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各市區衛生衛生委:

🃏zhinenggenjuguojialianfangliankongzhidu《xiangguanyaowanchengxinguanguanjiandianleirenrichangdongtaifuwuhe“kouanyiwei”zuoyeshangshangdetongbao》heguojialianfangliankongzhidu、difangshandongnongcunjianfangzuoyeshangshanglingdaoganbuzuchang《xiangguanxiafazengjinmougeshandongnongcunjianfangdichuangxinxingguanzhuanghongbingdumabingdumabingduzhuyifangfanzuoyeshangshangshejidetongbao》ziliaobiaozhun，weigenghaodifahuibenshengshequwangzhanweishengqingkuangfuwuzuzhi wangdixiaoguo，jianchishenme“zaokandao、zaozhiliao、zaojieliu”，fangkongheyizhixinguanhongbingdumabingdumabingdubingqingbijiaozhongdeshihouyinfa，xianjiuyaowanchengmougexiangguanzuoyeshangshangtongbaozhengque：

yi、jixuzengjiaxiaoquxinguanzhenliaoliliang

（一）加快推進社區衛生新冠處置增容增能

🌃quxianganjingzhengchangweiyaohuibiaomingchuzhibenzhigongzuosuqiu，liandongxiaofangtongdaoyouguandezhuangzhi，kuaisuzengchangwanchengshixiaqushequdefuwudexinzhongwangzhanganjingchanpindefuwudezhanxinguanchuzhichangguankuopanjiansheguihua，wanchengyouguandedefuwudejichusheshihuanbaochanpindengzengnengzhubei，shouluhuizhendifanghuafen、jingmoshuyedifanghuafen、yangliaodifanghuafen、bingqubingqudeng，wanchengxindianzhongzhengjianhu、xueyangpinggu、gongyangdengdefuwudejichusheshihuanbaochanpindiaoshi。mianduibufuhebibeitiaojiandeshequdefuwudexinzhongwangzhanganjingchanpindefuwudezhan，yaohaohenduohuactdenghuanbaochanpindediaoshi，shudaoyonghushepianjianchaxiaxian。biaomingchanpinrukouzongede15%-20%dongtaixinxizhubeizhongcaoyao、tuireyao、zhikesouyaojikangyuanjianyanhuaxuezhijihezhuangbei，youxiaoquebaozhuangzhiotcyaopinzhubeiliangshizhongruyihuifuzai2zhoushangmiande，rukouximichengshikehuibiaomingshijikuodazhubeiliang。

（二）加大社區網站變燙醫療提供服務

🃏quanshenggetebieanquanguanlianquangongzuopingtaimeiriyizhoujunyingtigongfatanglinchuanganquangongzuo（hanjiegangwan），bingcaiyongshelifatanglinchuangyezhuankezhensuo，dadaofatanglinchuangyewanyanshidianluanquangongzuo；quanshenggetebieanquanguanlianquangongzuofenpingtaimeiriyizhoujunyingtigongfatanglinchuanganquangongzuo（hanjiegangwan），youyijiandekejianliyezhuankezhensuo。quanshenggetebieanquanguanlianquangongzuozhan、cunanquanguanlishiyingyilaifatangshaodianhouzhenshi、yongjiuxingfatanglinchuangliuguanqudeng，shixianfatangdengbushifanyingrenqunjiuzhengonggei。

er、jianshizhunbeihaoguanjiansangaorenqunanquanjiankangjiancejishuyudongtaixinxitigongfuwu

（一）實施主要人群當應管我以為

🦋yilaijiezhen、jucunwei，gejiedaobanshichuqingjietigongtigongchanpinzhuyaoyaoqianghuajijijieru，zaijiezhenjiangzhuyaokehushouruwanggehuakongzhihexinshang，duizhuyaokehushenrukaizhanjiankangbaojianjianceshujuyukongzhi。genjujiatinghuanjinghushilianxikehuhejijitigongtigongchanpinxiaoguo，diaogaogaibian64suiwangshanglaonianxingrenchengjiaotigongtigongchanpinshejimian，jibendebaozheng zhuyaokehuchengjiaoquansheji。genjuyuntigongtigongchanpin、dianhua、weixinzhifu、shipinbofangdengfeijiechudaoshouduanhuotianjinshangmensuifangdenggengweimiantigongtigongchanpinshouduan，zuoshi“hong、huang、lv”biaoshitupianzhuyaokehujiankangbaojiantigongtigongchanpin，zuode“sigekaizhanjingzhun”。

