Work plan of community health service for key infected population in novel coronavirus.

Work plan of community health service for key infected population in novel coronavirus.

In order to implement the requirements of the the State Council Joint Prevention and Control Mechanism "Overall Plan for the Implementation of" B and B Class Management "for novel coronavirus Infection", this plan is formulated according to the "Overall Plan for the Prevention and Control of Infection in novel coronavirus" and the actual situation of community health management services for key populations.

I. Work objectives

Clear work objectives. Focusing on "protecting health and preventing serious diseases", we will continue to optimize community prevention and control strategies, highlight the health service guarantee for key populations, further improve mechanisms, compact responsibilities, pool resources, and divide work and cooperation, persist in grasping early, grasping small, and moving forward, and strive to achieve early detection, early intervention, and early treatment of potential serious diseases in the community, and continuously improve the quality and effect of community prevention and control. Give full play to the role of community health management services in ensuring the life and health of the people in the capital.

Second, the main measures

Improve the community health service system for key populations. Adhere to district-level leadership, overall coordination of streets and towns, and division of responsibilities of professional departments, and build a working system of overall coordination. Taking streets and towns as the basic units, co-ordinate the organization of community health services, so that tasks are deployed to streets, resources are co-ordinated by streets, and responsibilities are compacted to streets and towns. Establish a working mechanism led by the main leaders of the township party and government, with the responsible comrades in charge being specifically responsible, and the leaders of community health service centers and community neighborhood committees participating, improve the daily scheduling and operation guarantee system for key populations, integrate various resources such as territorial medical care, pre-hospital transport, material supply, and stagnation units, and do a good job in the diagnosis, treatment, first aid, vaccination and daily service of key populations as soon as possible.

Give a detailed account of the basic information of key groups. Further implement the "double touch arrangement" mechanism of health departments and communities, and find out the base number of key populations by analyzing health records and household surveys to ensure full coverage. Combined with daily diagnosis and health management, community health service centers timely find and identify key groups such as the elderly, pregnant women, hemodialysis and radiotherapy and chemotherapy patients with basic diseases, accurately grasp their vaccination and infection, and supplement and improve the existing ledger. Relying on the advantages of grid management, community residents' committees further understand the basic diseases and vaccination of the elderly aged 65 and above, focusing on mastering the base number and contact information of emergency contacts of lonely groups such as empty nesters, disabled people and children in distress. The town and village take the lead in integrating the information of "double touch and row" to form a "one household access" for key people in the jurisdiction. According to the basic diseases, infection and post-infection risks, the community health service center marks the key population in red, yellow and green, which is convenient for subsequent graded management services.

Optimize and improve the communication and contact mechanism of key groups. Community neighborhood committees uniformly distribute contact service cards to key groups, provide contact information such as community telephone, family medical hotline and emergency medical service telephone, and smooth daily communication channels. Relying on the "micro-grid" of the community, we will establish and improve the service guarantee WeChat group for key groups such as family doctors, community cadres, grid workers and volunteers, strengthen interactive communication and respond to demands in a timely manner. For elderly people living alone in key groups, a normalized inquiry system will be established, and the community will arrange special personnel to conduct inquiries and follow-up by telephone, WeChat or home visits to keep abreast of the health status and life needs of elderly people living alone.

Actively carry out early intervention in health management of key populations. Adhere to the move forward of the pass and strengthen the health monitoring of key populations such as the elderly. Community health service centers should closely monitor the health status of special groups such as critically ill patients and elderly people with basic diseases, and carry out interventions such as door-to-door rounds, guiding family self-test blood oxygen, using small molecule drugs, and early referral for treatment according to actual conditions. According to the unified arrangement of towns and villages, community neighborhood committees assist in distributing health packages, inform the community health service center of the key population with infection symptoms in time, strive for early intervention and intervention, and minimize the risk of conversion to severe diseases.

