Prevent and improve the health care policy for the guide with serious disease

Prevent and improve the health care policy for the guide with serious disease
Author: Reporter Li Ya of country continent red week graceful the intersection of jade and the intersection of hatred and ease / some round-up report Chen experts and medical personnels think while giving an interview, should enter transformation period such as health to our country and chronic serious disease high to take place reality, the relevant health care policy needs to carry on appropriate adjustment too. Propose making the strategical planning of national health, accelerate the medical mode and make the transition, improve the means of payment of medical insurance of serious disease, advocate new the intersection of health and idea, prevent chronic serious disease from to be high to take place the momentum, lighten the social financial burden. Propose, include national strategy in healthily people, pool make the national health development plan, it helps to promote healthy system mechanisms and economic development evaluation systems of people to set up. The reporter knows from hygiene and social security department, reform and opening-up over the past 30 years, the health care industry achievement of our country is prominent, the people are improving continuously in health status, serve, plan immunity, infectious disease and the straight newspaper system of the public health event network happens suddenly and is implemented in countryside and community's hygiene, the prevention from suffering from the diseases and controlling the system to improve constantly, but all parts plan to be still comparatively lacked to the prevention and control of the chronic serious disease. Cheng ShuJun, academician of Chinese Academy of Engineering, thinks, represented by malignant tumour chronic high to take place serious disease it is industrialization, urbanization economics and society that develop into certain the intersection of stage and the intersection of health care and new problem that field appear, need it on the basis of already having a development achievement, further improving the system mechanism could have right effectses. First of all, need to " make the country prosperous healthily " As the new thinking of work of the hygiene, make the medium and long-term national health development plan, people's health status and health performance index of the fairness, it participate in including pollution control, health educations environmental, patriotic public health campaign, nationwide fitness programs, last healthy inputs financial,etc. index be examined to be lasted governments at all levels achievements. Secondly, strengthen every department and link up the coordination, set up high-efficient administrative management system. Contain chronic serious disease, promote people to involve a plurality of levels of a plurality of departments healthily, to coordinating and cooperating with expecting much between the departments, can consider on the basis of existing committee on the patriotic health movement, improve the scale, expand the function, coordination deliberative organ and department cooperation mechanism led by chief leading cadre of the government that establish. Third, set up the comprehensive evaluation system of impact on chronic serious disease of economic development. To influencing economic development plan, great project, industry's project of people's health, before examination and approval, should increase the survey of health and life security, prediction and assessment routine. Propose serving preventing from to include the range of submitting an expense account in the medical insurance, set up public health and invest the incentive mechanism, summarize and expand experience and range of succouring pilot area of medical insurance of chronic serious disease, explore level to be clear safe and high-efficient succouring the system by reasonable chronic serious disease of cost. The secretary of Chinese Medical Association, Ministry of Public Health count Rao KeQin, former director of information center, and say, defend experience and our country that is accused of to preventing pilot work from proving of chronic disease such as diabetes in recent years about chronic disease in the world, the great chronic disease which is set up a set of high-efficient economy can prevent 80% of the heart disease, brain soldier from neutralizing diabetes to prevent the system, and the emergence of 40% of the cancers, can lighten nearly half the medical treatment affording and social cost of patient. In 2005, the country has supported to sift and check the project cancer of the esophagus, invested 45 million yuan, found more than 4000 cases, among them more than 3000 are early, have realized the goal of low expenses, early treatment. Secretary of Beijing tumour hospital Li PingPing thinks, most chronic disease patients do not need to be in hospital, only need in the outpatient service and take medicine for a long time and carry on the effective community, health control of family. And current medical insurance system, as to the thing that the serious disease treatment if it is not in hospital, the proportion is very low that submit an expense account. The reporter knows from the related departments, at present, the number of people is about 200 million that the urban worker's basic medical insurance of our country effects an insurance, the basic medical insurance pilot project of urban residents is expanded progressively, 116 million people participate in, the new rural cooperative medical service covers 814 million peasants, the premium of 2008 of the commercial health insurance gains 58,500 million yuan, settling a claim reaches 17,500 million yuan. Regional medical insurance, shut, wipe out proportion, number, the intersection of medicines and kind, pay, stipulate to chronic serious disease