1.yijiezhenweijicengdanwei，zhenghewanggehuaguanlizhiduchangxiaojizhi，shishi“shequwangzhansangerenketizu”gangweizhuyaozhize。

ꦗ2.jidaleishengjizhongdianxiaofeizheyingyangdiaochayuanfenleicaozuomingxian，geshigeyangdongdediaozhengbingjianliqiqingdanbiaoge，caozuoduixiangtupiangerenxinximingxian。

ꦍ3.shequshipinweishengshipinweishenganquanfuwuzhiliangzuzhi24banxiaoshianquanfuwuzhiliangfuwudianhuakuanchangtongchang，dejiatingzhurenyishenglianxiqilaifangshijijimingshicezhongxiaofeiqunti，youwendingyiyuanshilikesiji。

ꦅ4.nenggouduogemoshi，duizhongdiansangaonianlingcengwenjianjiamijijijianlidianhuazhaohuatixianjie，dui“se”zhongdiansangaonianlingcengmeixingqidexingqijianlidianhuazhaohuatibugaoyu3ci，dui“qianhuangse”cizhongdiansangaonianlingceng，meixingqidexingqijianlidianhuazhaohuatibugaoyu2ci。

5.shishibawohaohexinxiaofeiqunjichulilunbingdeqingkuanghelvseyunxing。

6.duiguanjiannianlingcengfukeganranxinguanbingjunhuoyijujibingjianshaodengzhuangtai，jishidedejiankangzhidian、zhenzhiyuzhuanzhen。

（二）認真執行重中之重人們區分操作

🍸dui“hong、huang、lv”guanjianxiaofeixiaofeiquntigekuaisuzhixing“yi、er、erjikaoshi”jingyinganquanbaozhang，dui“chuntianran”xiaofeixiaofeiqunti，guanchezhixing“qijianquanbaozhang”，tishengshentiyuerjiaoyu，lejiewoshentifanghuxitong。dui“huangse”xiaofeixiaofeiqunti，zaiguanchezhixing“qijianquanbaozhang”delilunzhishishang，duichengyangxingjiajuhuanjingkaizhanrengongkuaisuzhixing“wujianquanbaozhang”，tishengkangyuanjianchaceliang、shentijiankongshuju、shentiwangluozixun、shiyongjianchazhidaodeng。dui“huangse”xiaofeixiaofeiqunti，zaiguanchezhixing“yi、wujianquanbaozhang”lilunzhishishang，kuaisuzhixing“erjikaoshianquanbaozhang”，qianghuamuwendibanshentijiankongshuju，duihuanzhegengzhongdeyingdangzhuanzhenbangzhudao。

san、zhulijiejuejiadabingqingbijiaozhongdeshihouzhiqianchajue、yiliaoyubinggui

𒁃quxianshentijiankangshentijiankangweiyaojiezhuyushi、qujijiuzhuanjiatuanduizuyali，jinyibujiaqiangduixiaoqushentijiankangtiexingongnenghexinlianjieyudezhidao，nuli“zaofaxian、zaozhiliao、zaofenke”fangshi，qixiaoqushentijiankangtiexingongnenghexin“guanzhashangyi”xiaoguo。

（一）推進項目建設新冠危重癥早會發現

🉐geshequtigongfuwuzhananquantigongfuwudanweixietongzuozhanjucunwei，zengqiangduixinguanganranzhedejiankangshenghuojiankongxitong，gengshishizhongdaxiaofeizheganranzhe，zaiyangeluoshi“yi、er、san”jigongzuodejibentiaojianzhishishang，yaozhongdazengqiangxinguanbingzhengyujibentiaojianzhishixingzhongdajibingbingzhengbianhuawuchangdejiankongxitong。

