Medical network - on February 16, 14, the state council general office issued a notice, chronic disease prevention and control of long-term planning in China (2017-2025) have agreed to under the state council, please all provinces, autonomous regions and municipalities directly under the central government, ministries under the state council, directly affiliated institutions to carry out in earnest.
The attached:
China's long-term chronic disease prevention and control planning
(2017-2025)
For chronic disease prevention and control work, reduce the burden of disease, improve the residents' health and life expectancy, the efforts of all-round, the whole cycle to ensure people's health, according to the "healthy China 2030" planning outline, formulate the plans.
The background, planning
As mentioned in the present planning major chronic diseases including cardiovascular disease, cancer, chronic respiratory disease, diabetes and oral diseases, as well as endocrine, kidney, bone, nerve disease, etc. Chronic diseases are a serious threat to health of residents in our country disease, has become affect national economic and social development of major public health problem. Chronic diseases occurrence and popular with economic, social, demographic, behavioral, and environmental factors such as closely related. With the accelerating process of industrialization, urbanization, population aging in our country, the residents' life style, the ecological environment and food security situation in the health effects of looming, chronic disease, illness and death toll has increased, the chronic disease burden is heavy. Influence factors of comprehensive, complexity, determines the chronic diseases prevention and treatment of long-term and arduous task.
In recent years, all localities and departments concerned seriously the implementation of the CPC central committee and the state council decision deployment, deepen the medical and health system reform, promoting environmental management, tobacco control, the sports fitness and nutrition improvement work, preliminary formed the working mechanism and prevention service network for the prevention and control of chronic diseases. Chronic disease prevention and control work has attracted high attention from all walks of life, health, supportive environment continues to improve, people gradually improve health literacy, for which lays an important foundation for chronic disease prevention and control of long-term planning for implementation.
Second, the general requirements
(a) the guiding ideology.
Fully implement the party's 18 large and 18 sixth plenary session of 3, 4, 5, spirit, deeply carry out important speech spirit of general secretary xi series new concepts, new ideas and governing the new strategy, we will conscientiously implement the party central committee and the state council decisions and, as a whole to promote "five one" the overall layout and coordination to promote "comprehensive" four strategic layout, firmly set up and implement the innovation, the coordination, the development of the green, open, sharing ideas, adhere to the right of health and health work policy, in order to improve the level of the people's health as the core, powered by deepening the reform of medical health system, to control the risk factors for chronic diseases, supportive environment construction health as the key point, by means of health promotion and health management, improve the health quality, and reduce the high risk population risk, improve the quality of survival, to reduce preventable chronic diseases morbidity, mortality and disability, by centering on the cure to shift for the center with health, promote the whole life cycle health, improve the residents' health and life expectancy, China construction to lay the solid foundation to promote health.
(2) the basic principles.
Adhere to the overall coordination. Co-ordinated resources, improve the government leading, departments, collaboration, mobilize social and universal participation mechanism for the prevention and control of chronic diseases, all blend in health policy, arouse the enthusiasm of society and individuals to participate in prevention and control, social environment conducive to chronic diseases prevention and treatment.
Adhere to the co-construction and sharing. Advocacy of "every man is his own health the first" concept, promote the formation of health behavior and way of life. Build self is given priority to, social-support, social support, health management mode, government guidance to health education and health promotion throughout the whole life cycle, promote all participation, all try to, everyone will have access to.
Insist on prevention. Strengthening behavior and environmental risk factors control, strengthen the chronic disease screening and early detection, early push from the disease treatment to health management. Strengthen medical synergy, insist on equal emphasis on Chinese and western medicine, provide residents with fair accessible, continuous system of prevention, treatment, rehabilitation and health promotion, integration of chronic diseases prevention and control of services.
Insist on classified guidance. According to different regions, different groups of chronic disease epidemic characteristics and control requirements, determine the specific control objectives and strategies, carry out effective prevention and control measures. Give full play to the national level demonstration zones of chronic diseases, comprehensive prevention and control of a typical lead role, enhance the level of regional prevention and control of chronic diseases.
(3) the planning objectives.
By 2020, chronic disease prevention and control environment improved significantly, reduce chronic diseases lead to premature mortality, strive to 30-70 people aged because of disease of heart head blood-vessel, cancer, chronic respiratory diseases and diabetes caused by premature mortality 10% lower than in 2015. By 2025, to effectively control risk factors for chronic diseases, realize the whole life cycle of whole population health management, strive for people aged 30-70 because of disease of heart head blood-vessel, cancer, chronic respiratory diseases and diabetes caused by premature mortality 20% lower than in 2015. Gradually improve the residents' health and life expectancy, effective control of chronic disease burden.
