A few days ago, at the opening of the two sessions of the National People's Political Consultative Conference, Academician Wang Chen, member of the Standing Committee of the National Committee of the Chinese People's Political Consultative Conference, president of the Chinese Academy of Medical Sciences, and president of Peking Union Medical College, was interviewed by a reporter from the "People's Political Consultative Conference Daily." The full text is hereby forwarded.
Wang Chen: Member of the Standing Committee of the National Committee of the Chinese People's Political Consultative Conference, President of the Chinese Academy of Medical Sciences, President of Peking Union Medical College
Clinically, penicillin can be used to treat diseases, but can only medical means ensure that penicillin is used in patients? No.
In fact, from the doctor's prescription of penicillin to the patient's injection of penicillin, there is a "long and complicated" process in the middle - it requires the doctor to prescribe penicillin, the enterprise needs to be responsible for production, the regulatory authorities need to ensure the quality, the hospital needs to purchase the quality of penicillin, the need to determine whether the cost is paid by medical insurance or the patient pays for it, and the well-trained nurse injection is required to be used in the patient. This "long and complex" process involves medicine and hygiene behaviors that follow medical principles, and ultimately the health of the patient can be achieved.
"This process of achieving health is actually a systematic and comprehensive social action, and we cannot artificially separate all parts and links, but should be comprehensive, considered and arranged." Starting from an easy-to-understand case, Wang Chen peeled back the cocoon and told the reporter layer by layer about the "great medicine", "great health" and "great health" that he was concerned about.
How important is the cause of medicine and health?
The development of medical and health undertakings is related to national security and social stability, economic development, social civilization, and the ultimate well-being of the people.
The ultimate well-being of the people is health and life. Such ultimate benefits need to be guaranteed by a strong medical and health cause.
Reporter: Combing through the keynote reports you have made at academic conferences in the past year, we have found that the concepts of "great medicine", "great health" and "great health" have been repeatedly mentioned. In particular, your 2022 New Year's message to colleagues in the respiratory industry, the title is to emphasize being a practitioner of "great medicine", "great health" and "great health". Why is this concept repeatedly emphasized?
Wang Chen: The concepts of "great medicine", "great health" and "great health" were put forward to lead and promote the scientific development of medical and health undertakings. Regarding the cause of medical hygiene and health, in recent years, the strategic layout and planning at the national level have been lofty enough, such as the concept of "life first", "science and technology should face people's life and health", "talent training should face life and health", and "building a community of human health and health". The outstanding problem now is that in the development process of the entire social undertaking, the medical and health undertakings are still regarded as "non-mainstream" undertakings. I think this is because all sectors of society have not yet clearly understood the significance of the development of medical and health undertakings. The importance of a career development can only be fully and deeply understood and considered in order to put into active action in the process of promoting its development.
Reporter: So, how important do you think medical hygiene is?
Wang Chen: I think that the significance is extremely significant from at least the following four aspects.
First, it is related to national security and social stability. The new crown pneumonia epidemic, which has been epidemic for more than two years and is still circulating in the world, is enough to make the world deeply realize how important medical and health undertakings are to national security and social stability, and that in order to truly achieve effective scientific anti-epidemic, it is obviously not possible for medical and health undertakings to be underdeveloped.
Second, it is related to the economic development of the country. In this regard, many people may question that they feel that the cause of medicine and health care and economic development seem to have little to do with economic development, and even the consumption of social resources, which is a manifestation of the lack of a deep understanding of the mode and content of modern social and economic development. In fact, the development of medical and health care is closely related to economic development, and even the most important factor affecting economic development. The 21st century is a century of respect for health, a century of medicine and life sciences, and in the industrial structure of this century, the health industry is recognized as the largest industry. The reason why the health industry can achieve rapid development in the 21st century lies in the people's pursuit of health, the progress of medical science and technology and the development of health and health.
Third, it is related to the progress of social civilization. General Secretary Xi Jinping once stressed that "people's health is the foundation of social civilization progress", in my opinion, the core meaning of social civilization is to pursue and achieve the overall health of all people.
Finally, it is about people's livelihood and well-being. The ultimate well-being of the people is health and life, and it is clear that such ultimate benefits need to be guaranteed by a strong medical and health cause.
The cause of medicine and health is closely related to all walks of life
Medical and health undertakings and agriculture, industry and other social undertakings are not contradictory, but also mutually integrated and complementary.
All human undertakings are for the benefit of human development, of which the cause of health for the ultimate interests of man is of paramount importance.