🍌buduanjiaqiangduixinguanganqizhiyuantizheyangguobaohezhuangtaidujiance。geshequnanquangongnengbumenyaobiaozhunpeizhizuliangdezhijiashimolvxueyangyi（xialeisuchengzhiyangyi），quebaomeizhongshequnanquangongnenggongsihefengongsibixubiaozhunpeizhi20geyixia、meizhongshequnanquangongnengzhanhecunanquanshibixubiaozhunpeizhi8geyixia，meizhongjucunweibixubiaozhunpeizhiyiyixia。yaoyimeizhongjiarenzhuanjiazhuanyetuanduibiaozhunpeizhitedingguimodezhiyangyi，hezuohaojucunweiyali，jiangyangguobaohezhuangtaidujiancelieweizhongdashihuanzheganqizhiyuantizhehexinsuifangfangshi。geshequnanquangongnengbumenyaojijidituijinjucunwei，wei64suiyixiayouxinguanmumaganqizhiyuantiweizhonggaofengxianqiexingweimafandezhongdashihuanzhefenfazhiyangyi，jianyijiatingzhuangxiuceshixueyangguobaohezhuangtaidu。

（二）落實新冠病情比較重的時候早醫治

✤yaoyilaishi、qujiuhuzhuanjiatuanduizuliliangtupian，daoluodaoweitebieweishengqingkuangfuwuguanlishebeiduixinguanhuanshangzheduizhengzhiliaozhiliao，juyouxianxiangmeiweishiyong、yangliao、guashui、xiaoyuanziyongyaoyunyong、kaifajiatinghuanjingyiyongbingchuangdeng。

1.提高對癥下藥治愈。💖gexianqugonggongshipinhuanweiguanlidejiankangweihuiweijiedaobanshichugongzuozhangeiyugongzuozhiliangzhangonggongshipinhuanweiguanligeiyugongzuozhilianggouzaopeiqicishubushihedegongyangguanguandai、gongyangguanguanping、zhiyangjidengji，zhuashimashangweiyiyuanzhuankemenzhennvxing、zijidefangzizhiyunvxingtigongyangliaohuogongyangguanguanguanzhuangxiangeiyugongzuozhiliang。gejiedaobanshichugongzuozhangeiyugongzuozhiliangzhangonggongshipinhuanweiguanligeiyugongzuozhilianggongsiju、fengongsijujunyaokuaisushezhiyiyuanzhuankemenzhen“xiyangqu”；jiedaobanshichugongzuozhangeiyugongzuozhiliangzhangonggongshipinhuanweiguanligeiyugongzuozhiliangzhanyucungonggongshipinhuanweiguanlishidezhengchangqingkuangxiajunyaochongfenliyongdangqianyongdimianji，yunxinghuanjinggongyangguanguanguan，tigong“yangliao”geiyugongzuozhiliang，jubeishiminzhuanchejiesongyangliaogeiyugongzuozhiliangjutixuqiu。luoshixiwuzhiyu，gejiedaobanshichugongzuozhangeiyugongzuozhiliangzhangonggongshipinhuanweiguanligeiyugongzuozhilianggongsiju、fengongsijudezhengchangqingkuangxiajunyaotigongxiwuzhiyugeiyugongzuozhiliang。tongyang，zhunbeihaoganhuazheyingyangsherufuchi，banbushentiyingyangjiankangjutizhidao，anbiaozhunhuafazhanjingmozhushedengdefuwu，jiandiaoweizhongzhengchanshenggaofengxian。

2.即使應用抗蟲砒霜物開展。🔥duineirongxiaofeiqunranbingzhetongguokaoping，zaishineizhuanyerenshizumianfeipeixunxia，duifuhebiaozhunshiyingzhengderanbingzhe，lijimianfeipeixunyingyongdikangjibingjieyaowu，baochiyingjizaoyufang。

3.多方面樹立中醫控制功用。🎉yangeyaoqiuzijidongxifangyirongru、guoshengwuzhiyaohuoyong，cujin“sanyaosanfangxieyishu”dengyaocaizaiquyujingzhunjingzhunfuwugongsihuanjingweishengjianjingzhunjingzhunfuwupingtaidebiaozhunpeibeiheyingyong。gequyujingzhunjingzhunfuwugongsihuanjingweishengjianjingzhunjingzhunfuwugongsiyaoshejixinguanbingjunganrantongchangzhengzhuang，tongchoujiangu，bianzhengshizhi。bawo“zao”“kuai”dejibenzhunze，rangzhongyaopeifangzaixinguanhivbingduganranqianzhongqijizaobangzhuzhiliao，xunsueshaqingzhenghuanzhexiangzhongzhongxing、weizhongzhongxingjinzhan。

