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9游会app关于政协第十二届广东省委员会第四次会议第20210906号提案答复的函

发布日期:2021-07-29 17:22:05 来源:9游会app 浏览次数:- 字号:

  (B类)

  粤(yue)中医函(han)〔2021〕257号

池晓玲等委员:

  你(ni)们(men)提(ti)出(chu)的《关于重视(shi)慢性病养生保健(jian),推进(jin)大(da)湾区养生保健(jian)行业有序(xu)发展的提(ti)案(an)》(第20210906号)收悉,经综合省市(shi)场(chang)监管局意(yi)见,现将办(ban)理情(qing)况答(da)复如下:

  一直以来,我省高度重视慢性病养生保健,积(ji)极推进大(da)湾区(qu)中医(yi)药养生保健行业有(you)序发(fa)展。

  一、完善政策体(ti)系,促(cu)进(jin)中(zhong)医药养生(sheng)保健(jian)有序发(fa)展

  近年(nian)来,国(guo)(guo)(guo)家先后出台《国(guo)(guo)(guo)务(wu)(wu)(wu)院(yuan)关(guan)于(yu)(yu)促(cu)(cu)进(jin)(jin)健(jian)康服(fu)(fu)务(wu)(wu)(wu)业(ye)发(fa)(fa)(fa)(fa)展(zhan)(zhan)的(de)(de)若干意(yi)(yi)见》《“健(jian)康中(zhong)(zhong)(zhong)国(guo)(guo)(guo) 2030”规(gui)划纲要(yao)》《中(zhong)(zhong)(zhong)医(yi)(yi)药(yao)(yao)(yao)发(fa)(fa)(fa)(fa)展(zhan)(zhan)战略规(gui)划纲要(yao)(2016—2030年(nian))》《国(guo)(guo)(guo)务(wu)(wu)(wu)院(yuan)办公厅(ting)关(guan)于(yu)(yu)印发(fa)(fa)(fa)(fa)中(zhong)(zhong)(zhong)医(yi)(yi)药(yao)(yao)(yao)健(jian)康服(fu)(fu)务(wu)(wu)(wu)发(fa)(fa)(fa)(fa)展(zhan)(zhan)规(gui)划(2015—2020年(nian))的(de)(de)通知(zhi)》等文件,鼓励(li)发(fa)(fa)(fa)(fa)展(zhan)(zhan)规(gui)范的(de)(de)中(zhong)(zhong)(zhong)医(yi)(yi)养(yang)生(sheng)保(bao)(bao)(bao)(bao)健(jian)服(fu)(fu)务(wu)(wu)(wu);在(zai)(zai)《国(guo)(guo)(guo)家中(zhong)(zhong)(zhong)医(yi)(yi)药(yao)(yao)(yao)管理局关(guan)于(yu)(yu)促(cu)(cu)进(jin)(jin)中(zhong)(zhong)(zhong)医(yi)(yi)养(yang)生(sheng)保(bao)(bao)(bao)(bao)健(jian)服(fu)(fu)务(wu)(wu)(wu)发(fa)(fa)(fa)(fa)展(zhan)(zhan)的(de)(de)指导意(yi)(yi)见》《中(zhong)(zhong)(zhong)医(yi)(yi)师在(zai)(zai)养(yang)生(sheng)保(bao)(bao)(bao)(bao)健(jian)机构(gou)(gou)提供(gong)保(bao)(bao)(bao)(bao)健(jian)咨询和(he)调理等服(fu)(fu)务(wu)(wu)(wu)的(de)(de)暂行(xing)(xing)规(gui)定》等文件中(zhong)(zhong)(zhong),明确(que)了包(bao)括非(fei)医(yi)(yi)疗(liao)机构(gou)(gou)和(he)医(yi)(yi)疗(liao)机构(gou)(gou)提供(gong)中(zhong)(zhong)(zhong)医(yi)(yi)养(yang)生(sheng)保(bao)(bao)(bao)(bao)健(jian)服(fu)(fu)务(wu)(wu)(wu)的(de)(de)相关(guan)要(yao)求。2019年(nian)10月,《关(guan)于(yu)(yu)促(cu)(cu)进(jin)(jin)中(zhong)(zhong)(zhong)医(yi)(yi)药(yao)(yao)(yao)传承创新发(fa)(fa)(fa)(fa)展(zhan)(zhan)的(de)(de)意(yi)(yi)见》明确(que)了提供(gong)中(zhong)(zhong)(zhong)医(yi)(yi)养(yang)生(sheng)保(bao)(bao)(bao)(bao)健(jian)服(fu)(fu)务(wu)(wu)(wu)的(de)(de)企业(ye)登记经营范围使用“中(zhong)(zhong)(zhong)医(yi)(yi)养(yang)生(sheng)保(bao)(bao)(bao)(bao)健(jian)服(fu)(fu)务(wu)(wu)(wu)(非(fei)医(yi)(yi)疗(liao))”规(gui)范表(biao)述。我省(sheng)(sheng)在(zai)(zai)发(fa)(fa)(fa)(fa)展(zhan)(zhan)健(jian)康服(fu)(fu)务(wu)(wu)(wu)业(ye)实(shi)施(shi)方案、9游会app下载APP健(jian)康服(fu)(fu)务(wu)(wu)(wu)发(fa)(fa)(fa)(fa)展(zhan)(zhan)规(gui)划、9游会app下载APP发(fa)(fa)(fa)(fa)展(zhan)(zhan)“十三五(wu)”“十四(si)五(wu)”规(gui)划等政策(ce)文件中(zhong)(zhong)(zhong)均明确(que)要(yao)促(cu)(cu)进(jin)(jin)中(zhong)(zhong)(zhong)医(yi)(yi)养(yang)生(sheng)保(bao)(bao)(bao)(bao)健(jian)服(fu)(fu)务(wu)(wu)(wu)科学(xue)、规(gui)范发(fa)(fa)(fa)(fa)展(zhan)(zhan)。最近,又印发(fa)(fa)(fa)(fa)《广东(dong)省(sheng)(sheng)紧密(mi)(mi)型(xing)医(yi)(yi)疗(liao)卫生(sheng)共(gong)同(tong)体慢病(bing)管理中(zhong)(zhong)(zhong)心(xin)运行(xing)(xing)指南(试(shi)行(xing)(xing))》和(he)《广东(dong)省(sheng)(sheng)紧密(mi)(mi)型(xing)县域医(yi)(yi)疗(liao)卫生(sheng)共(gong)同(tong)体中(zhong)(zhong)(zhong)医(yi)(yi)治(zhi)(zhi)未病(bing)中(zhong)(zhong)(zhong)心(xin)运行(xing)(xing)指南(试(shi)行(xing)(xing))》等指南,进(jin)(jin)一(yi)步推(tui)动我省(sheng)(sheng)紧密(mi)(mi)型(xing)医(yi)(yi)疗(liao)卫生(sheng)共(gong)同(tong)体(以下简称县域医(yi)(yi)共(gong)体)及慢病(bing)医(yi)(yi)防融合(he)建(jian)设(she)工作有序实(shi)施(shi),同(tong)时正在(zai)(zai)制订《粤港澳大(da)(da)湾区中(zhong)(zhong)(zhong)医(yi)(yi)药(yao)(yao)(yao)医(yi)(yi)疗(liao)高地建(jian)设(she)实(shi)施(shi)方案(2020-2025年(nian))》,提出以构(gou)(gou)建(jian)粤港澳大(da)(da)湾区全生(sheng)命周期中(zhong)(zhong)(zhong)医(yi)(yi)药(yao)(yao)(yao)服(fu)(fu)务(wu)(wu)(wu)网(wang)为目(mu)标,推(tui)动构(gou)(gou)建(jian)覆盖三地的(de)(de)中(zhong)(zhong)(zhong)医(yi)(yi)“治(zhi)(zhi)未病(bing)”预防保(bao)(bao)(bao)(bao)健(jian)、重(zhong)大(da)(da)疾病(bing)救治(zhi)(zhi)、中(zhong)(zhong)(zhong)医(yi)(yi)康复等技(ji)术(shu)协作网(wang)。这一(yi)系列的(de)(de)文件出台为推(tui)进(jin)(jin)大(da)(da)湾区中(zhong)(zhong)(zhong)医(yi)(yi)药(yao)(yao)(yao)养(yang)生(sheng)保(bao)(bao)(bao)(bao)健(jian)有序发(fa)(fa)(fa)(fa)展(zhan)(zhan)提供(gong)了政策(ce)保(bao)(bao)(bao)(bao)障。