Reporter: You mentioned the well-being of the people above, but in the eyes of most people, agriculture, as the basic industry of the national economy, and as the industry dominated by the national economy, are also related to the well-being of the people and seem to have a greater impact, so why do you particularly emphasize the importance of developing medical and health undertakings?
Wang Chen: The cause of medicine and health care is not only a social undertaking built on the basis of agriculture and industry, but also a part of agriculture and industry, which not only does not contradict other social undertakings, but is also mutually integrated and complementary. All human undertakings are for the benefit of human development, of which the cause of health, which concerns the ultimate interests of man, is of paramount importance.
In fact, a considerable part of the health cause is embedded in agriculture and industry, and it is based on agriculture and industry, which are interdependent and mutually reinforcing. In particular, after the development of industry and agriculture to a certain extent, the people's food and clothing problems have been solved, health has become the main and higher level of demand for the pursuit of a better life. At this time, industry and agriculture become the foundation and component of the health cause in a greater proportion and to a stronger extent. If agriculture and industry are the foundation and leading role of the national economy, then health is the main purpose of the national economy, and the cause of health is not only integrated with industry and agriculture, but also directly or indirectly embedded in all social undertakings and industries, to reflect the purpose of the national economy - to achieve the well-being of the people, especially health and life, which is the ultimate interest and well-being of the people.
Health is "physical and mental" and also pays attention to interpersonal harmony "heaven and man unity"
Medicine, hygiene and health, the three are organically linked but have different properties.
Health is a good state of life for people.
Reporter: Above you expounded the importance of the development of medical health and health, so in the process of this career development, what is the relationship between medicine, health and health? What are the different emphases?
Wang Chen: Let's first clarify the concept of the three. In fact, the content of medicine, health and health, the content of these three aspects is organically linked but the attributes are different: the main attributes of medicine are knowledge, technology and scholarship; health is mainly the social transformation of medicine, for the action that mainly follows the principles of medicine; health is the result of the pursuit of medicine and hygiene, and it is a good state of people's livelihood.
What is medicine? Medicine is a set of knowledge, technology and academic systems formed to restore, maintain, and enhance the health of people, people, and human beings. We found that pathogens are the cause of infection, treating the disease through drugs, removing lesions through surgery, these are all medical methods. For example, caries is caused by oral bacteria producing acid and then corroding the teeth, and cleaning the mouth is an effective means to prevent caries, which is the content of medicine.
Can medical methods be used in humans at once? This also requires the creation of certain conditions. For example, the prevention and treatment of the above-mentioned caries also requires someone to produce toothbrushes and toothpaste, someone to formulate production standards for toothbrushes and toothpaste, someone to ensure the market supply of toothbrushes and toothpaste, and popularize scientific brushing methods, and so on. This process is hygiene. The so-called health is the action taken to restore, maintain and enhance human health according to the principles of medicine and related disciplines.
What is health? Health is a good state of life for people, and we believe that its meaning includes four aspects: physical health, mental health, interpersonal harmony and environmental friendliness.
In 1948, the World Health Organization pointed out that health is first of all physical disease, and on this basis, the pursuit of a better and stronger physical state; secondly, psychological health, which not only means that a person must not be mentally ill such as schizophrenia, anxiety, depression, etc., but also means that the person's psychological state should be peaceful and pleasant; third, on the basis of physical health and mental health, a healthy person should also have good interpersonal interaction and harmonious social relations. But in the more than 70 years since the World Health Organization proposed the definition of health, human productivity has undergone earth-shaking changes, and productivity has been able to greatly change nature, which in turn has reacted to human health, such as environmental pollution and climate change. Therefore, on the basis of the WHO definition of health, we believe that whether the environment is friendly or not has also become another major meaning of health. In summary, the meaning of health includes the individual's "physical and mental integrity", including harmony between people, but also includes people and the environment friendly, the so-called "unity of nature and man".
The three "big" concepts are the ideological methods for solving difficulties
The COVID-19 pandemic that has ravaged the world has made us keenly aware of the need to build a global community with a shared future for health and the extreme importance of unified global public health action.
Only by fully establishing the concepts of "great medicine," "great health," and "great health" can we make the cause of health develop greatly and the people well-being.
Reporter: Since the specific connotations of medicine, hygiene, and health have been clarified, why do you emphasize "great medicine," "great health," and "great health?"
Wang Chen: This is in response to the many problems that exist in the development process of medical and health care. Many problems in the development of health are due to the narrowness and cramping of the industry. Those who know it are greater to achieve great things. It should be noted that "great medicine", "great health" and "great health" are not only the renewal of concepts, but also the realistic way to solve many difficult problems in the development of medical health and health.