（三）加快推進新冠危重早分科

1.不能幫忙轉診♛。duixinguanzhengzhuanghuogenjixingbingduzengjiazhongliangdebingduzhe，gepingtaiganjingweishengtigongfuwujidi、putongjiatingdafujingyingtuanduihuiyonghao120jiurenyouxianquanjiyunjingcaifenchengguandao，xiezhuzhixingranbingzhemashangzhuanzhen。duiwujichushouzhendebingqingbijiaozhongdeshihounvxing，yaoshifenxunsujingquedukuaisujingque，yaogenjujutitiaojian，mashanggongyang，caiyongguanjianjiurenfangshi，yingdangweixinvxingwodeshengminglinchuangbiaoxianshichangpingwen，zaiyihukaoshengqinzixiamashangzhuanzhen。

2.通暢雙項轉診。🀅geshequnanquanchanpinzhongxindianzhanyaoyijulingyuxingzhenliaozhongxindianzhan、yiliantishangyijiqiye，tongxingxinguanjiuhuzongxiangzhuanzhenrukou，gexianquanquanyingyangjiankangwei、gezhenliaoqiyeyaopanbiexiangguanbumenzerenzhuanzhenzhiye，jianyibingqingbijiaozhongdeshihouhuanyouzhuanzhenbuzou，congertigaozhuanzhenshiyonglv。tongyang，yaojiayizaishengliyonggerenhulianwangjianshezuoweizhichengdianxiaoguo，zaishengliyongwuxianjiuzhen、wuxianyuanyindengfangshi，tigaorenshihuanyouhuoquanshixingzhiyouxiaojiuhu。

🦩duipingtaihuanweidefuwuxiangmudehexinshangzhuanxinguanganqizhe，huanshibijiaoshizhongdianshirenmenganqizhe，shangsiyiyuanyishengyishengyaoshixianshouzhichuntianranhuanchongqu。zaishangsiyiyuanyishengyishengyaozuohaojixingbangguangqiyiliaohou，wentipinghuandeganqizhekexiahuandaopingtaihuanweidefuwuxiangmudehexinjianhushi，pingtaiyiwuzhigongyaocanyuzhuanzhenbuzou，yaozuohaodefuwuxiangmudetoubiao。

💫quxianyingyangyingyangweiyingpinghengyidingbaoxianguanquneineigegedengjigeyangyidingshebeichuangpuxinxi，huianzhaoqitazhiweiyidingshebeichuangpuxiaoguochanpindingwei，jianlilianxipinghengyidingbaoxian、xifencaiyongdeluoji，yaopinghengyidingbaoxianjutianpaiguanquneineigegedengjigeyangyidingshebeiyiwuchengyuan，pingjiexiapaizhuru、shenqingyijiaodengtujing，pinguozhichishequnyingyangjingzhuntiexinshouhoufuwudexinzhongbingqujingzhuntiexinshouhoufuwude。sheshiyoushoushuchuangdeshequnyingyangjingzhuntiexinshouhoufuwudexinzhong，jinshiduanchuangpucaiyonglvyingdadao95%wangshang，weisheshishoushuchuangdeshequnyingyangjingzhuntiexinshouhoufuwudexinzhong，duifuheyaoqiutiaojiandeyingxiangzhe，yingpingjierenjiashoushuchuangshixianjujiashenghuozhongyaozhiliaogezhongxuqiu。

si、zuohaoshequfuwuzhanzhuzhongnianlingcengzhenzhihuanjingziyuanshehuitongchouhezuoweizhichengdianfuwubaozhang

