It needs the policy to support to prevent and cure

It needs the policy to support to prevent and cure
It needs the policy to support to prevent and cure
Staff reporter Zheng dexterous Reporter visit disease of Ministry of Public Health accuse of office and China CDC a few days ago ' Center for Disease Prevention and Control) Learn, in the past 20 years, our country is on the basis of use the international experience for reference and is fully based on the national conditionsing, preventing and curing the tactics to chronic disease carries on a series of adjustment, prevent and cure " 3 3 3 " after fixing chronic disease Tactics, it is already in pace with world to prevent and cure idea and technology. Target 3 crowds and 3 links and 3 kinds of means Before the 1990s, chronic disease of our country prevent and cure and basically take expert's scientific research, clinical treatment of the large hospital as the core even. Until 1994, the country prevented and controlled great strategical reajustment to disease, the department of epidemic prevention of Ministry of Public Health renamed as disease and controlled the department, and set up chronic disease and control the place. From then on, prevent and cure the strategy of chronic disease after opening the country. Disease of Ministry of Public Health accuse of hole glossy ganoderma of Deputy Bureau Director of office, recommend, disease of Ministry of Public Health accuses of department's and chronic disease controlling the establishment of the place, using the tactics of public health and solving the chronic disease problem for our country establishes the organization foundation. CDC system, medical system and numerous relevant organizations, associations, societies of our country,etc., have constructed chronic disease of our country and prevented and cured the network together, and is taking shape and having complementary advantages, promote crowd's chronic disease to prevent and cure and launch from the large visual field of the public health. Remembered according to hole glossy ganoderma, in 1998, at the first hypertension day forum of the whole country, Ministry of Public Health proposed breaking with the conventional idea clearly promptly, adjust the measure, promote the prevention and control of chronic disease to realize " six transitions " actively ,Namely change to government's behavior from expert's behavior, change from taking clinical treatment of scientific research as the core to relying mainly on preventing, from on the senior level to change to basic unit, from take city as the core to urban and rural areas developing simultaneously, changing, change from professional action to the mass movement, change from Ministry of Health to the whole society. In 2001, Ministry of Public Health proposed chronic disease and prevented and cured " ten pieces of transformation " again ,Namely transfer to and take health as the leading factor taking disease as the leading factor, regarding patient as the centre transfers to and regards crowd as the centre, taking medical treatment as the focal point transfers to and takes prevention and health care as the focal point, transfer to and based on community based on hospital, regard rotating in heavy prevention and cure of disease as physically and mentally healthily and coordinate the unity with the environment, transfer from Ministry of Health to many departments and communal participation, transfer from the specialist to a training and interact with complete doctor, manage to transfer from doctor to a group that doctor, nurse, public health personnel participated in together to manage, from treating in order to mainly transfer to managing the main fact, cure and transfer to and emphasize medical care from emphasizing. Above-mentioned chronic disease prevent and cure principle, instruct chronic disease of our country prevent and cure, work steadily and make solid progress, move ahead, and then sum up " 3 3 3" Tactics, namely face 3 crowds (general crowd, high-risk group, ill crowd) , pay close attention to the fact 3 links ' Control the dangerous factor, examine managing early, regulatory treatment) early With using 3 kinds of means ' Health promotion, health control, disease management) . Adopt the most suitable means separately to every crowd, intervene and manage the prevention of different contents. By " 3 3 3 " The tactics are cores, have proposed chronic disease and prevented and cured " 1 2 3 goals " With " 4 4 4 focal points " . " 1 2 3" The goal, namely" early, 3 1 liter, 2 lower the goal " --Promote resident's healthy behaviour level, diagnose early, treat early, reduce and have illness coming on, reduce and die of illness, lower the disease incompletely. " 4 4 4" Focal point, prevent and cure and aim at 4 kinds of chronic disease especially - -Heart cerebrovascular diseases, diabetes, malignant tumour, chronic respiratory disease; 4 kinds of main biological indexes - -Blood pressure is raised, blood glucose is raised, the fat of blood is unusual, overweight, fat; 4 kinds of main dangerous behaviors - -The tobacco uses, unreasonable meal, health activity are insufficient, excessive drinks. From paying close attention to disease to pay attention to public health and the epidemiology expert Professor Yang GongHuan of the dangerous factor, responsible for of our country disease monitor system work, in charge of the prevention and control of chronic disease when taking on China CDC Deputy Director. Of our country chronic disease that she experience prevent and cure tactics most prominent transition, it was disease treatment question that paid close attention to in the past, put forth effort to advocate preventing and controlling and causing the critically ill dangerous factor now. Yang GongHuan says, " 3 3 3 " Primary links that the tactics pay close attention to control the dangerous factor. To dangerous factor, our country launch prevent and control taking action while being a series of. (leave and rotate the 2nd) (have and connect the 1st) In 2006, disease of Ministry of Public Health accused of being chosen " health weight " in the office and China CDC With " management of blood pressure " It is a breakthrough point, intervene synthetically chronic disease in order to operate in the platform with the hygiene service organization of the community. 