In twenty-first Century, the Chinese Academy of economic research believed that further urbanization, unoptimistic aging of population, unreasonable diet, and unhealthy lifestyles such as smoking, drinking and lack of exercise promoted the incidence rate of malignant tumors, heart diseases and cerebrovascular diseases. In the future, we should combine medical treatment with maintenance to promote the improvement of Chinese peoples health.
In the future, the improvement of Chinese peoples health level will depend on the joint efforts of their own and the external medical level.
The increase of prevalence promotes the number of visits
The plan proposes to comprehensively promote the construction of a healthy China. We should give priority to the protection of peoples health, adhere to the principle of prevention first, deeply implement the healthy China action, improve the national health promotion policy, and strengthen the national public health protection network to provide people with all-round and full cycle health services.
So, what is the health level of Chinese people?
In 2019, Chinas life expectancy per capita is 77.3 years old, which has increased for many years in a row. Another data shows that in the past 20 years, the mortality rates of newborns, infants, children under the age of 5, and pregnant and lying in women in China have all declined significantly, less than 1 u2030 in 2019.
However, from another point of view, the health level of Chinese people is not optimistic. From 2008 to 2018, the two-week prevalence rate of residents in the survey site (the number of patients or the number of people in two weeks / the total number of people surveyed) increased from 18.9% to 32.2%, especially in rural areas. The number of patients in the survey site increased from 33500 to 82600.
According to the two-week prevalence rate of diseases in the survey area, the circulatory system diseases including heart disease, hypertension and cerebrovascular disease increased from 5.03% in 2008 to 15.43% in 2018.
The 21st Century Economic Research Institute believes that as early as 2012, 58.9% of the elderly aged 60 and above were diagnosed with hypertension. As the aging of the population becomes more serious, the challenges brought by circulatory system diseases will be greater.
The increase of the prevalence rate directly promoted the number of visits per capita in China. At present, the number of visits per capita in China is rising rapidly, and the number of visits by residents has reached 6.2 in 2019, compared with 4.4 in 2010.
On the whole, hospitals, especially public hospitals, are still the tranquilizing needle for Chinese peoples health. In 2019, the number of medical and health institutions in China was 8.72 billion, an increase of 49.37% compared with 5.84 billion in 2010. Among them, the number of patients in hospitals reached 3.84 billion, and public hospitals were the preferred institutions for patients, with a total of more than 3.2 billion.
The 21st Century Economic Research Institute believes that although the number of private hospitals has exceeded that of public hospitals as early as 2015, it is still difficult to match the latter in terms of the number of beds and the number of health personnel. Among the 2007 hospitals with 800 or more beds in China, 1874 belong to public hospitals, and the number of medical staff in public hospitals is four times more than that in private hospitals.
The increase in the number of visits has also brought about some pressure on the workload of doctors. According to the data, the average daily number of doctors responsible for diagnosis and treatment is 8. Among them, the primary health institutions, especially the community health service centers (stations) have the largest workload of doctors, with nearly 16 patients responsible for diagnosis and treatment.
From the hospital level, doctors from leprosy hospital, childrens Hospital and Dermatology Hospital had the largest number of patients, with an average of more than 10 patients per day. Among them, the busy childrens Hospital reflects the desire for this part of medical resources. In 2019, the six national ministries and commissions jointly issued the opinions on strengthening the reform and development of childrens medical and health services, and vigorously supported doctors in pediatrics and childrens hospitals.
Heart disease is the number one threat to rural residents
For the Chinese, a problem that needs attention is that the mortality rate of some malignant diseases is on the rise.
For example, among urban residents, in 2005, the death rate of malignant tumor was 124.86 per 100000 people, and the mortality rate of cerebrovascular disease was 111.02 per 100000. In 2010, the death rate of heart disease was 120.19 per 100000 people.
However, these data will rise in all respects by 2019. Among them, the mortality rate of malignant tumor among urban residents reaches 161.56 per 100000, that of heart disease reaches 148.51, and that of cerebrovascular disease reaches 129.41.
These three diseases have also become the top three killers endangering the health of residents. In 2019, in terms of urban residents, lung cancer, liver cancer, gastric cancer, colorectal and anal cancer and esophageal cancer pose the greatest health threat to urban residents, with more than 10 deaths per 100000 people.
According to the research of the 21st Century Institute of economics, improper diet, lack of physical exercise, smoking, alcohol abuse, hypertension, diabetes, dyslipidemia and other factors are the causes of these high mortality diseases. The incidence rate of malignant tumors in China is lower than that in North America, Europe and Australia, according to the 2015 National Cancer Epidemic analysis published in 2019 by the National Cancer Center. It is suggested that Chinese residents should enhance the awareness of early screening, early diagnosis and early treatment of cancer, and strive to kill the tumor before it develops to the middle and late stage.
Heart disease is the number one enemy of womens life safety. In 2019, the female mortality rate of heart disease reached 143.42 per 100000 people. According to an article entitled womens problems in cardiology published in the lancet magazine, different manifestations of womens heart disease symptoms (usually manifested as unexplained weakness or discomfort) can delay the time for women to seek medical assistance; even after seeking help, they are often difficult to get emergency treatment such as aspirin and cardiopulmonary resuscitation.
Another concern is that among the notifiable infectious diseases, viral hepatitis, tuberculosis and syphilis rank the top three incidence rate. The incidence rate of AIDS is only 5.1/10 million, but its mortality rate ranks first, reaching 100 thousand people and 1.5 deaths. AIDS is mainly transmitted by sexual transmission, blood transmission and mother to child transmission. At present, there is no cure method. Only antiretroviral drugs can be used for treatment. Tuberculosis and viral hepatitis followed AIDS in mortality. In viral hepatitis, the incidence rate of hepatitis B is 71.77/10 million, and the mortality rate is 0.03/10 million. Although hepatitis B patients have a high risk of death from liver cirrhosis and liver cancer, vaccines have been available since infancy to minimize the risk of infection. Source: editor in charge of economic report in the 21st century: Zhong Qiming_ NF5619
Another concern is that among the notifiable infectious diseases, viral hepatitis, tuberculosis and syphilis rank the top three incidence rate. The incidence rate of AIDS is only 5.1/10 million, but its mortality rate ranks first, reaching 100 thousand people and 1.5 deaths. AIDS is mainly transmitted by sexual transmission, blood transmission and mother to child transmission. At present, there is no cure method. Only antiretroviral drugs can be used for treatment.
Tuberculosis and viral hepatitis followed AIDS in mortality. In viral hepatitis, the incidence rate of hepatitis B is 71.77/10 million, and the mortality rate is 0.03/10 million. Although hepatitis B patients have a high risk of death from liver cirrhosis and liver cancer, vaccines have been available since infancy to minimize the risk of infection.