  二、实(shi)施重(zhong)大(da)工程,增加中医(yi)药防治慢病服(fu)务供给

  (一(yi))健全(quan)中(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)药(yao)(yao)(yao)健康(kang)服(fu)务(wu)体(ti)系。我省(sheng)相(xiang)继(ji)实(shi)(shi)施(shi)全(quan)省(sheng)治(zhi)(zhi)未(wei)病服(fu)务(wu)体(ti)系的(de)规(gui)范化建(jian)(jian)设(she)(she)、中(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)药(yao)(yao)(yao)康(kang)复(fu)服(fu)务(wu)能(neng)力(li)提升和(he)中(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)重点(dian)专(zhuan)科(ke)(ke)(ke)建(jian)(jian)设(she)(she)等(deng)项(xiang)目(mu)。2018年(nian),出台《广东省(sheng)促(cu)进中(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)药(yao)(yao)(yao)健康(kang)养老(lao)(lao)服(fu)务(wu)发(fa)展的(de)实(shi)(shi)施(shi)方案》,推动二(er)级以上(shang)中(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)医(yi)(yi)(yi)院(yuan)(yuan)开(kai)设(she)(she)老(lao)(lao)年(nian)病科(ke)(ke)(ke),开(kai)展老(lao)(lao)年(nian)病、慢性(xing)病防治(zhi)(zhi)和(he)康(kang)复(fu)护(hu)理。印发(fa)《加强中(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)医(yi)(yi)(yi)院(yuan)(yuan)老(lao)(lao)年(nian)病科(ke)(ke)(ke)建(jian)(jian)设(she)(she)意见》《广东省(sheng)中(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)医(yi)(yi)(yi)院(yuan)(yuan)老(lao)(lao)年(nian)病科(ke)(ke)(ke)建(jian)(jian)设(she)(she)标准(zhun)》,推动中(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)老(lao)(lao)年(nian)病科(ke)(ke)(ke)规(gui)范化建(jian)(jian)设(she)(she);2016年(nian),省(sheng)中(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)药(yao)(yao)(yao)局出台《9游会app下载APP健康(kang)促(cu)进工程实(shi)(shi)施(shi)方案》,启动“地级以上(shang)市、县区(qu)级中(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)医(yi)(yi)(yi)院(yuan)(yuan)治(zhi)(zhi)未(wei)病服(fu)务(wu)平台建(jian)(jian)设(she)(she)项(xiang)目(mu)”。目(mu)前,全(quan)省(sheng)二(er)级以上(shang)中(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)医(yi)(yi)(yi)院(yuan)(yuan)均设(she)(she)置了治(zhi)(zhi)未(wei)病科(ke)(ke)(ke),二(er)甲(jia)及以上(shang)的(de)中(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)院(yuan)(yuan)均设(she)(she)置了老(lao)(lao)年(nian)病科(ke)(ke)(ke),为推进大湾区(qu)养生保健行业夯实(shi)(shi)了中(zhong)(zhong)(zhong)(zhong)(zhong)医(yi)(yi)(yi)药(yao)(yao)(yao)防治(zhi)(zhi)慢病工作基础。

