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安康中国举动有关情形 ——国务院消息办公室2019年7月15日国务院政策例行吹风会资料

2019-07-16 10:11:12

经党中心批准,国务院印发了《足球外围平台实行安康中国举动的看法》(以下简称《看法》),国务院办公厅印发了《足球外围平台印发安康中国举动构造实行和考察方案的告诉》(以下简称《实行和考察方案》),国度层面建立安康中国举动推动委员会(以下简称推动委员会)并印发《安康中国举动(20192030年)》(以下简称《安康中国举动》)。

一、文件出台的意思

为踊跃无效应答以后凸起安康成绩,客岁6月以来,国务院组建任务小组,卫生安康委牵头,会同教导部、体育总局等30多个部分专题研讨国民大众安康需求,研讨制订安康中国举动有关文件,凸起表现习近平总书记夸大的“把以治病为核心改变为以国民安康为核心”的思维,旨在推进改变理念,落实防备为主,增强疾病防备和安康促进,让每团体承担起本人安康的第一义务,发动各方独特参加,遍及安康常识,加强晚期干涉,延长安康寿命。

一是贯彻落实党的十九概略求,推进实行安康中国策略的请求。国民安康是民族鼎盛和国度强盛的主要标记。党中心、国务院高度器重国民安康,2016年宣布《“安康中国2030”计划纲领》(以下简称《计划纲领》),提出了安康中国建立的目的和义务。习近平总书记在党的十九大讲演中提出实行安康中国策略,并屡次夸大要贯彻防备为主目标,坚持防治联合、联防联控、群防群控,尽力为国民大众供给全性命周期的卫生与安康效劳。李克强总理屡次对实行安康中国策略提出明白请求,夸大要针对安康影响要素,加大干涉力度,抓好防备保健,并在2019年《当局任务讲演》中对有关任务作出安排。孙春兰副总理屡次专题研讨,作收工作部署。

二是落实防备为主目标,统筹处理以后国民安康凸起成绩的请求。新中国建立特别是党的十八大以来,各有关部分共同努力,各地踊跃推动,我国卫生安康奇迹失掉了长足开展,国民安康程度连续进步,住民重要安康指标总体已优于中高收入国度均匀程度。2018年,我国人均预期寿命进步到77.0岁,婴儿殒命率降落到6.1‰,孕产妇殒命率降落到18.3/10万,重要安康伤害要素失掉初步把持。

然而也要看到国民安康还面对新的挑衅,心脑血管疾病、癌症、慢性呼吸体系疾病、糖尿病等四类慢性病重大威害国民安康。跟着产业化、城镇化、生齿老龄化过程放慢,我国住民出产生涯方法和疾病谱一直产生变更。住民安康常识知晓率偏低,抽烟、酗酒、缺少锻炼、分歧理炊事等不安康生涯方法比拟普遍,由此惹起的疾病成绩日益凸起。天下现有高血压患者2.7亿、脑卒中患者1300万、冠芥蒂患者1100万;糖尿病患者超越9700万;慢阻肺患者近1亿;每年新发癌症病例约380万,总体癌症发病率均匀每年回升3.9%阁下。慢性非沾染性疾病招致的殒命人数占总殒命人数的88%,招致的疾病累赘占疾病总累赘的70%以上。肝炎、结核病、艾滋病等严重沾染病防控局势依然严格,精力卫生、职业安康、处所病等方面的成绩不容疏忽。别的,一些重点人群有着亟待处理的安康成绩,如诞生缺点和儿童晚期开展成绩、中小先生的远视和瘦削成绩、老年人的慢性病成绩等。

三是适应国际趋向,履行国际许诺的严重举动。从国际上看,聚焦一段时代内影响安康的严重疾病和凸起成绩,制订实行疾病防备和安康促进的中临时行为纲领,是国际社会的通行做法。美国当局已持续制订并实行了四个“公民安康”行为,日本当局陆续实行三次促进公民安康十年打算。从国际卫生与安康开展趋向看,安康曾经处于人类开展的凸起位置,既是国度软气力的主要组成局部,也是寰球开展议程的主要内容。适应国际趋向,踊跃参加寰球安康开展新变更,施展我国政治上风和轨制上风,继承和发挥爱国卫生活动精良传统,须要实行新时代全民安康促停止动,向全天下展现安康促进的中国计划,为寰球安康促纳贡献中国聪明。