China's long-term chronic disease prevention and control planning (2017-2025) main indicators
Three, strategies and measures
(a) to strengthen health education, to improve the health quality.
1. To develop chronic diseases prevention and control of the national education. Establish and improve the health and education system, popularize knowledge of health science and education to guide the masses to set up correct health perspectives. Family planning departments for public health experts prepare scientific and practical guide, chronic disease prevention and control knowledge and information release to the society by the professional institutions, widely publicized rational diet, exercise, quit smoking restrictions wine, psychological balance, such as health science knowledge, standardize management of the chronic disease prevention and health science. Make full use of the mainstream media and new media to carry out various forms of chronic diseases prevention and control publicity and education, based on the characteristics of different groups to carry out targeted health propaganda and education. Deepening national health literacy activities such as promotion activities and health China, improve the health education effect. In 2020 and 2025, the residents key aware of knowledge about chronic core reached 60% and 60% respectively.
2. Advocate healthy and civilized way of life. Innovation and rich prevention way, implement the zero order prevention concept, strengthen overall balanced kindergartens, primary and secondary schools, oral care, vision for the protection of health knowledge and behavior education, realize the prevention work of the mark for the forward. Encourage institutions, enterprises and institutions to carry out the harmonious fitness and worker activities such as games, his pace, health knowledge competition, relying on a village (house) committee organization volunteers, social sports instructors, healthy lifestyle, etc., science to guide the public to carry out health management itself. Heal not ill play advantage, promoting traditional regimen of aerobics. Advancing the healthy lifestyle action, to carry out the "three minus three health" (salt, and oil, reducing sugar, reduction of oral health, healthy weight, healthy bones) and other special operation, development of appropriate technology for health promotion and support tools, enhance people's ability to maintain and promote their health.
Column 1 for health education and health promotion program
(2) the implementation of early detection treated early, reduce risk high-risk groups.
1. Promote the early detection of chronic diseases. Full implementation of over 35 people first option to measure blood pressure, found that patients with high blood pressure and high risk groups, provide timely intervention. Community health service centers and towns and townships gradually provide simple blood glucose blood lipid testing, preventive oral health care, lung function measurements and defecate occult blood test and other services. Step by step to clinical diagnosis, treatment means, the masses can be acceptable, countries can afford disease screening technology as a public health measures. In high-risk areas and gradually develop in people at high risk of upper gastrointestinal tract cancer, cervical cancer early detection has a mature screening technologies such as treated early work. Strengthen the standardized management of physical examination, and perfect the system of student health examination, to promote the elderly health check-up, promote cancer, stroke, coronary heart disease and other chronic diseases of opportunistic screening. Oral health examination should be brought into the routine physical examination content, the lung function and bone mineral density testing projects in over 40 people routine checkups.
2. Individualized health interventions. Relying on professional public health institutions and medical institutions, the opening of a smoking cessation counseling hotline to provide smoking cessation outpatient services, improve the ability of the intervention. Promote medical fusion, outpatient service, the conditional open kinematic guidance with fitness services. Community health service centers and the overweight obesity in towns and townships, blood pressure, blood glucose, blood lipids abnormal people at high risk for chronic diseases such as risk assessment and intervention to guide, to provide a balanced diet, physical activity, health care, physical identification and other consulting services. Encourage the patients with chronic diseases and high-risk groups cost-effective good pneumonia and influenza vaccine. Increase the intensity of periodontal disease, oral diseases such as caries disease intervention, the implementation of local children with fluorine, den ditch closed oral health measures, such as 12 years old children caries rate at 30%. Attaches great importance to the common chronic diseases in elderly patients, oral disease, mental health guidance and intervention. Exploring in chronic disease prevention, risk assessment, and intervention guide follow-up employee health management service.
Column 2 screening intervention in chronic diseases and health management project
(3) strengthen the standard diagnosis and treatment, and improve the therapeutic effect.
1. The implementation of the classification system of diagnosis and treatment. Sign give preference to the patients with chronic diseases included in the family doctor service scope, actively promote high blood pressure, diabetes, cardiovascular disease, cancer, chronic respiratory diseases, such as the classification of diagnosis and treatment, patients with first option at the grass-roots level, two-way referral, upper and lower linkage, slow partition of reasonable medical order, and improve the recovery treatment - - a long-term care service chain. Encourage and gradually standardize the common disease, frequently-occurring disease patients see a doctor to grassroots health institutions first of all, the beyond basic medical and health institutions function orientation and service ability of chronic diseases, the basic medical and health institutions shall provide patients with referral services. To improve two-way referral program, the key open chronic phase, recovery period patient referral channel down, gradually achieve different levels and different categories orderly referral between medical institutions.