  (二(er))加(jia)强(qiang)中(zhong)(zhong)医(yi)(yi)药(yao)(yao)(yao)防治慢病(bing)人(ren)(ren)才(cai)(cai)(cai)培(pei)(pei)(pei)(pei)养(yang)(yang)(yang)。近年来,我省(sheng)通过(guo)中(zhong)(zhong)医(yi)(yi)住院医(yi)(yi)师(shi)(shi)规范化培(pei)(pei)(pei)(pei)训(xun)、全科医(yi)(yi)生培(pei)(pei)(pei)(pei)养(yang)(yang)(yang)、继(ji)(ji)续教(jiao)育(yu)、师(shi)(shi)承(cheng)(cheng)(cheng)教(jiao)育(yu)等多途径,培(pei)(pei)(pei)(pei)养(yang)(yang)(yang)一(yi)大批中(zhong)(zhong)医(yi)(yi)药(yao)(yao)(yao)专(zhuan)业技(ji)术(shu)人(ren)(ren)员,为(wei)(wei)开(kai)展慢病(bing)的(de)防治提供人(ren)(ren)才(cai)(cai)(cai)支撑。一(yi)是强(qiang)化中(zhong)(zhong)医(yi)(yi)师(shi)(shi)承(cheng)(cheng)(cheng)教(jiao)育(yu),建(jian)设(she)省(sheng)名中(zhong)(zhong)医(yi)(yi)传(chuan)承(cheng)(cheng)(cheng)工作(zuo)室、省(sheng)基(ji)层(ceng)老中(zhong)(zhong)医(yi)(yi)药(yao)(yao)(yao)专(zhuan)家传(chuan)承(cheng)(cheng)(cheng)工作(zuo)室,进一(yi)步挖(wa)掘整理了(le)名医(yi)(yi)的(de)学(xue)术(shu)思(si)想(xiang)和(he)临(lin)床(chuang)经验,培(pei)(pei)(pei)(pei)养(yang)(yang)(yang)了(le)一(yi)批学(xue)术(shu)继(ji)(ji)承(cheng)(cheng)(cheng)人(ren)(ren)。二(er)是做好(hao)特色中(zhong)(zhong)医(yi)(yi)药(yao)(yao)(yao)人(ren)(ren)才(cai)(cai)(cai)培(pei)(pei)(pei)(pei)养(yang)(yang)(yang)。建(jian)设(she)国家中(zhong)(zhong)医(yi)(yi)药(yao)(yao)(yao)特色人(ren)(ren)才(cai)(cai)(cai)培(pei)(pei)(pei)(pei)养(yang)(yang)(yang)基(ji)地、高层(ceng)次中(zhong)(zhong)医(yi)(yi)药(yao)(yao)(yao)人(ren)(ren)才(cai)(cai)(cai)培(pei)(pei)(pei)(pei)养(yang)(yang)(yang)基(ji)地,推进9游(you)会app下载APP领军人(ren)(ren)才(cai)(cai)(cai)培(pei)(pei)(pei)(pei)养(yang)(yang)(yang),遴选省(sheng)杰(jie)出青年中(zhong)(zhong)医(yi)(yi)药(yao)(yao)(yao)人(ren)(ren)才(cai)(cai)(cai)。三是做好(hao)基(ji)层(ceng)中(zhong)(zhong)医(yi)(yi)药(yao)(yao)(yao)人(ren)(ren)员培(pei)(pei)(pei)(pei)训(xun)。为(wei)(wei)基(ji)层(ceng)培(pei)(pei)(pei)(pei)养(yang)(yang)(yang)培(pei)(pei)(pei)(pei)训(xun)中(zhong)(zhong)医(yi)(yi)全科医(yi)(yi)生和(he)县级医(yi)(yi)疗机构(gou)中(zhong)(zhong)医(yi)(yi)临(lin)床(chuang)技(ji)术(shu)骨干人(ren)(ren)员。四是加(jia)强(qiang)中(zhong)(zhong)医(yi)(yi)临(lin)床(chuang)思(si)维培(pei)(pei)(pei)(pei)养(yang)(yang)(yang),做好(hao)中(zhong)(zhong)医(yi)(yi)住院医(yi)(yi)师(shi)(shi)规范化培(pei)(pei)(pei)(pei)训(xun)工作(zuo)。

