Progress Of Healthy China Construction In The 13Th Five Year Plan: From "Treatment Centered" To "Health Centered"

"The 13th Five Year Plan period is the decisive stage for China to build a moderately prosperous society in an all-round way and realize the first centenary goal, and it is also an important period for the development of China's health undertakings." On October 28, at a press conference held by the State Council Information Office, Yu Xuejun, member of the Party group and deputy director of the National Health Commission, pointed out that.

The State Council has deployed and implemented the healthy China action, established a healthy China action Promotion Committee, focused on comprehensive intervention of health influencing factors, maintenance of life cycle health, prevention and control of major diseases, implemented 15 special actions, and initially formed a social atmosphere of paying attention to health and pursuing health.

Under the leadership of the CPC Central Committee and the State Council, the national health and Health Commission has made every effort to promote the construction of a healthy China and promote the transformation from a disease-centered to a health-centered one. We have basically established a public health service system covering all the people, with specialized public health institutions such as disease prevention and control, emergency treatment and health supervision as the backbone, relying on all kinds of medical institutions at all levels, taking the grass-roots medical and health institutions as the bottom of the network, and supported by the participation of the whole people.

"During the period of the 14th five year plan, we will work with relevant departments in accordance with the direction and requirements of the public health system reform determined by the central government, based on more accurate and effective" prevention ", pay close attention to the shortcomings, loopholes and strong and weak points, strengthen the work in straightening out the system and mechanism, clarifying the functional orientation, strengthening the monitoring and early warning, and improving the quality of personnel, so as to build a strong public The health system can effectively safeguard people's health. " Yu Xuejun said.

Change from treating disease as the center to health as the center

During the 13th Five Year Plan period, we are faced with a variety of disease threats, as well as a variety of health influencing factors.

With the acceleration of industrialization, urbanization and population aging, the disease spectrum of Chinese residents is changing, and people's health is facing new problems and challenges.

In particular, cardiovascular and cerebrovascular diseases, cancer, chronic respiratory diseases, diabetes and other chronic diseases, the death toll caused by these chronic diseases has accounted for 88% of the total death toll, and the disease burden caused by this has accounted for more than 70% of the total disease burden, seriously endangering people's health.

"Under the strong leadership of the CPC Central Committee and the State Council, the national health and Health Commission has made every effort to promote the construction of a healthy China, and promote the transformation from a disease-based to a health-centered one. From 2015 to the end of 2019, the average life expectancy of Chinese residents increased from 76.3 years to 77.3 years, and increased by one year in four years. The maternal mortality rate, infant mortality rate and the mortality rate of children under five years old dropped from 20.1/100000, 8.1 ‰, 10.7 ‰ to 17.8/100000, 5.6 ‰, and 7.8 ‰ respectively. The main health indicators are generally better than the average level of middle and high-income countries. The proportion of personal health expenditure in the total health expenditure has dropped to 28.4%. The construction of healthy China has made a good start. " Yu Xuejun further pointed out.

It is also understood that the health literacy level of Chinese residents has been significantly improved, from 10.25% in 2015 to 19.17% in 2019. By the end of this year, our average level of health literacy has doubled during the 13th Five Year Plan period.

At the same time, Yu Xuejun pointed out that the Party Central Committee and the State Council will strengthen the construction of public health service system, timely and stable disposal of major emergencies and emerging infectious diseases as an important goal of modernization of the governance system and governance capacity, emphasizing prevention first, gateway forward, and combination of prevention and control, so as to provide safe, convenient, convenient and cheap public health and basic medical services for the people.

From 2016 to 2020, the state has allocated 141.5 billion yuan of investment in the central budget to support more than 8000 public health projects, including the construction of the CDC, an increase of 23% over the total investment in the 12th Five Year Plan.

This year, the three ministries and commissions of the state issued the "public health prevention and treatment capacity building program", focusing on strengthening the modernization of the disease control system, improving the treatment capacity of county-level hospitals, and improving the treatment network of urban infectious diseases. During the 13th Five Year Plan period, China successfully coped with sudden outbreaks such as influenza A (H1N1), h7n9 and Ebola hemorrhagic fever, and the incidence of major infectious diseases decreased significantly.

In the new epidemic prevention and control, China's public health service system, medical service system, medical security system, drug supply security system and major epidemic prevention and emergency management system have been proved to be effective on the whole.

