Professor Wang Yanzhong, director of the Labor and Social Security Center of China Academy of Social Sciences, and Dr. Shan Dasheng from the Department of Sociology of China Academy of Social Sciences pointed out that medical security and medical service are inseparable whole, and they are interdependent, and together with the drug production and circulation, public health and other systems, * * * is responsible for safeguarding the health of the people. However, in health service management (mainly for public hospitals) and medical security management (mainly for medical insurance agencies), there are outstanding problems such as separation of government affairs and management, insufficient communication and cooperation between departments, and it is difficult for the supervision system to operate effectively. Under the decentralized management system of health and medical security, both medical insurance and medical service provision are one-sided due to different division of labor. Medical insurance management departments mainly pay attention to fund balance and medical expenses control, and lack the motivation to be responsible for national health. This pursuit of fund balance has greatly changed the social security attribute of medical insurance and deviated from the correct direction of medical insurance development. The health administrative department is used to equating the development of health undertakings with the economic benefits of hospitals, which violates the fundamental purpose of health undertakings to maintain and improve people's health.

these sharp contradictions and conflicts. How to crack it is still a difficult problem.

from the international situation, in recent years, major developed countries have paid more and more attention to the promotion of health by medical insurance system, and gradually developed medical insurance into health protection, and the goal has gradually shifted from controlling medical expenses to improving residents' health. Accordingly, this requires the formation of a large-scale system to protect the health of the whole people, and the overall management of health, medical security and related health affairs.

from the perspective of management, the decentralized management system objectively led to the division of departmental interests, resulting in a situation of multiple policies and mutual constraints, which led to the delay in the introduction of the new medical reform plan and caused efficiency losses. The policies issued by the relevant departments put the power and interests of their own departments in the first place, which often deviate from the goal of medical security. At the same time, due to the objective existence of departmental power interests and cross-correlation of business management, it is easy to lead to the consequences of taking power and shirking responsibility in the name of respective responsibilities, and to some extent, it will also lead to rent-seeking and even corruption of business departments and their subordinate units.

We believe that China should learn from the experience of developed countries, put national health protection at a strategic level, and establish a permanent leadership and decision-making body at the national and regional levels, so as to systematically plan and design the reform of various health services and health security systems. When the time is ripe, we can consider centralizing the functions of health services and medical insurance that are currently managed separately, and forming a health department (or health Committee) that is responsible for the unified management of health services and medical insurance.

In fact, this is to digest the differences and conflicts between relevant departments such as health and medical insurance into a large department that is fully responsible for people's health, and it is a large-scale system in the field of health. Each business department still maintains relative independence, taking responsibility under unified decision-making, reducing coordination costs and improving decision-making efficiency. After a department manages medical security and health services as a whole, it will naturally become the person in charge of national health, thus establishing an effective accountability mechanism. This is conducive to the overall planning of medical service supply and demand management, balancing the relationship between the supply and demand sides, and at the same time using its own professional advantages, effectively guiding the behavior of the supply and demand sides to develop in a reasonable direction. With the technical support of a single department, medical security institutions can intervene in the health service system according to the principle of low cost and high efficiency, and at the same time guide the medical service system to take the appropriate technical route, coordinate all forces to focus on the coordinated development strategy of health and economy and society, track the national health status, and study major health problems, priority areas, intervention priorities and expected results. Within a department, it can also break the limitation of the division of labor between medical security and health services, and the two systems work closely together to control all the risk points of medical security fund payment and medical service operation from the system and policy, effectively restraining the unreasonable behavior of medical institutions. More importantly, under the unified management of a department, the contradiction between the impulse of medical institutions to generate income and the constraint of medical insurance funds on medical institutions is digested internally, so that an effective balance can be achieved between meeting the demand for medical services and controlling medical expenses.

It should be pointed out that the overall planning of health services and medical security management by a large department has institutional advantages, but the reform is a long-term process that needs careful design and gradual progress. We should not only focus on solving the current outstanding problems, but also create favorable conditions for the transition to the target mode. Because it is difficult to put all the functions related to health and medical insurance into one department at present, we can consider establishing a leadership coordination mechanism composed of health, social security, finance, development and reform commission, taxation and other relevant departments first. This is a feasible scheme in the near future. At present, the reform of the national medical and health system is advancing in depth, and a leading group for medical reform composed of multiple departments has been set up at the national and provincial levels. Although the group is only a phased working mechanism, the leading group for medical reform should have certain stability because of the long-term and arduous reform of the medical and health system. In the future, at an appropriate time, the national and provincial medical reform leading group mechanism should be regularized, and its functions should be transformed into being responsible for coordinating all kinds of health-related affairs in the administrative region, forming a large department or Committee that is in charge of the health and well-being of the people. This is the long-term goal of integrating medical insurance and medical and health services. In fact, the Committee's functions can be expanded outward, including financial financing, organization and provision of public health services, supervision of medical service market, supervision of drugs and medical devices-consumables market, supervision of medical service financing (three insurances and one assistance) and payment system (including medical prices), and management of state-owned medical and health assets. Late at night on August 1th, Beijing time, the Director-General of the World Health Organization, Chen Fengfuzhen, announced that the world has entered the "late stage of influenza pandemic", which means that "normal monitoring shows that the level of influenza activity in most countries has returned to the level of seasonal influenza".

