上海:全新政策!村卫生室纳入社区卫生服务中心管理

2020-03-25 基层医师公社羽兮 上海市卫健委官网

3月23日,上海市卫健委发布《2020年上海市基层卫生健康工作要点》,立足新形势、新需求,以提升能力和激发活力为重点,强调社区医疗管理重要性,并作出重要指示。

疫情趋于稳定,常规工作步入正轨,今年基层医疗重点要做哪些工作、基层人员尤其是村医工作积极性如何调动等问题成为聚焦重点。

3月23日,上海市卫健委发布《2020年上海市基层卫生健康工作要点》,立足新形势、新需求,以提升能力和激发活力为重点,强调社区医疗管理重要性,并作出重要指示。

小编梳理文件5个核心内容,为大家整理如下:

疫情防控强化预检分诊,做好发热患者管理

疫情防控方面,社区卫生服务中心主要做好以下4项工作:

1、强化预检分诊,对发热患者落实接诊、筛查、登记、报告和跟踪;

2、落实重点地区来沪返沪人员排查与隔离健康观察;

3、做好密切接触者医学观察、发热筛查零报告、出院患者隔离健康观察、道口医学检测等工作,配合做好发热人员的转运与跟踪;

4、加强社区消毒与健康宣教。

签约对象覆盖常住人群,优化服务费考核指标

印发本市家庭医生签约服务规范,构建市级家庭医生签约服务质控中心。增进签约服务内涵与获得感,充分体现服务专线功能,开展多形式签约宣传和理念传播。

优化签约服务费绩效考核指标,促进签约服务激励,制订费用管理工作流程与机制。以区为主体,强化对家庭医生费用管理信息化工具的支撑与应用,提升家庭医生对签约居民费用的管理能力。

村卫生室纳入社区卫生服务中心管理,老乡医收入有望增长

在加强基层医疗队能力建设方面,继续开展“优质服务基层行”系列活动,年内基本实现每个区有1家社区培训基地,开展社区医务人员岗位示范培训,提升服务能力。

研究老乡医收入增长机制。继续开展岗位培训,提升新、老乡医业务能力。加强村卫生室功能与社区卫生服务中心同质化对接,完善镇村一体化管理,将村卫生室运行、管理、考核进一步纳入社区卫生服务中心精细化管理范畴,提升村卫生室服务效能。

全面推进安宁试点服务,培育特色项目成为服务品牌

年内,全市社区卫生服务中心开展居家或机构安宁疗护服务,各区明确建设1家区级安宁疗护中心,在部分市级医疗机构与社会办医疗机构推广安宁疗护服务,构建主体多元、功能健全、运作规范、服务优质的安宁疗护服务体系。

试点推广安宁疗护中医适宜技术。挖掘安宁疗护服务生动案例,广泛传播安宁疗护服务理念。

在全市范围内遴选社区卫生服务特色项目以及中西医适宜技术,对特色项目进行培育与推广,成为服务品牌。

推进家庭病床服务,引导社会办全科诊所纳入体系

据了解,上海是国内每年建立家庭病床最多的城市。去年年底,上海市出台新版家庭病床服务办法,提出社会办门诊部、全科诊所符合资质可申请加入家庭病床服务。

这次文件,进一步提出要引导符合条件的社会办全科诊所纳入本市家庭病床服务体系,社会办全科诊所将成为家庭病床服务的另一个主要构成单位。

该工作要点还提出,将成立市家庭病床服务质量控制中心,完善质控标准、组织专业培训、开展质量督查、统一考核总结。探索将家庭病床服务与“互联网+护理”、长护险服务等相整合,为有需求的居民提供适宜的居家健康服务。

上海市今年的工作重点,为其他地区开展全年工作提供了参考模板,同时也为基层医生开展后续工作指明了方向。

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    2020-04-28 wmr121
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    2020-03-26 bioon3
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