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: 】
各地環保良好委:
tongguoguojialinglianfangliankongkaoheguize《guanganjinxingxinguanshengjizhongdiannianlingcengxinxianquanfuwuguanlihe“kouanlagao”yunxingdegaosushuduanxin》heguojialinglianfangliankongkaoheguize🌟、difangweixiangcunyunxingguanlizhezu《guanganchutaijiadamougeshangbanweixiangcundiduanhuanbaoxingguanzhuanghongbingduyounaxieranshangqinliufangzhiyunxingshejifangandegaosushuduanxin》zipwenjiandeyaoqiu,weiyinlingtianjinshishequfuwuguanlizhanweishengguanlianquanfuwuguanlizhuangzhiwangdigongneng,chixu“zaochuxian、zaozhiliao、zaofenpei”,yifanghejidajianshaoxinguanhongbingduyounaxieranshangbingqingbijiaozhongdeshihouzaicifasheng,xianjiujinxingmougeshangbanguanyuyunxinggaosushuduanxinyixia:
yi、jiangchixugaishanjiedaoshequxinguanzhenzhiyishi
(一)發展街道社區新冠救助擴大增能
shishixiaquhuanbaoxuejiandulvsejiankangweiyaoyijuzhenzhigongzuorenwuhelixuqiu,yitihuaxiaoquneiyouguanyuzhongjiejigou,cujinwenbutuijinshixiaqujuweihuijingzhuntigongfuwuyuzhongyanghuanbaoxuejiandu🌠jingzhuntigongfuwuyuzhongyangxinguanzhenzhigonggongchangsuokuopanjianzao,tuijinyouguanyuchangdipeizhihuanbaodesheshidengzengnengshouchu,liruzhenzhibufen、dadiandibufen、yangliaobufen、zhuyuanbubingqudeng,yaozuohaoxindianjianhuren、xueyangjianceshuju、gongyangdengchangdipeizhihuanbaodesheshipeizhi。duiyuneixiedadaozhuangtaidejuweihuijingzhuntigongfuwuyuzhongyanghuanbaoxuejiandujingzhuntigongfuwuyuzhongyang,yaobijiaoqianghuactdenghuanbaodesheshidepeizhi,youdaojumingshepianjianchachendian。anjingzhuntigongfuwuyurenkoushuliangtongjizongede15%-20%richangdongtaishouchuzhongyaofangji、tuireyao、zhikehuatanyaojikangyuanjiancehuaxuezhijiherenyuanpeibei,zhuahaozhongjiejigoufeichufangyaoshouchuliangyizhichangqibaochizai2zhoushangmiande,renkoushuliangtongjimijixingdiduankeyijuhelizengqiangshouchuliang。
(二)進一步提高社區網站發熱的原因的診療保障
quanxiangejiedaoganjinggonggongweishengxueguanlifuwujigoubenzhouwutianjunyingkeyijubeibiantangdeyiyongguifanguifanfuwu(hanjiexiuxiri),bingjingguopeizhibiantangdeyiyongguifanguifanyemenzhenbu,shixianlebiantangdeyiyongguifanguifanwanshangyanchifuwu;quanxiangejiedaoganjinggonggongweishengxueguanlifuwufenjigoubenzhouwutianjunyingkeyijubeibiantangdeyiyongguifanguifanfuwu(hanjiexiuxiri)♒,youyigejiandekesheyouyemenzhenbu。quanxiangejiedaoganjinggonggongweishengxueguanlifuwuzhan、cunganjinggonggongweishengxueguanlishiyingzhenghebiantangshaodianbingshi、linshiedubiantangdeyiyongguifanguifanliuguanqudeng,yaoqiubiantangdengbingzhengqiumeizhekanbingxuqiuliang。
er、zhazhashishizuodaoweizhongyaorenqundangshentijiankangtanceyugifdongtaiyewu
(一)抓好重心用戶應管其實
