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: 】
geshiquganjingweishengyingyangwei:
tongguozhejiangshengrenminzhengfulianfangliankongjili《youduiwujinxingxinguanzhongdiancunrendongtaideanquanfuwupeixunhe“guanzhalagao”yunzhuandewenxintishihan》hezhejiangshengrenminzhengfulianfangliankongjili、junweixiangcunyunzhuanlindaozuogongzuozhongzu《youduiwubanbuzengjiamuqianxiangcundedifangyizhongxinxingguanzhuangaizixinguanbingdupifugandongbingyiqingfengxianfangkongyunzhuanjiejuefangandewenxintishihan》wendangwenjianbiaozhun,weihuifashineijuweihuihuanweianquanfuwupeixunzuzhiwangdizuoyong,jianchi“zaoꦡfaxian、zaoliaofa、zaofenli”,yufangcuoshihejidajianshaoxinguanaizixinguanbingdupifugandongweizhongzhengyou,xianjiujinxingmuqianyouguanyunꦰzhuanwenxintishihanruxiasuoshu:
yi、buduandidetishengshequjuweihuixinguanqiangjiuxuexinengli
(一)穩步推進片區新冠診治擴盤增能
geshiquqingjieshentiweiyaojuzhenzhigongzuozhongxuyao,xinxihuazhuhuquyouguanyudebu,jiakuaisudulicuguanqujiedaotebieqingjiejingzhunfuwubaozhangdexuexiaoxinguanzhenzhihuodongchangsuokuozhanggoujian,guancheluoshiyouguanyudechangdisheshidehuanbaozhuangbeidehuanbaozhuangbeidengzengnengshouchuliang,shuyukouqiangzhenliaokongjian、jingmozhushekongjian、yangliaokongjian、yiyuanbingfangbingqudeng,zuihaoxindianjianhuquan、xueyangjiance🔯jishu、gongyangdengchangdisheshidehuanbaozhuangbeidehuanbaozhuangbeijiaru。xiangdui fuheguojiajutitiaojiandejiedaotebieqingjiejingzhunfuwubaozhangdexuexiao,aimianzihuactdengdehuanbaozhuangbeidejiaru,yindaozuoyongzhuhushepianding🐲qijianchaxiahua。keyiyizhaojingzhunfuwubaozhangdechengzhenrenkoushuliangzongrenshude15%-20%geshigeyangshouchuliangzhongyao、tuireyao、zhikeyaojikangyuanceshimianyishijihepeiqi,baozhenggongsibaojianyaopinshouchuliangliangbuduanweichizai2zhouzongshangsuoshu,chengzhenrenkoushuliangjizhonggedikejuzhenshijiarushouchuliangliang。
(二)搞好街道社區發熱的原因會診服務保障
quxiangetebiefuwuzhanhuanweiguanlijiandujianfuwuxuexiaozhanmeitianꩵ7tianjunyingdailaifalengyiliaoanquanbaozhangfuwu(hanjiejiaqi),bingzairuanjianshezhifalengyiliaoanquanbaozhangyeyiyuanmenzhenbu,gaibianfalengyiliaoanquanbaozhangyewandingshifuwu;quxiangetebiefuwuzhanhuanweiguanlijiandujianfuwufenxuexiaozhanmeitian7tianjunyingdailaifalengyiliaoan🌟quanbaozhangfuwu(hanjiejiaqi),youyijiandekesheyouyeyiyuanmenzhenbu。quxiangetebiefuwuzhanhuanweiguanlijiandujianfuwuzhan、cunhuanweiguanlijiandujianshiyingzhiliyufalengshaodianzhensuo、zanshifalengyiliaoanquanbaozhangliuguanqudeng,tigongfalengdengzhengzhuangzishenjiuyiliuchengxuyaoliang。
er、dalaokaizhanhexinxiaofeiquntijiankangshenghuojianceqiyuxinxitiexinfuwu
(一)敲定關鍵性客群應管既然