以是说实行安康中国举动,从以后讲是为国民谋幸福、谋安康,从久远讲就是为民族谋振兴。

二、文件重要内容

《看法》高度凝练了安康中国举动的中心内容,明白了安康中国举动的领导思维、根本准则和总体目的,从干涉安康影响要素、保护全性命周期安康和防控严重疾病等三方面提出实行15项举动,并对构造实行做出安排。《安康中国举动》是《看法》中提出的15项举动的目的、指标、义务和职责分工的详细细化。

一是改变理念,全方位全周期保证国民安康。《看法》提出,安康中国举动坚持以国民为核心,坚持改造翻新,贯彻新时期卫生与安康任务目标,强化当局、社会、团体义务,放慢推进卫生安康任务理念、效劳方法从以治病为核心转向以国民安康为核心,建立健全安康教导系统,遍及安康常识,领导大众建立准确安康观,增强晚期干涉,造成有利于安康的生涯方法、生态情况和社会情况,延长安康寿命,为全方位全周期保证国民安康、建立安康中国奠基坚固基本。

安康中国举动坚持“遍及常识、晋升素养,自立自律、安康生涯,晚期干涉、完美效劳,全民参加、共建共享”的基础准则,重视从泉源防备和把持疾病,聚焦以后影响国民大众安康的重要成绩和重点疾病,凸起安康促进和发动倡导。

二是一以贯之,实行十年全民疾病防备和安康促停止动。《看法》是国度层面领导将来十余年疾病防备和安康促进的文件,分辨提出了安康中国举动到2022年和2030年的总体目的。到2022年,安康促进政策系统根本建立,全民安康素养程度稳步进步,安康生涯方法放慢推广,严重慢性病发病率回升趋向失掉停止,重点沾染病、重大精力障碍、处所病、职业病失掉无效防控,致残和殒命危险逐步下降,重点人群安康状况明显改良。到2030年,全民安康素养程度大幅晋升,安康生涯方法根本遍及,住民重要安康影响要素失掉无效把持,因严重慢性病招致的过早殒命率显明降低,人均安康预期寿命失掉较大进步,住民重要安康指标程度进入高收入国度行列,安康公正根本实现。

三是靶向施策,明白实行15项专项举动。《意见》从安康常识遍及、公道膳食、全民健身、控烟、心思安康等方面综合施策,全方位干涉安康影响要素;《看法》存眷妇幼、中小先生、休息者、老年人等重点人群,保护全性命周期安康;《意见》针对心脑血管疾病、癌症、慢性呼吸体系疾病、糖尿病四类慢性病以及沾染病、处所病,增强严重疾病防控。有关专项举动也对残疾防备和痊愈效劳、贫苦地域住民安康促进提出了相干措施。

《安康中国举动》细化落实了15项专项举动,共提出124项重要指标。包含成果性指标(36个)、团体和社会提倡性指标(48个)、当局任务性指标(40个)。124项指标中,大局部指标(113个,91%)是预期性(48个)和提倡性(65个)的指标,束缚性指标(11个)基础都归入考察方案。在这些指标的抉择和断定过程中,相干部分和处所及有关专家对指标的迷信性、可行性都作了充足的研讨和论证。

每项专项举动都有目的、有指标、有门路,不只有当局的详细义务,另有对社会和大众的安康倡议,把安康中国策略的理念和请求融入到国民大众一样平常出产生涯的方方面面,为实现从“以治病为核心”转向“以安康为核心”供给了无效抓手。经由过程政府、社会、家庭、团体的独特努力,尽力促进国民大众不抱病、少抱病,延长安康寿命,进步生涯品质。

三、文件的贯彻落实

为确保《看法》和《安康中国举动》无效实行,国务院办公厅同步印发了《实行和考察方案》,从树立健全构造架构、增强监测评价、做好考察任务三个方面提出了详细请求。国度层面依靠天下爱国卫生活动委员会建立推动委员会及其构造架构和任务机制,明白了监测和考察的主体、内容和成果应用,确保安康中国举动高效有序推动落实。

一是树立健全构造架构。依靠天下爱国卫生活动委员会,建立推动委员会。担任制订印发《安康中国举动》,统筹推动构造实行、监测和考察相干任务。推动委员会主任由国务院分担领导同道担负,推动委员会办公室设在国度卫生安康委,推动委员会设立专家征询委员会,下设各专项举动任务组。并请求各有关部分要踊跃研究实行安康中国策略的严重成绩,实时制订并落实《安康中国举动》的详细政策办法,提出年度义务倡议并依照安排抓好任务落实,做好《安康中国举动》的宣扬解读。