  (三(san))提升(sheng)基(ji)(ji)层中(zhong)医(yi)(yi)(yi)(yi)(yi)(yi)药防(fang)治慢病能力(li)。实施基(ji)(ji)层中(zhong)医(yi)(yi)(yi)(yi)(yi)(yi)药服(fu)务(wu)(wu)能力(li)提升(sheng)工程“十三(san)五(wu)”行动计(ji)划,推(tui)动我省(sheng)(sheng)基(ji)(ji)层中(zhong)医(yi)(yi)(yi)(yi)(yi)(yi)药服(fu)务(wu)(wu)能力(li)全面(mian)提升(sheng)。截止2020年(nian)底,我省(sheng)(sheng)基(ji)(ji)层医(yi)(yi)(yi)(yi)(yi)(yi)疗卫(wei)(wei)生机构(gou)中(zhong)医(yi)(yi)(yi)(yi)(yi)(yi)馆建设已(yi)经覆盖全省(sheng)(sheng),100%的(de)(de)(de)社(she)区(qu)(qu)卫(wei)(wei)生服(fu)务(wu)(wu)中(zhong)心(xin)和(he)(he)(he)乡镇卫(wei)(wei)生院能够(gou)提供(gong)中(zhong)医(yi)(yi)(yi)(yi)(yi)(yi)药服(fu)务(wu)(wu),100%的(de)(de)(de)社(she)区(qu)(qu)卫(wei)(wei)生站和(he)(he)(he)89.97%的(de)(de)(de)村卫(wei)(wei)生室能够(gou)提供(gong)中(zhong)医(yi)(yi)(yi)(yi)(yi)(yi)药服(fu)务(wu)(wu)。落实《广(guang)(guang)东省(sheng)(sheng)防(fang)治慢性病中(zhong)长期(qi)规划(2017年(nian)-2025年(nian))》的(de)(de)(de)工作(zuo)要(yao)求(qiu),完善省(sheng)(sheng)级基(ji)(ji)地和(he)(he)(he)各县级基(ji)(ji)地视(shi)频网络(luo)平台的(de)(de)(de)教(jiao)学培(pei)(pei)(pei)(pei)训(xun)(xun)功能,发(fa)挥中(zhong)医(yi)(yi)(yi)(yi)(yi)(yi)药适(shi)(shi)宜技(ji)术(shu)(shu)在防(fang)治常见病、多发(fa)病中(zhong)的(de)(de)(de)优势和(he)(he)(he)作(zuo)用(yong),一是建成省(sheng)(sheng)级和(he)(he)(he)县级中(zhong)医(yi)(yi)(yi)(yi)(yi)(yi)药适(shi)(shi)宜技(ji)术(shu)(shu)推(tui)广(guang)(guang)视(shi)频网络(luo)基(ji)(ji)地,并由省(sheng)(sheng)级基(ji)(ji)地分(fen)片负责全省(sheng)(sheng)21个(ge)地市的(de)(de)(de)县级基(ji)(ji)地骨干(gan)医(yi)(yi)(yi)(yi)(yi)(yi)师培(pei)(pei)(pei)(pei)训(xun)(xun)和(he)(he)(he)基(ji)(ji)层中(zhong)医(yi)(yi)(yi)(yi)(yi)(yi)药适(shi)(shi)宜技(ji)术(shu)(shu)推(tui)广(guang)(guang);二是建立了(le)(le)省(sheng)(sheng)、市、县中(zhong)医(yi)(yi)(yi)(yi)(yi)(yi)药适(shi)(shi)宜技(ji)术(shu)(shu)推(tui)广(guang)(guang)的(de)(de)(de)长效机制。构(gou)建了(le)(le)全省(sheng)(sheng)中(zhong)医(yi)(yi)(yi)(yi)(yi)(yi)临床专(zhuan)业(ye)专(zhuan)家库和(he)(he)(he)中(zhong)医(yi)(yi)(yi)(yi)(yi)(yi)药适(shi)(shi)宜技(ji)术(shu)(shu)库,编制《中(zhong)医(yi)(yi)(yi)(yi)(yi)(yi)药适(shi)(shi)宜技(ji)术(shu)(shu)手册(ce)(ce)》(共三(san)套六分(fen)册(ce)(ce))。据统计(ji),2017-2020年(nian),省(sheng)(sheng)级基(ji)(ji)地组织面(mian)向县级基(ji)(ji)地开(kai)展了(le)(le)骨干(gan)师资培(pei)(pei)(pei)(pei)训(xun)(xun)50次(ci)(ci),培(pei)(pei)(pei)(pei)训(xun)(xun)5141人次(ci)(ci),开(kai)展网络(luo)授课培(pei)(pei)(pei)(pei)训(xun)(xun)170场次(ci)(ci),培(pei)(pei)(pei)(pei)训(xun)(xun)34508人次(ci)(ci),对县级基(ji)(ji)地开(kai)展指导检查54次(ci)(ci);县级基(ji)(ji)地面(mian)向基(ji)(ji)层医(yi)(yi)(yi)(yi)(yi)(yi)务(wu)(wu)人员(yuan)开(kai)展了(le)(le)培(pei)(pei)(pei)(pei)训(xun)(xun)2786次(ci)(ci),培(pei)(pei)(pei)(pei)训(xun)(xun)了(le)(le)132515人次(ci)(ci)。

  (四)推(tui)进中(zhong)医(yi)药防(fang)治慢(man)(man)病(bing)(bing)科研(yan)(yan)成(cheng)果转化。“十三五”期间,省中(zhong)医(yi)药局开展了(le)(le)中(zhong)医(yi)优(you)(you)势(shi)病(bing)(bing)种突破、医(yi)院(yuan)中(zhong)药制剂等项(xiang)目建(jian)设,包含了(le)(le)慢(man)(man)性(xing)心衰、冠心病(bing)(bing)、高血压、肺(fei)癌、消渴病(bing)(bing)、慢(man)(man)阻肺(fei)、慢(man)(man)性(xing)萎缩性(xing)胃炎等优(you)(you)势(shi)病(bing)(bing)种及(ji)相关中(zhong)药制剂的研(yan)(yan)究(jiu)开发。通过项(xiang)目建(jian)设,获(huo)得(de)了(le)(le)两项(xiang)以上省科技进步奖,形成(cheng)了(le)(le)一批国家级、行业及(ji)学会临床诊(zhen)疗(liao)指南(nan)或(huo)诊(zhen)疗(liao)方案,经过优(you)(you)化的每个病(bing)(bing)种的诊(zhen)疗(liao)方案推(tui)广到(dao)我省10家以上医(yi)疗(liao)机构(gou),项(xiang)目建(jian)设单位和推(tui)广应用(yong)医(yi)疗(liao)机构(gou)的病(bing)(bing)种诊(zhen)疗(liao)服务能力得(de)到(dao)了(le)(le)较(jiao)大(da)的提升,获(huo)得(de)两个新药临床前研(yan)(yan)究(jiu)批件,新增多个院(yuan)内中(zhong)药制剂。

  三、发挥特色优势,中(zhong)医药全面参与(yu)慢病防治

  (一)加强健康教育,提升全民健康素质。我省面向全社会开展广泛宣传,倡导中医药健康理念,发挥中医药在“治未病”的主导作用。一是结合“中医中药中国行——9游会app下载APP健康文化推进行动”等活动,推动中医药健康养生保健知识进社区、进家庭。二是运用媒体广泛宣传中医药健康知识,与《老年报》合作,利用各中医类微信公众号推送老年人健康中医药知识,组织在广东中医药公众号发布《广东省2021年春季中医治未病养生保健指引》等。

