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<span>2017年01月04日 09:22 | 作者:罗永章 | 来源：<a target="_blank">人民政协网</a></span> <span id="i2i2jyu4k" class="fr"> <div id="i2i2jyu4k" class="bdsharebuttonbox"><a href="#" class="bds_more" data-cmd="more"></a><a href="#" class="bds_qzone" data-cmd="qzone" title="分享到QQ空间"></a><a href="#" class="bds_tsina" data-cmd="tsina" title="分享到新浪微博"></a><a href="#" class="bds_tqq" data-cmd="tqq" title="分享到腾讯微博"></a><a href="#" class="bds_renren" data-cmd="renren" title="分享到人人网"></a><a href="#" class="bds_weixin" data-cmd="weixin" title="分享到微信"></a></div> <script>window._bd_share_config={"common":{"bdSnsKey":{},"bdText":"","bdMini":"2","bdMiniList":false,"bdPic":"","bdStyle":"0","bdSize":"16"},"share":{}};with(document)0[(getElementsByTagName('head')[0]||body).appendChild(createElement('script')).src='http://bdimg.share.baidu.com/static/api/js/share.js?v=89860593.js?cdnversion='+~(-new Date()/36e5)];</script> </span><span id="i2i2jyu4k" class="fr">分享到：<img src="/images/fx.jpg" /> </span> </div> <div id="i2i2jyu4k" class="text_box"> <p align="center"> <div class="i2i2jyu4k" id="content" style="text-indent: 2em; text-align: left;"><p style="text-indent: 2em; text-align: left;">党中央、国务院将全民健康提到了前所未有的高度?！丁敖】抵泄?030”规划纲要》指出，推进健康中国建设，是全面建成小康社会、基本实现社会主义现代化的重要基础，这对我国医疗健康保障体系建设提出了新的要求。</p><p style="text-align:center"><a href="/upload/resources/image/2017/01/04/1454339.jpg" target="_blank"><img src="/upload/resources/image/2017/01/04/1454339.jpg" title="彩C2017-01-04zx501_P_1_19_2251_317_2438" alt="彩C2017-01-04zx501_P_1_19_2251_317_2438" suffix="jpg"/></a></p><p style="text-indent: 2em; text-align: left;">重大疾病的有效防治是提高公民健康水平的重要途径。与心脑血管病、老年痴呆和糖尿病等重大慢性病相比，癌症因生存期短、致死率高、治疗费用昂贵等原因已成为最受关注的重大疾病。据统计，中国非小细胞肺癌患者仅最后三个月的平均医疗花费大约为16955美元，不仅给患者家庭带来沉重经济负担，也让本不宽裕的医保资金雪上加霜，大病致贫、大病返贫现象相当普遍。</p><p style="text-indent: 2em; text-align: left;">早诊早治是国际公认的对抗癌症的最有效手段。如果能够正规体检、及时发现，早期癌症治愈率可达90%以上，且可节约大量治疗费用。然而，我国体检普遍对癌症针对性不强，癌症检出率仅为发达国家的1/3-1/4，这是我国癌症死亡率居高不下的一个重要原因。目前，我国癌症发病和死亡人数已居世界第一位，随着人口进一步老龄化和环境污染带来的累计效应，癌症发病率还将进一步大幅升高。因此，普及防癌体检，将其纳入医保真正到了刻不容缓的地步。</p><p style="text-indent: 2em; text-align: left;">在目前国家医疗资源紧缺、资金不足、医疗保障水平有限的情况下，建议国家从以下几方面着手，增加将防癌体检纳入医保的可操作性：</p><p style="text-indent: 2em; text-align: left;">将防癌体检与分级诊疗相结合，缓解医疗资源紧缺，增大人口覆盖比例。</p><p style="text-indent: 2em; text-align: left;">我国多数三甲医院集中在少数大城市。由于分级诊疗不到位，小病大医现象严重，浪费了大量医疗资源，三甲医院常年人满为患、不堪重负，无暇开展防癌体检。同时，由于三甲医院地域分布不均，即使开展防癌体检也难以形成足够的人口覆盖。</p><p style="text-indent: 2em; text-align: left;">为此，建议国家制定引导扶持政策，将防癌体检放到一、二级医院开展，同时增强一、二级医院的软硬件资源配置，规范技术标准，让城乡居民便利的接受正规检查。这不仅能促进医疗资源的高效率合理利用，还可以为一、二级医院的运营带来生机和活力，从而形成良性循环，推动深化分级诊疗制度实施。</p><p style="text-indent: 2em; text-align: left;">规范检测内容及标准，建立居民防癌体检档案。</p><p style="text-indent: 2em; text-align: left;">很多癌症的发病具有地域特征。为此，建议国家引导各地政府依据本地区特点，因地制宜地制定防癌体检方案，为不同年龄、职业人群安排有针对性的检测项目。同时，建立居民防癌体检档案，常年跟踪，由医生定期给出健康指导，将防治关口前移。还可以借助大健康数据平台，及时发现地区癌症发病风险，增强区域的疾病防控能力。</p><p style="text-indent: 2em; text-align: left;">引导商业资本和保险业参与，促进医保防癌体检实现良性循环。</p><p style="text-indent: 2em; text-align: left;">将防癌体检纳入医保会在短期内增加医疗支出，但从长远看是“花小钱、省大钱”的明智之举。我国人口众多，仅靠国家和个人的投入很难长期维持医保体系运行。为此，建议借鉴目前商业保险参与大病医疗、商业资本投资公立医疗机构的思路，由政府引导这些社会资源进入一、二级医院或这些医院的医保防癌体检系统，从而解决资金短缺问题，使医保防癌体检符合市场规律，实现良性运行。</p><p style="text-indent: 2em; text-align: left;">健康中国建设是实现中华民族伟大复兴的重要内容。把防癌体检纳入医保是改善民生、增强百姓获得感的重大举措，对完善我国医疗保障体系、提高公民健康水平、节省国家医疗支出具有重要意义，值得国家相关部门认真研究，制定可行方案尽快实施。</p><p style="text-indent: 2em; text-align: left;">（作者系全国政协委员、清华大学抗肿瘤蛋白质药物国家工程实验室主任）</p></div> </div> <p class="Editor">编辑：赵彦 </p> <div id="i2i2jyu4k" class="Paging"> </div> <p class="Keyword">关键词：政协委员罗永章防癌体检医保健康中国</p> <h1 class="pv_title_2 mt_15"><a href="/index.shtml" target="_blank" class="more mtb_14">更多</a><span id="i2i2jyu4k" class="t" id="a3"><a href="/index.shtml"><img 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