zhutuijiezhen、jucunwei,gejiedaobanshichulianghaojingzhunbaozhangxiangmugongsiyaozhuahaozijuexianjie,zaijiezhenjiangguanjianyonghudangbeilieruwanggehuaguanlizhidufangfazhishijichu🔯shang,duiguanjianyonghudangzhankailianghaojianceyuguanlizhidufangfa。qizhurenjiayakeyishenglianjiegongzhonghezijuejingzhunbaozhangxiangmuxiaoying,ladongbianda66suiyixia60suirenchengjiaojingzhunbaozhangxiangmusuohebingfanwei,zuijibenjinxingguanjianyonghudangchengjiaoquansuohebing。liyonglvyunjingzhunbaozhangxiangmu、zuojihao、weixinhao、shipintupiandengfeijiechudemianjixiguanhuoshangmensuifangdengzaimianbangbianjingzhunbaozhangxiangmuxiguan,zuoshi“hong、huang、lv”shibieguanjianyonghudanglianghaojingzhunbaozhangxiangmu,zuode“6geluoshizerenjia”。
1.yijiezhenweidedanwei,zuzhibaozhangwanggehuazuogongzuocuoshi,luoshizeren“quyu3renzhuanban”zuogongzuozhizequanxian。
2.sanjiyaodianhuanzhejiankangbaojianchakandingyimingque,zuixinzhenggaibingchenglitaizhang,deguanlixiangqinduixianggerenxinximingque。
3.jiedaoweishengfangyiyewujigou24zhongtouyewudianhuafangbianqunzhong,qiyehushilianxu🅺defangfabeidonggaosuhexinxiaofeizhe,youlianghaoyaoshilike꧒bengkui。
4.shiyonggezhonggeyangfengge,duicezhuzhongkehuqunshujujiamizidonggaohaoguanxilianjie,dui“dahongse”cezhuzhongkehuqunmeizhoudexingqidexingqigaohaoguanxibudiyu3ci,dui“huanglv▨se”cicezhuzhong꧂kehuqun,meizhoudexingqidexingqigaohaoguanxibudiyu2ci。
5.xunsushulianneirongnianlingcengjichukuangjiajibingzhengzhuangtiaojianhelvsejiankangtiaojian。
6.duizhongdianshiquntiganliangxinguanbingdushishenmehuoyijupifujibingjianruodengzhuangtai,youxiaoshentifudao、jiaozhiyuzhuanzhen。
(二)貫徹執行核心類人進行分類服務管理
dui“hong、huang、lv”cezhongdianxiaofeizhefenbieshibanbu“yi、er、liangji”chuligongzuozhiliangxing,dui“lv🍬seyingyang”xiaofeizhe,yangeyangefangan“diyigongzuozhiliangxing”,daidongyingyangpeiyu,tiqianzuohaorenyingyangnaihuoban。dui“mihuangse”xiaofeizhe,zaiyangeyangefangan“diyigongzuozhiliangxing”delilunzhishitiaojianshang,duiyangxingjujiayanglaogongnenghuanjieyuangongbanbu“ercigongzuozhiliangxing”,daidongkangyuanjianyan、yingyangtance、yingyangzixunzhongxin、fuyaojiaoyuzhidaodeng。dui“huangse”xiaofeizhe,zaiyangeyangefangan“yi、erci☂gongzuozhiliangxing”lilunzhishitiaojianshang,banbu“liangjigongzuozhiliangxing”,qianghuazhuangbeiyingyangtance,duishentizhuangkuangbianqingdegeiyizhuanzhenfuzhu。
san、zhulidianjiadabingqingbijiaozhongdeshihouqianmiankanjian、zhiliaofangfayujieliu
gedianquananquanweiyaoyifushi、quyizhijishulingdaoxiaozuliliang🔜tupian,buduanjiaqiangduitebiewangzhananquanti༒gongshouhoufuwuhexinlianjieyuzhuanyezhidao,jianchixiaqu“zaochuxian、zaofangfa、zaojieliu”debiaozhun,fahuichutebiewangzhananquantigongshouhoufuwuhexin“shekoukouanshangyi”fanying。
(一)加快推進新冠危重癥早挖掘
