Notice of the General Office of the People’s Government of Yunnan Province on Printing and Distributing the Long-term Plan for the Prevention and Treatment of Chronic Diseases in Yunnan Province (2017

State and municipal people’s governments, provincial committees, offices, departments and bureaus:

The Long-term Plan for the Prevention and Treatment of Chronic Diseases in Yunnan Province (2017-2025) has been agreed by the provincial people’s government and is hereby issued to you. Please implement it carefully.

General Office of Yunnan Provincial People’s Government

November 14, 2017

(This piece is publicly released)

Long-term Plan for Prevention and Treatment of Chronic Diseases in Yunnan Province (2017-2025)

In order to strengthen the prevention and treatment of chronic diseases in our province, reduce the burden of people’s diseases, and strive to ensure people’s health in an all-round and full-cycle way, according to the spirit of the Outline of Healthy China 2030, the Notice of the General Office of the State Council on Printing and Distributing the Long-term Plan for the Prevention and Treatment of Chronic Diseases in China (2017-2025) (Guo Ban Fa [2017] No.12) and the Outline of Healthy Yunnan 2030.

I. Planning objectives

By 2020, the prevention and control environment of chronic diseases in the province will be significantly improved, and efforts will be made to reduce the premature mortality rate caused by chronic diseases, and strive to reduce the mortality rate of people aged 30-70 due to cardiovascular and cerebrovascular diseases, cancer, chronic respiratory diseases and diabetes by 10% compared with 2015. By 2025, the risk factors of chronic diseases in the province will be effectively controlled, and efforts will be made to realize the health management of the whole population and the whole life cycle, and strive to reduce the mortality rate of people aged 30-70 due to cardiovascular and cerebrovascular diseases, cancer, chronic respiratory diseases and diabetes by 20% compared with 2015. Gradually improve the healthy life expectancy of residents and effectively control the burden of chronic diseases.

Second, the main task

(1) Strengthen health education and improve the health quality of the whole people.

1. Carry out national education on the prevention and treatment of chronic diseases. Establish and improve the health education system, popularize health science knowledge such as prevention and treatment of chronic diseases, and educate and guide the masses to establish a correct health concept. The Provincial Health and Family Planning Commission organized experts to compile scientific and practical knowledge and information guides for the prevention and treatment of chronic diseases, which were released to the public by professional institutions. Make full use of mainstream media and new media to carry out various forms of publicity and education on the prevention and treatment of chronic diseases, and widely publicize health science knowledge such as reasonable diet, moderate exercise, smoking cessation and alcohol restriction, and psychological balance. Organs, enterprises and institutions should regularly organize lectures on health knowledge of occupational groups, and towns (streets) should carry out targeted health publicity and education according to the characteristics of different groups of people. The Provincial Health and Family Planning Commission, together with relevant departments, organized and implemented activities such as the nationwide health literacy promotion campaign in our province and the healthy trip to Yunnan to enhance the effect of health education. By 2020 and 2025, the awareness rate of core knowledge of key chronic diseases among residents will reach 60% and 70% respectively. Provincial Health and Family Planning Commission takes the lead; Provincial Education Department, Press, Publication, Radio, Film and Television Bureau and Information Office cooperate; The state and municipal people’s governments are responsible for the implementation)

2. Advocate a healthy and civilized lifestyle. Innovate and enrich prevention methods, implement the concept of zero-level prevention, and comprehensively strengthen the education of health knowledge and behavior in kindergartens, primary and secondary schools, such as nutritional balance, oral health care, and vision protection, so as to move forward the barrier of prevention work. Vigorously implement the "Colorful Yunnan National Fitness Project", guide the broad masses of people to regard physical and mental health as an important ability for individuals to develop in an all-round way and adapt to society, and consciously establish a personal development concept that is proud of participating in physical fitness and having a strong body, so that physical fitness can become the basic lifestyle of more people. Encourage organs, enterprises and institutions to establish a system of inter-work fitness, and organize staff sports meetings, brisk walking, health knowledge contests and other activities. Relying on village (neighborhood) committees, elderly associations, volunteers, social sports instructors, healthy lifestyle instructors, etc., scientifically guide the public to carry out self-health management. To further promote healthy lifestyle actions, the Provincial Health and Family Planning Commission, together with relevant departments, organized special actions of "reducing salt, oil, sugar, healthy mouth, healthy weight and healthy bones" and special actions to control tobacco hazards, developed and popularized appropriate technologies and support tools to enhance people’s ability to maintain and promote their own health.(Provincial Health and Family Planning Commission takes the lead; Provincial Education Department, Sports Bureau, Provincial Federation of Trade Unions, Communist Youth League Committee and Provincial Women’s Federation cooperate; The state and municipal people’s governments are responsible for the implementation)