  (二)建立服务(wu)规范(fan)(fan)(fan),开展个性(xing)化健(jian)(jian)康干(gan)预(yu)。2015年,我省(sheng)成(cheng)立全省(sheng)治(zhi)未(wei)病指(zhi)导中(zhong)心,制定了中(zhong)医(yi)药(yao)(yao)健(jian)(jian)康管理服务(wu)相(xiang)关(guan)规范(fan)(fan)(fan),指(zhi)导全省(sheng)中(zhong)医(yi)医(yi)疗机(ji)构和基层(ceng)医(yi)疗机(ji)构规范(fan)(fan)(fan)开展建立健(jian)(jian)康档案、接受(shou)中(zhong)医(yi)体(ti)质辨识、中(zhong)医(yi)药(yao)(yao)保健(jian)(jian)指(zhi)导等工(gong)作。个性(xing)化健(jian)(jian)康干(gan)预(yu)紧(jin)紧(jin)围绕中(zhong)医(yi)人(ren)体(ti)健(jian)(jian)康状态辨识、风(feng)险预(yu)警和保健(jian)(jian)干(gan)预(yu)等三个治(zhi)未(wei)病关(guan)键问题(ti),以中(zhong)医(yi)体(ti)质和特(te)定状态为切入点,为服务(wu)人(ren)群提供(gong)风(feng)险评估、跟踪(zong)随访、干(gan)预(yu)指(zhi)导等健(jian)(jian)康管理服务(wu)。

  (三)促进医(yi)(yi)防协同,实(shi)现全流程健(jian)康管理。依托省(sheng)治未(wei)病(bing)质(zhi)控中(zhong)(zhong)(zhong)心,组织编制了《广东(dong)省(sheng)中(zhong)(zhong)(zhong)医(yi)(yi)治未(wei)病(bing)服务(wu)网络(luo)建设指导手册(ce)》,对国家(jia)基本公共卫生(sheng)服务(wu)项(xiang)目中(zhong)(zhong)(zhong)医(yi)(yi)药(yao)健(jian)康管理纳入治未(wei)病(bing)服务(wu)统筹指导实(shi)施(shi)。省(sheng)中(zhong)(zhong)(zhong)医(yi)(yi)院建立了全国首个(ge)中(zhong)(zhong)(zhong)医(yi)(yi)慢(man)性(xing)(xing)(xing)疾病(bing)管理门诊,开展包(bao)括高血压、慢(man)性(xing)(xing)(xing)肾(shen)脏病(bing)、糖尿病(bing)、中(zhong)(zhong)(zhong)风、慢(man)性(xing)(xing)(xing)心衰、慢(man)性(xing)(xing)(xing)阻塞性(xing)(xing)(xing)肺病(bing)等(deng)病(bing)种管理,共20个(ge)专科24个(ge)病(bing)种,为基层(ceng)医(yi)(yi)疗(liao)(liao)卫生(sheng)机构(gou)提供技术指导。基层(ceng)医(yi)(yi)疗(liao)(liao)卫生(sheng)机构(gou)具体实(shi)施(shi)健(jian)康档案建立、患者干预和随访管理等(deng)基本医(yi)(yi)疗(liao)(liao)卫生(sheng)服务(wu)。

  (四)强化规范诊疗,提高诊疗效果。一是在建立家庭医生签约服务制度中,同步推进家庭医生中医药签约服务,将针灸、拔罐、推拿等中医药适宜技术纳入家庭医生签约服务范畴,制定肿瘤、慢性呼吸系统等具有中医诊疗特色病种的家庭医生签约服务包。二是2018年10月,省卫生健康委省中医药局联合印发《广东省医联体建设指引(试行)》(粤卫﹝2018﹞112号),明确各级各类医疗机构功能定位,牵头医院负责急危重症和专科疾病诊疗,慢病防治机构和康复医院、护理院提供出院后延续功能康复、慢病诊疗和失能失智老年人的长期照护服务,社区卫生服务中心(站)或乡镇卫生院(村卫生站)提供常见病、多发病、诊断明确的慢性病的基础医疗、中医药防治、慢病管理和健康管理服务。三是提高诊疗服务质量。转发《国家中医药管理局办公室关于实施风温肺热病等95个临床路径通知》,包括糖尿病、慢性呼吸系统、肿瘤等慢性病,规范诊疗行为,保障医疗质量与安全。

  (五)引导(dao)社(she)会资源,创新(xin)健(jian)康服(fu)务(wu)模式。鼓(gu)励社(she)会资本建立中医(yi)(yi)药特(te)色医(yi)(yi)养(yang)结(jie)合机构(gou),建设一(yi)批(pi)医(yi)(yi)养(yang)结(jie)合示范(fan)基地。引导(dao)中医(yi)(yi)医(yi)(yi)院与养(yang)老(lao)服(fu)务(wu)机构(gou)开(kai)展多种形式的服(fu)务(wu)合作。鼓(gu)励中医(yi)(yi)医(yi)(yi)师在养(yang)老(lao)机构(gou)提供保健(jian)咨(zi)询和调理服(fu)务(wu),开(kai)展中医(yi)(yi)特(te)色养(yang)生保健(jian)、医(yi)(yi)疗(liao)、康复和护(hu)理服(fu)务(wu)。