geshequhuanbaohuanbaotiexinfuwushebeixiezuojucunwei,daidongduixinguanranshangzhedelianghaojiancejishushuju,tongchangshizhuyaoqunzhongranshangzhe,zaiguanchezhixing𝐆“yi、er、san”jiguankongdehexinxingshang,yaozhuyaodaidongxinguanlin✱chuangxianxiangyuhexinxingxingbingdulinchuangxianxiangbianhuandejiancejishushuju。
qieshijiaqiangduixinguanbingjunzheyangchengxianquyuwendingzhuangtaizhuangtaidushujujianceshuju。gejiedaobanshichuhuanweianquanfuwuyugongsiyaochangbeizuliangdezhijiashihexin💖xueyangyi(yixiadeyingwensuoxiezhiyangyi),youxiaoquebaomeiyiweijiedaobanshichuhuanweianquanfuwuyuzhongjianhefenzhongjianzhiyaochangbei20gezhe、meiyiweijiedaobanshichuhuanweianquanfuwuyuzhanhecunhuanweishizhiyaochangbeiliagezhe,meiyiweijucunweizhiyaochangbei1gedagaizhe。huiweimeiyiweijiatinghuanjingyiyuanyishengchuangyetuanduichangbeixuyaoliangdezhiyangyi,wufengduijiehaojucunweiqianneng,jiangyangchengxianquyuwendingzhuangtaizhuangtaidushujujianceshujunaweihexinzhongrenbingjunzhetongchangsuifangwangzhanneirong。gejiedaobanshichuhuanweianquanfuwuyugongsiyaozhudongxingxinxihuajucunwei,wei64suizheyouxinguanbingjunbingjunweizhongwentiqiegongjianzhanmafandehexinzhongrenfenfazhiyangyi,zhidaoyijianzhujiajiancexueyangchengxianquyuwendingzhuangtaizhuangtaidu。
(二)有序推進新冠危重癥早控制
yaozhengheshi、quyizhikeyanlingdaoxiaozudingli,kaizhanpingtaianquanbaozhangqiyeduixinguanganranꦚzheliganjianyingzhiliaofangfa,biruyingyangchengfenshiyong、yangliao、diaoping、xiaoyuanziyaocaishiyong、zujianjiazuyiliaochuangdeng。
1.繼續加強針對性根治。mingquetichushipinjiankangxueshentijiankangweiweilejiedaobanshipinjiankangxuegongzuoyiliaojigoupeiqideshuliangzuiyideqingqidai、qingqipinghuozhiyangjidengdeshebei,youxiaoquebaolijiweizhensuoren、jujiayanglaogongnengdezhiliaorenzhanshi yangliaohuoqingqifenzhuanggongzuo。gejiedaobanshipinjiankangxuegongzuoguanlizhongxin、fenguanlizhongxinjunyaoshebeizhensuo“xiyangqu”;jiedaobanshipinjiankangxuegongzuozhanyucunshipinjiankangxueshijibenzhunzeshangjunyaocaiquyiyouhuodongchangdihuanjingkongjian,peiziqingqiguan,zhanshi “yangliao”gongzuo,xuyaomanzurenbenshiyangliaogongzuoxuyaoliang。zuohaozuozuowuhuazhiliao,🥃gejiedaobanshipinjiankangxuegongzuoguanlizhongxin、fenguanlizhongxinjibenzhunzeshangjunyaozhanshi zuozuowuhuazhiliaogongzuo。ciwai,zhizuohaozhanranzhedanbaizhishiyong,jinxingzhengchangyingyangjiankangpeixun,anguifanleluoshijingmozhushedengfuwu,yijianshaoweizhongyoufengxianyinhuan。
2.及時的適用抵抗劇毒物控制。duitebiexiaofeiquntigandongzhezuohaopingding,zaichengquzhongyizhuanjiatuanminglingxia,dui🐼qiheshiyingzhengdegandongzhe,jizaominglingxuanyongkangbingxingpishuangwu,baozhengzuodaogenghaodixingweijiaozheng。
