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    There Are Still Gaps In The Strategic Understanding Of Healthy China: Government Officials, Experts, And Presidents Elaborate On Major Medical Policies.

    2019/11/20 13:53:00 0

    StrategyCognitionDisparityGovernmentOfficialsExpertsDeanHealth CarePolicy

    "Healthy China is an important symbol of national prosperity. The CPC Central Committee and the State Council attached great importance to national health. In 2016, it defined the major policy of building healthy China, issued the" 2030 planning outline ", and in 2017 the nineteen party made a major implementation plan for healthy China, and healthy China rose to a national strategy. In November 19th, in the twenty-first Century "economic report" hosted by the "2019 China's great health industry summit" Nirvana return, value reengineering ", the state health protection planning division planning department director GUI Yi said in a speech.

    GUI Yi said that adhering to the health and health policy of the new era, China's health and health undertakings have made considerable progress, and the main health indicators are generally better than those of the middle and high income countries. From 2015 to 2018, China's per capita life expectancy increased from 76.3 to 77 years, and the per capita mortality rate dropped to an average level, which initially formed the modernization of health governance system and governance capacity.

    However, GUI Yi also pointed out that, on the whole, there is still a gap in understanding the implementation of healthy China strategy from all walks of life. The imbalance in the development of the health field is not enough, and the contradiction between the continuous increase of people's multi-level and diversified health needs is still outstanding. Especially with the acceleration of industrialization and urbanization, the aging population is facing new health challenges, and residents are smoking and unbalanced diets. The annual incidence of new cancer cases is 1 million 800 thousand. The deaths caused by non communicable diseases dropped to about 88%, but the disease burden is over 70%. At the same time, the prevention and control situation of major infectious diseases can not be relaxed.

    In order to better cope with these health problems, under the leadership of the State Council, the more than 30 departments jointly formulated the national level disease prevention plan for key groups and major health problems. According to the deployment of the CPC Central Committee and the State Council, the relevant documents were issued in June this year, integrating the strategy of healthy China into all aspects of daily life of the masses, which is conducive to promoting the landing of the objectives and tasks of the health China's 2030 program, which fully embodies the priority of people's health and is of great significance for speeding up the socialist modernization drive.

    It is clear that the development of the health industry is one of the five tasks of building healthy China. The healthy Chinese industry has become a pillar industry of the national economy, reaching 8 trillion yuan in 2020 and 16 trillion yuan in 2030.

    For the development of big health industry, at the above summit, Liao Xinbo, the deputy director of the Guangdong provincial health department and the director of the Guangdong Provincial Health Bureau, pointed out that this policy can not be separated from the promotion of policies. If the big health industry does not understand the medical cause and industrial development, the big health industry will not be able to start.

    "After 2009, the rapid development of Chinese hospitals, especially the unlimited expansion of hospitals and blind growth, created new contradictions and constantly siphoned patients and resources into large hospitals. The present policy limits the expansion of hospitals, and this restriction is more and more stringent, so that the whole market has changed. " Liao Xinbo pointed out.

    Liao Xinbo emphasized that grading diagnosis and treatment is the main policy and goal of medical reform. The goal is to enable patients to be optimistic about diseases at the grassroots level, and to solve this problem, personnel reform and performance reform will change hospitals and doctors.

    Yao Lin, vice president of the Sixth Affiliated Hospital of Zhongshan University, pointed out that the reason why we should choose the grading treatment is to change the phenomenon of "big hospitals are like the market, small hospitals are crowded, diseases that should not be seen in large hospitals and large hospitals". A lot of diseases such as colds and general diseases should be solved in primary medical institutions, saving medical resources and improving medical efficiency.

    In Yao Lin's opinion, judging whether a third grade hospital is successful depends on whether it has made contributions to the diagnosis and treatment guidelines and whether it has solved more difficult diseases.

    According to introduction, the Sixth Affiliated Hospital of Zhongshan University successfully rewrote two American guide articles last year. Yao Lin cited the Sixth Affiliated Hospital of Zhongshan University as an example. In 2019, there were more than 4000 new colorectal cancer patients in the hospital, the most in the country.

    Liao Xinbo said frankly that the process of grading treatment and promotion is not smooth sailing.

    Liao Xinbo pointed out that part of the reason why the promotion is not smooth is that some policies have not been determined at the legal level, such as allowing the doctors of public hospitals to practise more. In reality, if they are not approved by the hospital leaders, they will not be able to do so.

    "If a doctor moves from a unit to a social person, it will be like other countries. For example, doctors from public hospitals in Australia and Singapore can go to clinics and work in different medical institutions, because he is not a unit. Personnel reform will change the structure of medical ecology and public hospitals. Hospitals of grade three will no longer be as high as they are now. " Liao Xinbo pointed out.

    At present, the obvious change is that the level of county hospitals is increasing. There are two factors in driving. One is the tilt of national policies. The two is that when large public hospitals fail to receive so many doctors, doctors must find a way out. In the future, large hospitals are no longer places for outpatients, and more clinics are undertaken by small and medium-sized medical institutions.

     

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