It's been one year and April since the outbreak of influenza A (H1N1) in Mexico last April. The World Health Organization lifted the phase 6 alert, which also means that human beings have adapted to the existence of influenza A virus.

"The virus didn't mutate into a more deadly form during the pandemic. There was no widespread resistance to oseltamivir. " Chen Fengfuzhen said that this time, we are purely lucky.

But after many struggles with the virus, China has also made great progress in public health. "The prevention and control of influenza A is relatively open from the Ministry of Health and the national level, which is in stark contrast to the prevention and control of SARS." Guan Yi, a professor of microbiology at the University of Hong Kong, said.

Huang Jianshi, dean of the School of Public Health of Peking Union Medical College, recognized the prevention and control of influenza A. He said that the prevention and control of influenza A adopted the means of "blocking outside and preventing inside". The external blocking is to set up quarantine offices at airports, which greatly reduced the risk of virus transmission. Internal defense is to create an environment in China, change the behavior of the public, and reduce the chance of infection of H1N1.

Huang believes that this model of great health is not only applied to the prevention and control of swine flu, but also needs to be extended to all aspects of China's medical system.

He reminded that there are currently 26 million patients with chronic diseases in China, and the number is increasing at a rate of 1 million per year. If it is only to provide an environment where diseases can be treated, it will be too late for the medical system to see a doctor. What the government should provide is a medical system that "maintains and promotes people's health".

"Any influenza has certain risks, which means that normal measures can't be ignored. The public needs to cultivate healthy habits, vaccinate against influenza and improve their health literacy, and can't just take viruses and bacteria as the targets of prevention and control." Huang Jianshi said.

Upon receiving the notification from WHO, the Ministry of Health of China indicated that it would work with relevant departments to further adjust the current prevention and control measures of influenza A and further revise and improve relevant emergency plans according to the recommendations of WHO. Zhang Boli, deputy to the National People's Congress, academician of China Academy of Engineering and president of Tianjin University of Traditional Chinese Medicine, visited Xinhuanet to talk about the development of big health industry. In the interview, Zhang Boli said, we should formulate a national strategy for healthy development.

Zhang Boli said that we should formulate a strategy for the country's great and healthy development. In the grand strategy, health education and health management of the whole nation should be strengthened. At the same time, some health concepts should be included in students' textbooks and widely publicized in various media to let everyone know that they can be healthy as long as they change their lifestyles. At the same time, in the relevant medical and health system, in the deployment of some pharmaceutical industries, and even in the active cultivation of some health industries, efforts have been made to make plans. At the same time, we should also cooperate in the medical insurance system. In this case, if the whole nation has a healthy concept of life, it will also greatly enhance the civilization of the whole nation and be of great merit to our country. At the same time, it can also cultivate a large and healthy new industry, which relies on high technology to promote the development of related industries. As can be seen from the recent survey results, Chinese medicine health care products and Chinese medicine health food are also developing rapidly, and at the same time, Chinese medicine is basically added in cosmetology, and the attention to Chinese medicine is getting higher and higher. Including pesticides of traditional Chinese medicine and veterinary drugs of traditional Chinese medicine, it is very important to cultivate this big health industry. Yan Xijun, deputy to the National People's Congress and chairman of Tianjin Tasly Group, pointed out that modern fast-paced life and unhealthy eating habits are becoming a major hidden danger to people's health. Great health education should be popularized to improve the quality of the people. He hopes that in the future, the state will help people improve their health through legislation and other means.