二是要增强监测评价。监测评价任务由推动委员会兼顾领导,各专项举动任务组担任详细构造实行,以现有统计数据为基本,依靠互联网和大数据,对重要指标、重点义务的实行进度停止监测。推动委员会办公室构造造成总体监测评价讲演,经推动委员会批准后上报国务院,合时发布监测评价讲演。

三是要做好考察任务。考察任务由推动委员会兼顾领导,推动委员会办公室担任详细构造实行,专家征询委员会供给技巧支撑。缭绕安康中国建立重要目标义务请求,建立绝对稳定的考察指标框架。将重要安康指标归入各级党委、当局绩效考察指标,综合考察成果经推动委员会鉴定后转达,作为各省(区、市)、各相干部分党政引导班子和引导干部综合考察评估、干部赏罚使用的主要参考。

安康中国举动在开国70周年的主要时光节点启动,是一个为期十余年的中临时行为,连续推进以治病为核心改变为以安康为核心,片面落实《计划纲领》中防备和安康促进有关的重点义务。假如说《计划纲领》是实行安康中国策略的纲要,那么《看法》和《安康中国举动》则分辨是实行安康中国策略的“道路图”和“施工图”。

实行好安康中国举动,将进一步开释安康盈余,促进经济社会和谐开展,为片面建成小康社会和建立社会主义古代化国度奠定更坚固的安康基本。下一步,咱们将当真贯彻落实党中心、国务院决议安排,指点各地联合现实实时制订实行方案,细化各专项举动任务举动,并增强督导检讨和跟踪剖析,坚持不懈,久久为功,推动安康中国建立,努力使大众不抱病、少抱病,共建共享安康生涯。

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Briefing on the Healthy China Action


Jul. 2019

National Health Commission of the PRC

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With the approval of the Central Committee of the Communist Party of China (CPC), the State Council issued the Opinions on Implementing Healthy China Action(hereinafter referred to as the “Opinions”), and the General Office of the State Council issued the Notice on Printing and Distributing the Plan for Organizing, Implementing and Assessing the Healthy China Action (hereinafter referred to as the “Implementation and Assessment Plan”). The Healthy China Promotion Committee (hereinafter referred to as the “Promotion Committee”)was established at the national level and The Healthy China Action (2019-2030) (hereinafter referred to as the “Healthy China Action”) was issued. We refer to these three documents collectively as documents related to the Healthy China Action.Next, I would like to give you a brief introduction to the three documents mentioned above.

I.?Significance of the Documents

A healthy population is a key symbol of a prosperous nation. Prevention is the most economic and effective measure to maintain people’s health. The CPC Central Committee and the State Council attach great importance to the people’s health. In 2016, the State Council issued the “Healthy China 2030” Planning Outline, which put forward the goals and tasks of building a healthy China. General Secretary Xi Jinping formally put forward to build a healthy China in the report of the 19th National Congress of the CPC, and reiterated that we should carry out the policy of putting prevention first, combing the prevention with treatment together, enforcing holistic measures with full participation and collaboration of all society and at all levels, and ensure the delivery of comprehensive lifecycle health services for all people.

Premier Li Keqiang has made several specific instructions for building healthy China, emphasizing the importance of strengthening intervention and prevention as well as health care tailored to health determinants, and relevant work has been deployed in the Government Work Report 2019. Vice Premier Sun Chunlan has made a number of targeted studies and work arrangements.

Since the founding of the People’s Republic of China, especially the 18th National Congress of the CPC, China’s health services have made profound progress thanks to the concerted efforts made by all relevant ministries and actively pushed forward by local governments. People’s health has been continuously improved, the main health indicators of Chinese people are generally better than the average level of middle- and high-income countries. In 2018, China’s life expectancy was 77.0 years, with an increase of 0.3 years from 76.7 years in 2017, the infant mortality rate dropped to 6.1‰, the maternal mortality rate dropped to 18.3/100,000, and the major health-related risk factors were initially controlled.

