Prevent and control the slow disease " Blowout " Need the new thinking badly

Prevent and control the slow disease " Blowout " Need the new thinking badly
Staff reporter Xiao Wei
A health physical examination report that makes people thinking
In Israel that was held not long ago " Slow disease and health control " It is on the sixth health industry's forum in the theme, the physical examination data of China's health will have reported the attention of attracting the conferee the large sample 2008 when is just finished. Can Vice Chairman and concurrently general secretary military to stay, believe the intersection of professor and introduction according to the intersection of Chinese Medical Association and the intersection of health control and credit, this is the authoritative data of physical examination of domestic first health, while carrying on academic exchange in the past, mostly use foreign countries data or our country's little sample data, but this report, in order to analyze compatriot's health quality is offered the effective reference basis.
This report has covered nearly 50 relevant physical examination organizations of 26 provinces, municipalities and autonomous regions in the whole country, finish by way of releasing and retracting the physical examination data questionnaire of the health, investigate the intersection of physical examination and crowd it is more than 1,300,000 people altogethers.
In this investigation, , and they all correlate with chronic disease, are inseparable from bad life style.
The census data have sent out the caution signal to people too, the slow disease of our country prevails and already flashes the redlight, it is very essential to popularize the health education in the crowd.
"It is to cause chronic disease and prevailing source that the risk factor rises violently, and the bad life style is to initiate the main inducement of chronic disease. " It is left the letter and said that military. Even so, the public is still very low to the knowing rate of the risk factor of chronic disease. "Cite a simple example, it is a kind of disease to be fat, it is the dangerous factors of hypertension, diabetes at the same time. And for example smoke, it not only can initiate cardiovascular vessel disease, but also can cause many kinds of malignant tumour. In term of medical angle, the risk factor of chronic disease really has certain heredity and variability. But we must know, it is closely related to personal behavior too, and most chronic disease risk factors controllable can be examined. " It is left the letter and said that military.
The intersection of risk and the intersection of factor and person who know low except the public to chronic disease, medical trade professional to how group prevent and control the intersection of chronic disease and this problem, know the deviation at too. Military leaves the letter and says, most medical workers still think the prevalence wanting to rely on the medical means to solve chronic disease, have not realized yet " Blowout " Existence of the risk. Lay stress on managing instead of make light of defending, value disease more than the not disease, has valued hospital more than the community, serious medicine, vaccine, scalpel are light to prevent from, health care and health are intervened These traditional medical ideas have hindered the step of prevention and control of chronic disease to a certain extent.
Make the slow disease for the public and manage the line map
On this forum, " physical examination and slow disease risk assessment " that experts part , " community's health control service mode and operation mechanism " , " slow disease is afforded with the health insurance " Wait for the nine hot topics to discuss, give an idea for the prevention and control of chronic disease. It is left the letter and said that military: "Vaccine develop prevent from, infect and invention of antibiotic control, infect and the intersection of medicines and scalpel retrieve or lengthen the life, for a long time, they are known as ' the three main and effective methods ' of modern medical science. However, the tablet, vaccine, scalpel have not solved the prevalence of chronic disease and risk factor and spread. With managing the arrival of medical era, chronic disease prevents and controls the thinking of idea sum needed newly, it is the task of top priority to make the slow disease for the public and manage the line map. "
Military to leave letter, introduce slow disease manage line map including the intersection of goal and task, key technology, implement the route 3 parts. Raise the public and know rate and trade cognition degree, set up slow the intersection of disease and the intersection of risk and factor, monitor and serve network, launch preventative physical examination and slow the intersection of disease and risk sift, check, it develops independent health control to be main goal in general right technological products, realize these goals smoothly, will need to innovate four major health management modes. They are: Launch disease and sift the hospital mode checked, the sanatorium mode taking prevention and health care as the centre, community's mode relying mainly on improvement and management of the life style and carrying on the family mode of the self- health control. Among them, community's mode should become and prevent and control the prevailing important links of chronic disease.
