Beijing’s community health service work plan for key groups infected by the new coronavirus

1. Work goals

Clear work goals. Focusing on "protecting health and preventing severe disease", we will continue to optimize community prevention and control strategies, highlight health service guarantees for key groups, further improve mechanisms, consolidate responsibilities, coordinate resources, divide work and collaborate, insist on catching small groups early and move the barriers forward, and strive to realize the potential Early detection, early intervention, and early treatment of serious diseases in the community will continuously improve the quality and efficiency of community prevention and control, and give full play to the role of community health management services in safeguarding the lives and health of people in the capital.

2. Main measures

Improve the community health service system for key groups. We insist on taking the lead at the district level, overall coordination at the subdistrict, township and town level, and division of responsibilities among professional departments to build a work system that is coordinated by departments and linked up and down. Take streets and towns as the basic unit for coordinating and organizing community health services, so that tasks are assigned to streets and towns, resources and resources are coordinated by streets and towns, and responsibilities are implemented in streets and towns. Establish a working mechanism led by the main person-in-charge of the party and government of the subdistricts and towns, with the responsible comrades in charge taking specific responsibilities, and the leaders of the community health service center and community neighborhood committees participating in the work mechanism, improve the daily dispatch and operation guarantee system for key groups, and integrate local medical care and treatment , pre-hospital transfer, material supply guarantee, and district-based units and other resources to ensure the diagnosis and treatment of key populations, emergency treatment, vaccination, and daily services.

Complete and detailed basic information ledgers for key groups of people. We will further implement the "double survey and platoon" mechanism between the health department and the community, and through analysis of health records, household surveys, etc., to find out the bottom line of key groups to ensure full coverage and no omissions. The community health service center combines daily diagnosis and treatment and health management to promptly identify key groups such as the elderly with underlying diseases, pregnant women, hemodialysis and radiotherapy and chemotherapy patients, accurately grasp their vaccinations, infection status, etc., and conduct current accounting Supplement and improve. Relying on the advantages of grid management, the community neighborhood committee further understands the basic diseases and vaccination status of the elderly aged 65 and above, focusing on grasping the base number and emergency contact information of empty-nest elderly people, disabled people, children in need and other groups living alone. The streets, townships and towns take the lead in integrating the "double-touch and platoon" information to form a "one account" for key groups in the jurisdiction. The community health service center will mark key groups in red, yellow, and green categories based on basic disease conditions, infection status, and post-infection risk levels to facilitate subsequent hierarchical management services.

Optimize and improve the communication and liaison mechanism for key groups. Community committees issue contact service cards to key groups, provide community telephone numbers, family doctor hotlines, emergency medical service telephone numbers and other contact information to smooth daily communication channels. Relying on the community "micro-grid", establish and improve the WeChat group for service guarantee for key groups, including family doctors, community cadres, grid members, volunteers, etc., to strengthen interactive communication and respond to demands in a timely manner. For those who live alone among the key groups, a regular inquiry system will be established. The community will arrange dedicated personnel to carry out inquiries and follow-up visits through telephone, WeChat or door-to-door visits, so as to promptly understand the health status and living needs of those living alone.

Actively carry out early intervention in health management of key populations. We will insist on moving the checkpoint forward and strengthen health monitoring of key groups such as the elderly. For patients with severe diseases and special groups such as the elderly with underlying diseases who have already developed symptoms of infection, community health service centers should closely monitor their health status, carry out door-to-door inspections based on actual conditions, provide guidance on home self-testing of blood oxygen, use of small molecule drugs, and early transfer of diagnostic treatment and other interventions. According to the unified arrangements of the streets, towns, and towns, the community committees assist in the distribution of health packs and other work, and promptly report the situation of key groups who have developed symptoms of infection to the community health service center, striving to intervene early and minimize the transformation to severe disease. risk.

Focus on medical security for key groups. Increase the coordination of medical resources in the jurisdiction, and follow the principles of "health monitoring, classified management, upper and lower linkage, and effective treatment" to further improve the grid layout of the medical consortium within the jurisdiction and improve the hierarchical diagnosis and treatment service system for key groups.

Give full play to the "bottom of the network" role of grassroots medical and health institutions, strengthen community public health committees, organize family doctors, community cadres, volunteers and other forces to provide health consultation, medication guidance, assistance with referrals and other health services to key groups. Serve. We will further improve the emergency treatment mechanism, unblock the green channel for referral, and provide referral services for people with urgent medical needs to ensure that relevant personnel receive timely treatment.