  四、加强监管(guan)和(he)宣传,规(gui)范保健食品行业(ye)健康发展

  一是(shi)督(du)促(cu)落(luo)实《保(bao)(bao)健(jian)食(shi)(shi)品(pin)(pin)标(biao)(biao)注(zhu)(zhu)警(jing)(jing)示(shi)(shi)用(yong)(yong)语(yu)指(zhi)南》,规(gui)范(fan)(fan)保(bao)(bao)健(jian)品(pin)(pin)标(biao)(biao)签(qian)(qian)及(ji)(ji)消(xiao)(xiao)(xiao)费(fei)(fei)提(ti)示(shi)(shi)。2019年国家(jia)市场(chang)监管(guan)总(zong)局(ju)(ju)发(fa)布《保(bao)(bao)健(jian)食(shi)(shi)品(pin)(pin)标(biao)(biao)注(zhu)(zhu)警(jing)(jing)示(shi)(shi)用(yong)(yong)语(yu)指(zhi)南》,明确(que)要(yao)(yao)求(qiu)(qiu)在(zai)保(bao)(bao)健(jian)食(shi)(shi)品(pin)(pin)的(de)标(biao)(biao)签(qian)(qian)及(ji)(ji)经(jing)营(ying)场(chang)所显要(yao)(yao)位(wei)置(zhi)标(biao)(biao)注(zhu)(zhu)“保(bao)(bao)健(jian)食(shi)(shi)品(pin)(pin)不(bu)是(shi)药物,不(bu)能代(dai)替药物治疗疾(ji)病”等警(jing)(jing)示(shi)(shi)用(yong)(yong)语(yu)和(he)消(xiao)(xiao)(xiao)费(fei)(fei)提(ti)示(shi)(shi)信(xin)息(xi),使消(xiao)(xiao)(xiao)费(fei)(fei)者(zhe)更易于(yu)区(qu)分保(bao)(bao)健(jian)食(shi)(shi)品(pin)(pin)与普通(tong)食(shi)(shi)品(pin)(pin)、药品(pin)(pin),引导理(li)性消(xiao)(xiao)(xiao)费(fei)(fei)。省(sheng)市场(chang)监督(du)管(guan)理(li)局(ju)(ju)召开(kai)专题会议部署保(bao)(bao)健(jian)食(shi)(shi)品(pin)(pin)行业(ye)专项清理(li)整(zheng)治工作(zuo),督(du)促(cu)指(zhi)导全省(sheng)保(bao)(bao)健(jian)食(shi)(shi)品(pin)(pin)生产(chan)经(jing)营(ying)单位(wei)落(luo)实《保(bao)(bao)健(jian)食(shi)(shi)品(pin)(pin)标(biao)(biao)注(zhu)(zhu)警(jing)(jing)示(shi)(shi)用(yong)(yong)语(yu)指(zhi)南》要(yao)(yao)求(qiu)(qiu),规(gui)范(fan)(fan)保(bao)(bao)健(jian)食(shi)(shi)品(pin)(pin)标(biao)(biao)签(qian)(qian)说明书(shu)管(guan)理(li)及(ji)(ji)消(xiao)(xiao)(xiao)费(fei)(fei)提(ti)示(shi)(shi),组(zu)织对标(biao)(biao)签(qian)(qian)说明书(shu)进行排(pai)查,指(zhi)导16家(jia)企(qi)业(ye)对不(bu)符合要(yao)(yao)求(qiu)(qiu)的(de)78个保(bao)(bao)健(jian)食(shi)(shi)品(pin)(pin)标(biao)(biao)签(qian)(qian)进行整(zheng)改;并将标(biao)(biao)签(qian)(qian)说明书(shu)和(he)消(xiao)(xiao)(xiao)费(fei)(fei)提(ti)示(shi)(shi)作(zuo)为重点(dian)内(nei)容,组(zu)织各地开(kai)展双随机(ji)飞行检查。目前,我(wo)省(sheng)保(bao)(bao)健(jian)食(shi)(shi)品(pin)(pin)生产(chan)企(qi)业(ye)的(de)保(bao)(bao)健(jian)食(shi)(shi)品(pin)(pin)标(biao)(biao)签(qian)(qian)全部规(gui)范(fan)(fan)落(luo)实警(jing)(jing)示(shi)(shi)用(yong)(yong)语(yu)标(biao)(biao)准(zhun)要(yao)(yao)求(qiu)(qiu)、经(jing)营(ying)场(chang)所消(xiao)(xiao)(xiao)费(fei)(fei)提(ti)示(shi)(shi)信(xin)息(xi)逐(zhu)步规(gui)范(fan)(fan)。