jiezhuyujiezhen、jucunwei,gequyushipinweishengfuwubaozhangpeixunzhongjianyaokaizhanyewuzhudongjiaojie,zaijiezhenjiangyaodianhuanzheguiruwanggehuadefangfajichukuangjiashang,duiyaodianhuanzhekaizhanyewudejiankangbaojianjiancexitongyudefangfa。chongfendiaodongqiyehushigaohaoguanxirenmenhezhudongfuwubaozhangpeixungongyong,fazhanfazhan6liusuizhishangshanglenianjidelaorenren🃏qiandingfuwubaozhangpeixunbaoguomian,jibendeshixingyaodianhuanzheqiandingquanbaoguo。pingjieyunfuwubaozhangpeixun、rexian、weixinweixin、shipindengfeilejiejutifangfahuoshangmenshouhougongzuosuifangdengtanranmianbianshangfuwubaozhangpeixunjutifangfa,zuoshi“hong、huang、lv”biaoshibiaopaiyaodianhuanzhe♎dejiankangbaojianfuwubaozhangpeixun,shixian“qigeguancheluoshiwanmei”。
1.yijiezhenweiqiye,jiezhuyuwanggehuadeguanlijineng,quanmianluoshi“juweisirentuandui”yunxingzhize。
2.sanjiyaodianrenmenshentijiankangdiaochayanjiufenleibiebuqing,dongtaidegenggaibingchuangjiantaizhangzenmezuo,jingyinggouzaohanshuxunxibuqing。
3.jiedaoshequqingjieweishengjingzhunbaozhangyiyuan24hjingzhunbaozhangdianhualiuchang,🎀jiayongzhuzhiyishengqudelianxitujingzhudongdixunwenzhongxinzhongren,youyingyanggong🥀geishidangjichushihuashibai。
4.jinxingduozhongbutongjiegouleixing,duihexinleirenjiamiwenjianjijizhaowufengduijie,dui“fenhongse”hexinleirenmeiri7tianzhaobu🗹zhishao3ci,dui“lanse”cihexinleiren,meiri7tianzhaobuzhishao2ci。
5.anshibawohaozhongdianshiyonghujibenzhishijibingqingxinghejiankangdegaikuang。
6.duizhongxinnianlingcengzhanranxinguandiannaobingduhuojibenzhishifukejibingbianzhongdengqingkuangxia,likeanquanjiankangzhuanyezhidao、jiuzhengyuzhuanzhen。
(二)貫徹落實重要客戶群分級維護
dui“hong、huang、lv”shengjizhongdiannianlingduanfenweibanbu“yi、er、sanjieduan”jianlibaozhang,dui“lvhua”nianlingduan,wancheng“sanjikaoshibaozhang”,tishengyingyangbaojianpeiyu,nonghaorengeyingyangbaojianfanghulan。dui“huang”nianlingduan,zaiwancheng“sanjikaoshibaozhang”dedijishang,duiruoyangjiajushounazhenliaozhuanyerenyuanbanbu“sanjikaoshibaozhang”,tishengkangyuantance、yingyangbaojianpingguwang、yingyangbaojianzixunlejie、shiyongpeixundeng。dui“huise”nianlingduan,zaiwancheng“yi、sanjikaoshibaozhang”dijishang🗹,banbu“sanjieduanbaozhang”,cuilianyingyangbaojianpingguwang,duishentizhuangkuangyuelaiyuezhongdebuyuzhuanzhenshouquanweituo。
san、zhulizhuahaogaohaoweizhongjiaozaochuxian、liaofayuguodu
gegequgonggongweishengjianjiandulvseweiyaotuidongshi、quqiangjiuyouguanzhuanjiatuanliqi,buduanjiaqiangduitebiegonggongweishengjianjiandugongzuozixunzhongxindianxietonggongzuoyufudao,jianchibuxie“zao🅘zhaodao、zaozhenliao、zaofenpei”fangshi,huifatebiegonggongweishengjianjian𝓀dugongzuozixunzhongxindian“guanzhashangyi”xiaoguo。
(一)深化新冠危重癥早發展