(B) the implementation of early diagnosis and early treatment to reduce the risk of high-risk groups.

1. Carry out early detection of chronic diseases. Further strengthen the implementation of the first diagnosis and blood pressure measurement for people over 35 years old, find hypertensive patients and high-risk groups, and provide timely intervention guidance. Community health service centers and township hospitals gradually provide services such as blood sugar and blood lipid testing and oral preventive health care. Gradually list the disease screening technology that is clinically diagnosable, treatable, acceptable to the masses and affordable by the government as a public health measure. Early diagnosis and treatment of cancers with mature screening techniques such as lung cancer, upper digestive tract cancer and cervical cancer will be gradually carried out in high-risk areas and high-risk groups. Strengthen the standardized management of health checkups, improve the system of health checkups for students, improve the quality of health checkups for the elderly, promote the screening rate of chronic diseases such as cancer, stroke and coronary heart disease, and incorporate oral health checkups into routine physical checkups. (Provincial Health and Family Planning Commission takes the lead; Cooperate with the Provincial Department of Education and the Department of Finance; The state and municipal people’s governments are responsible for the implementation)

2. Strengthen personalized health intervention. Relying on professional public health institutions and medical institutions, we will set up a smoking cessation consultation hotline, establish a smoking history system for the first consultation, provide short smoking cessation intervention and smoking cessation clinics, and improve the ability of smoking cessation intervention. Promote the integration of sports and medicine, and sports administrative departments at all levels set up national physical fitness monitoring centers in qualified institutions to provide professional guidance services for sports health. Community health service centers and township hospitals gradually carry out risk assessment and intervention guidance for high-risk groups of chronic diseases such as overweight and obesity, elevated blood pressure and blood sugar, and dyslipidemia, and provide consulting services such as balanced diet, physical activity, and physical identification. Encourage patients with chronic diseases and high-risk groups to be vaccinated with cost-effective vaccines such as pneumonia and influenza. Strengthen the intervention of periodontal disease, dental caries and other common oral diseases, and implement oral health care measures such as local use of fluoride for children and pit and fissure sealing, so that the caries rate of 12-year-old children is controlled within 30%. Pay attention to the guidance and intervention of common chronic diseases, oral diseases and mental health of the elderly. Explore and develop employee health management services that integrate chronic disease prevention, risk assessment, follow-up and intervention guidance.(Provincial Health and Family Planning Commission takes the lead; Provincial Sports Bureau and Provincial Federation of Trade Unions cooperate; The state and municipal people’s governments are responsible for the implementation)

(3) Strengthen standardized diagnosis and treatment to improve the therapeutic effect.

1. Establish a scientific and reasonable grading diagnosis and treatment system. Priority will be given to bringing patients with chronic diseases into the contracted service scope of family doctors, actively promoting the graded diagnosis and treatment of patients with hypertension, diabetes, cardiovascular and cerebrovascular diseases, tumors, chronic respiratory diseases, etc., forming a reasonable medical order of primary diagnosis, two-way referral, up-and-down linkage, and rapid and slow division, and improving the treatment-rehabilitation-long-term care service chain. Guide tertiary public hospitals to gradually reduce the number of general outpatient clinics, focusing on the development of diagnosis and treatment of critical and difficult diseases. Improve various modes of division of labor and cooperation such as medical consortium and medical group, and improve the overall performance of the service system. Gradually improve the two-way referral procedure, focus on unblocking the downward referral channels for patients in chronic and convalescent periods, and realize orderly referral between different levels and different types of medical institutions.(Provincial Health and Family Planning Commission takes the lead; The state and municipal people’s governments are responsible for the implementation)