"It is proved that Daqing of our country strengthens the successful case that management prevents diabetes and community's management control of risk factor of Finnish cardiovascular vessel of the life style, it is to control the best route of the risk factor of chronic disease to strengthen community's life style management effectively. Because the community is ' the severely afflicated area ' where the risk factor of chronic disease prevails and endangers, the ones that overflowed with group of reserve soldier of chronic disease by life style that it is bad gathered the ground, it is very necessary to study and set up community's slow disease risk factor and monitor and serve network and crowd to manage the platform. " It is left the letter and said that military.
Have goal and mode, need support of key technology, preventative physical examination and management, the intersection of community and health education, health self-test, slow the intersection of disease and risk sift, check examine. Because the health management of our country is still mainly launched by centre of all kinds of physical examinations at present, person to accept physical examination up to 300 million, launch preventative physical examination become the intersection of chronic disease and risk sift, check important route in management control the whole year. The slow disease risk sifts checking it is a main content of launching preventative physical examination and implements the element task of risk factor management of chronic disease after examining, it is a key content of implementing risk factor management of chronic disease that the chronic disease risk sifts the project checked and assesses and intervenes after setting up and examining.
Let the community become medical care and joint point of the health control
Though, the health control is a new developing discipline, not the disease crowd that the management service of the health would covered 80%. "Defend voluntarily in front of the disease, after illness science in charge of, follow incessant continuously. These three sentences should become criteria that people launch the self- health control. " It is left the letter and said that military.
How to lead the scale development of the relevant industry with the academic theoretical research of the health control, also the topic which experts pay close attention to very much on this forum. Military to leave letter, tell reporter whether with the intersection of discipline and industry of craning one's neck to look into the distance, industry promote discipline, guide health control innovative development of industry a final goal. The construction of new discipline will explore or innovate actively theoretically, guide practice better, and the good development of industry will certainly defend accusing of offering best service and products for chronic disease.
At present, the health control industry of our country takes physical examination centre as the core, but in the long run, it should also involve fields such as community's health management service, movement nutrition, apparatus technology and health insurance,etc.. And health management service want, think really " Fall " ,Must regard developing the community as the main route, set up the regional integration platform, link up hospital and community, set up the management service of two-way health. Offer a technical adviser by hospital, it is supervised and implemented that the community health Center takes charge of.
Military to leave the letter to point out, should build community's health management service into a bridge, let it become the joint points of medical care and slow disease management. Give preventing and controlling the important task of the risk factor of chronic disease to the community, perhaps can promote the full play of the service function of the six in one of the community health Center effectively too.
Chaining
Health intervene, let" the the intersection of patient and little group" Contribute
Institute's professor of the public health of Peking University Wang PeiYu
Do a good job of the health control through community's mode, can be divided into three parts: Find out about health, assess the health, manage and intervene the health.
In our country, the morbidity of 6 kinds of chronic disease including the apoplexy of brain, coronary heart disease,etc. rises at the speed of 10% every year, but American-European countries drop at the speed of 7% for every year. Therefore, the slow disease prevention and control of our country is in the backward level in the world, the rising of the dangerous factor is a main reason.
While launching the health education in the community, behavioral factor, not alterable factor such as inherent cause,etc. that can change, there is reference value in the prediction of disease. While carrying on risk assessment, should consider many kinds of factors synthetically. Launch the health control in the community, should also control the dangerous factor of the health and change the life style mainly besides clinical treatment, improve the self- managerial ability of the high-risk group of the community. At present, the health propaganda and education of our country are uncomplete, propagating lacks pertinence, the medical worker should correct the mistaken idea on people's health knowledge in time. For example, still refuse to take medicine after getting diabetes, after becoming more serious in condition, do not use insulin, cause the condition to become more serious and is in hospital. What we want to be is to tell residents correct knowledge, let residents form the healthy life style and insist on.
It is very difficult to insist and implement the health control to oneself, while doing the health to intervene, can combine community residents into a small group, everybody restrains from and compares each other, form pressure and motive force of a colony, consolidate the result of the health control. For example make the patient that certain age, number are the same up into a group, let them supervise mutually, more than individual. Promote the implementation of the health control from a person's knowledge and faith, colony's motive force, three respects of family's supervision together. (Liu, cub reporter of this newspaper, put in order in the ocean)
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