gejuweiganjinggongnengqi🐠yexieshoujucunwei,kaizhanduixinguanranshangzhedejiankangtancezhan,feichangshicezhongkehuqunranshangzhe,zaishishi“yi、er、san”jigongzuoguanlideqiantishang,yaocezhongkaizhanxinguandeqing𝓀kuangyuqiantixingdejibingdeqingkuangbianqiandetancezhan。
quanmiantishengduixinguanyingxiangzheyangshichuyubaohezhuangtaizhuangtaizhuangtaidutance。gepingtaigonggongqingjiexuedetiexinfuwubaozhangxingdanweiyaopeiqizuliangdezhijiashimoboxueyangyi(xiashusuoxiezhiyangyi),shiguanmeicipingtaigonggongqingjiexuedetiexinfuwubaozhangxingpingtaihefenpingtaiqimapeiqi20gewangshang、meicipingtaigonggongqingjiexuedetiexinfuwubaozhangxingzhanhecungonggongqingjiexueshiqimapeiqiergewangshang,meicijucunweiqimapeiqi2gewangshang。huibangmeicixiaojiatingyakeyishengxiangmutuanduipeiqibiyaodeshuliangdezhiyangyi,lianjiehaojucunweinengli,jiangyangshichuyubaohezhuangtaizhuangtaizhuangtaidutanceshouluzhongyaocunnianlingduanyingxiangzhetongchangsuifang🧸fangshi。gepingtaigonggongqingjiexuedetiexinfuwubaozhangxingdanweiyaojijidironghejucunwei,wei6sisuiwangshangyouxinguandiannaobingduyingxiangweizhongzhengkenengxingqiexingdongqilaibufangbiandezhongyaocunnianlingduanpaifazhiyangyi,dezhidaojiayongceshixueyangshichuyubaohezhuangtaizhuangtaizhuangtaidu。
(二)助推新冠危重癥早療法
yaojiezhushi、quyizhichang☂jiazuyongqi,kaizhanshequganjingganjingfuwuxiangmuyiliaojigouduixinguanganqizheduizhengjinxingzhiliaojinxingzhiliao,baohanshanshixianweidazai、yangliao、dadiandi、xiaoyuanziheyaocaicaozuo、jianlilianxixiaojiatingyi🧸yongbingchuangdeng。
1.做好立竿見影調理。shixiaquanquanyingyangweiweilepianquchanpinzhananquanchanpinxitongpeifayongliangshushideeryanghuadandai、eryanghuadanpingyuzhiyangjidengsheshi,baochijishideweiyiyuanmenzhenbuwomen、jiatingzhuangxiuzhenliaowomentigaoshujuyangliaohuoeryanghuadanzhuangguanchanpin。gepianquchanpinzhananquanchanpinzixunjigou、fenzixunjigoujunyaozhuangzhiyiyuanmenzhenbu“xiyangqu”;pianquchanpinzhananquanchanpinzhanyucunanquanshiyaosushangjunyaoyunyongzongshuanzhuangdidiankongjian,diaoshieryanghuadanguan,tigaoshuju“yangliao”chanpin,kaolvcunminbenshiyangliaochanpingongxu。jijikaizhanzuo♔wuhuaxiruzhenliao,gepianquchanpinzhananquanchanpinzixunjigou、fenzixunjigouyaosushangjunyaotigaoshujuzuowuhuaxiruzhenliaochanpin。ye,nonghaoyingxiangzheyouyingyangkeyi,shi🐭xingdejiankangyinshidezhidao,anguichengzuohaoguashuidengyewu,jidajianshaoweizhongzhengfashengweixian。
2.立即動用抵抗疾病慢性毒藥物控制。duizhongzhongzhizhongꦑxiaofeiqunganliangzhequedingkaoping,zaizhuchengquzhuanjiazupeixunxingxia,duimanzushiyingzhengdeganliangzhe,jinzaopeixunxingyunyongkangbinglimanxingduyaowu,quebaojinkuaiganshe。
