Original: Medical regression prevention is the main.

think about the upstream medical worker is the equivalent of an ambulanceman standing on the edge of a rapids. When they saw the people (patients) falling down the river, they jumped down and rescued them. Then another waterer appeared along the river. So they were busy all day resoopping the people who had fallen into the water, and had no time to go upstream to see why so many people had fallen into the river. Are these fallers voluntarily jumping out of the river (the responsibility is on themselves), pushed out of the water, or caused by an accident? What should be done for these reasons? ——— WHO "New Challenges in Public Health The state of health care in our country some people say that the most people are not shopping malls, supermarkets, but hospitals. In recent years, the hospital has been expanding in size, more and more beds, more and more advanced medical technology, more and more high-end equipment, accompanied by more and more patients, more and more difficult to see a doctor, doctor-patient tension, doctors suffering, medical costs are rising year by year. Why do patients get more and more treatment?the upstream scenario is this 1 out of every 5 adults in our adult population has high blood pressure and less than 10 have diabetes. According to the 2015 Report on nutrition and chronic diseases among Chinese residents, chronic disease deaths accounted for 86.6% of all deaths in 2012. The rates of overweight and obesity among adults in China were 30.1% and 11.9%, respectively, and 9.6% and 6.4% respectively among children and adolescents aged 6 to 17. Smoking, excessive drinking and unhealthy diets such as high salt and fat are the main behavioral risk factors for the development of chronic diseases, which, if not effectively controlled, will lead to a "blowout" outbreak of chronic diseases in China in the coming decades.Millennium Plan, prevention is the mainThousands of years ago, our ancestors in the "Yellow Emperor's Book" put forward "on the cure of the disease", meaning that the best doctor is to cure the "unsooled" disease. Since the founding of New China, China's health policy has been prevention-oriented. Globally, as early as 1976, in order to prevent and control chronic diseases, Health and Welfare Canada organized a team of experts to lead the way in proposing a theoretical system and research methods for clinical preventive services. In 1984, the U.S. government organized the Preventive Services Working Group to recommend effective clinical prevention services and population prevention policies that are fundamentally prevention and treatment-first. Clinical Prevention Services advocates that medical workers provide preventive services to healthy people and asymptomatic patients in clinical locations. Reduce or delay the incidence of sexually resensive diseases through early detection and prevention, promote universal health, and thus reduce medical costs.Policy needs to land, prevent further forward It is well known that chronic diseases can be prevented and controlled, but for individuals, "knowing", "letter" and "line" is a long and distant process, because changing a person's behavior is difficult, the change of people's behavior involves a country's health policy, traditional culture, social background, economic conditions, education and other factors. Therefore, the prevention of chronic diseases requires the joint efforts of the whole society, and it is urgent!Adhere to the "prevention-oriented" approach requires policy support, such as residents' health investment from treatment of diseases to disease prevention, first of all, in the health investment reflects the "prevention and clinical" and allows the cost of health insurance to purchase preventive services, including health screening (non-commercial over-examination), health risk assessment, nutrition guidance and intervention services. Under the support of the relevant government policies, we will strengthen the prevention and treatment of chronic diseases such as nutritional improvement for residents in view of the causes of chronic diseases. Build up and down linkage, prevention and control of the combination of clinical prevention service model, the clinical medical work will be moved down, encourage doctors to do "medical treatment", the formation of general practitioners (and/or endocrinologists, cardiovascular doctors), Chinese medicine doctors, dietitians, health managers and nursing staff, including clinical prevention services team, in hospital medical examination centers, community health service centers, individual clinics, enterprises and institutions Health departments in health departments, school infirmaries and nurseries carry out all-round and seamless prevention and treatment of chronic diseases for healthy people and asymptomatic patients, that is, health management in the true sense, through periodic examination, follow-up guidance services, to control chronic diseases in their infancy, will certainly receive more effectiveness with less effort, so that limited medical resources to play a greater effectiveness.healthy China, nutrition first With the rapid development of China's economy, food is becoming more and more rich, coupled with a lack of nutritional knowledge of some people, slowly formed unhealthy eating habits. Excessive energy intake, unreasonable dietary structure, such as high-salt, high-fat diet, fine cereal intake, low intake of whole grains, low intake of vegetables and fruits, children and adolescents consume more sugary drinks, these unhealthy dietary patterns lead to children and adolescents, adults overweight and obesity incidence increased, become a variety of chronic diseases, the incidence of high incidence. It can be seen that the prevention of chronic diseases, promote the health of the whole population, nutrition work responsibility is great, nutrition contribution is also the largest. Compared with the treatment of diseases of those who fish the water, the early improvement of the healthy diet patterns and nutritional status of the Chinese people is tantless to dam the river.Only the whole society to attach importance to nutrition and health, as soon as possible to achieve nutrition legislation, to the "Chinese Dietary Guidelines (2016)" as the core guiding standards, to "National Nutrition Week" and other large-scale public welfare activities as a platform, active promotion, publicity, improve the awareness of nutrition and health of the whole people, is really from the source, from the most upstream, this is a low investment high return, long-term income, good for the benefit of the people!
, a professor at Dalian Medical University . 2016-5-5Author's Profile: Deputy Director of preventive medicine and Food Quality and Safety Laboratory, Dalian Medical University School of Public Health Research Direction: Dietary Nutrition and Chronic Disease Prevention .