3.加以產生西藥診療角色。baozhengzhongwaiyiyizhao、guoyiyaoyeranhouyong,tisheng“sanyaojifangmian”dengyaocaizaishequwangzhanyiliaojianduweishengqingkuangjiandugongnengbaozhangzhuangzhideshebeihezaishiyong。♛geshequwangzhanyiliaojianduweishengqingkuangjiandugongnengbaozhangzhongxindeyaozaochengxinguanaizibingduranshangduojianzhengzhuang,yinshilidao,bianzhengshizhi。liyong“zao”“kuai”deyiju,rangzhongcaoyaozaixinguanbingjunranbingqibujieduanjinkuaijizaomairufangfa,jishidekongzhiqingzhenghuanerxiangdaxing、weidaxingweilaifazhan。
(三)持續推進新冠危重早并軌
1.有效督促轉診。duixinguanxianxianghuojichushangxingchuanranjihuanjiaoqingdeyingxiangzhe,geshequnqingjiefuwupeixunpingtai、hunyinfukeyishengxiangmutuanduihuiyonghao120jinjijiuyuanxianxingyunshucaoඣlvsejiedian,zhudongpeihegandongzhejishizhuanzhen。zhenduijicenggongzuoshouzhendeweizhongzhengrenqun,yaoshifenxunsuhelizhengchangshibie,tongguoshijishangzhuangtai,jishigongyang,tongguozhudongjijiugongzuo,zuihaoweihurenqunbaobaozhengxiangwending,zaiyihuzhereqingjiedaixiajishizhuanzhen。
2.暢行雙邊轉診。getebieweishengjianduxuetiexinfuwuzhongxinyaotuidongchengshixingyixuezhongxin、yiliantishangyijiyiliaobaozhang,liantongxin🐷guanchuzhishuangxiangzhuanzhenlutongdao,gegequweishengjianduxueanquanwei、geyixuezuzhi yaoquelizhibanrenyuanjinxingzhuanzhenguanligangwei,yaoxuehuijianhuaweizhongbingrenzhuanzhenbuzou,tisheng zhuanzhenyouxiaolvlv。tongyang,🃏yaozugouhuifagerenjiaoyuxinxihuaweichixiaoyong,pingjieshoujiqqyuanchengjiuzhen、shoujiqqyuanchengpanduandengxingshi,quebaobingrenqudeshishiyouxiaolvchuzhi。
duipingtaianquanshouhoufuwuxiangmuxiangmushengjizhongdianshangzhuanxinguanganranzhe,youqiyaoshishengjizhongdiannianling🌱cengganranzhe,shangsizhensuoyaojianzaoshouzhishenlvchedao。zaishangsizhensuowanzhengturanqidezhiliaohou,shiqingpinghuandeganranzhekexiazhuandaopingtaianquanshou🧜houfuwuxiangmuxiangmushengjizhongdianzhenshi,pingtaiyiwurenshuyaocanyuzhuanzhenchengxu,zuoshouhoufuwuxiangmuxiangmutoubiao。
shizhenquganjingqingkuangjiankangweiyingpinghengyeliaobaoxianzhenquneigebuzhengfuyijiyeliaoqiyebingfangshunengyuan,kegenjubuyixingzhengjibieyeliaoqiyebingfangshutedianqueding,jianlilianxipinghengyeliaobaoxian、xifenyunxingdedexinjizhi,yaopinghengyeliaobaoxianguihuazhenquneigebuzhengfuyijiyeliaoqiyeyiwugongren,caiyongxiapaijinjun、weituoxieyiyijiaodengdefangfa,jianrongquyuganjingqingkuangfuwuguanlifuwuguanlisuozhanchanfangfuwuguanli♛。cunzaibingfangdequyuganjingqingkuangfuwuguanlifuwuguanlisuozhan,jinﷺguanjianshiqibingfangshuyunxingdelvyingtigao95%yishangneirong,weibuzhibingfangdequyuganjingqingkuangfuwuguanlifuwuguanlisuozhan,duijuyoutiaojiandeganhuazhe,yingcaiyongjiayongbingfangyongyoujujiazhuangxiuyeliaoshijixuqiu。
si、zhuahaoshequfuwuzhongxinzhongzhongzhizhongkequnjijiucailiaochengxiangyiliaobaoxianhechengzhongquebao
(一)有力致力于街鎮網格化操作考核機制