2. Effectively improve the quality of diagnosis and treatment services. We will build an information platform for medical quality management and control, strengthen real-time management and control of chronic disease diagnosis and treatment services, and continuously improve medical quality and medical safety. Fully implement clinical pathway management, standardize diagnosis and treatment behavior, optimize diagnosis and treatment process, strive to shorten the time from the onset of acute cardiovascular and cerebrovascular diseases to effective treatment, promote the application of individualized standardized treatment programs for cancer, and reduce patient mortality. Provincial Health and Family Planning Commission takes the lead; The state and municipal people’s governments are responsible for the implementation)

(D) to promote the coordination of medical care and prevention, and realize the whole process of health management.

1 to strengthen the capacity building of institutions and teams for the prevention and treatment of chronic diseases. Give full play to the role of chronic disease prevention and control experts in policy consultation, monitoring and evaluation, personnel training, technical guidance, etc., and establish provincial chronic disease expert committees to guide the prevention and control of chronic diseases in various places. The establishment of the provincial, regional and grass-roots TCM specialist disease diagnosis and treatment center composed of TCM specialist disease prevention and control system. State and municipal health and family planning administrative departments should specify a tertiary hospital to undertake technical guidance for the prevention and treatment of cardiovascular and cerebrovascular diseases, cancer, chronic respiratory diseases, diabetes and other chronic diseases in the administrative area. Hospitals above the second level should be equipped with professionals to perform public health duties and do a good job in the prevention and control of chronic diseases. Grass-roots medical and health institutions should improve the capacity of public health services to meet the needs of chronic disease prevention and treatment. (Provincial Health and Family Planning Commission takes the lead; Provincial Development and Reform Commission and the Department of Finance cooperate; The state and municipal people’s governments are responsible for the implementation)

2. Establish and improve the working mechanism of combining prevention and treatment of chronic diseases. Disease prevention and control institutions, hospitals and primary medical and health institutions should establish a cooperation mechanism with division of labor and complementary advantages. Disease prevention and control institutions are responsible for monitoring and epidemiological investigation of chronic diseases and their risk factors, implementation guidance of comprehensive prevention and control intervention strategies and measures, and assessment and evaluation of prevention and control effects; The hospital undertakes the registration report of chronic diseases, the diagnosis and treatment of critical and emergency patients, and provides technical support for primary medical and health institutions; Basic medical and health institutions specifically implement basic medical and health services such as population health promotion, high-risk group discovery and guidance, patient intervention and follow-up management. Strengthen cooperation between doctors and prevention, and promote the integrated development of prevention, treatment and management of chronic diseases. Provincial Health and Family Planning Commission takes the lead; The state and municipal people’s governments are responsible for the implementation)

3. Establish a long-term working mechanism for health management. Clarify the responsibilities of the government, medical and health institutions, families, individuals and other parties in health management, and formulate and improve the service content and service process of health management. Gradually incorporate appropriate technologies for early diagnosis and treatment of major chronic diseases such as cancer and stroke that meet the requirements into the routine diagnosis and treatment according to regulations. Encourage enterprises, charitable organizations, commercial insurance institutions and private medical institutions to participate in risk assessment, health consultation and health management of high-risk groups of chronic diseases through government purchase of services, and cultivate a health management service industry characterized by personalized service, membership management and holistic promotion.(Provincial Health and Family Planning Commission takes the lead; Provincial Development and Reform Commission and Yunnan Insurance Regulatory Bureau cooperate; The state and municipal people’s governments are responsible for the implementation)