（一）有效充分的依托于街鎮網格化管理制度體系

ဣgejiedaoanquanbaozhangzhiliangpingtaiyaozizhudeliantonggejiezhen、jucunwei，youlijiezhuyujiezhenwanggehuaguankongxitong，fahuichujiezhen、jucunweizhudaoxinggongneng，wanchengduizhongzhongzhizhongxiaofeiquntidangjiedaoguankong，zuihaoyingyangjianceqiyuxinxibaozhangzhiliang。jiezhuyu“jiedao3renxiaozuchang”yunzhuanxitong，wanchengduizhongzhongzhizhongxiaofeiquntidangdebaobaogaohaoguanxi。gejiedaoanquanbaozhangzhilianggouzaoyaogaohaojiezhen，mingquequguankongbanyunzhuantoufang，zuihaoduigaoshoulaoyeye、youkuangjiaxingjibingyuanzhedengbingqingbijiaozhongdeshihougaokenengxingxiaofeiquntidangheshengcunweijiqingshaoniandengxiaofeiquntidang“yingyangbao”fenfa，yitihuajucunwei，gaohaoduiyigerenzhulaoyeye、jinyushangcanjiashuyizhizhudilaorenrenderichangshenghuogaohaoguanxi。

（二）進一步加強區域環境醫療衛生資源的平衡撐起

⛄quxiananquanganjingxuezhengchangweiyaotongdengjuminqudangxiayiyaoxuexiaohuligongrenguanli，dongyongchendaoxunzhen、gongrenguanlipaizhu、dajianyuanzhanyiyaohezuowangdengfangan，gaodingjicengyuangongzuzhigongzuoyiyaoanquanganjingxuexuexiaorengongqianqueguzhang，baochijiedaobanfuwuzhiliangxiangmuzhantiexinfuwuzhiliangxiangmuzhanxinguanjiuhutiexinfuwuzhiliangxiangmuquyuwendingfazhan。jiezhuyuzhuchengquyoujijiuhulingyuzhuanjiatuanheshangjilingdaoyiyaoxuexiaoxiangguandexunhuikaohepingjiayijiankaohejizhi，duijiedaobanfuwuzhiliangxiangmuzhantiexinfuwuzhiliangxiangmuzhananquanganjingxuetiexinfuwuzhiliangxiangmuxuexiaofazhanzhishukaohepingjiayijian，peixunxuexijicengyuangongzuzhigongzuohuligongrenguanlibiaozhunguifandongyongxiaodafenziyaohezhongyaocai“sanyaosanfangxieyi”，yitigongjicengyuangongzuzhigongzuofangweizhongzhengxiaolv。zengjinyiyaojiuyuanwuzitongdeng，zengtianyiyaojiuyuanlaiwangcheliangyumoliyunxinghuanjing，weijiedaobanfuwuzhiliangxiangmuzhantiexinfuwuzhiliangxiangmuzhananquanganjingxuetiexinfuwuzhiliangxiangmuzixunzhongxin、jiazixunshixiaoshoutuanduidajianzuiyouyunshuguodao。

（三）全面提升群眾醫務相關人員陪訓

🦂yijushizhongxinquduojizhiliaobanfazhuanyerenshizu，zhidingjihuafanganduiyumiancengyiwujishurenjiaoyukechengkechengpeixunkekekejihuafangan，kaizhanyewuqudao、xianxiatuiguang、lingdaoyiyuanzhuanjiachendiandaijiaodengduozhongjiaoyukechengkechengpeixunkekeke。youxiaoheliliyongbuwei、shilidengyouguandejiaoyukechengkechengpeixunkekekeziyuangongxiang，jijicanyutuantimiancengyiwujishurenjinxingjiaoyukechengkechengpeixunkekeke。tigaochoujian，yangedejiaoyukechengkechengpeixunkekekekaohefangan，jiaqiangzuzhilingdaojiaoyukechengkechengpeixunkekekegongneng，shimiancengyiwujishuren（shizhixiangyeyihurenyuan）zaizhongchangyinianhouluhuochunqingzhangkongxinguanzhongdaxiaofeirenqunfenleijingyingfenleijingyinggongnengdefangshi、zhanranbushifanyingdongchafenxi、zhanranzheshenghuojingyinghezhiliaobanfa、zhongyiyaozhiliaobanfahekangfuhulihuizhen、diyangxuezhengzaoqianchuxian 、xiqiyounandudepinggubaogaohejiezhendefangshi、zhiyangyidezaiyongdao、zhuzhongzhuanzhentiaojianbingqiexiaofenzijiegouleiyaowudeziwodiaojiezhenghewuwuzaiyongdaodefangshideng。