  二(er)是(shi)广(guang)(guang)泛(fan)开展保(bao)(bao)健(jian)食(shi)(shi)(shi)(shi)品(pin)(pin)(pin)科(ke)普(pu)(pu)宣(xuan)传(chuan)(chuan)(chuan)(chuan),提(ti)高公(gong)众科(ke)学(xue)(xue)认知(zhi)水平。省(sheng)市场(chang)(chang)监督(du)管理(li)局高度重视保(bao)(bao)健(jian)食(shi)(shi)(shi)(shi)品(pin)(pin)(pin)科(ke)普(pu)(pu)宣(xuan)传(chuan)(chuan)(chuan)(chuan),面向中老年(nian)(nian)人(ren)(ren)作为保(bao)(bao)健(jian)食(shi)(shi)(shi)(shi)品(pin)(pin)(pin)消(xiao)费重点人(ren)(ren)群,积极引(yin)导公(gong)众科(ke)学(xue)(xue)认识(shi)(shi)(shi)、理(li)性(xing)消(xiao)费保(bao)(bao)健(jian)食(shi)(shi)(shi)(shi)品(pin)(pin)(pin)。2020年(nian)(nian),统一(yi)制作保(bao)(bao)健(jian)食(shi)(shi)(shi)(shi)品(pin)(pin)(pin)科(ke)普(pu)(pu)宣(xuan)传(chuan)(chuan)(chuan)(chuan)材料110万(wan)分(册),共开展各类科(ke)普(pu)(pu)宣(xuan)传(chuan)(chuan)(chuan)(chuan)活动(dong)(dong)1599场(chang)(chang)次(ci),覆(fu)盖35.2万(wan)人(ren)(ren)次(ci).联合(he)团省(sheng)委、省(sheng)志(zhi)愿(yuan)(yuan)(yuan)者联合(he)会、行业(ye)(ye)协会,以公(gong)益讲座、入户宣(xuan)传(chuan)(chuan)(chuan)(chuan)、现场(chang)(chang)咨询答疑等方式(shi),深(shen)入基层社区(qu)开展保(bao)(bao)健(jian)食(shi)(shi)(shi)(shi)品(pin)(pin)(pin)科(ke)普(pu)(pu)宣(xuan)传(chuan)(chuan)(chuan)(chuan)志(zhi)愿(yuan)(yuan)(yuan)服务工作,各级(ji)志(zhi)愿(yuan)(yuan)(yuan)者组织(zhi)共展开各类宣(xuan)传(chuan)(chuan)(chuan)(chuan)活动(dong)(dong)413次(ci),覆(fu)盖人(ren)(ren)群70万(wan)人(ren)(ren)次(ci);录(lu)制保(bao)(bao)健(jian)食(shi)(shi)(shi)(shi)品(pin)(pin)(pin)科(ke)普(pu)(pu)课程多渠道传(chuan)(chuan)(chuan)(chuan)播(bo),培(pei)养专业(ye)(ye)性(xing)较强的(de)志(zhi)愿(yuan)(yuan)(yuan)宣(xuan)传(chuan)(chuan)(chuan)(chuan)队伍(wu)3700余(yu)名(ming),推(tui)动(dong)(dong)科(ke)普(pu)(pu)宣(xuan)传(chuan)(chuan)(chuan)(chuan)志(zhi)愿(yuan)(yuan)(yuan)服务常(chang)态化、专业(ye)(ye)化。与(yu)媒体(ti)深(shen)度合(he)作,打造保(bao)(bao)健(jian)食(shi)(shi)(shi)(shi)品(pin)(pin)(pin)“云科(ke)普(pu)(pu)”平台(tai),联合(he)羊城晚报(bao)举办3场(chang)(chang)权威专家专访(fang)直播(bo),通(tong)过(guo)传(chuan)(chuan)(chuan)(chuan)统媒体(ti)和新(xin)媒体(ti)集群广(guang)(guang)泛(fan)传(chuan)(chuan)(chuan)(chuan)播(bo),曝光量累(lei)计(ji)超过(guo)1千万(wan);开展2期常(chang)识(shi)(shi)(shi)答题(ti)抽奖(jiang)活动(dong)(dong),超过(guo)15万(wan)人(ren)(ren)次(ci)参与(yu);制作一(yi)系列(lie)保(bao)(bao)健(jian)食(shi)(shi)(shi)(shi)品(pin)(pin)(pin)科(ke)普(pu)(pu)小剧场(chang)(chang)视频,通(tong)过(guo)省(sheng)市场(chang)(chang)监管局微信(xin)公(gong)众号、健(jian)康(kang)时报(bao)的(de)斗音号等新(xin)媒体(ti)平台(tai)传(chuan)(chuan)(chuan)(chuan)播(bo)。通(tong)过(guo)广(guang)(guang)泛(fan)的(de)科(ke)普(pu)(pu)宣(xuan)传(chuan)(chuan)(chuan)(chuan),公(gong)众对(dui)(dui)保(bao)(bao)健(jian)食(shi)(shi)(shi)(shi)品(pin)(pin)(pin)相关知(zhi)识(shi)(shi)(shi)的(de)知(zhi)晓(xiao)(xiao)率明显提(ti)高;省(sheng)市场(chang)(chang)监督(du)管理(li)局2020年(nian)(nian)委托(tuo)第三(san)方开展的(de)市场(chang)(chang)调查数(shu)据(ju)表(biao)明,消(xiao)费者对(dui)(dui)“蓝帽子”标志(zhi)等基本常(chang)识(shi)(shi)(shi)的(de)知(zhi)晓(xiao)(xiao)率达79%;参与(yu)答题(ti)抽奖(jiang)活动(dong)(dong)答题(ti)正确(que)率达80%的(de)人(ren)(ren)数(shu),占总人(ren)(ren)数(shu)的(de)94%。

