基于七色管理法的新型冠状病毒肺炎社区分级分类分层防控探索与实践

Theoretical and Practical Exploration of Multi-level,Classified and Stratified Prevention and Control of COVID-19 in Communities Based on a Seven-color-coded Population Management Model

为强化和规范新型冠状病毒肺炎(新冠肺炎)的社区防控工作,社区卫生相关专家联合制订了"运用七色管理法实施新冠肺炎社区分级分类分层防控的实践方案"("方案")。"方案"依据疾病危害性分别给予确诊病例(红色)6级、疑似病例(橙色)5级、密切接触者(黄色)4级、居家隔离人员(白色)3级、解除隔离人员/居家健康管理人员(深蓝色)2级、解除隔离持续观察人员(浅蓝色)1级、正常人群(绿色)0级管理。本文详细阐述了各级人群的纳入范围、名单来源、管控归属、社区防控措施和管理目标、社区管理流程,汇总分析了上海市浦东新区金杨社区卫生服务中心的开展效果。旨在帮助基层医疗卫生机构卫生人员在打赢疫情"狙击战"的过程中,知晓面临对象的类别归属和应采取的社区防控措施,切实做好社区网格化管理和"地毯式"排查,守好社区防控的"大门",确保整体疫情防控的平稳有效,从根本上保障社区居民健康。

The"Multi-level,Classified and Stratified Prevention and Control Program of the Coronavirus Disease 2019(COVID-19)in Communities Based on a Seven-color-coded Management Model"(hereinafter referred to as"the Program")was formulated through the joint efforts of community health experts to strengthen and standardize the prevention and control of COVID-19 on the community level.In the Program,seven levels are defined according to the potential risks of the disease:Level 6(Red)as confirmed cases;Level 5(Orange)as suspected cases;Level 4(Yellow)as close contacts;Level 3(White)as individuals under home-based quarantine;Level 2(Dark Blue)as individuals released from quarantine/under home-based health management;Level 1(Light Blue)as individuals under continuous observation after quarantine;and Level 0(Green)as non-affected individuals.Details including population definition,source of population information,responsible authorities/individuals,community-based prevention and control actions and goals,and community management procedures were described.The effectiveness of the Program implemented by Jinyang Community Health Service Center,Pudong New Area,Shanghai,was reviewed in this study.The purpose was to ensure that while devoting themselves to the sniping battle against the pandemic,primary care professionals understand the population categories under their management and care,know well the population-specific prevention and control measures on the community level,follow through the community grid management and thorough screening processes,defend the communities from further spread of the disease,ensure steady and effective control and prevention,and safeguard the health of community residents fundamentally.