However, we also recognize that we’re still facing new challenges regarding to people’s health, which is seriously threatened by five chronic diseases currently. With the acceleration of industrialization, urbanization and population aging, the lifestyle and disease spectrum of Chinese residents are changing constantly. The health literacy level of residents is low, with the unhealthy lifestyles such as smoking, excessive drinking, lack of exercise, unbalanced diet etc., resulting in increasing health problems. In China, there are 270 million hypertensive patients; 13 million stroke patients and 11 million coronary heart disease patients; more than 97 million diabetic patients; nearly 100 million chronic obstructive pulmonary disease patients; about 3.8 million new cancer cases each year, with an annual increase of 3.9%. Chronic non-communicable diseases including cardiovascular and cerebrovascular diseases, cancer, chronic respiratory diseases, diabetes among others account for 88% of the total deaths and more than 70% of the total disease burden. The prevention and control of major infectious diseases such as hepatitis, tuberculosis and HIV/AIDS is still at severe situation. Mental health, occupational health and endemic diseases cannot be ignored. In addition, some health problems or related issues among those vulnerable populations need to be solved urgently, such as birth defects, myopia and obesity among primary and secondary school students, early childhood development, as well as chronic diseases in the elderly.

In order to effectively address the health challenges, the State Council set up a working group in 2018 led by the National Health Commission in collaboration with over 30 government agencies, including the Ministry of Education and the General Administration of Sport, carried out studies in collaboration on health needs of the public and formulated documents relating to the Healthy China Action. These efforts have highlighted President Xi’s thoughts of shifting the priority of health services from treatment to people’s health and are expected to change people’s concepts, make prevention a priority, and strengthen disease prevention and health promotion. While every individual is encouraged to take primary responsibility for his/her own health, the government should mobilize all stakeholders to disseminate health knowledge, strengthen primary intervention programs so as to increase people’s healthy life expectancy. These measures will help people in accessing affordable medical care.

At present, the CPC theme education of "Remain true to original aspiration and keep the mission firmly in mind" is being carried out. In this view, the implementation of the Healthy China Action will make the people live a healthy and happy life, and will contribute to achieving the goal of national rejuvenation.

II. Main Contents of the Documents

Changing concepts and safeguarding comprehensive lifecycle health of the public. The Opinionsput forward that the Healthy China Action should adhere to people-centered approach, insist on reform and innovation, carry out the guiding principles of medical and health work in the new era, strengthen responsibilities of government, society and individuals, accelerate the shift of the concept and service mode of health service from the treatment-centered to the people’s health-centered, and develop and improve health education system, popularize health knowledge, guide the people to form a correct concept of health, strengthen primary intervention, establish healthy lifestyles, ecological environment and social environment in order to prolong healthy lifespan and lay a solid foundation for building a healthy China in an effort to maintain people’s all-round health during full life cycle.

The Healthy China Action adheres to the basic principles of “popularizing knowledge, improving health literacy; keeping self-discipline, advocating healthy life styles; strengthening primary intervention, improving service; involving all people, sharing the benefit through collaborative building”. The action emphasizes preventing and controlling diseases from the beginning, focusing on the main problems and key diseases affecting people’s health with a highlight of health promotion advocacy and mobilization.

Consistently implementing a 10-year national disease prevention and health promotion programmes. The Opinions is a document guiding disease prevention and health promotion at the national level for the next ten years. It sets out the overall goals for the Healthy China Action by 2022 and 2030 respectively. By 2022, the health promotion policy system will be basically established; the health literacy level of the whole people will be steadily improved; the healthy lifestyles will be promoted rapidly; the rising trend of the incidence of major chronic diseases will be curbed; the key infectious diseases, serious mental disorders, endemic diseases and occupational diseases will be effectively prevented and controlled, with a gradual reduction of disability and death caused by these diseases. The health status of the key population groups will be improved significantly. By 2030, the health literacy level of the whole people will be greatly improved; the healthy lifestyle will be basically popularized; the main health determinants will be effectively controlled; the premature mortality rate caused by major chronic diseases will be significantly reduced; the average healthy life expectancy will be greatly improved, and the level of the main health indicators of residents will meet the level of high-income countries, and health equity will be basically realized.

Taking targeted measures and implementing 15 specific programmes. The Opinionsprovides a holistic solution on improving health awareness level, balanced diet, physical activities, smoking control, mental health and other aspects, and addresses health determinants in an all-round way; it focuses on key vulnerable populations such as women and children, primary and secondary school students, laborers, and the elderly, and maintaining of the health during the full life cycle; the Opinions strengthens the prevention and control of four major chronic diseases including cardiovascular and cerebrovascular diseases, cancer, chronic respiratory diseases, diabetes as well as other important diseases such as infectious diseases and endemic diseases. Specific programmes were also proposed with measures for disability prevention and rehabilitation services and health promotion of residents in poor areas.