gejuweiwangzhanjuweihuishipinweishengfangyijingzhunfuwuguanlixiangmuxinzhongyaozhudongdihezuogejiezhen、jucunwei,zugouyijiazhengheyujiezhenwanggehuafuwuguanlixiangmujianduyuanyouhua,zhanxianjiezhen、jucunweizhutibangzhu,kaizhanduizhongyaoqunzhongjuweiwangzhanjuweihuifuwuguanlixiangmuanquanguanli,daidongshentijiankangdepingguyugifdongtaijingzhunfuwuguanlixiangmu。yijiazhengheyu“juweiwangzhanjuweihuiwurenbanji”zuoyeyuanyouhua,kaizhanduizhongyaoqunzhongdebaobaogaohaoguanxi。gejuweiwangzhanjuwei♍huishipinweishengfangyijingzhunfuwuguanlixiangmudaikuanjigouyaohuxiangpeihejiezhen,yizhaoquyinhuanpaichazhilibanzuoyezhaokaihuiyi,daidongduibashisuiyeye、youtiaojianxingzhengzhuangwomendengbingqingbijiaozhongdeshihougaoweixianyinsuqunzhongheshengcunweijihaizi dengqunzhong“shentijiankangdebao”shouqu,yitihuajucunwei,daidongduidujushenghuoyeye、jinyucanjiernvanfengongyoushenghuo60suirenderichangdegaohaoguanxi。
(二)抓好部分醫用資原城鄉醫療保險保障
gexianquganjingshentiweiyaochengxiangzhiliaobaoxianfengjingquneigedazhiliaodanweiyiwurenshi,pingjieqingxiexunzhen、renshipaizhu、xingchengyuanchengdengluzhiliaoxietonggongzuowangdengcuoshi,yingduijichuzhiliaoganjingdanweilaowukuifakunnan,baozhangjuweihuixinguanchuzhigongzuopingwenxingshishi。jiezhuyuzhuzhaiquliangjichuzhijiaoshouzuheshangyijizhiliaodanweigezhongxiangguanxunhuijishupeixungongzuojizhi,duijuweihuiganjinggongzuodanweishishixinjishujishupeixun,jishupeixunjiဣchuyiwurenshi﷽guichengshiyongxiaotuanhuoyaohezhongyaocai“sanyaoliangfang”,yitigaolejichufangweizhongzhuanyenengli。dalijiaqiangzhiliaojiuhuziyuanchengxiangzhiliaobaoxian,zengdazhiliaojiuhulaiwangcheliangyuliduxiankapeizhi,weijuweihuiganjinggongzuojidi、jiazuhushizhuanyetuantixingchengshouxianzhuanyungongsiguodao。
(三)抓好底層醫務人士陪訓
jiezhuyuzhuchengquliangjijiuhumazuiyishengzu,jihuamianxiangjichengyiwuzhigongpeiyangfanganzenmexie,kaizhandiaoyanqudao、xianshang、buduanjia🌟qiangjinxinglingdaoyiyuanmenzhenqingxiedaijiaodengduoyangpeiyang。wanquanjinxingwoguo、shengjidengyeneipeiyangziyuanyingwen,genghaodijinxingjichengyiwuzhigongjiaonapeiyang。buduanjiaqiangchouyangjianyan,yangezhixingpeiyangji♈xiaokaoping,quedingpeiyangchengxiao,shijichengyiwuzhigong(shejidaoxiangcunlvyoumazuiyisheng)zaichangduanqixianneishulianchengdushuzhixinguancezhongdianxiaofeiqunfenjifenleifuwuguanlifenleifuwuguanlibaozhanggongyi、bingduzhanranxianzhuangkan、bingduzhanranzhezijidefangzifuwuguanlihekaizhan、zhongyizhenjiuyaojiuhuhekangfuzhiliaoyiyong、diyangxuezhengzaoqishihouganjue、xinzangtiaodongjiannandekaohehejiezhengongyi、zhiyangyidexuanze、zhiguanzhongyaozhuanzhentiaojianyuxiaoyuanziyaocaiderongruzhenghezuijiaxuanzegongyideng。
(四)繼續加強新冠救助物質保障措施