3.完全充分利用中要醫治反應。guanchezhongxiyiyitongguo、zhongguochuantongyixueyaohuanyong,suoduan“sanyaochengbaofang”dengxiyaozaixiaoqugonggongweishengguanlidefuwudexitongdepeifaheyingyong。gexiaoqugonggongweishengguanlidefuwudeguanlizhongxinyaozaochengxinguanmumabingduganqizhongleixianzhuang,tongchoujiangu,bianzhengshizhi。zhuadao“zao”“kuai”deyuanzeyingwen,rangzhongyaozaixinguanmu⛎maganliangxiaoyuanyingxiaotuiguanghuodongchuqilikejinruhuanjie,suishizhizhiqingzhengzhuyuanbingrenxiangtezhongxing、weitezhongxingzhuanxing。
(三)進行新冠危重早分配
1.立刻授權委托轉診。duixinguanzhengzhuanghuojichukuangjiaxingbingjiaoqingdeganranzhiyuantizhe,gejiedaoshe♓quqingjieweishenggongnengxinzhong、jiajuyishizhuanyetuantiyaohuanhao120jinjijiuyuanzuiyouyunsongcuilvserukoutongdao,shouquanweituobingduzhemashangzhuanzhen。mianduijicengyuangongshouzhendeweizhongyonghu,yaogengkuaijingzhunderenbie,jiyuxianshiqingkuangbaogao,mashanggongyang,gexinghuahuiyuanfuwuzhengjijiurenfangfa,yidingyaoxingchengyonghushengmingtupianxian🌸xiangpingheng,zaihuliyuanguanliqinzixiamashangzhuanzhen。
2.通行縱向轉診。gepianqushipinweishengqingkuangbaozhangpingtaiyaotuidongquxingzhiliaopingtai、yiliantishangyijiyiyuan,liuchangxinguanzhenliaojiaochazhuanzhendetongdao,shixiaqushipinweishengqingkuangjiankangwei、gezhiliaoyiyuanyaorendingzerenrenzerenzhuanzhenzhineng🐻bumen,jianhuabingqingbijiaozhongdeshihouhuanerzhuanzhenliuchengtu,tigaolezhuanzhencuowulv。yibing,yaowanquanqizhushujujingxihuazhichengtixiyongtu,caiquyuanchengshipinfangwenyingzhen、yuanchengshipinfangwenjibingzhenduandengshouduan,quebaohuanerdedaoleanshiyouxiaodizhenliao。
duixiaoqugongജzuozhanhuanweigongzuohexinshangzhuanxinguanbingdubinghuanzhe,yuefashihexinxiaofeiqunbingdubinghuanzhe,shangyijizhensuoyaoquelishouzhishenlvserukou。zaishangyijizhensuowanzhengmengranqizhenliaohou,tiaojianpingjingdebingdubinghuanzhekexiazhuandaoxiaoqugongzuozhanhuanweigongzuohexinzhongzhengjianhushi,xiaoqugongzuozhanyiwugongzuoyuanyaojinruzhuanzhenfangfa,zuodaoweigongzuochengbaogongcheng。
geshiquhuanweilvsejiankangweiyingzonghepianquneixianjifenleizhengliyixuebaozhangxitongfangjianhuoxuhulichuangchengben,huianzhaogezhongxingzhengjibieyixuebaozhangxitongfangjianhuoxuhulichuanggongnengmokuaiqueding,dazaozonghe、fenleizhengliyunxingdegongshijizhi,yaozonghejihuapianquneixianjifenleizhengliyixuebaozhangxitongyiwugongren,nenggouxiapaizhuru、daiweishouhuidengtujing,zhichiruanjianxiaoqudeyewupeixunzhanhuanweideyewupeixunzhongxinzhenshideyewupeixun。cunzaihulichuangdexiaoqudeyewupeixunzhanhuanweideyewupeixunzhongxin,jindeshihoufangjianhuoxuhulichuangyunxinglvyingdacheng95%zhe,weifangzhihulichuangdexiao🦋qudeyewupeixunzhanhuanweideyewupeixunzhongxin,duifuheshoushuzhizhengdexijunbinghuanzhe,yingnenggoujiazhonghulichuangnenggoumanzujujiazhuangxiuhuanjiexiaofeixuqiu。
si、qieshijiaqiangjuweihuituchukehuqunjiuzhuwuzipinghengheweichibaozhangcuoshi
(一)能夠充分借助街鎮網格化操作體系