2. Improve the quality of medical services. Construction of medical quality management and control information platform, strengthen service real-time management and control of chronic diseases diagnosis and treatment, the continuous improvement of medical quality and medical safety. Full implementation of clinical pathway management, regulating the behavior of diagnosis and treatment, optimize the diagnosis and treatment process, to shorten the acute cardiocerebrovascular disease to clinic treatment time effectively, promote the application of individual standard treatment for cancer, reduce mortality. Basic implementation of medical institutions inspection, mutual recognition of test results.
(4) promote the medical proof together, realize the whole process of health management.
1. To strengthen the construction of chronic disease prevention and control institutions and team skills. Play the Chinese center for disease control and prevention, national center for cardiovascular disease, national cancer center in policy advice, standard specification, monitoring and evaluation, personnel training, technical guidance, etc, the conditions are ripe region rely on existing resources construction of cardiovascular disease, cancer and other chronic diseases area center, established by the national, regional and grassroots junior ZhuanBing diagnosis and treatment of traditional Chinese medicine center of Chinese medicine specialist ZhuanBing prevention and control system. All regions to specific medical institutions assume jurisdiction heart cerebrovascular disease, cancer, chronic respiratory disease, diabetes and other chronic diseases prevention and control technical guidance. Level 2 above hospitals to provide professional, fulfill their duties of public health and chronic disease prevention and control work. Grassroots medical institutions according to the work reality, improve the public health service ability, meet the demand of chronic diseases prevention and control.
2. Build a chronic disease prevention and control work mechanism. Disease prevention and control institutions, hospitals, and basic medical and health institutions should establish and improve the cooperation mechanism of collaboration, complementary advantages. Responsible for the conduct of institution of disease prevention and control of chronic diseases and their risk factors monitoring and epidemiological investigation, the comprehensive prevention and control intervention strategies and measures to implement the guidance and control effect evaluation; Hospitals undertake registration report chronic cases, acute critically ill patients diagnosis and treatment work and provide technical support for basic medical and health institutions; Grassroots medical institutions implementing the crowd health promotion, high-risk groups and guidance, intervention and follow-up of patients with basic medical and health services management, etc. To strengthen the medical cooperation, promote the development of chronic diseases prevention and cure, tube overall integration.
3. Establish long-term health management work mechanism. Clear the government, medical institutions and family, personal liability of the parties in health management aspects, such as, improve health management service content and service process. Gradually will be eligible to cancer, stroke and other major chronic disease early detection treated early appropriate technologies in accordance with the provisions in clinical routine. Exploring the way by the government to buy services, encourage enterprises, public welfare charity, commercial insurance institutions involved in chronic high-risk groups such as risk assessment, health advice and health management, foster a personalized service, membership management, integrated propulsion of health management service industry.
(5) to improve security, and lightens the burden of the masses go to a doctor.
1. Improve health care and assistance policies. Improve the urban and rural residents health outpatient service as a whole, such as relevant policies, explore grassroots health institutions pay pack per head in patients with chronic diseases. Improve the level of different medical institutions differentiation to pay for health care policy, promote chronic disease prevention and control work center of gravity down, resource sink. Development diversified health insurance services, and encourage qualified development and commercial insurance institutions of insurance of primary medical treatment of corresponding commercial health insurance products, all kinds of chronic diseases related insurance agency services. According to the rules for eligible object of urban and rural subsistence allowances, chronic disease strands personnel the implementation of medical treatment. Encourage foundation such as charitable organizations will be of high quality resources to poor regions and the countryside, to carry out medical assistance to special people.
2. Ensure pharmaceutical production supplies. Be generic drug patents expire and production, improving the quality of generic drugs, preferable through consistency evaluation of chronic diseases prevention and control of generic drugs, can not be copied for the domestic market, actively through the methods of drug price negotiations, reasonably reduce the purchase price. We will further improve the basic drugs directory, strengthen the level 2 above hospitals medicine with basic medical and health institutions. Play a role of social pharmacy drug supply security at the grassroots level, the accessibility of medicines. Chronic disease in elderly patients with chronic diseases can be signed by the family doctor prescribe medicine prescription for a long time, to explore in a variety of ways to satisfy demand for treating patients. Play the advantages of traditional Chinese medicine in the prevention and control of chronic diseases.
(6) to control the risk factors, create a healthy supportive environment.