  五(wu)、下一步工作计划

  下一步(bu),我(wo)局(ju)和(he)(he)省市场监(jian)(jian)督(du)管理局(ju)将认(ren)真吸纳政(zheng)(zheng)协委(wei)员的(de)(de)(de)意(yi)见(jian)和(he)(he)建议,按照省委(wei)、省政(zheng)(zheng)府的(de)(de)(de)部署,落实大(da)湾区建设相(xiang)关(guan)要求,积极推进大(da)湾区中(zhong)医(yi)(yi)(yi)药(yao)养生(sheng)(sheng)保(bao)(bao)(bao)健(jian)(jian)(jian)(jian)(jian)行(xing)业(ye)有(you)序(xu)发(fa)展(zhan)。一是(shi)(shi)继续发(fa)挥(hui)中(zhong)医(yi)(yi)(yi)药(yao)在慢(man)性病防(fang)治(zhi)中(zhong)的(de)(de)(de)优(you)势和(he)(he)作用(yong)(yong),健(jian)(jian)(jian)(jian)(jian)全(quan)中(zhong)医(yi)(yi)(yi)药(yao)服(fu)务(wu)体(ti)(ti)系,增(zeng)加中(zhong)医(yi)(yi)(yi)药(yao)服(fu)务(wu)供给,宣(xuan)传(chuan)(chuan)中(zhong)医(yi)(yi)(yi)药(yao)养生(sheng)(sheng)保(bao)(bao)(bao)健(jian)(jian)(jian)(jian)(jian)知识(shi)(shi),加强中(zhong)医(yi)(yi)(yi)适宜(yi)技术推广(guang);二(er)是(shi)(shi)鼓励中(zhong)医(yi)(yi)(yi)医(yi)(yi)(yi)疗(liao)机(ji)(ji)构(gou)(gou)探索(suo)健(jian)(jian)(jian)(jian)(jian)全(quan)产、学(xue)、研合(he)作机(ji)(ji)制,挖掘、继承、集成、创(chuang)新、丰富和(he)(he)发(fa)展(zhan)中(zhong)医(yi)(yi)(yi)养生(sheng)(sheng)保(bao)(bao)(bao)健(jian)(jian)(jian)(jian)(jian)服(fu)务(wu)技术方法及产品(pin)(pin)(pin)(pin),推进技术成果的(de)(de)(de)转(zhuan)化(hua)和(he)(he)利(li)用(yong)(yong);三(san)是(shi)(shi)鼓励中(zhong)医(yi)(yi)(yi)医(yi)(yi)(yi)疗(liao)机(ji)(ji)构(gou)(gou)与社会健(jian)(jian)(jian)(jian)(jian)康医(yi)(yi)(yi)疗(liao)服(fu)务(wu)机(ji)(ji)构(gou)(gou)协作,激(ji)发(fa)大(da)湾区中(zhong)医(yi)(yi)(yi)养生(sheng)(sheng)保(bao)(bao)(bao)健(jian)(jian)(jian)(jian)(jian)服(fu)务(wu)行(xing)业(ye)市场活(huo)力(li);四是(shi)(shi)联合(he)有(you)关(guan)部门(men)合(he)力(li)探索(suo)构(gou)(gou)建中(zhong)医(yi)(yi)(yi)养生(sheng)(sheng)保(bao)(bao)(bao)健(jian)(jian)(jian)(jian)(jian)服(fu)务(wu)的(de)(de)(de)综合(he)监(jian)(jian)管体(ti)(ti)系,引(yin)导中(zhong)医(yi)(yi)(yi)养生(sheng)(sheng)保(bao)(bao)(bao)健(jian)(jian)(jian)(jian)(jian)服(fu)务(wu)企业(ye)诚实守信、公(gong)平竞争,力(li)争形成行(xing)政(zheng)(zheng)监(jian)(jian)管、行(xing)业(ye)自律、社会监(jian)(jian)督(du)、公(gong)众(zhong)参与的(de)(de)(de)综合(he)监(jian)(jian)管格局(ju),促(cu)(cu)进中(zhong)医(yi)(yi)(yi)养生(sheng)(sheng)保(bao)(bao)(bao)健(jian)(jian)(jian)(jian)(jian)服(fu)务(wu)规范发(fa)展(zhan);五是(shi)(shi)继续严厉打击保(bao)(bao)(bao)健(jian)(jian)(jian)(jian)(jian)食(shi)品(pin)(pin)(pin)(pin)市场存在的(de)(de)(de)违(wei)法宣(xuan)传(chuan)(chuan)营(ying)销、欺(qi)诈误导消(xiao)费等违(wei)法犯罪(zui)行(xing)为,督(du)促(cu)(cu)生(sheng)(sheng)产经营(ying)者自觉守法,规范保(bao)(bao)(bao)健(jian)(jian)(jian)(jian)(jian)食(shi)品(pin)(pin)(pin)(pin)功能声称、警示用(yong)(yong)语标(biao)签标(biao)识(shi)(shi)和(he)(he)消(xiao)费提示;六(liu)是(shi)(shi)继续加大(da)保(bao)(bao)(bao)健(jian)(jian)(jian)(jian)(jian)食(shi)品(pin)(pin)(pin)(pin)科(ke)普宣(xuan)传(chuan)(chuan)力(li)度,大(da)力(li)开展(zhan)形式多样的(de)(de)(de)保(bao)(bao)(bao)健(jian)(jian)(jian)(jian)(jian)食(shi)品(pin)(pin)(pin)(pin)科(ke)普宣(xuan)传(chuan)(chuan)活(huo)动,对(dui)中(zhong)老(lao)年(nian)重点人(ren)群进行(xing)保(bao)(bao)(bao)健(jian)(jian)(jian)(jian)(jian)食(shi)品(pin)(pin)(pin)(pin)安全(quan)知识(shi)(shi)宣(xuan)传(chuan)(chuan),引(yin)导公(gong)众(zhong)树立(li)科(ke)学(xue)的(de)(de)(de)健(jian)(jian)(jian)(jian)(jian)康理念,同时引(yin)导消(xiao)费者正(zheng)确地认(ren)识(shi)(shi)保(bao)(bao)(bao)健(jian)(jian)(jian)(jian)(jian)食(shi)品(pin)(pin)(pin)(pin)对(dui)促(cu)(cu)进人(ren)体(ti)(ti)健(jian)(jian)(jian)(jian)(jian)康的(de)(de)(de)积极作用(yong)(yong),减少公(gong)众(zhong)对(dui)合(he)法保(bao)(bao)(bao)健(jian)(jian)(jian)(jian)(jian)食(shi)品(pin)(pin)(pin)(pin)的(de)(de)(de)误解,增(zeng)强公(gong)众(zhong)对(dui)保(bao)(bao)(bao)健(jian)(jian)(jian)(jian)(jian)食(shi)品(pin)(pin)(pin)(pin)的(de)(de)(de)消(xiao)费信心,推动我(wo)省保(bao)(bao)(bao)健(jian)(jian)(jian)(jian)(jian)食(shi)品(pin)(pin)(pin)(pin)产业(ye)健(jian)(jian)(jian)(jian)(jian)康有(you)序(xu)发(fa)展(zhan)。

  诚挚感谢你们对(dui)(dui)我(wo)省大湾(wan)区(qu)养(yang)生保(bao)健行业工作的(de)关(guan)心和支持(chi),欢迎您继续对(dui)(dui)我(wo)们的(de)工作提出宝贵意见和建议。

  专此答(da)复(fu)。

  9游会(hui)app

  2021年7月28日

  (联系人(ren):龙康君,电话:020-83848467)


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