4. Give full play to the role of traditional Chinese medicine in preventing diseases and promoting rehabilitation. Combine the advantages of traditional Chinese medicine with health management, and explore the health protection model of traditional Chinese medicine which integrates health culture, health management and health insurance. Encourage social forces to set up standardized TCM health care institutions and accelerate the development of health care services. Expand the service fields of Chinese medicine hospitals and qualified medical and health care institutions, and provide services such as Chinese medicine health consultation and evaluation, intervention investigation and follow-up management for the masses. Encourage medical institutions of traditional Chinese medicine and doctors of traditional Chinese medicine to provide technical support such as health consultation and conditioning for health care institutions of traditional Chinese medicine. With all kinds of medical institutions at all levels as the carrier, we will promote a healthy life and work style that integrates the concept of preventing diseases in traditional Chinese medicine, and vigorously spread the knowledge of traditional Chinese medicine and the easy-to-master TCM health care techniques and methods.(Provincial Health and Family Planning Commission takes the lead; The state and municipal people’s governments are responsible for the implementation)

(five) improve the security policy, and effectively reduce the burden of medical treatment for the masses.

1. Improve medical insurance and assistance policies. We will improve relevant policies such as overall planning of basic medical insurance clinics for urban and rural residents, and explore primary medical and health institutions to pay patients with chronic diseases in a per-head package. We will improve the differentiated payment policies for medical insurance in different levels of medical institutions, and promote the downward shift in the focus of chronic disease prevention and treatment and the sinking of resources. Develop diversified health insurance services, encourage qualified commercial insurance institutions to develop commercial health insurance products linked with basic medical insurance, and carry out insurance handling services related to various chronic diseases.(led by the Provincial Department of Human Resources and Social Security; Provincial Civil Affairs Department, Health and Family Planning Commission and Yunnan Insurance Regulatory Bureau cooperate; The state and municipal people’s governments are responsible for the implementation)

2. Ensure the supply of medicines. Do a good job in the supply of drugs for major diseases and chronic diseases such as hypertension, diabetes, cancer and coronary heart disease in urban and rural areas, and reasonably reduce the purchase price. Strengthen the connection of drug use between hospitals above the second level and primary medical and health institutions. Give play to the role of social pharmacies in ensuring the supply of chronic diseases drugs at the grassroots level and improve the accessibility of drug supply. Elderly patients with chronic diseases can be prescribed long-term drugs for chronic diseases by family contracted doctors, and explore ways to meet patients’ drug demand.(Provincial Health and Family Planning Commission takes the lead; Provincial Human Resources and Social Security Department, Industry and Information Technology Commission and Food and Drug Administration cooperate; The state and municipal people’s governments are responsible for the implementation)

(6) Control risk factors and create a healthy and supportive environment.

1. Build a healthy production and living environment. Promote green and clean production, implement the employer’s main responsibility for occupational disease prevention and control, improve the working environment, strictly control dust and toxic hazards, strengthen occupational disease prevention and control, fully implement the action of improving urban and rural living environment, and strengthen the construction of public service facilities such as culture, science and education, leisure and fitness. Adhere to the concept of green development, strengthen environmental protection and supervision, implement the action plan for the prevention and control of air, water and soil pollution, implement comprehensive control of pollutants, and continuously improve the environmental air quality, drinking water source quality and soil environmental quality. In accordance with the unified arrangements of the state, cooperate with the establishment of environmental and health monitoring, investigation and risk assessment systems to reduce the impact of environmental pollution on health.(Provincial Development and Reform Commission, Education Department, Environmental Protection Department, Housing and Urban-Rural Construction Department, Water Resources Department, Health and Family Planning Commission, Safety Supervision Bureau and Sports Bureau are responsible for the division of responsibilities; The state and municipal people’s governments are responsible for the implementation)

2. Improve the policy environment. Accelerate the promulgation of local laws and regulations on smoking control in public places in our province and increase the intensity of tobacco control. Strictly implement the national tobacco and alcohol tax policy and relevant laws and regulations that prohibit the sale of tobacco and alcohol to minors, so as to reduce the harmful drinking of residents. Strengthen food safety, adjust and optimize food structure, advocate dietary diversification, promote nutrition labeling, guide enterprises to produce and sell, and consumers to choose nutritious and healthy foods scientifically. (Provincial Health and Family Planning Commission, Legislative Affairs Office and Food and Drug Administration are responsible for the division of responsibilities; The state and municipal people’s governments are responsible for the implementation)

