The City Blue Book: China Urban Development Report No. 9 - The Road to a Healthy City (hereinafter referred to as the “City Blue Bookâ€) released on September 30, said that the city has basically built a “15-minute medical and health service circleâ€, but part of it. Grassroots public health services “forms are greater than content, and assessment is greater than serviceâ€.
The Urban Blue Book was jointly released by the Institute of Urban Development and Environment of the Chinese Academy of Social Sciences and the Social Science Literature Publishing House.
According to the Blue Book, with the rapid development of China's economic and social development, the city's medical service level has developed rapidly, and the “15-minute medical and health service circle†has been basically established. The number of use of public health care services by urban residents has increased rapidly. Medical institutions and doctors' groups New service models such as medical care and combination are constantly innovating.
However, with the acceleration of urbanization and population aging, the disease spectrum has changed to non-communicable diseases, and medical and health services are also facing many problems.
For example, the blue book, such as the government's health investment, especially the lack of grassroots medical and health investment, high-quality medical resources are excessively concentrated in the city's tertiary hospitals, the ability to meet the needs of diversified services needs to be improved, the contradiction between doctors and patients in some areas, malignant wounds Frequently waiting.
The Blue Book suggests that the government should further increase the construction of community medical institutions, leverage the government's resource adjustment, establish a graded diagnosis and treatment system, further develop social capital to run medical services, gradually improve the city's medical service capacity and level, and increase the services of urban residents. Get a sense of it.
In 2015, China's basic public health service projects for all residents have increased to 12 categories, and each service project has defined strict service specifications and established corresponding assessment indicators.
At present, the number of public health service personnel in community health institutions that undertake basic public health services is still small, facing a large number of follow-up services, key population management services, and strict service assessment.
According to the Blue Book, since the current public health service funds for community medical and health institutions are generally assessed and issued, and the assessment support materials contain a large number of forms to fill in, etc., public health service provision in some areas has appeared “heavy form, Light contentâ€. ", "re-assessment, light service" phenomenon, public health service personnel innocent and unmotivated to carry out "public health services that consume more time."
Taking the maternal health management service project as an example, the National Basic Public Service Regulations (2011 Edition) proposes that the services provided by residents free of charge include five prenatal visits, one postpartum visit, and one health check, but the actual service provides The situation varies from place to place. In order to obtain such services, residents generally go to the hospital to pay for the purchase. The residents’ perception of free public health services is low.
In addition, the Blue Book also said that with the accelerated pace of life, unreasonable eating habits and bad lifestyles have had a huge impact on human health. The data show that China's sub-healthy population has more than 75%, and the distribution is more uniform in all ages; chronic diseases related to nutrition, such as diabetes, cardiovascular and cerebrovascular diseases, tumors, etc. have accounted for 80% of the causes of death. The health needs of residents have shifted from traditional, single medical treatments to disease prevention, health care and health promotion.
The Blue Book estimates that by 2020, the number of elderly people who cannot take care of themselves and need medical care services will exceed 20 million.
China's "13th Five-Year Plan" outlines on the basis of the past, we must actively respond to the challenges of population aging, and establish a multi-level old-age service system based on home-based, community-based, and institutional-based, and expand the pension market. Into the comprehensive provision of the aged care service market, through the purchase of services, equity cooperation and other means to support various market entities to increase the provision of aged care services and products, and actively attract foreign participation.
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