different while being agricultural while being new. Departments such as Ministry of Public Health,etc. have already organized over ten provinces in the whole country to include in the medical insurance or new agricultural pilot project that treat and cure jointly some chronic serious disease at present, the proportion that appropriate to raise submitting an expense account, lighten patient's medical burden. Some pilot districts reflect, this kind helps pilot project to make the prominent achievement, but coverage rate complete, succour fund amount little succouring the intersection of number and unfavourable factor such as being little, restricting medical insurance, the medical insurance, with shutting the department to help the pressure newly and agriculturally very largely. In addition, existing some chronic serious disease relief funds mainly depend on the governmental input, exerted a tremendous influence by the local financial state, lack raising the mechanism of additional funding, still need to look for many pieces of fund to succour the upper and lower time of channel in the future. The hygiene Hu ShanLian, director of research and development centre in Shanghai thinks, the government department can consider changing the way of paying of the medical insurance, reduce the medical insurance burden effectively, way of controlling single number or classifying to the great chronic disease needing to treat by disease, medical insurance coverage etc. solves the expenses. Ministry of Public Health said, argued strongly 2015 years ago, would raise funds and rise to 300 yuan from 150 yuan of per person newly and agriculturally jointly; Improve the intersection of urban residents and the intersection of medical insurance and level while being corresponding, enable, ensure number to cover urban and rural residents with and send to poor main serious disease due to illness. Beijinger the intersection of society and the intersection of office and vice the intersection of floormanager and Da Zhang take place, propose chronic the intersection of serious disease and planning, record and coordinate activity, charge cost to and pay of management, encourage the hygiene service provider of the community to offer the one in concert and harmony to chronic serious disease patient " Package " Serve. According to necessary service item and quantity of annual expectancy, the formula using the risk change calculates the demand total value of the per capita fund. Through treating the localization, quantity, forms and the planning of the overall arrangement of the organization in practising medicine now, promote the division among specialized departments of medical organization of every level, make the medical insurance pay to pay close attention to the fact even more that prevent managing with chronic disease. Improve legal system, advocate setting up new health idea in the whole society, strengthen people's health responsibility, strengthen health education and scientific popularization, promote the whole people to form the healthy life style. Expert statistics show, there are few general legal clauses of hygiene domain that our country issues at present, it is mostly a rule of more than 400 departments, does not have a healthy mother law or hygiene Basic Law yet so far, the weakness of the grade of legal effect and scope of validity, cause the educational work of the health to lack directly. At present, only fewer than 4% people have higher health accomplishment in our country, most people know little about the danger of the chronic serious disease and life style of the health. Hao XiShan, Cheng ShuJun, academician of Chinese Academy of Engineering, propose, issues the public health policy from the national aspect, implement the health plans of the whole people of the developed country such as U.S.A., release the national meal nutrition guide, lead the citizen to take shape Good life style, change unreasonable meal structure and habits and customs. First of all, there is common one chronic serious disease? Let Ying take off �� smell of fish �� Chen crisp Ju ���� spoil ���� Chen and suck the joyous ����'s otter Q core and intimidate ��'s sole pretty night such as Xuan such as T such as otter such as ��? Smoke 000 year lead to the fact take a death-toll of 800,000 people. Forgive gram and make out a bill hardworkingly: If the special tax of tobacco is raised by one yuan, it is estimated that will save 3,800,000 people's life, reduce the medical fee of 2,280 million yuan, increase productivity benefit of more than 10 billion yuan. Secondly, lack sports, lead to the fact diabetes, brain soldier neutralize fat and malignant tumour and take place. Third, the diet is unhealthy. Much salt causes high blood pressure, much meat, much oil cause hyperlipemia, the fruit and amount of vegetables are too little. The intersection of Chinese Academy of Medical Sciences and the intersection of tumour hospital and former the intersection of president and ZhiWei Dong, Chinese Medical Association the intersection of endocrine and credit can General Board, the intersection of Shanghai and the intersection of Rui Jin and the intersection of hospital and Vice President would rather propose only, the Ministry of Health at the basic level can rely on the community, rural villager's group, launch propaganda of public service, health knowledge and enter many kinds of propaganda and education activities such as the classroom, improve all national health accomplishment. Also can be restrictive the index requires the Ministry of Health at the basic level, medical expert and medical personnel, medical institution of higher learning and media of Volkswagen must be engaged in the public service hygiene propaganda activities of certain amounts of and scale every year, propagate the knowledge popularizing preventing and curing the chronic serious disease.

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