（四）進一步加強新冠醫治東西服務保障

🍬quxianhuanweianquanweiyaobiaomingdajiebanshichuhuanweitigongfuwuxingyuguanlizhongxindiandian、cunhuanweishitigongfuwuxingyurukou、zhongdiancunnianlingcengdishudengzhenshiqingkuang，peizuchuzhijiuzaiziyuan，huanyouchanshengreliangyiliaobaozhangxiaoduchanpin、zhongyaopeifang、kangyuantanceweishengwupeiyangji、dikangjibingpishuangwu、zhiyangyideng，bingjinmijiehedajiebanshichuranbingzhebiliyingxiang，jingtaixiaozhunzhubei，fuwuxingbaozhangjiuzaiziyuanzhubei。diweidiweipianbi、liuliangkunnandedajiebanshichuhuanweitigongfuwuxingyuguanlizhongxindiandian、cunhuanweishiyaoshixianbeizukongzhizhiliaoyaowuhemianyijiezhongjiuzaiziyuan。yituoyudajie、jucunwei，yuyiliaobaozhanggouzao、yiyaoliansuodengkuaijiedianhuo，biaomingzhenshikeyishiduxiangnongcunshenghuoshengshiqingjiaochangjiazhixiaochuzhijiuzaiziyuan。

（五）實時時間正確掌握做工作動態化

ꦍquxianjiankangguanlianquanjiankangweiyaomashangzhizuohaojiedaobanshichujiankangguanlishouhoufuwuxingpeixunjigouqiyong、shouhoufuwuxingzhuangtaihekuopanzhuangtaidengxiaoxipinggu，shishikongzhijiedaobanshichufalengyiliaozhuangtai、xiaoduchanpinhejichubeiliangxuanzezhuangtai、neirongrenmenshouhoufuwuxingzhuangtaideng，duiquneicaozuoyoumaobinghuocaozuozhihouxingdefangmianshishidiaodushi。chedideyongxiaoxihuashuiping，jiaqiangcaozuonengli，xuejianxiajicengdefudan，lijiluruyigeguojia、shilikeyidexiaoxitongjishujuhexiaoxi。

（六）強化社群醫務師非常關心喜愛

𝓰geshiquqingjieyingyangjiankangweiyaofenliquanmianluoshiyigangshuangzeguoneihedangdiyouguandezunzhongfengxianaixinyiwukaoshengyufangcuoshi，jiadaduixiaoquqingjieshouhoufuwudedaobaozhangxiangmuzhongdiandechengzhongquebao。helidezhidingyudapeixiaoquyiwukaosheng，zhunbeihaoyiwukaoshengshenghuodeshouhoufuwudedaobaozhangxiangmuheneiqinquebao。anfalvguidingquanmianluoshiyigangshuangzeduixiaoquyiwukaoshengbuzhukuanyuputongjiatingdafuhezuoshouhoufuwudedaobaozhangxiangmufeiyibianxingzhuanmenshiyejingfeizhichu，tuanduijilixiaoquyiwukaoshengzhoufangsongshenxincaizhengtouruxiaoquxinguanzhenliaoshiye。

（七）增加總責抓好和監督檢查績效考評

💟queqietichugonggongweishengwendingweiyaojinyibutigaozuzhibanzichengyuan，zhucengyajinyiwu，queqiebumenyiwuhesunshianpai，tigongfuwuzuoyeqiantitiaojian。yaojinyibutigaoduiqujizuoyezuzhijinxingxianzhuangheyiwurenzhenzhixingxianzhuangdezhuanxiangducha，jianzaozuoyetaizhangzenmezuo，shixingsunshihuizongbiao、maobinghuizongbiao、yiwuhuizongbiao。yaojiangdangjinjinxingjicengzuoyezhongxindaxueshengxiaofeiquntijingtaitigongfuwu、jinxingqianghua“baowending、fangbingqingbijiaozhongdeshihou”duliufangjiamengzongbudezuoyezuzhijinxingxianzhuanghechengxiaomingxianyushejidaozhongxinzuoyedekaohezhidubiao、zhouzhuanjinpingjunfenpei、pingxianpingxuandengxiangguagou，jinyibuqidaokaohezhidubiaoguwujiegouyouhuamude。

 

 

 

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𒁏                        2023nianyiyue8ri