Yan xijun thinks: "When conditions are ripe, our country should legislate the China National Health Law. As long as there is a law, people will take care of unhealthy factors, such as excessive cooking with oil in restaurants, and there will be regulations on what can be eaten in the National Health Law in the future. Our health management should be planned as early as possible and become a part of government functions, and then the whole society will pay attention to it. The strength of our enterprise is limited. If someone calls for this problem, then we have many people to call for it together, which will attract the attention of the country. Because we are now "running" with the disease, it is right to intercept the disease, but what should we do in the face of the problem that the whole world can't do well and the future of our population of more than 1.3 billion? We just need to start with management as soon as possible and release the things gathered in the health sector to all aspects of society. This is to popularize a kind of "great health" education, one is to learn from textbooks, and the other is to pay attention to all systems. For example, the bosses of companies, factories and companies only care about their employees' work. When employees are sick and can't move, they will ask questions. If it is serious, they will be subsidized, but subsidies will not solve the problem. Therefore, it is necessary to release the gathered problems to all aspects of society and attract the attention of all aspects of society, so I think it is necessary to popularize big health education. " Since 29, Qian 'an City has launched the "Healthy Tangshan, Happy People" campaign. After Qian 'an was identified as the city's pilot unit, Qian 'an Municipal Party Committee and Municipal Government attached great importance to this campaign, taking it as an important measure to improve people's happiness index and speed up the construction of a scientific development demonstration city, firmly establishing the concept of "great health" and building a "great health" pattern, so that the masses can get tangible benefits.

Qian' an has continuously improved its health service system and invested 65 million yuan to build a new Qian' an People's Hospital. Strengthen the standardization construction of township hospitals and become the first batch of standardized and standardized township hospitals demonstration counties (cities) in Hebei Province. 4 rural clinics were built and renovated, and the rural three-level health service network was further improved. Based on the principle of effective and rational utilization of medical and health resources and tending to high-risk groups, the "three ones" management model of "one physical examination, one file, one plan" for residents over 45 years old was explored, and the chronic diseases such as hypertension, hyperlipidemia, obesity, diabetes, cardiovascular and cerebrovascular diseases detected in physical examination were standardized and intervened free of charge, which benefited the broad masses. In-depth health education activities have been carried out, such as entering the family, the campus, the hospital, the community, the countryside, enterprises and institutions, and the people's awareness of health care and attention has been significantly enhanced. Improve the city's farmers' physical fitness project, with a coverage rate of 1%. Strengthen the special rectification of food safety, adhere to the sampling and testing of 32 agricultural products every day all the year round, and the qualified rate of market sampling and testing has remained above 99%. Intensified environmental protection, carried out in-depth actions such as sintering desulfurization in iron and steel enterprises, and significantly improved the environmental appearance of Qian' an city.

The continuous and in-depth action of "Healthy Relocation, Happy People" has greatly changed the medical service mode, people's lifestyle, people's concept of seeking medical treatment and people's living environment in Qian 'an, and the pattern of "great health" has initially taken shape. In today's medical field, the traditional biomedical model with a single cause and a single disease is gradually inadequate, and it has changed to a "biological-social-psychological-environmental" health model with multiple causes and diseases. A person's health is not determined by doctors and drugs alone, but also needs self-management, and it is impossible to get medical treatment only by diseases. Great health model came into being. It does not study the cause, but the risk factors that affect health. Its core is personal health management, which scientifically eliminates or reduces health risk factors and achieves the purpose of protecting and promoting health.

Lin Ling, member of Fujian Provincial Political Consultative Conference and president of the Second Affiliated Hospital of Fujian Medical College, said in an interview that "building a harmonious society needs the promotion of the government and medical institutions to help people establish the concept of great health." Lin Ling said that government agencies should increase publicity and guidance; Medical institutions should take creating the atmosphere of correct health concept as their own goal, and promote the transformation of medicine from simple biomedicine to social, psychological and medical pluralism; Individual citizens should change their ideas and promote their own behavior revolution.

At the 21 Beijing Medical Conference, President Jin Dapeng pointed out in the conference report that medical reform has become a "worldwide problem", and the medical and health systems of all countries are facing challenges and are carrying out corresponding exploration and reform, with the aim of achieving a better combination of fairness and efficiency and sustainable development. Our health system workers should correctly handle the relationship between medical treatment and prevention, establish the concept of "great health", "great health" and "great medicine", and be practitioners and models of medical model transformation. With people's gradual concern for health, many people have realized that disease prevention is an effective means to promote health, and disease prevention depends on society to a great extent. At present, a major change in the development of preventive medicine is the development of preventive medicine to the society. Facts have long proved that only through extensive health education, fair and reasonable social medical security system and multi-sector cooperation can many diseases be reduced, early detection, early treatment and everyone's health be guaranteed. President Jin Dapeng said that today's China and today's Beijing have also entered the era of lifestyle. Chronic non-communicable diseases such as hypertension and diabetes have become major diseases that threaten the health of China people, especially Beijing residents, and become a burden for families and society. If we can't really control the risk factors in the unhealthy lifestyle that affect national health; If the medical model can not consciously change from biomedical model to bio-psychological-social medical model; If the development of our medical and health undertakings cannot establish the concept of "great health", "great health" and "great medicine"; If we don't know, learn from, learn from and study the problems in the development of health in developed countries, then it will definitely affect people's health.