What is "big medicine"? I believe that big medicine should include five meanings: one is "broad", medicine is based on multidisciplinary integration, including natural science and technology, social sciences and methods, humanities and culture are integrated with medicine, "medicine is multi-learning, human science, and supreme learning"; the second is "comprehensive", medicine should take care of health in an all-round way from six aspects, including "health promotion, prevention, diagnosis, control, treatment, and rehabilitation", referred to as "promoting prevention, diagnosis, control and treatment"; third, "the whole process", medicine is not only care for this time. The fourth is to take care of the health of the whole life of the person; the fourth is the "long-term", not only to care for the present generation, but also to care for the future generations; the fifth is the "whole", not only to care for the health of the individual, but also to take care of the health of the group and even the human beings and the sentient beings and ecology closely related to people. Therefore, according to the different objects of care, medicine includes two categories: clinical medicine that focuses on the care of personal health without exhaustion and individualization, and group medicine that aims to enhance the interests of group and even human health.
Here to emphasize, we must pay full attention to group medicine: group medicine is a medical discipline that uses and integrates the knowledge, technology and scholarship of contemporary medicine and related disciplines, mobilizes the resources available in reality, coordinates individual health behaviors and group health actions from the aspects of health promotion and disease prevention, diagnosis, control, treatment, rehabilitation, etc., and as the medical basis of public health, promotes health fairness, and maximizes the overall and long-term health benefits of the population and even mankind. The active development of the discipline construction of group medicine by Union Medical College is a concrete practice to meet the needs of the strategic development of Healthy China and promote the transformation from "taking treatment as the center" to "taking the people's health as the center". The theoretical research, concept establishment, discipline construction, and practice of group medicine are likely to be a major opportunity for the Chinese medical community to lead the world.
What is "great hygiene"? Let's start with the problem: now, referring to public health is often considered to be closely related to preventive medicine, the disease control system, and even less to hospitals, and even farther away from medical schools and medical research institutions, let alone to all sectors of society. This is a misunderstanding of understanding and behavior that needs to be corrected urgently, which has seriously led to the separation of "medicine" and "prevention". The concept of true health and public health should be based on the meaning of "great health". We believe that public health is based on the principles of group medicine and related disciplines, and the medical community takes comprehensive social actions to restore, maintain and enhance the health of the population and human beings and the health of sentient beings and ecologies that are closely related to people, in coordination with multiple disciplines and all walks of life in society.
The main meaning of "great health": first, "comprehensive", that is, according to the principle of group medicine, "promote prevention, diagnosis, control and treatment" six-in-one action, not only prevention and control; second, "full staff", that is, the concept of health into all sectors of society (all walks of life, such as politics, economy, legal circles, etc.), all walks of life participate in the action of health care, coordinated development of health undertakings, the so-called "health into the ten thousand strategies, all kinds of strategies and all kinds of health"; the third is "global", that is, the vision and action of health must be from the local and national, International, global and even planetary health. Public health in the narrow sense only serves the population of one region and one country, while public health in the broad sense extends to the international and even global populations, as well as the ecological environment and planetary environment related to the health of the global population. The COVID-19 pandemic that has ravaged the world has made us keenly aware of the need to build a global community with a shared future for health and the extreme importance of unified global public health action.
The meaning of "great health" can be understood from three aspects: "comprehensive", "overall" and "long-term". The so-called "comprehensive" means that health is not only the physical health and mental health of people, but also the harmony and environmental friendliness of people; the so-called "whole" refers to not only the health of individuals, but also the health of groups, human beings and sentient beings related to human beings and ecological health; the so-called "long-term" refers to not only the health of the present (present and present), but also the health of the present (this life and the present) and the future generations (future generations).
Only by fully establishing the concepts of "great medicine", "great health" and "great health" can the medical and health undertakings find its important positioning in the overall social undertakings, can it obtain in-depth understanding and strong support from all parties, can it embody and practice the concept of the human health community, and can the health cause develop greatly and the people be well-being.
The construction of the public health system cannot be drawn as a prison
The construction of the public health system must not be a solid one, so that it is difficult to stand alone in the face of serious public health challenges.
The system and mechanism of public health are set up in accordance with the concepts of "great medicine", "great health" and "great health", which conforms to the law of medical development.
Reporter: Under the influence of the new crown pneumonia epidemic, the shortcomings of the construction of the mainland public health system have also been highlighted. At the "committee channel" of the two sessions of the National People's Congress in 2020, you also answered reporters' questions on the construction of the public health system. In your opinion, what is the most important need to improve the construction of the mainland public health system?
