內容目錄
COPD is one of the public problems that seriously affects the health of our nation. The number of COPD deaths in my country ranks first in the world, second only to cardiovascular and cerebrovascular diseases and cancer. At the National People’s Congress in 2022, Academician Wang Chen, member of the Standing Committee of the National Committee of the Chinese People’s Political Consultative Conference, Vice President of the Chinese Academy of Engineering, President of the Chinese Academy of Medical Sciences, and President of Peking Union Medical College, formally submitted the second official submission at the National Political Consultative Conference to include COPD in the national basic public health system. Regarding the proposal of the health service project, Academician Wang Chen said that the inclusion of COPD into the national basic public health service project is a basic, leading and multiplier measure. At present, the sufficient and necessary conditions in all aspects are mature. .
At the same time, Li Weimin, deputy to the National People’s Congress and president of West China Hospital of Sichuan University, director of the Department of General Medicine of Peking University First Hospital, chairman of the General Practice Branch of the Chinese Medical Association, China Chi Chunhua, Executive Chairman of the Grassroots Respiratory Disease Prevention and Control Alliance, Executive Dean of the Institute of Drug Regulation, China Pharmaceutical University, Executive Deputy Director of the National Center for Drug Policy and Pharmaceutical Industry Economics, China Pharmaceutical University, and Drug Regulatory Innovation and Evaluation of the State Drug Administration Shao Rong, director of the key laboratory, representatives of the two sessions, experts and scholars also jointly called for the inclusion of COPD into basic public health services as soon as possible, to improve the whole society’s awareness of COPD, to strengthen the construction of the respiratory disease system in primary health institutions, and to supervise Primary medical institutions are equipped with portable spirometers to rapidly popularize pulmonary function tests, and at the same time carry out training to improve primary medical staff’s ability to prevent, diagnose, control, treat, and recover, so as to truly improve the level of COPD prevention, diagnosis and treatment, and benefit the majority of patients.
As of October 31, 2020, 20.51% of people aged 40 and over in China were at high risk of COPD, with a prevalence rate of 13.7%. 100000000. As a common preventable and treatable chronic respiratory disease characterized by persistent airflow limitation, COPD ranks third in single-disease mortality and disease burden in my country, and is a major chronic respiratory disease on par with diabetes and hypertension. Diseases, especially acute exacerbations of COPD, will further reduce the lung function of patients, thereby increasing the risk of death, and the cost of required examinations and treatment will also increase, resulting in a huge economic burden and consumption of health resources for patients, society and the country.
The high morbidity, high mortality and high social and economic burden of COPD are extremely disproportionate to the fact that the prevention and treatment of COPD in my country is faced with a low awareness rate. , the practical challenges of low diagnosis rate and low standard treatment rate. Experts pointed out that the public’s cognition of COPD is too unfamiliar and indifferent. Only less than 3% of COPD patients know that they have COPD. Patients may think that they are just a cold, cough, or chronic pharyngitis. Public awareness of COPD is less than 10%. At the same time, the majority of grassroots medical staff have insufficient awareness of the risk factors, clinical manifestations, treatment methods and health risks of COPD, and even lack the awareness of early intervention. , All these have led to the current situation of COPD prevention and control is not satisfactory.
Experts said that incorporating COPD into the national basic public health service project can greatly improve the overall level of COPD prevention and treatment at the grassroots level, and will benefit the 100 million COPD patients in our country. It’s a great gospel. In this way, the patient may be at the doorstep of the home, and the primary medical institution is responsible for the first diagnosis and long-term management. At the same time, when the condition requires, it can form a two-way referral, guidance of difficult diseases, and community management after discharge with the higher-level medical institution. This can significantly drive improvements in health management outcomes for COPD patients.
Like chronic diseases such as diabetes and hypertension, COPD also requires long-term medication, follow-up management, and rehabilitation. Therefore, COPD should be included in basic public health services The project can enhance the construction of the respiratory disease system in grass-roots health institutions, and improve the prevention, diagnosis, control, treatment, and rehabilitation capabilities of grass-roots medical personnel, so as to effectively meet the medical needs of the grass-roots people.
Xinmin Evening News reporter Zuo Yan
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