Pay attention to the medical security of key groups. Strengthen the overall planning of medical resources in the jurisdiction, further improve the grid layout of medical associations in the jurisdiction and improve the graded diagnosis and treatment service system for key populations in accordance with the principle of "health monitoring, classified management, up-and-down linkage and effective treatment". Give full play to the "net bottom" role of primary medical and health institutions, be a good community public health committee, organize family doctors, community cadres, volunteers and other forces to provide health services such as health consultation, medication guidance and assistance in referral for key groups. Further improve the emergency treatment mechanism, smooth the green channel for referral, provide referral services for people with urgent medical needs, and ensure that relevant personnel are treated in time.

Comprehensively improve the COVID-19 vaccination rate for the elderly. Review the vaccination situation of key populations, and establish work accounts for key populations that have not been vaccinated. Further increase social mobilization, combine vaccination with residents' physical examination, health consultation, daily inquiry and other activities, deeply publicize the positive role of vaccines in preventing serious diseases and deaths, and improve the vaccination willingness of key populations. Optimize vaccination services, and provide maximum convenience for key populations 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 and disability, provide on-site vaccination services and strive to "take all the food".

Vigorously strengthen the capacity building of primary medical and health services. Increase policy support and funding for primary health care institutions, supplement and improve software and hardware facilities, equip relevant medical equipment, and prepare enough fever and cough drugs. We will strengthen grassroots medical and health forces and attract retired medical personnel and medical personnel 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 hospitals above the second level in the medical association, and improve the ability of primary medical institutions to identify, diagnose and deal with high-risk groups through online remote guidance and sending professional doctors to visit the clinic. On the basis of community health service centers, towns and villages set up convenient nucleic acid sampling points nearby according to population size, personnel flow, geographical area and other factors, and make dynamic adjustments according to the changes of epidemic situation.

Effectively strengthen the life service guarantee for the group living alone. Establish and improve the "one-on-one" care and assistance mechanism for solitary groups, and arrange special personnel to be responsible for the living security of solitary groups through contracting buildings to households and holding hands. Regularly collect daily demand lists, take the initiative to provide online shopping and distribution services to surrounding supermarkets, vegetable shops and restaurants, organize service forces such as units in the jurisdiction, working in party member, property management personnel and volunteers, and assist in purchasing, delivering goods to households, and garbage removal, so as 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 the mainstream media, intensify policy propaganda and interpretation, and clarify the purpose and scientific basis for implementing "B-type management". Make good use of community propaganda positions, vigorously popularize epidemic prevention knowledge such as antigen self-test, rational drug use and orderly medical treatment, fully publicize the key role of personal protection, graded diagnosis and treatment and other measures in the epidemic situation, and repeatedly remind the public, especially key people, to continue to adhere to good hygiene habits such as wearing masks and washing hands frequently, maintain interpersonal distance in public places, and be the "first responsible person" for their own health.

Widely organize and mobilize the masses to help each other. Continue to strengthen the guidance of party building work, consolidate and improve the working mechanisms such as the party building work coordination Committee and the "double report". Actively build a platform for neighborhood mutual assistance, widely mobilize the forces of units in the jurisdiction, social organizations, party member workers, enthusiastic people and other parties, set up and expand various volunteer service teams such as "caring medical teams" and "psychological service teams", take the initiative to care for and help key groups such as people living alone, actively carry out service activities such as drug enjoyment, psychological consultation and crisis intervention, and further create a good atmosphere of mutual assistance and Qi Xin's anti-epidemic.

Third, organizational guarantee.

Form a working force. Community health service for key populations is a systematic project. All relevant units and districts should strengthen coordination and cooperation, do a good job of convergence, adhere to the combination of compartmentalization and linkage, and form a joint force of community health services for key populations. Professional departments such as health and disease control should strengthen policy coordination and give full play to the guiding role of the industry. When deploying and promoting health management related work, resources should be allocated to the grassroots simultaneously. All districts, towns and villages should effectively strengthen their territorial responsibilities, give full play to the leading role in overall planning and coordination, highlight the leadership of party building, compact their work responsibilities, maximize the integration of various resources in their jurisdictions, and effectively play the role of supporting the bottom to ensure the strong, orderly and effective community health services for key populations.

The capital strictly enters Beijing to manage joint defense and joint control.

Office of coordination mechanism

Prevention and control of novel coronavirus infection in Beijing

Office of the leading group

65438+20231October 6th