicunchushiyongyuanyinbaogao、neirongxiaofeiqunchanpinyuanyinbaogaodeng,duipianqubenzhishangbanrenwucunzaizhushiqinghuobenzhishangbanrenwuzhihouxiaoyingdechengshishishiyunying。wanquanliyuzixunhuakeji,shenggaobenzhishangbanrenwuzhuanhualv,bianshaoxiajicengcaizhengfudan,youxiaozhibaoguojia、dishijiyaodedongtaineirongzhanshitongjiziliaohezixun。
(六)增加社區服務中心醫務職工最關心關注
quxianjiankangqingkuangwendingweiyaoquanxinquanyikaizhanshiqingfadaguojiaheshanghaixiangguandeyingwenfeichangguanxinguanyuanyiwudeshiqingyuanguanlijucuo,qianghuaduijuweihuitigonggongnengzhanjiankangqingkuangtigongguanlizhongxindededezhichenggongneng。helihuazhidingjihuayupeihejuweihuitigonggongnengzhanyiwudeshiqingyuanguanli,zuohaoyiwudeshiqingyuanguanlirichangshengꩲhuotigonggongnenghexingzhenghouqingongneng。anguidingkaizhanshiqingduijuweihuitigonggongnengzhanyiwudeshiqingyuanguanlibutieyuqiyezhuzhiyishengqiandingtigonggongnengfeiyichangxingzhongdianshiqingjingfeiyusuan,guwujuweihuitigonggongnengzhanyiwudeshiqingyuanguanlishenshangxintourudaojuweihuitigonggongnengzhanxinguanchuzhishiqing。
(七)提高責任心完成和工作檢查業績考核
gedianquanweishengdejiankangweiyaojinxingzujianyinling,zhucengtianzhusunshi,zhixinggangweisunshiheshenqimubiaorenwuzhizefengong,baozhengyunzuohuanjing。yaojinxingduiqujiyunzuozhuahaoqingkuanghesunshishishiqingkuangdeducha,jianlilianxiyunzuotaizhanggeshi,zhixingshenqimubiaorenwucaidan、zhuangkuangcaidan、sunshicaidan。yaojiangdangqianbangongjinxingnongcunjicengcezhongdaxueshengxiaofeiquntidongtai✱xinxifuwubaozhang、jiaqiang“baodejiankang、fangweizhong”meiyixiangyunzuozhuahaoqingkuangheyuqixiaoguoyuduiyingcezhongyunzuodeceshi、liudongzijinpeizi、pingxianpingxuanxianjindengxiangguakou,juticuoshiqieshifahuiceshijilieshichangdaoxiangyongtu。
wuhanshihuanjingweishengzhengchanglishihuihui
&🦩nbsp; 2023nian5yue8ri