Wang Chen: The most important place for improvement is that in the setting of the system and mechanism, we should do the corresponding design in accordance with the concepts of "big medicine", "big health" and "big health", which is in line with the law of medical development. Peking Union Medical College advocates the concept of "group medicine" and establishes the School of Group Medicine and Public Health, which is based on the understanding and consideration of this law, and we hope that through the reform and exemplary role of medical education, we can promote the transformation of "clinicians" who only pay attention to individual diagnosis and treatment to "doctors" who pay attention to both individuals, people and human beings, and can "promote prevention, diagnosis, control and health" and "six-in-one health care".
It is important to emphasize once again that the public health system is not a unit, an aspect, nor a sectoral work, but an integrated social action. The construction of the public health system must not be a solid foundation, so that it is difficult to stand alone in the face of serious public health challenges, but it is necessary to mobilize all sectors of society, including the medical community, and attract the best talents from all walks of life to participate in the construction of the public health system.
"Promotion, prevention, diagnosis, control, treatment, and health" are inseparable
The six-in-one concept of "promoting prevention, diagnosis, control and treatment" is applicable to the entire medical and health undertakings.
Only by integrating the six aspects of "promoting prevention, diagnosis, control and health" can we truly promote the great development of medical and health undertakings.
Reporter: In the process of explaining the concepts of "great medicine" and "great health", we have noticed that you have also been emphasizing the six-in-one medical and health concept of "promoting prevention, diagnosis, control and health".
Wang Chen: In order to facilitate memory, we call "promoting prevention, diagnosis, control and treatment" the "six-character proverb" of health care. Specifically, the so-called "promotion" is health promotion, that is, improving the health quality of the population; the so-called "prevention" is prevention, that is, preventing the disease; the so-called "diagnosis" is the diagnosis, that is, knowing the disease, what disease, and how serious the disease is; the so-called "control" is control, that is, to prevent small lesions and major diseases, to prevent a person's disease from passing on to others and a group of people; the so-called "treatment" is to treat, that is, to correct the pathological or pathological physiological state of the patient; the so-called "kang" is rehabilitation, which means that acute diseases can speed up recovery. Chronic diseases can mobilize the body's capacity and compensation in the long-term presence of the disease, so that its physical, psychological and social adaptability can be maintained and improved.
From the above, it is not difficult to find that the contents of the health care concept of "promoting prevention, diagnosis, control and health" are complementary, inseparable, and six-in-one, which is not only applicable to clinical medicine, group medicine, applicable to public health, but also applicable to the entire medical and health undertakings. In the process of continuous practice, thinking and summarizing, I believe that the integration of health promotion and disease prevention, diagnosis, control, treatment and post-illness rehabilitation can truly promote the great development of medical health and health.
Medical and health undertakings should be developed as mainstream social undertakings
The cause of medicine and health is relevant to everyone, and supporting this cause will soon benefit itself, and vice versa.
To put people's health in a strategic position of priority development, it is necessary to develop medical and health undertakings as mainstream social undertakings.
Reporter: In your opinion, in order to promote the great development of medical and health undertakings, what efforts do individuals, the public, and society need to make?
Wang Chen: I think that in order to truly develop the country's medical and health undertakings, everyone and every department should seriously think about and examine the province, and whether their understanding and support for this cause by themselves or departments is really enough? Don't think that just because you are not in the medical and health industry, you don't think that the medical and health cause has nothing to do with you. This is not the case, this business is closely related to your and your family's vital interests, and your support today will soon be for you, and vice versa.
There is an international view that "when all ministers regard themselves as ministers of health, the cause of medicine and health can develop well"; in China, the CENTRAL Committee of the Communist Party of China has long made it clear that health should be integrated into all policies. Therefore, today, when the new crown pneumonia epidemic has changed the world pattern, in the concept of "people first, life first" has been deeply rooted in the hearts of the people, to "put people's health in a strategic position of priority development", and today, when the joint construction of a community of human health and health has become a global consensus, to implement the will of the above countries, effectively seek the most important well-being for the people, ensure national security, and promote economic growth, we need to develop the medical and health undertakings as the mainstream social undertakings!
Source| People's Political Consultative Conference Daily (2022.03.08 22nd edition)
Text| Liu Ximei Picture | Jiang Guidong
Executive producer | Wang Yunfeng Editor-in-chief| Gao Cuifeng
Editor| Shen Qingzhuo
![Wang Chen, vice president of the Chinese Academy of Engineering: Doctors must get rid of "private" and "virtual"[fig]](data:image/gif;base64,R0lGODlhAQABAIAAAP///wAAACwAAAAAAQABAAACAkQBADs=)