The whole people are healthy: Intuitive knowledge and commitment of

The whole people are healthy: Intuitive knowledge and commitment of medical science
Wang XinYi

With the development of society, the mankind increases to the healthy demand day by day. Which kind of development trend does China's public health service appear? What enlightenment does health give fairly to the medical circle? A few days ago, on the forum ( 2010) in Beijing The sub-forum " The whole people are healthy: Intuitive knowledge and commitment of medical science " Have, the scholars of various countries speak out freely, air one's own views.

Realize the whole people cover the medical insurance

In 2008, China will put out health care reform, confirms the medical reform goal that the whole people cover. In the past year, further launch health care reform, make great efforts to reach and get the basic hygiene service to cover as the central reform goal with all people.

How to realize the whole people cover the medical insurance? The Chinese hygiene Meng Qing, executive director of research and development centre in Peking University jumps the professor from covering the broadness separately, resist three angles of risk ability and medical service level to analyze.

Meng QingYue thinks, covers the broadness to look from people, the achievement is very good. 2008, 90% rural resident and 65% urbanite participate in new agricultural shut, urban the intersection of worker and the intersection of resident and medical insurance, have reached higher cover level; Serve ability to resist risk, come, watch from hygiene, though the intersection of urban residents and medical insurance cover all clinic and hospital, but there are a great deal of restrictions in medicines and service content. For example new the rural cooperative medical service basically only wiped out the clinic expenses, and does not contain the expenses in hospital. In addition, the medical service level has obvious deficiency too. There are only 78.5% of the women in the city, only 43.9% of the women have reached the health standard in the countryside. It means, though the public health was serve and has been covered, the service system of the public health has not offered enough services.

Harvard University global health and Professor of population department Yuan Liu stand, think coverage rate, insurance of China, keep the fine level too. In 1998, 35% of the Chinese obtained insurance, this proportion has already been raised to 93% now, if look on the basis of the number of people, the behavior of China has already exceeded U.S.A., because nearly 50% population does not have medical insurance of any kind now in U.S.A..

Chronic disease prevents trouble before it happens

In China, chronic non-Communicable disease is a very great challenge, cause Chinese to be in subhealthy state for a long time. Chronic disease, such as diabetes, hypertension,etc., endanger the root of the trouble of the health for a long time. Only investigate the chronic condition condition in Beijing finds, the ill rate of hypertension is very high, men are far higher than women's ill rate, are more than 30%. The ill rate of the male diabetes is above 7% too. What merits attention is, tumour is as one kind of chronic disease, the morbidity presents the new ascendant trend in recent years, cancer of more morbidity includes male lung cancer, hepatocarcinoma, gastric carcinoma, cancer of colon, prostate cancer, and women's breast cancer, lung cancer, cancer of colon,etc..

During the past 30 years, rapid growth of Chinese chronic disease, the one of medical science in Peking University is social medical science and dean Professor Wang PeiYu of the health education think it is mainly because of population's senilization, it is caused that the hygiene risk increases and accumulates the effect.

In the past 20 years, China's senilization proportion has shown a tendency to increase fast, leads to the fact the rate of chronic disease rises, mood and lacking sports that it is tense that the growth of the hygiene risk is main. Children, teenagers and adult all face larger pressure at present, it is unequal to mostly come from the income; Because working rhythm and rhythm of life are very fast, and the space is very narrow, people are thin to temper consciousness.

Wang PeiYu proposes, if you want to control the constant rising of chronic disease, the personal aspect, should strengthen the health education, improve health accomplishment, train the healthy life style; Government and social aspect, should build the environment which is favorable to health promotion from software and hardware two respects: Advance medical reform, educational reform, housing reform thoroughly, relieve to work and live pressure and seek medical advice difficult people, increase and build public greenery area in order to promote the whole people's physical training, improve the traffic, restriction car to increase too fast, improve tobacco tax rate,etc., improve people's health level, life quality and happiness sense finally.

Promote health levels of masses

Nowadays what the medical circle faces is not merely a treatment of the individual disease, but more extensive human health problem.

Philosophical researcher of research institute of Chinese Academy of Social Sciences, employing honorary director Qiu RenZong of research center of ethics to think, the health can't be lumped with the health care together, it is decided by a lot of social factors, such as the economic factor. Social factor these make some people, especially disadvantaged groups, unable to win concern that educate, test, consult, treat, prevent, also make the disadvantaged groups especially easy and fall ill. In city and countryside of China, no matter present public health project, or the medical project of foundation in the past, fairness of dispelling medical treatment.

Qiu RenZong thinks, the right of hygiene and health is a human rights, should be protected. The health can influence people's happiness and function activity, it is a very important respect in people's life. Healthy people fairness will cause basic capacity, freedom, fairness of chance, a person with low health status, will lose the fair chance, limit ability and development potentiality.

Liu YuanLi holds the same view too, he says: "People can tolerate the intersection of economy and fairness to a certain extent, for example, some rich person drive, run quickly, other people are riding the bicycle, the everybody can tolerate, but if you tell them, if they do not have enough money to pay the medical fee, or which is bought medicines, they can not tolerate. "

Why does health hygiene ensure the system more importantly than other systems? Liu stands far and explains, it is very important by the look of economic morals and political angle that the health hygiene ensures the system, because the strength that health and human resources are very important to economy, if we have not done the system well, a lot of people may will fall into the poverty. It is a very important political topic too that the health is ensured, it concerns whether people are satisfied with the government or not, this can produce great political influence. So the basic question in the social security is the justice.

Liu YuanLi thinks, the health hygiene ensures the fair embodiment of the system in longitudinal and two horizontal respects. In a lot of social security systems, the horizontal security system has got very good spread, and can implement, but the vertical respect is really lacked, we want to suit the remedy to the case, especially pay close attention to some low-income persons, and is in the person of unfavorable status in the society.

Liu YuanLi says, the efforts made in GDP growth rate and overall medical expenditure in China quite become effective. Can be divided into two in the past 60 years? Awl endanger the intersection of and the intersection of Pian and Huan? 0 fair 30 year in doctrine in year, second 30 30 year in economic transition in year. In the the past 30 years not leading in Mao Zedong, the intersection of China and successful medical treatment, the whole people of realization, can get medical care even if it is a low-income crowd. But during 20 years in initial Chinese economic reform, China's economy begins to soar on one hand, but the coverage rate insuring on one hand in addition drops by a wide margin. In the past 10 years, China begins to pay close attention to community responsibility and equilibrium question of the individual liability. Now, the medical coverage rate increases by a wide margin, but pay the increase of the expenses, lead to the fact people bear and increase financial affairs, especially to low-income crowd, even unable to accept.

Liu YuanLi thinks, the government should guarantee the increase of medical efficiency while increasing medical coverage rate, design a high-efficient and fair system.


The whole people are healthy: Intuitive knowledge and commitment of medical science