1. The construction of healthy production and living environment. Promote green clean production, improve the working environment, strict control ChenDu hazard, strengthen occupational disease prevention and control, neat and urban and rural health, optimize the living environment, strengthen cultural, educational, leisure, fitness and other public service facilities. Health trails, theme park construction is sports fitness environment, improve the utilization rate of all kinds of public sports facilities open degree and promote conditional after class, school sports facilities open to the school teachers and students and the public order and holidays, covering urban and rural areas, perfecting the national fitness service system, promote the national fitness and health depth fusion. Adhere to the concept of green development, strengthen the environmental protection and supervision, to carry out the action plan for the control of air, water, soil pollution, the implementation of comprehensive pollutant control, continuously improve ambient air quality, drinking water quality and soil environmental quality. Establish and improve the environment and health monitoring, investigation and risk assessment system, reduce the pollution of the environment impact on health.
2. Improve the policy environment. Implementation of the framework convention on tobacco control, and promote national level control regulations, smoking in public places to accelerate the process of tobacco control legislation in various areas, increase the intensity of tobacco control law enforcement. Perfect the tobacco and alcohol tax policies, strictly execute may not sell tobacco to minors laws and regulations, reduce harmful drinking. Strengthen the food safety and the safety of drinking water security work, promote the nutrition legislation, adjust and optimize the structure of food, advocate diet diversification, promote nutrition labels, guide the enterprise production sales, consumer science choose nutrition health food.
3. Promoting the development of chronic diseases comprehensive prevention and control demonstration area innovation. On national comprehensive chronic disease prevention and control demonstration area construction as the gripper, cultivate comprehensive prevention and control model suited to the characteristics of the different parts of the chronic diseases. Demonstration area construction closely integrated to create health town and healthy urban construction requirements, signed a contract with hierarchical diagnosis and treatment, the family doctor service, improve quality demonstration area construction, in strengthening the government main body responsibility, implement the each department job responsibilities, provide a full crowd full life cycle of chronic disease prevention and control of management services and so on play a demonstration leading role, driving regional chronic disease prevention and control management level of ascension as a whole.
Column 3 healthy supportive environment construction project
(7) as a whole social resources, innovative development of health services.
1. Mobilize social forces to carry out the prevention and control of services. Encourage, guide and support social forces of medical treatment, medical, pension and health care institutions and foundations, and other public welfare charity, commercial insurance agencies, industry association society, Internet companies, such as through the way of competitive, participate in medical service, health management and promote area, health insurance and related chronic disease prevention and control services, innovative service mode, promote the whole life cycle, connotation is rich, the reasonable structure of the health services system development. Establish diversified financing mechanism, broaden the chronic disease prevention and control of public welfare investment and financing channels, encourage social capital to chronic disease prevention and control of services and community rehabilitation, etc.
2. Promote the development of medical a fusion. Promote chronic disease prevention and control of the entire management services and household, community, institutions endowment. Pension institutions, communities and households held elderly care, elderly chronic disease prevention and rehabilitation care, maintaining and promoting function of the elderly health. Support conditional pension institutions establishment of medical institutions, conditional 2 above set geriatrics department general hospital and the hospital of traditional Chinese medicine, to increase the number of elderly sickbed, priority convenient service for the old people go to a doctor. Accelerate the pilot pension institution oriented remote medical services. Encourage grassroots health institutions signed a contract with the elderly family establish service relationship, for door-to-door consultation, health physical examination and health management, health care and other services.
3. To promote Internet application innovation. Promote the development of the Internet and health industry integration, wisdom, health industry, explore chronic disease health management services to the new model. Improve mobile medical treatment and health management regulations and standards, to promote the mobile Internet, cloud computing, big data fusion, the Internet of things, and the depth of the health related industries, make full use of information technology enriched the contents of the chronic disease prevention and control measures and work and promote the diagnosis and follow-up of online booking, disease management, health management services such as application, to provide quality and convenient medical and health services.
(8) to enhance science and technology support, and promote the monitoring and evaluation and research and development innovation.
1. Improve the monitoring and evaluation system. Integration, the single factor of chronic diseases and risk factors of single diseases surveillance information, implementing system connectivity. Improve the mortality surveillance and tumor registration report system, the establishment of national, provincial and regional chronic diseases and nutrition monitoring information network reporting system, gradually the focus on chronic disease risk factors, disease, death and information updates, release chronic diseases related to monitoring information on a regular basis. In cities, the basic jurisdiction to ascertain main chronic conditions, influence factors and the disease burden. The nutrition and risk factors for chronic diseases health intervention cohort study and disease management. Using big data technologies, such as strengthening the information analysis and utilization, grasp the chronic diseases prevalent regularity and characteristics of identify major health problem, to provide evidence-based for chronic disease prevention and control policy and strategy. Strengthen the environmental medium such as water, soil, air and workplace environment quality, monitoring the quality and safety of agricultural products, such as gradually realize cross-industry across departments across levels of exchange, horizontal and vertical report dynamic implementation factors such as environment, food and health risk assessment and early warning.
