2011-11-24 07:32:10.0 Yang WanliPrevention is the healthy option apt fight diseasedisease prevention,health access,fighting disease,11024661Cover Story2@webnews/enpproperty-->
A physician put plasters aboard a boy's after at a traditional Chinese medical hospital among Bozhou, Anhui province. The treatment is acclimate with chronic diseases including bronchitis, asthma and arthritis. Zhang Yanlin / as China Daily
Lifestyle alternatives can actually acquaint a big distinction Yang Wanli reports among Beijing.
On the 1st floor of a red-brick dormitory house built amid the early 1980s,folk move busily surrounded and out of the entrance beneath a green sign, Yaojiajing Residential Service Center. It namely a largely unremarkable, even shabby zone amid the capital barely inside its walls it nurtures a fundamental advance within healthcare - the prevention of chronic disease.
It is one early November morning, and Feng Qiuyun, 69,is teaching neighbors a poem she wrote. It provides tips on maintaining a healthy life, such as how much salt a person ought take everyday and the best period of the daytime to punishment.
She has also devised a series of exercises targeting seniors. The agenda even includes medicinal massage. Feng learned these skills at the center
"I joined surrounded 2005, and theoretical things virtually health that I was never aware of along she mentioned"Most of my peers are accustom to taking pills apt maintain their health and they disburse mini attention apt habits that can lead apt disease.
"But doctors at the heart taught us how to better treat our diseases and discourage additional diseases. It also saved us lots of money as we take less drugs tablets do more penalty have healthy diets and feel activated"
Yaojiajing center was created among 1998,among Beijing's Xicheng district, as the country's 1st provider of medical service and long-term health guidance to people in a residential setting.
It has collected residents' health information by far and always 10,
sac gucci,000 alternatively so people alive among the area have their own health documents.
The medical staff visits some residents surrounded their homes to check their health, and folk can call for advice or amid emergencies. But education is the center's primary focus.
"Different from doctors who treat disease, we are helping people apt slay the feasibility of obtaining sick alternatively a worse health condition, especially those chronic diseases that longing adviser apt severe conditions,said Cao Ne, a physician who has been working by Yaojiajing center as 10 years. She graduated in 2000 from Peking Union Medical College, one of the best medical schools within China.
"I was disappointed by the quite beginning. I originally expected apt be a 'real doctor' among a hospital . . . But within the following years, I found a strong sense of attainment that much residents seldom visit hospitals due apt our go she mentioned"We changed people's fantasy of health, which ambition retention huge resources for the country in the emulating 10 or more years."
To citizens who had never enjoyed such medical service, the center means a lot.
Zhang Baoying, 66, lives alone surrounded the Longquan residential area and was once - like much folk - indifferent to lofty blood oppression Now, she goes to the center double a day apt have her pressure checked, records the numbers among a laptop and asks almost adjusting her diet and medicine.
Chang Yuying, 72, has had centre disease and a nerve problem surrounded her right thigh for years. She mentioned the kin physicians check her condition every week and adjust her pills to the lowest level she needs,for fewer side effects. The rehabilitation training lessons by the center support her hike easily instantly
"It's impossible as doctors among a hospital apt give you normal checkups,only physicians here can," she mentioned"In addition, I academic many healthy ways of cooking and taught my daughters. I deem such cooking will tell them healthier than our generation."
A chronic threat
The World Bank reported surrounded July that more than 260 million people in China have been diagnosed with chronic diseases, which menu as 85 percent of deaths surrounded China. Nearly 70 percentage of the country's medical costs are as chronic illnesses such as cardiovascular disease and diabetes.
About 300 million folk are overweight and more than 200 million have high blood oppression The report estimated that the number of folk over 40 who have cardiovascular diseases, diabetes alternatively lung ailment ambition twice or even treble in the next 20 years.
"The Ministry of Health cornered the focus from disease treatment to prevention surrounded 1998. Better service in residential areas and family medical staff are momentous chapters of the idea said Kong Lianzhi,
モンクレール,proxy guide of the ministry's Bureau of Disease Control and Prevention.
The trial among Xicheng district certified a success, and the family service mode was proposed as adoption throughout Beijing amid 2007. Three years behind the health division had trained 25,000 folk among primary healthcare and 1st aid - as their own health and so they can help relatives and neighbors. The city's target is to train 200,000 by 2015.
Shanghai, Guangzhou, Chengdu and a half-dozen additional cities have since began the same program.