Comprehensively increase the COVID-19 vaccination rate among the elderly. Carry out a thorough investigation of the vaccination status of key groups and establish a work ledger for key groups that have not been vaccinated. Further increase social mobilization efforts, integrate vaccination with residents’ physical examinations, health consultations, daily inquiries and other activities, deeply publicize the positive role of vaccines in preventing severe illness and death, and increase the willingness of key groups to receive vaccinations. Optimize vaccination services and provide convenience to key groups to the greatest extent by setting up green channels for the elderly, temporary vaccination sites, mobile vaccination vehicles and other measures. For those who cannot go to the site for vaccination due to special circumstances such as illness or disability, door-to-door vaccination services will be provided, and efforts will be made to "receive all vaccinations as needed".

Vigorously strengthen the capacity building of primary medical and health services. Increase policy support and financial investment in grassroots medical and health institutions, supplement and improve hardware and software facilities, equip relevant medical equipment, and prepare sufficient supplies of fever, cough and other medicines. Expand grassroots medical and health care capabilities, and attract retired medical staff and medical staff from private units to practice in grassroots medical institutions through various channels such as emergency recruitment and social purchase of services. Give full play to the supporting role of secondary hospitals and above in the medical consortium, and improve the ability of grassroots medical institutions to identify, diagnose and treat high-risk groups through online remote guidance and the dispatch of professional doctors to visit sites. On the basis of community health service centers, streets and towns set up convenient nucleic acid sampling points nearby based on factors such as population size, mobility, geographical area and other factors, and dynamically adjust them according to changes in the epidemic situation.

Effectively strengthen the living service guarantee for groups living alone. Establish and improve the "one-on-one" care and assistance mechanism for groups living alone, and arrange dedicated personnel to be responsible for the life security of groups living alone through such methods as renting apartments and households, and hand-in-hand pairing. Regularly collect a list of daily needs, actively connect with surrounding supermarkets, vegetable shops, restaurants, etc. to provide online shopping and delivery services, and organize service forces such as units within the jurisdiction, serving party members, property personnel, volunteers, etc. to help with purchasing agents, door-to-door delivery, and garbage collection. Cleaning and transportation work to ensure that people living alone have no worries at home.

Continue to strengthen publicity, guidance and health education. Give full play to the role of mainstream media, increase policy publicity and interpretation, and clarify the purpose and scientific basis for the implementation of "Class B and B Pipes." Make good use of community publicity positions, vigorously popularize anti-epidemic knowledge such as antigen self-testing, rational use of medication, and orderly medical treatment, fully publicize the key role of personal protection, graded diagnosis and treatment and other measures in the epidemic, and repeatedly remind the public, especially key groups, to continue to wear masks and stay diligent Follow good hygiene habits such as hand washing, maintain interpersonal distance in public places, and be the "first person responsible" for your own health.

Extensively organize and mobilize the masses to help each other. Continue to strengthen the leadership of party building, consolidate and improve working mechanisms such as the Party Building Work Coordination Committee and "Double Registration". Actively build a platform for neighborly mutual aid, mobilize various forces such as units in the jurisdiction, social organizations, serving party members, and enthusiastic people to form and expand various volunteer service teams such as "loving medical team" and "psychological service team" to actively care for and help people living alone. and other key groups, and actively carry out service activities such as drug distribution, psychological counseling, and crisis intervention to further create a good atmosphere of helping each other and fighting the epidemic together.

3. Organizational guarantee

Form work synergy. Community health services for key populations are a systematic project. All relevant units and districts should strengthen coordination and cooperation, do a good job in connecting work, adhere to the integration of departments and linkage between top and bottom, and form a joint force in community health services for key groups. Professional departments such as health and disease control must strengthen policy coordination and give full play to the guiding role of the industry. When deploying and promoting tasks related to health management, resources and forces must be simultaneously allocated to the grassroots and front lines.

All districts, streets and towns must effectively strengthen their territorial responsibilities, give full play to the role of taking the lead and overall coordination, highlight the leadership of party building, consolidate work responsibilities, maximize the integration of various resources within the jurisdiction, effectively play the role of security, and ensure that key groups of communities Health service work is powerful, orderly and effective.

The capital strictly goes to Beijing to manage the Joint Prevention and Control Coordination Mechanism Office

Beijing New Coronavirus Infection Epidemic Prevention and Control Leading Group Office

January 6, 2023

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