Xinhuanet, Beijing, April 14 (Zhang Yue) Improving the health literacy of the whole people is an important support for building a healthy society and a key path to realizing the healthy China strategy. How to improve the health literacy of the whole people has become a common concern for all sectors of society.

On April 10, the "2025 National Health Literacy Promotion Action Launch Meeting" hosted by Xinhuanet and co-organized by the Drug Development and Development Working Committee (RDPAC) of the China Foreign Investment Enterprise Association and supported by the China Community Health Association was held in Beijing. Medical workers and corporate leaders from different fields of treatment of diseases jointly explore ways and paths to improve public health literacy from diverse perspectives such as disease prevention and control, health intervention, and popular science education.

Cracking cognitive misunderstandings focuses on prevention, early diagnosis and early treatment

Pain is a topic that is often discussed and discussed. Fan Bifa, chief physician of the Pain Department of China-Japan Friendship Hospital, said that pain is the fifth largest vital sign of the human body, and chronic pain itself is a disease. However, some public misunderstandings about pain, some people mistakenly think that "just bear it", and the elderly often ignore pain problems. The pain awareness, medical treatment and cure rate are low, and some patients are less satisfied with pain treatment. Establishing correct pain awareness is the key to improving the health of the whole people.

Fan Bifa, chief physician of the Pain Department of China-Japan Friendship Hospital

Fan Bifa pointed out that in the face of complex group problems, on the one hand, it is necessary to strengthen the construction of professional diagnosis and treatment systems, cultivate professional talents, and use professional technology and drug treatment; on the other hand, 80% of the pain diagnosis and treatment needs are at the grassroots level, and we must focus on improving the grassroots diagnosis and treatment capabilities, such as promoting the construction of grassroots pain medical centers.

Song Haiqing, chief physician of the Department of Neurology at Xuanwu Hospital of Capital Medical University, said that stroke is an acute cerebrovascular disease and the treatment faces great challenges, and the focus is on prevention. The sudden onset of stroke and the high disability rate are closely related to the management of chronic diseases such as hypertension and diabetes. The prime time for treatment is 4.5 hours, and early identification and early treatment must be achieved to reduce the risk of disability.

Song Haiqing, chief physician of the Department of Neurology at Xuanwu Hospital, Capital Medical University

From screening for high-risk groups to the "Million-Million Disability Reduction Project" and other measures to improve the ability to treat stroke in acute phases, community education is crucial. Song Haiqing introduced that in addition to the international classic "FAST" formula, my country promotes better identification of "stroke 120": "1" is to see if a face is symmetrical, "2" is to check whether the two arms are balanced, "0" is to listen to whether the language is clear, and homophonic to the first aid phone number 120. At present, more than 50% of patients in some cities can be sent to the hospital within 10 minutes, and the stroke recognition rate has been significantly improved. In the future, community education can be strengthened and treatment efficiency can be further improved.

Meng Hua, director of the Weight Loss Diabetes Health Management Center of China-Japan Friendship Hospital, shared that obesity is the source of all diseases. Compared with those with normal weight, the risk of cardiovascular disease in obese people increased by 32%, and the risk of tumor increased by 42%. The average life expectancy of obese people was shortened by 8 years and the healthy life expectancy was reduced by 19 years.

Meng Hua, Director of the Weight Loss Diabetes Health Management Center of China-Japan Friendship Hospital

Meng Hua said that obesity prevention and treatment focuses on "treating diseases before treatment" and establishing correct obesity cognition. The main causes of obesity among Chinese residents are excessive oil intake and insufficient exercise. Therefore, he suggested that in order to establish scientific diet and exercise habits, in addition to insisting on "controlling your mouth and spreading your legs", high-quality protein and dietary fiber need to be added to control high-oil and high-fat, sugar and oil mixtures and high-salt foods. Through lifestyle intervention, healthy weight loss can be achieved while ensuring basal metabolism and avoid development to the point where medical intervention is needed.

Guo Huailian, chief physician of the Department of Neurology at Peking University People's Hospital, pointed out that migraine is an attacking headache, which is usually manifested as unilateral or bilateral moderate-to-severe pulsating headache, often accompanied by symptoms such as nausea, vomiting, photophobia, and sound timidity. Migraine is the second world's neurological disability disease and is one of the main problems in public health. The disability caused by the onset seriously affects patients' work and life and may increase the risk of cerebrovascular disease.

Guo Huailian, chief physician of the Department of Neurology at Peking University People's Hospital

Guo Huailian said that the diagnosis and treatment of migraine faces three major challenges, including the insufficient number of professional doctors in headaches, especially the shortage of doctors who focus on treating headaches in grassroots hospitals, low public awareness leads to delays in medical treatment, and limited innovative specific drugs for migraine treatment, which requires efforts from the aspects of specialist construction, public education and accelerating the popularization of innovative drugs.

Guo Yanfei, chief physician of the Department of Respiratory and Critical Care Medicine at Beijing Hospital, said that COPD is the third largest chronic disease in my country, but the public awareness and attention are far less than diabetes and hypertension. Data shows that the prevalence rate of people over 40 in my country reaches 13.7%, which is equivalent to 1 patient in every 7 people. One out of every 3 deaths of acute aggravated COPD in the world comes from China, and the burden of illness is heavy. COPD is common, preventable and treatable. The main risk factors include smoking and second-hand smoke, occupational dust exposure, air pollution (PM2.5), family genetic history and childhood respiratory infection history.