However, Yu Xuejun also stressed that there are some weak links in the prevention and control of Xinguan epidemic. During the period of the "14th five year plan", we will focus on more accurate and effective "prevention", pay close attention to the weak points, loopholes, and strong and weak points. We will work harder to straighten out the system and mechanism, clarify the functional orientation, strengthen monitoring and early warning, and improve the quality of personnel, so as to build a strong public health system and effectively safeguard people's health.

The accessibility of medical and health services continues to improve

During the 13th Five Year Plan period, the CPC Central Committee and the State Council incorporated the deepening of medical reform into the overall plan of comprehensively deepening the reform and promoted it as a whole. It has achieved positive results in solving the problem that it is difficult and expensive to see a doctor.

"In terms of alleviating the high cost of seeing a doctor, we focus on reducing the drug price as a breakthrough point and implement the linkage of three medicine. The main measures are as follows: first, promote the centralized purchase and use of drugs organized by the state, and strive to reduce the unreasonably high drug prices. The price of the first batch of 25 pilot drugs in 4 municipalities and 7 sub provincial cities decreased by 52% on average, and then extended to the whole country. The price of the second batch of selected drugs decreased by 53% on average. We will carry out drug price negotiations and implement zero tariff on imported anti-cancer drugs. We will improve the national essential drug system, standardize the use and management of drugs, and ensure the supply of medicines in short supply. " Yu Xuejun pointed out.

In addition, China is also comprehensively pushing forward the comprehensive reform of public hospitals, abolishing the addition of drugs and consumables, improving the national medical insurance system, and establishing a unified medical insurance system for urban and rural residents and serious illness insurance.

"In terms of solving the difficulty of seeing a doctor, we mainly focus on promoting the sinking and balanced allocation of high-quality medical resources. Now 84% of county-level hospitals have reached the level of hospitals above level II. In 2019, the visiting rate of common diseases and frequently occurring diseases in counties has reached about 90%. There are 1408 urban medical groups and 3346 county-level medical communities, which are trans regional The number of specialist alliances has reached 3924. " Yu Xuejun pointed out.

Yu Xuejun also pointed out that at the same time, the state has also promoted the contracted service of family doctors, the construction of pilot community hospitals, improved the level of primary medical care, and continued to deepen the "regulation and service" to promote the standardized development of health industry and social medical operation, accelerate the development of "Internet + medical health", and greatly expand the coverage of telemedicine services.

In fact, talents and funds are the two keys to the development of primary health care.

During the 13th Five Year Plan period, the national health and Health Commission has taken various effective measures to strengthen the construction of grassroots talent team. Yu Xuejun introduced that the establishment of a medical education system of college education, post graduation education and continuing education will provide talents for the grass-roots level, and at the same time, it will promote the practice of registered doctors to enable them to serve the grassroots. At present, there are 260000 doctors practising in multiple institutions in China, which effectively alleviates the shortage of medical personnel in primary medical institutions and the society.

At the same time, priority should be given to the trainees from poverty-stricken areas, ethnic areas and old revolutionary base areas under the same conditions, so as to ensure their treatment during the training period. After passing the training examination, the scope of practice of general practice can be increased. At present, 180000 general practitioners have been transferred to training, and the number of general practitioners per 10000 has increased from 1.38 to 2.61 this year, and the ability of grass-roots talents has been improved through special training. By 2020, the central government has invested 1.02 billion yuan and trained more than 500000 primary health workers.

It is worth noting that during the 13th Five Year Plan period, China's health poverty alleviation has achieved remarkable results. The qualified hospitals in poverty-stricken counties and counties will be included in the national health insurance project, and tertiary hospitals will be organized to help the hospitals in poverty-stricken counties and counties. Telemedicine services will cover all national poverty-stricken counties and remote areas. More than 19 million poverty-stricken patients were treated by classification, and nearly 10 million poverty-stricken families were successfully lifted out of poverty.

Among them, "Internet + medical health" has played a great role. Mao Qun'an, director of the planning department of the National Health Commission, pointed out that "Internet + medical health" has played an increasingly important role in optimizing the allocation of health and health resources, innovating service models, improving service efficiency, reducing service costs and enhancing people's sense of health gain. At present, there are 900 Internet hospitals in China. The telemedicine collaboration network covers more than 24000 medical institutions in all prefecture level cities, and more than 5500 hospitals above the second level can provide online services.

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