Diagnose in early days: Reduce a good recipe of the medical burden

Diagnose in early days: Reduce a good recipe of the medical burden
By 2020, the death proportion of chronic disease will rise to 85%New medical reform scheme " Solve and see the doctor expensively " List in the overall goal, therefore initiate people's concern of this new developing field to health economics. Not long ago, there are experts that proposed: In 1~2 months before a person is approaching one's end, will use up 60%~80% of the hospitalization cost in all one's life of his possibly. In fact, compared with modern and advanced medical means, we need to work hard more in strengthening attention and input that the public prevent from diagnosing to disease in early days even more, realize and protect the self- healthy goal with higher speed.Disease of Ministry of Public Health accuses of Deputy Bureau Director of the office Kong LingZhi's explaining the high growth born in medical treatment at the meeting with a group of lifelike data: "1994, have expert predict the intersection of disease and the intersection of acceleration rate and over GDP growth of burden once, a lot of people did not believe, but already become real now at that time. In 2005, the resident of our country bore 2,400 billion yuan of Damien, it was equivalent to 12.9% of the economic expenditure; Compared with 1993, GDP has increased by 3.2 times, medical treatment is born but increased 5.4 times. " Talk about the biggest threat that Chinese face healthily, glossy ganoderma Deputy Bureau Director introduces the hole, chronic disease has already become the greatest threat of people life and health of our country. 80% of the diseases are chronic disease at present, the mortality of chronic disease accounts for 75% of total mortality, and predict, by 2020, the death proportion of chronic disease will rise to 85% according to the expert.The fact proves, if much chronic disease gets the prompt, apt treatment, it will not jeopardize the patient's life. Chronic disease the include hypertension, diabetes, include cancer too, it's a pity, hypertension of our country is therapeutic to lead very low, the investigation result in 2003 reveals that was still less than 30%. If a hypertension patient does not find and control the condition early, he will spend ten times of money curing the disease in the future.Deputy Director of Chinese Center for Disease Prevention and Control Yang GongHuan summarizes the development of chronic disease of our country as two points: First of our country chronic disease bear proportion that account for larger and larger in the intersection of disease and cause of the death; Second, the mark mortalities of several kinds of main chronic disease are rising. Mark mortality of taking, mean mortality independent of factors such as aging population,etc. that cause by life style and environmental factor,etc.. For example, have already defined tumour relates to the fact that the tobacco uses, especially lung cancer at present, and mortality is still rising now. A lot of the intersection of initiation and too in increase constantly, lead to the fact high mortality future dangerous factor of chronic disease.Chronic disease prevents from running through people's lifeIn July of 2008, Ministry of Public Health will begin to start " 2020 strategical planning of China of health " ,Among them has proposed the tactics of prevention and control based on high-risk group clearly, it has contained 6 main points: Bring preventing chronic disease into national economy and social development plan; Make national chronic disease and prevent policy and planning; Adopt various intervening measures to reduce the main variable dangerous factor; Chronic disease prevents from running through people's life; Promote many department's cooperation and the whole communal participation of prevention and control of chronic disease; Monitor chronic disease and decisive factor; Appraise the progress of prevention and control.Yang GongHuan has introduced on the forum " 2020 strategical planning of China of health " Middle to prevent and control the relevant plan with chronic disease. "Key chronic disease and action plan of prevention and control of senile disease also of this action plan, its focal point of work is to improve the early discovery rate of high-risk group and patient of chronic disease, improve the therapeutic effect, it is therapeutic to offer the clinical preventative service, standardization of chronic disease. Meanwhile, chronic disease will make sure the pass has been moved ago while preventing and controlling very much key a little, regard family and community as the platform, from controlling blood pressure, accusing of the cigarette, diet and sport to intervene and start with, do the work of propagating and educating and preventing and controlling well, improve the chronic disease patient's therapeutic quality. "She points out too at the same time, if you want to realize the planning, project and practice are indispensable, also need more persons and participate in creation of environment of knowledge and building of contingent, can make chronic disease and dangerous factor of China get effective control.Look for most suitable examining the method early in terms of hygiene economicsHow great on earth does chronic disease bring Chinese financial burden? 1998~2003, the medical technical and economic evaluation research room Deputy Director Liu KeJun of institute for economic research of the hygiene of Ministry of Public Health has made and included malignant tumour, the disease financial burden of brain blood vessel, heart disease inclusive is calculated. In 2003, there were nearly 7,200,000 people because of these three kinds of diseases in hospital in the whole country, per person afforded the hospitalization cost of about 6000 yuan; That year, the urban residents family was per capita the disposable income was more than 8400 yuan, per capita net income of rural resident's family was only more than 2600 yuan. According to the level in 2003, if a peasant suffered from disease in this respect unfortunately, will bring the heavy burden to his family.Find early, diagnose early, treat early it is the important means to reduce financial burden. Liu KeJun says: "Country sift, consult, list ' two cancer ' in doing something concrete for the people recently, this measure will contribute to advancing the reducing of the hospitalization cost too. Such as cervical cancer, if can be sifted to find before pathological change out, that basically can be cured; But if developing into cancer, the cure rate will drop greatly. By the look of a certain angle, such an early diagnosis can reduce ill rate and going to a doctor rate of a kind of disease at least, in fact just lighten the financial burden. "Before this, Luo diagnose Luo Randy doses of graceful Mr., managing director of the Asian-Pacific area, say while visiting China, the global medical total expenditure is about 2,500 billion dollars at present, but only 1% are used for diagnosing that measure among them, but nearly 2/3 depend on diagnosing the result while making policy in medical treatment. In the following 5 years, the medical treatment of China is consumed and expected to soar at 11% of the speeds of every year, the maximum saves the hospitalization cost for the whole world to increase and can diagnose the application measuring.In the economic field of the hygiene, should not merely calculate the financial burden of disease, also sift checking to different diseases the method is appraised synthetically. The so-called most suitable scheme means that chooses cost and the most appropriate scheme of income according to the patient's ability, but it does not often have a scheme of economic benefits most. Disease of Ministry of Public Health accuses of the straight dragon of Ray, division chief of of office slow disease to point out: "It is in very close relations to diagnose and reduce economic expenses early. As to individual, diagnose early that sure to reduce the financial burden; But to colony, on the issue to must consider the method, invest, produce we, optimize the scheme from economics, should give consideration to technology, sifts and checks the sensitiveness and cost at the same time. Because while sifting and looking into crowds, it is not everybody that has a question, but need input to everybody, and that really benefited is to check the problematic person out on later stage. So in diagnosing early, we
|