gejiedaojuweidefuwuzhongxinshouhoudefuwudezhanganjingfangyishouhoudefuwudexuexiaoyaozhudonglianhecaozuogejiezhen、jucunwei,jiayizhutuijiezhenwanggehuadeguanlicaozuotixi,qizhujiezhen、jucunweizhudaoxingyiyi,tuijinduizhuyaoxiaofeikehuquntijiedaojuweidefuwuzhongxinshouhoudefuwudezhandeguanlicaozuo,zhizuohaojiankangjianceshujuyujingtaishouhoudefuwude。zhutui“jiedaojuweidefuwuzhongxinshouhoudefuwudezhansirenzu”caozuotixi,tuijinduizhuyaoxiaofeikehuquntidebaobaolianxi。gejiedaojuweidefuwuzhongxinshouhoudefuwudezhanganjingfangyishouhoudefuwudexitongyaozuihaojiezhen,jiasheanzhaoqufangfankongzhibancaozuomouhua,zhizuohaoduigaolingchanfuyeye、youlilunzhishixingjibingren🍸zhedengweizhonggaoweixian xiaofeikehuquntihefazhanpingjingxiaohaizidengxiaofeikehuqunti“jian𒐪kangbao”banfa,lianhejucunwei,jixujiaqiangduiduchuyeye、jinyucanfeiqinshuyitongshenghuonianlingjiaodaderenderichangshenghuolianxi。
(二)搞好區域劃分醫藥資源英文統等支柱
gediganjingdejiankangweiyaopinghengzhuzhaiqugezhongyidingdanweiyiwuderenshu,pingjiexiacengxunzhen、derenshupaizhu、shulijiyuanchengyidingxietonghezuowangdengcelve,henhaojiejuejichuyidingganjingdanweirenliziqianquewenti,que𓄧baoanquanshengchanquyuxinguanqiangjiutigonggongzuopingwenxingkaifa。jiezhushineiduojiqiangjiuzhuanjiatuantizuheshangyijiyidingdanweixiangguanxunhuizhuanyemianfeizhidaoguize,duiquyuganjingtigonggongzuodanweikaifajishushebeizhuanyemianfeizhidao,xuexijichuyiwuderenshuguidingdongyongxiaotuanhuoyaoheyaocai“sanyaosanfangxieyishu”,yicongertigaojichufangweizhongtexing。jixujiaqiangyidingjiuyuannengyuanpingheng,zengdayidingjiuyuancheliayuliqishezhi,weiquyuganjingtigonggongzuozhongxinzhan、putongjiatingyishengzhuanjiatuantishulizhongyaojiyungongzuoqu。
(三)帶動基層職工醫務職工教學
zuzhijigoubaozhangzhuzhaiquerjichuzhizhuanjiatuanduizu,zhidingzhidugongxingnongcunjichengyiwugongzuojishuderenyuanpeizhenfangshi,jinxingqudao、ditui、jinyibujiaqiangzuzhijigoulingdaoweishengyuanxiayidaijiaodenghaojizhongpeizhen。nenggouchongfenheliliyongguodu、shilidengguanyu♛ peizhenshichang,zhengmianzuzhijigounongcunjichengyiwugongzuojishuderenyuanbaomingpeizhen。jinyibujiaqiangchouyangjianyan,biaozhunpeizhennianzhongkaohe,quebaoanquanpeizhendexiaoguo,shinongcunjichengyiwugongzuojishuderenyuan(shouluxiangjianzhurenyishi)zaiduanshijianneizhangwolezhangwolexinguanguanjianxiaofeiquntifendengjileixingbaozhangfangshi、ganhuadeqingkuangguan♍chadongwu、ganhuazhejiajuchulihekongzhi、zhongyizhenjiuyaochuzhihekangfudezhenliao、diyangxuezhengzhongqizhidao、qixikunkudefenxihezixunyishengfangshi、zhiyangyideyingyong、shouyaozhuanzhentiaojianhuozhexiaoyuanziyaocaidemanzuzhengheduiyingyongfangshideng。
(四)強化新冠處置東西保障措施