2. To promote transformation of scientific and technological achievements and appropriate technology application. System strengthening prevention and control of chronic diseases, scientific layout, promote the related research projects. To further strengthen the national center for clinical medicine research and collaborative innovation network construction, perfect the system of the major chronic diseases research. With information fusion, biological and medical science and technology development as the leading, strengthening prevention and control of chronic diseases, basic research, applied research and translational medicine research. Overall strengths, to promote chronic pathogenic factors, pathogenesis, prevention, intervention, medical rehabilitation, medical equipment, new vaccines and innovative drug research, the key breakthrough precision medical treatment, "Internet +" health care, big data, the application of key technologies such as support for genetic testing new technologies, new products such as popularization and application in the field of prevention and control of chronic diseases. In view of the chronic disease has the advantage of traditional Chinese medicine, summarize form chronic health intervention scheme and application of traditional Chinese medicine. Combined with chronic disease prevention and control requirements, the selection of mature and effective chronic disease prevention, diagnosis and treatment, rehabilitation care, appropriate technology to speed up the achievements and application promotion. To carry out the social determinants of chronic diseases and disease burden research, explore the effective path to the prevention and control of chronic diseases. In the training of talent cultivation, information communication and sharing, prevention and control technology exchanges and cooperation, ability construction to take an active part in international exchange and cooperation in prevention and control of chronic diseases.
Column 4 chronic diseases of science and technology support projects
Fourth, safeguard measures
(a) strengthen organization and leadership. Regions to chronic disease prevention and control as the health of China construction and deepen the reform of medical health system, the important content of important people's livelihood project into place, determine the work objectives and performance targets, planning and implementation for chronic disease prevention and control of the region, strengthen to organize the implementation, establish and improve the chronic disease prevention and control work coordination mechanism, the research on a regular basis to solve the major problems in chronic disease prevention and control work.
(2) to carry out the department responsibility. Health family planning departments to jointly with the relevant departments jointly organize the implementation of this plan and in supervision and assessment. Development and reform departments to chronic disease prevention and control in economic and social development planning, strengthen the construction of ability of chronic diseases prevention and control. Financial department should according to the government health investment policies required to carry out the relevant expenses. Family planning department of public health human resources and social security department should further improve the outpatient service related security policy and payment mechanism, give play to the role of health charged fees. The prevention and control of major disease inter-ministerial meeting office of the state council to play a role of overall coordination, promoting education, science and technology, ministry of industry and information technology, civil affairs, environmental protection, housing, urban and rural construction, agriculture, commerce, press and publication, radio and television, sports, safety supervision, food and drug supervision, traditional Chinese medicine and other departments to perform his duties, chronic disease prevention and control work force.
(3) to strengthen the cultivation of talents. Perfect for use of policies and measures of personnel training, to strengthen health education, health management, health care, public health, nursing, rehabilitation, and Chinese medicine field cultivation of talents. Strengthen the psychiatry cooperation, deepening the reform of college education, prevention and control of chronic diseases related to strengthen medical students education and training of knowledge and ability, the support of colleges and universities set up health promotion, health management, and other related professional, strengthen targeted continuing medical education, focus on cultivating chronic disease prevention and control, the practical talents. Improve the system of professional and technical titles evaluation, and promote the development and the rational flow of talent growth.
(4) create a good atmosphere. All localities and departments to extensive publicity of the party and the state of maintenance to promote the health of the people of major strategic thoughts and policies of promoting the significance of comprehensive chronic disease prevention and control strategy, target tasks and policy measures. Must strengthen the positive publicity and supervision by public opinion, scientific guidance and the typical report, strengthen the social common recognition of prevention and control of chronic diseases, form a good atmosphere of the whole society concerned about support for chronic disease prevention and control.
Five, supervision and evaluation
National health and family planning commission jointly with relevant departments to formulate the planning and implementation of division of labor, each related department to individual, timely grasp the work progress, regular exchange information and jointly carry out supervision and effect evaluation, in 2020 to medium-term planning implementation evaluation, organization planning and implementation of the end stage of assessment in 2025. Regions to establish a supervision and evaluation mechanism, the organization to carry out the planning and implementation progress and effect assessment, planning and implementation as a government inspector supervisory matters, promote implement plan goal task.
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