Prevention and control of chronic diseases is the common responsibility of society as a whole

2017-03-08

Health newspaper

 
      Health impact assessment should be top-level design
      During the two sessions of the country, many representatives and members in an interview with this reporter said, "Healthy China 2030" Plan "has been building healthy China into a national strategy, and chronic disease prevention and control as one of the important tasks, Become the common responsibility and the direction of the whole society.
      CPPCC National Committee members, Sichuan Province, CPPCC Vice Chairman Li uranium, said the government at all levels should be chronic disease prevention and control into the overall economic and social development plan, the prevention and control work into the government target assessment, improve the "government leadership, , The whole society to participate in "prevention and control work mechanism.
      Wang Yonghong, director of the National People's Congress and Jiangsu Provincial Health and Family Planning Commission, suggested that the health impact assessment system should be fully established to systematically assess the economic and social development plans and policies, the health impact of major projects and improve the monitoring mechanism. All policies "are of great importance.
      Wang Yonghong believes that the health impact assessment should be included in the top design, in the specific implementation, by the health and family planning departments play a leading role in conjunction with the relevant departments to develop health impact assessment guidelines, and organize health impact assessment work. Scientific and rational establishment of the evaluation of the index system, is not conducive to health behavior constraints and punishment. To clarify the relationship between the responsible and the main body, the implementation of health responsibilities to specific organizations and institutions. "To carry out the health impact assessment as a policy, the introduction of laws and regulations and major construction projects approved the basis of the project, or even one vote veto." Wang said.
      Guo Yu-fen, deputy director of the National People's Congress, Gansu Province Health and Health Committee, said the current central transfer to pay the basic public health equalization services, only limited to primary health care institutions for hypertension, diabetes, management services to provide some financial support and protection. The project from the design concept and prevention and control strategy application of the lack of disease management and comprehensive prevention and control, especially the lack of disease before the occurrence of health for the cause of prevention (primary prevention) and early disease for high-risk early diagnosis and treatment Secondary prevention), "the future should be the concept of health into the crowd will affect the development of hypertension, diabetes, the development of all policy mechanisms, the implementation of prevention, life cycle health management services."
      "Three high condominium" is indispensable
      "Since 2009, high blood pressure, diabetes management into the national basic public health service equalization project since the prevention and control work has achieved some success, but the public awareness of the harm of cholesterol is poor." CPPCC National Committee, Chinese Academy of Sciences Ge Junbo said The
      In this regard, the CPPCC National Committee members, Peking University First Hospital Professor Huo Yong deeply felt, "China's cardiovascular and cerebrovascular disease caused by the mortality rate continues to rise every few years will double, nor any slow or reduce the Trends, while high cholesterol is a very important risk factor. " Huo Yong said that from Beijing over the past 20 years of data, cardiovascular and cerebrovascular disease to coronary heart disease, cholesterol increased accounted for 77% of the factors, but the public health screening project is not this one.
Huo Yong introduced, the implementation of blood lipid examination, the annual reduction is expected to reduce 30% to 40% of coronary heart disease. "From now on the management of high blood pressure, diabetes patients to start, increase blood lipid management, each person only 1 yuan a year, can afford." Huo Yong said, "hope that blood lipid screening as soon as possible into the national public health services project."
      Ge Junbo also suggested that blood lipid screening as a core link, should be included as soon as possible the country's basic basic public health service package to reduce high blood pressure, dyslipidemia, diabetes, myocardial infarction, cerebral infarction and other serious diseases, "the proposed Conditional city residents over 45 years of age to implement free blood lipid screening, the establishment of annual health management goals.
      "The high risk of screening high cholesterol patients actively intervene, need to set the assessment objectives to the urban community, to achieve 'three high condominium.'" Ge Junbo said that from the whole, the need for the State Council to give policy support and financial support, Government support, it is recommended that the e-health service package in the cost of earmarking. In addition, with the implementation of graded clinics, it is recommended that the following primary hospitals as the main force of the project, effectively reduce myocardial infarction, cerebral infarction and other diseases morbidity, mortality and recurrence rate, reduce rescue costs and hospital costs, to avoid Loss of social labor.
      Prevention and treatment of chronic diseases need comprehensive treatment
      Lin Shaobin, member of the National Committee of the Chinese People's Political Consultative Conference and vice president of the Second Affiliated Hospital of Xiamen University, believes that the health management division is a professional person who is engaged in the monitoring, analysis, evaluation and health maintenance and health promotion of the population or personal health and disease. It is very important to enhance people's health. For individuals and families, health managers help to arouse health awareness, and thus change the bad way of life, is conducive to sub-health groups will be disease risk factors strangled in the bud, but also conducive to early detection of the disease, early treatment. It is recommended to set up health management in medical colleges and universities, and clear the health management professional title standards.
Zhang Baili, the representative of the National People's Congress and the Chinese Academy of Engineering, suggested that the Chinese medicine treatment of non-drug treatment methods is simple and accurate, with the best cost-effectiveness ratio, should be traditional Chinese medicine acupuncture, massage, tea, ointment and other non-drug therapy as primary health care institutions Diagnosis and treatment, adjust the health insurance payment policy, improve the proportion of non-drug therapy reimbursement, the disease treatment services as Western medicine preventive medicine projects into the national preventive medicine system. The relevant treatment of disease-free services into the scope of health insurance, the full or half of the reimbursement, or into the national basic public health services projects in the implementation of integrated management.
      Zhao Wanyong, president of the National People's Congress and Zhaotong City Hospital of Yunnan Province, proposed to carry out the "International Self-Health Day" in China to identify a widely used definition and framework of self-care to convey and guide self-care research and policy reform to help the public Self-care, improve health literacy. At the same time, encourage more health care professionals to support and promote self-care practices.

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