gegequjian𝓀kangdejiankangdeweiyaolianxiquyujiankangdeshouhoujingzhunfuwubaoxianpingtai、cunjiankangdeshishouhoujingzhunfuwubaoxianchangzhurenkou、zhuyaokequndishudenghuanjing,peizuyiliaobaozhangjigoufangxunwupin,shejidaoshengwenyiliaobaozhangjigouchufangyao、zhongyao、kangyuantancehuaxueyaopin、shentimanxingdukoufuyao、zhiyangyideng,binglianxiquyuranbingꦍzherenshuzhuanhua,dongxiangxiaozhunzhubeiku,baoxianfangxunwupinzhubeiku。dixingqihoujutiweizhibianyuan、chuxingbulidequyujiankangdeshouhoujingzhunfuwubaoxianpingtai、cunjiankangdeshiyaowandaobeizufangfakoufuyaoheweishengfangyifangxunwupin。zhutuidaolu、jucunwei,yuyiliaobaozhangjigou、yiyaoliansuodengliantongzixunrexian,lianxixianshideyaoqiushidangdexiangcunlidedifangqingdaoshengchanyiliaobaozhangjigoufangxunwupin。
(五)雷達回波圖正確掌握任務動向
quxianhuanbaoanquanjiankangweiyaozaijixunonghaojiedaohuanbaofuwuyubaozhangyupingtaixingshi、fuwuyubaozhangyuzhuangtaixiahekuochongzhuangtaixiadengzuixinxingtance,ಞgongjiaoshishigongjiaobakongjiedaofarezenmebanyiliaojigouzhuangtaixia、xiaoduchanpinhezhuangzhicunliangcaiyongzhuangtaixia、hexinrenqundangfuwuyubaozhangyuzhuangtaixiadeng,duiquneiyewufashengguzhang huoyewuluowudediqugongjiaoshishigongjiaodiaoyong。jijizhudongtongguochanpinxiangguanxinxihuaxitongnengli,zengchangyewugaoxiaolv,tigaojicengzuzhidefudan,sui🐻shishangchuanyigeguojia、dishijixuyaodezuixinxingdashujuhechanpinxiangguanxinxi。
(六)不斷加強社區服務站醫務專業人員關懷關懷
gedihuanbaoqingkuangdejiankangweiyaodaꦓlirenzhenqiaodingguoduheshanghaixiangguandezunzhongxianaixinyiwuchengyuanbanfa,jinyibujiaqiangduixiaoquhuanbaohuanbaoqingkuanganquandefuwudezhongyangdezhichenganquanyouxiaobaozhang。heqinghelirangyupeihexiaoquhuanbaoyiwuchengyuan,kaizhanyiwuchengyuanxianzaideshenghuoanquandefuwudehehouqinguanlianquanyouxiaobao🦹zhang。anbiaozhunguidingrenzhenqiaodingduixiaoquhuanbaoyiwuchengyuanjintieyujializhuzhiyishengqianhetonganquandefuwudefeiyouzhizhizhuanxiangzhengzhibenzhibenzhigongzuojiedaifei,jiliyuangongxiaoquhuanbaoyiwuchengyuanmanxinlizijintouruxiaoquhuanbaoxinguanchuzhibenzhibenzhigongzuo。
(七)繼續加強權利與義務實施和專項督查績效考核
cehuatichuweishengjianduanquanjiankangweiyaojinyibutigaojitiyinling,jingguocengcengdeyashixishudanzexin,cehuabumenguanlidanzexinhediaoyuderenwuzhizefengong,anquanbaozhangderenwuzhuangkuang。yaojinyibutigaoduiqujiderenwutuijinzhuangkuanghedanzexintuijinzhuangkuangdedudaojiancha,sheliderenwutaizhanggeshi,cehuadiaoyuderenwuhuizongbiao、wentihuizong🌄biao、danzexinhuizongbiao。yaojiangxianzaikaishijicengzuzhizhuyaokehuqundongtaidefuwuzhiliang、wuqiduanzao“baoanquanjiankang、fangbingqingbijiaozhongdeshihou”gezhongderenwutuijinzhuangkuanghechubuchengxiaoyuxiangguanzhuyaoderenwudekaocha、jingjijisuan、pingxianpingxuandengxiangxiangguan,gengjiaqizhukaochajifakeyankaifajiaose。
shanghaishiqingjiejiankanglishihuihui
2023🎉nian7yue8ri