The Healthy China Action specifies the implementation of 15 specific programmes and a total of 124 main indicators were proposed, including outcome indicators (36), individual and social recommendable indicators (48), and government performance indicators (40). Among the 124 indicators, most of them (113 accounting for 91%) are predictive (48) and recommendable (65), and 11 indicators are compulsive. In the process of selecting and determining these indicators, the scientificity and feasibility of the indicators have been fully studied and demonstrated by relevant authorities and experts.

Every programme specifies its goals, indicators and approaches for implementation. Specific tasks have been assigned for the government along with health advices proposed to all society and the public. The programmes integrate the concept and requirements of healthy China into all aspects of people’s daily work and life, and provide effective approaches to transform the health priority from “treatment-centered” to “health-centered”. All those programmes will be implemented through collaborative efforts of the government, society, families and individuals, striving to prevent people from sickness and less onset of disease, as a result, to prolong their healthy lifespan and improve their quality of life.

III.?Ensuring the Implementation of the Action

In order to ensure the effective implementation of the Opinions and the Healthy China Action, the General Office of the State Council has issued the Implementation and Assessment Plan at the same time, which put forward specific requirements from three aspects: establishing and improving the organizational structure, strengthening monitoring and evaluation, and completing regular assessments. The plan defines to set up the Promotion Committee with a specific organizational structure and working mechanism established relying on the National Patriotic Health Campaign Committee at the national level. Furthermore, it defines the roles of organizations responsible for monitoring and evaluation, data collection and results application in order to ensure the Healthy China Action being implemented efficiently and orderly.

First of all, the organizational structure has been developed. Relying on the National Patriotic Health Campaign Committee, the?? Promotion Committee has been established responsible for formulating and issuing the Healthy China Action, coordinating and enforcing the implementation, monitoring, assessment and other related work. The vice premier of the State Council responsible for health cause was appointed as the head of the Promotion Committee. The Office of the Promotion Committee was established in the National Health Commission, and an Advisory Committee of Experts along with multiple working groups (corresponding to 15 specific programmes) were also created under the Promotion Committee. The document also calls on relevant ministries to actively study the major issues related to building healthy China, formulate and implement specific policies and measures in a timely manner, put forward annual task proposals and implement them in accordance with the general deployment, and properly publicize and interpret the contents of the Healthy China Action.

The second is to strengthen monitoring and evaluation, which is under the overall leadership of the Promotion Committee. Each working group is responsible for organizing and implementing specific programme. Based on existing statistical data, relying on internet and big data, the progress of implementation regarding key indicators and main tasks will be monitored. The Office of the Promotion Committee will develop an overall monitoring and evaluation reports to be submitted to the State Council, thereafter to release them in due time.

The third is to complete regular assessments. The Office of the Promotion Committee is responsible for organizing and implementing assessment under overall leadership of the Promotion Committee, with technical support from the Advisory Committee of Experts. A relatively stable framework of assessment indicators has been established focusing on the main objectives and tasks of building a healthy China. Major health indicators will be included in the performance appraisal of the Party committees and governments at all levels. The results of comprehensive appraisal will be notified after the approval of the Promotion Committee. It will serve as an important reference for the comprehensive appraisal and evaluation of senior management and leading cadres in the Party committee and governments in all provinces (autonomous regions, municipalities) and relevant departments, and also as reference for rewards and punishments.

The Healthy China Action is launched at? important time of the 70th anniversary of the founding of the People’s Republic of China. It is a medium- and long-term action for more than ten years. As a result, it will continue to promote the priority shift from treatment-centered to health-centered, and comprehensively put forward to the accomplishment of the key tasks related to prevention and health promotion in the “Healthy China 2030” Planning Outline. If the “Healthy China 2030” Planning Outline is regarded the guiding principle for building healthy China, the Opinions and the Healthy China Action will serve as the “road map” and “construction drawing” respectively.

Implementation of the Healthy China Action will further release the health dividend, promote coordinated development of economy and society, and lay a solid health foundation for building an affluent society in all respects and a modern socialist country. Next, we will conscientiously implement the decisions and deployments of the CPC Central Committee and the State Council, support local governments to formulate implementation plans in a timely manner tailored to their actual conditions, refine specific action measures, strengthen monitoring, inspection and tracking the results, persist on the efforts persistently to push on the building of a healthy China, and eventually to prevent people from sickness and less onset of disease in a way to share a healthy life through full participation.


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