2007, chronic disease interfere event from, list central the intersection of transformation and place in, subsidize event synthetically, expand to 31 provinces in the whole country in 2009 ' District, city) , 50 communities producing construction formation of Xinjiang, nearly cover 1,250,000 people. In recent years, China CDC releases China to accuse of the cigarette report year after year, propagates and advocates banning on opium-smoking and the opium trade in the public place, protect people and reduce the second hand smoke to expose. In January of 2010, China CDC will prevent consumptive disease and lung disease federation from starting the environment smokelessly to promote the project with world, launch accusing of the cigarette pilot project in 7 cities of our country in accordance with the law in advance. Finishing and implementing in these 7 cities accord with the legislation of " the international tobacco control the frame convention " in 2 years to plan, guarantee all indoor public place and workplace smokelessly with the law. The governments of 7 cities have already promised publicly, according to the requirement that " the international tobacco controls the frame convention ", revise and forbid the regulation of smoking in public place and workplace in the local room. The most gratifying one is, municipal Harbin has already issued the local law that the first department has accorded with the regulations of article 8 of this convention, preparing to enforce the law actively now. Do not reduce the healthy behaviour: Policy support important one halux bring up the rear person who takes over a job, exhort repeatedly and smoke by the doctor very. But in postoperative 48 hours, he sucked one giving the doctor a piggyback silently. Next day, have already survived the ruddy halux has presented necrosis, the doctor rescues with all strength but can't retrieve Chief physician of Beijing Tongren Hospital division of endocrinology Yuan ShenYuan narrates this tragedy to the reporter, announce that prevents the difficulty of the dangerous behavior. Yang GongHuan points out, there are various chronic critically ill dangerous behaviors of crowd on, the countermeasure that my national defence accuses of chronic disease is awaited further thinningly. This kind of subdivision, is even as big as the macroscopical policy of the country, is even as small as the concrete rule of organization of every unit. It shows to survey and study the data in a large amount, chronic disease of our country has illness coming on age is obviously advanced in recent years, have already threatened workforce's population seriously. Cardiovascular the intersection of disease and death, in the age composition, 45 year old already account for 21% 64 population, age bracket of year old, and cardiovascular ill age composition, the proportion of this age bracket is up to 55%. Meanwhile, the chronic critically ill dangerous factor prevails, young people are far more than the elderly far. Most obviously, colonies taking exercises are mostly retired crowds. Yang Shine and say in work, at present, the urban community, to the dangerous behavior intervening and health control which the high-risk group implement, still mainly covering the retired crowd, the professional crowd still seldom includes in. Numerous and chronic and critically ill and dangerous to workforce's population? Shape �� It is towering �� Ping ��� liquid La stop up ���� Yong of �� of Pings incomplete Zheng �� sprout and say whether �� brightness last magnesium �� rose benevolence nephew and endanger ���Ԥ� s exhausteds peaceful of and last tadpole ] stare at � Fu last sword Emphasize government's duty cooperates with many departments and accuses of the office at disease of Ministry of Public Health, the reporter has seen it is pursued that the chain of cause of disease of a main chronic disease is pointed out, it points out alterable behavior dangerous factor and not alterable heredity, age, gender factor that this picture is clear, raise to blood pressure, blood glucose commonly, the dangerous factor of living beings such as being unusual, overweight and fat of the fat of blood is developed, course that and then develop towards chronic disease. Kong LingZhi says, the dangerous factor of the behavior is a proximal cause of disease of chronic disease, need to give the change through crowd's health promotion. There is chronic disease carry the cause of disease, namely economy, society, environment,etc., to the healthy adverse effect far. Life style that these unfavourable factors carried far will often influence people. Therefore, the tactics of prevention and control of chronic disease, should not merely pay close attention to chronic disease and personal behavioral relation with life style, pay close attention to the fact social decisive factor and hygiene on the influence that the factor of serving etc. happens, develops to chronic disease, emphasize government's duty, pay attention to government's leading factor, many departments' adopting and preventing and curing the action together. It is introduced, the country has already invested 10,400 million yuan to start the national basic public health service item at present, encourage the local government according to local economic level and main public health question, increase the service content of the basic public health appropriately. Kong LingZhi claims, the medical reform scheme confirms that changes community's hygiene service mode, require the hygiene workers of the community to insist on serving, making house calls voluntarily, it is healthy to bear the people of daily life progressively" The gatekeeper " Duty. It is complete that this kind serves innovation of mechanism and service mode that sounder at the basic level service ability of the network further improves in the basic unit on the foundation, have undoubtedly offered the important platform for the fact that chronic disease is prevented and cured.


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