Guo Yanfei, chief physician of the Department of Respiratory and Critical Care Medicine of Beijing Hospital

Guo Yanfei introduced that the characteristic of COPD is persistent airflow limitation. Due to the concealment of early symptoms, it is recommended that high-risk people undergo regular lung function examinations to achieve early diagnosis and treatment. As a chronic disease, the principle of treatment for COPD is to standardize treatment for a long time. The best and most effective way to treat airway diseases is to use inhaled preparations that can act directly on the target organ. Among them, the patient's inspiratory flow rate, hand oral coordination degree and output particle size are very important. The higher the deposition rate in the lungs, the better the efficacy. In the future, it is necessary to improve the prevention and treatment of COPD through measures such as strengthening public education, screening for high-risk populations and standardized treatment.

Give full play to the advantages of grassroots level to pay attention to long-term health management

Xing Jun, member of the RDPAC Executive Committee and executive chairman of the Board of Directors of Mengti China, observed that some publics have misunderstandings about enduring pain, and take pride in enduring pain, believing that pain is not the root cause, but ignores that pain itself is also a disease that needs treatment. Data shows that the public awareness of pain in my country is only 14.3%, the medical visit rate is less than 60%, and the complete remission rate is less than 20%. This reflects that not only patients, but also lack of awareness of pain at the doctor level, especially in primary medical institutions.

Xing Jun, member of the RDPAC Executive Committee and Executive Chairman of the Board of Directors of Mengti China

Xing Jun suggested that to solve this problem in the entire ecosystem, we need to make efforts from multiple parties. First, with the influence of well-known doctors and media, we will enhance the public's awareness of pain management; second, strengthen the medical insurance coverage of chronic pain and enhance patients' willingness to seek medical treatment; finally, enterprises will make efforts to continuously introduce innovative pain management drugs into the Chinese market to serve patients. Xing Jun also introduced that Mengdi China is also doing its part to promote the improvement of awareness of pain management, such as assisting experts in strengthening grassroots doctor education; establishing a nurse education team to assist nurses in doing a good job in patient education.

Deng Haoqing, president and general manager of Casey China, said that there are nearly 100 million patients with COPD in China, but the awareness rate is only about 10%, and the lung function detection rate is less than 12%, so the mortality rate cannot be ignored. As lung function testing becomes one of the basic public health services, the public's awareness of COPD and other chronic respiratory diseases will further increase, which will help early screening, early diagnosis and early management. Casey has launched three respiratory disease products in China, and will continue to deepen its efforts in the field of respiratory disease and related serious diseases, accelerate the simultaneous development and launch of innovative products in China, and expand product accessibility.

Kaisey China President and General Manager Deng Haoqing

Deng Haoqing introduced that in the future, Casey China will work together to build a respiratory disease prevention and control ecosystem, improve the prevention and control level through the linkage between government, enterprises, medical and social institutions, and benefit the majority of patients with COPD and asthma. It not only includes building a platform, strengthening academic exchanges in respiratory diseases, and narrowing the differences in diagnosis and treatment levels between different regions; it also includes improving the public's awareness of respiratory diseases, especially the elderly, and promoting early screening, early diagnosis and early treatment. Casey China will also cooperate with the Shanghai Soong Ching Ling Foundation to conduct popular science on respiratory health for the elderly in nursing homes across the country, and enhance their ability to recognize, prevent and manage chronic diseases.

Yang Jin, deputy director of the Department of Endocrinology and Party Branch Secretary of Peking University Third Hospital

Yang Jin, deputy director of the Department of Endocrinology and Party Branch Secretary of Peking University Third Hospital, said that close-knit medical communities play an important role in chronic disease management. For example, diabetic patients are allowed to move in an orderly manner between medical institutions at different levels according to their condition - high-risk groups are screened and prevented in community, and those with initial diagnosis or poor control are referred to the superior hospital, and patients in the stable period will return to community management. Through the upper and lower linkage mechanism, a collaborative network of general and specialist doctors between community, secondary and tertiary hospitals is established, which not only optimizes the patient referral process, but also improves the chronic disease diagnosis and treatment capabilities of primary medical institutions through joint diagnosis and treatment. With the help of data sharing and artificial intelligence technology, real-time and refined management of patients is achieved.

Yan Huixian, director and chief physician of the Department of Endocrinology of Haidian Hospital in Beijing

Yan Huixian, director and chief physician of the Endocrinology Department of Haidian Hospital in Beijing, introduced that Haidian Hospital has gradually explored a close cooperation mechanism. A special model has been formed in diabetes management. While promoting the sinking of high-quality resources of Haidian Hospital, it also brings technical and management talents to the community. Specifically, specialists accurately connect with specialized diseases, assist grassroots hospitals in setting up diabetes specialty clinics, and cultivate professional diabetes specialty teams for grassroots levels through advanced training, joint diagnosis and treatment. This model achieves the full and standardized management of diabetes, including early screening, complication prevention, and long-term blood sugar management. For patients, it is more efficient to obtain professional management at the doorstep of their homes; it is more convenient to communicate and referral when there is a change in the condition. While achieving accurate management, it saves patients' time and reduces the burden on patients.

Wang Hong, Party Branch Secretary and Director of Chaoyangmen Community Health Service Center, Dongcheng District

Wang Hong, secretary of the Party branch and director of Chaoyangmen Community Health Service Center in Dongcheng District, said that since 2021, Beijing has proposed the construction of specialized diseases departments, including diabetes, hypertension, chronic obstructive pulmonary disease, fatty liver, weight management, etc. in specialized departments for chronic diseases, and is bound and connected with superior hospitals to ensure that management is the same frequency. In 2014, Dongcheng District innovatively carried out the "three highs co-management" to carry out patient compliance management and long-term maintenance, including multi-dimensional health management such as pain, weight, cognition, mental, and psychology. In addition, through the construction of the Family Doctor Health Management Center, a healthy portrait is established for residents and truly build a solid medical "network bottom".

[Editor in charge: Sun Hui]