It's obtaining harder
Wang Rong, a doctor who has worked at Yaojiajing heart since the beginning,mentioned that the challenges the staff faces have increased among the past decade
"Chronic diseases such as high blood suppression and diabetes, which were mostly penetrated among the senior team are immediately base in people under 40 for of diseased diet and less sports," she mentioned"If those younger cases are never controlled, the mean health cost amid the country want experience afresh colossal join"
Wang Shiyong, a senior health adept at the World Bank,
gucci pas cher, told UN Radio Daily News within July that medical costs surrounded China appended 70 percent from 1985 apt 2005, and chronic diseases were the main cause Nearly 600 million people had by least one such disease within 2010.
The World Bank's report also showed that the average athletic life amid China (life without disease alternatively disabled namely 66, which namely 10 years shorter than amid other G20 countries. China's death rate from stroke namely four to six times higher than that surrounded the United States, and its rate of death from chronic obstructive pulmonary disease is 30 times that within Japan.
If China dwindled its cardiovascular death rate along equitable 1 percentage over the then 30 years, it would retention the country more than $10 trillion, which is as much as 68 percent of its national GDP among 2010, the report said.
Dr Wang Rong checks Chang Yuying's pulse by Yaojiajing Residential Service Center in Beijing. Chang, a 72-year-old elderly teacher, has center disease and a nerve problem within her right thigh She says that treatment along the center has improved her health. Gao Ruilan / for China Daily
Investing within health
Shanghai's initiative apt amend people's health namely guided along health economics. "It namely a branch of economics cared with efficiency, effectiveness,amount and deed associated to health and healthcare,mentioned Hu Shanlian,deputy consultant of the Shanghai Health Economics Institute."It helps us apt build a better health system or acquaint a better plan."
In Jing'an district of Shanghai,folk older than 60 list as a quarter of the population and 20 percentage of them are over 80. District-run health facilities receive nearly 400 patients every daily with more than half of them over 60.
Local authority has sent household medical staff apt educate residents nearly preventing disease since 2003. Exercises and games for seniors are promoted everyday amid always residential areas.
Qiao Zhongqiang,
sac hermes,guide of Jing'an district health bureau mentioned that health investment ought be directed more apt discourage disease. He mentioned that among the four primary factors influencing health and life expectancy,
Abercrombie Paris, medical treatment accounts for only eight percentage and lifestyle accounts as 60 percentage (The others are environment, 17 percent and individual physical condition, 15 percent)
In the five years after the education and preventive programs started the accidental death rate among folk over 60 dropped from 140 to 103 for every 100,000 folk and life expectancy in Jing'an rose according an.82 annual The data get off on the wrong foot the district health office and the School of Public Health, Fudan University.
Hu mentioned the central government's allocation for evolution of a national medical system has added forward 133 billion yuan ($21 billion) since 2009, and the government's mean annual spending aboard healthcare has risen from eight yuan a dweller within 1998 to 25 yuan among 2008. In metropolises, the total is 50 yuan or more.
"China has done research on chronic diseases since 1993. But likened with some Western countries, we still paucity a complete investigation targeting each of those certain diseases," Hu mentioned and a comprehensive national survey is needed apt assistance make good-looking plans.
"We need apt put the money first on those diseases that will show apparent effects. Detailed monitoring and evaluation are quite important. With a comely disease information system, disease prevention can tell great achievements"
Change your ways
Smoking,an sickly diet and likewise mini physical campaign are the three primary factors that undermine human health,mentioned Hu Dayi,director of Peking University Hospital Heart Center.
"If chronic diseases are below control, healthy adults can lengthen their precious working duration by 16 percent which want add 20 percentage of income," he mentioned He predicted that cardiovascular disease would drip obviously amid a annual whether the smoking rate in China were dwindled to fewer than five percentage along 2040. The new rate is approximately 20 percentage.
Cardiovascular diseases constitute a cloud of always chronic cases, so they should be given massive attention, he said"Studies show that eight.5 million premature deaths can be prevented among 23 low- and middle-income countries within 10 years,whether the everyday mean salt intake namely slit along 15 percentage he mentioned.
The Chinese Nutrition Society says average salt use amid China is 11 grams a day among cities and 17 grams among rural areas. The World Health Organization recommends 6-8 grams a day.
While medical experts call as advocate from health sectors,
abercrombie femme, Kong, the lawful from the Health Ministry,mentioned that multi-sector cooperation amid Western countries should be encouraged in China.
Kong said Finland namely a good instance of such cooperation among meeting health goals. She said the death rate of adult men amid Finland was pedestal to be the world's worst amid the late 1970s. The authority adjusted its agricultural priorities, encouraging farmers to grow more fruit and additional high-fiber edible and folk to eat them. The rate of deaths from cardiovascular disease dropped notably.
Some European countries try to discourage bad food choices along charging higher taxes on foods with lofty fat content. "Helping to construct healthier bodies of inhabitants is a huge task that we absence to work aboard more," Kong mentioned.
Related articles:
Auto suggestion qv
Municipal investment to reach 7t in 2011-15 4p