mingquetichuqingjieshentijiankangweiyaokeanzhaoshequanquanjiankangwangzhanjuweihuiqingjiefuwugongsizhan、cunqingjieshifuwuquanguorenkou、tuchuxiaofeiquntidishudengzhengzhuang,peizuzhenzhi𓄧jiuzaiwuqizhuangbei,shejifarezenmebankouqiangzhenliaobaojianyaopin、zhongyaocai、kangyuanceliangshenghuashiji、kangbingxingjuduwu、zhiyangyideng,bingyunyongshequanquanjiankangwangzhanjuweihuiyingxiangzheshumubianqian,zuixindediaozhengcunchu,baohujiuzaiwuqizhuangbeicunchu。yanhaidiqudidianpianpi、jiaotongyunshuzhuduobubiandeshequanquanjiankangwangzhanjuweihuiqingjiefuwugongsizhan、cunqingjieshiyaokaishibeizugenzhiyongyaohemianyijiezhongjiuzaiwuqizhuangbei。tuijinshequfuwuzhongxin、jucunwei,yuyiliaodaikuanjigoudaikuanjigou、yaodiandengzhidadian💯huo,keanzhaoshijiqingkuangyaoshidangdexiangxiangxiayanhaidiquqingxiedugongyingshangzhenzhijiuzaiwuqizhuangbei。
(五)實時更新熟練掌握業務各式各樣
mingquetichuweishengjianshihouanquanweiyaoyanxunonghaoquyuweishengjianshihouanquantiexinfuwuyuzuzhi zhengchangyunzuo、anquantiexinfuwuyushihouhekuodashihoudengdongtaizhanshixiangguanduanxinjiance,shishizhangwolequyufashaoyiliaojigoushihou、huopinheshepeizhubeicaiyongshihou、shengjizhongdiansangaorenqunanquantiexinfuwuyushihoudeng,duizhuchengqucaozuohuiyouyuanyinhuocaozuoshoudaozuaideweizhi🃏shishizhihuidiaodu。gengjiachongfenshiyongxiangguanshuzihuajimu,zengjincaozuozhiliang,jidajianshaojicenggongzuofuchu,liketijiaogeguo、shilibixuyaodedongtaizhanshixiangguanduanxinshujukuhexiangguanduanxin。
(六)全面提升小區醫務人工關照獻愛心
quxianwendingwendingweiyaozhuliqiaodingzhongguo🎶heshanghaishiyouguanguanqieguanailiushouertongyiwuchengyuanjucuo,kaizhanduijuweihuijuweihuiwendingtigongyewuzhongdexiechengweihu。heqinghelishezhiyudiaozhijuweihuijuweihuiyiwuchengyuan,zuodaoyiwuchengyuanshenghuozhongtigongyewuhexingzhenghouqinweihu。anshedingqiaodingduijuweihuijuweihuiyiwuchengyuanbuzhujinyujiazhurenyishengjieyuetigongyewufeiyixiazixing🍌zhuanxiangzhengzhiyunzuoshiyefei,tuanduijilijuweihuijuweihuiyiwuchengyuanzhouxingxinlifuchujuweihuijuweihuixinguanjiuhuyunzuo。
(七)搞好責任狀落實一崗雙責和專項督查績效考評
mingxiantichuweishengguanliweishengweiyaojixujinyibutigaotuantiguanlizhe,zhuyihuitiantuzongzezhuang,mingxianxingzhengbumenzongzezhuangherenwuzuzhijiagou,youxiaobaozhanglegongzuoshangshenghuotiaojian。yaojixujinyibutigaoduiquji🐬gongzuoshangkaifahuanjinghezongzezhuangrenzhenzhixinghuanjingdecaozuojiancha,jianzaogongzuoshangzhangbiao,shishirenwuqingdan、huatiqingdan、zongzezhuangqingdan。yaojiangdangjinjinxingjicengyuangongzhongxinyonghuxindongtai🌳fuwupeixun、zengqiang“baoweisheng、fangweizhongzheng”meixianggongzuoshangkaifahuanjinghechubuchengxiaoyuguanlianzhongxingongzuoshangdekaoyan、zhouzhuanjinpeizhi、pingxianbiaozhangdengxianglianxi,gengjiaqizhukaoyangulijilidaoxiangxingfanying。
hangzhoushishiqingjieshentichangwulianhehui
&🌟nbsp; &nbs🍒p; 2023nian5yue8ri