3. Increase the creation of demonstration zones for comprehensive prevention and control of chronic diseases. Taking the construction of national and provincial demonstration zones for comprehensive prevention and control of chronic diseases as the starting point, we will cultivate and build a comprehensive prevention and control model for chronic diseases suitable for different regional characteristics. By 2020, there will be 45 provincial-level demonstration zones for comprehensive prevention and control of chronic diseases and 16 national-level demonstration zones. By 2025, there will be 60 provincial-level demonstration zones for comprehensive prevention and control of chronic diseases and 25 national-level demonstration zones. The construction of demonstration areas should be closely combined with the requirements of the establishment of healthy towns and the construction of healthy towns, integrated with graded diagnosis and treatment and contracted services of family doctors, comprehensively improve the construction quality of demonstration areas, play a leading role in strengthening the main responsibility of the government, implementing the work responsibilities of various departments, and providing chronic disease prevention and management services, so as to promote the overall improvement of regional chronic disease prevention and management level.(Provincial Health and Family Planning Commission takes the lead; The state and municipal people’s governments are responsible for the implementation)

(7) Coordinating social resources and innovating to drive the development of health service industry.

1. Mobilize social forces to carry out prevention and control services. Encourage, guide and support medical, physical examination, fitness, old-age care and health care institutions organized by social forces, as well as charitable organizations such as foundations, commercial insurance institutions, industry associations and internet enterprises to participate in medical services, health management and promotion, health insurance and related chronic disease prevention and treatment services in their respective regions through competitive selection, innovate service models, and promote the development of a health service system with full life cycle, rich connotation and reasonable structure. Establish a diversified fund-raising mechanism, broaden the investment and financing channels for public welfare undertakings for chronic disease prevention and treatment, and encourage social capital to invest in areas such as chronic disease prevention and treatment services and community rehabilitation.(Provincial Development and Reform Commission, Civil Affairs Department, Finance Department, Health and Family Planning Commission, Yunnan Insurance Regulatory Bureau is responsible for the division of responsibilities; The state and municipal people’s governments are responsible for the implementation)

2. Promote the integration of medical care and nursing. Promote the full-course prevention and treatment of chronic diseases, and closely integrate it with home, community and institutional pension. Promote old-age care institutions, communities and residents’ families to carry out health care, prevention and treatment of chronic diseases and rehabilitation care for the elderly, and maintain and promote the functional health of the elderly. Support qualified old-age care institutions to set up medical centers, and qualified general hospitals and traditional Chinese medicine hospitals to set up geriatric departments, increase the number of beds for the elderly, and provide priority and convenient services for the elderly to seek medical treatment. Encourage grassroots medical and health institutions to establish a contract service relationship with the families of the elderly, and carry out services such as on-site consultation, health check-up, health management, and health care. Encourage and guide commercial insurance institutions to actively establish a new type of old-age community integrating medical care and nursing through new construction and equity participation.(Provincial Health and Family Planning Commission takes the lead; Provincial Civil Affairs Department and Yunnan Insurance Regulatory Bureau cooperate; The state and municipal people’s governments are responsible for the implementation)

3. Promote the application of Internet innovations. Promote the integration of Internet and health industry, develop smart health industry, promote the deep integration of mobile Internet, cloud computing, big data, Internet of Things and health-related industries, make full use of information technology to enrich the means and work content of chronic disease prevention and treatment, promote the application of network services such as appointment diagnosis and treatment, online follow-up, disease management and health management, and provide high-quality and convenient medical and health services. Actively explore a new model of chronic disease health management service.(Provincial Industry and Information Technology Commission, Health and Family Planning Commission and Development and Reform Commission are responsible for the division of responsibilities; The state and municipal people’s governments are responsible for the implementation)

4. Develop the fitness and leisure sports industry. Further optimize the market environment, cultivate multiple subjects, and guide social forces to participate in the construction and operation of fitness and leisure facilities. Promote the formation of a fitness and leisure industry structure with Kunming as the core, focusing on the "Kunming-Dali-Lijiang-Shangri-La" sports tourism development zone, the border cross-border sports industry cooperation zone, the northern mountain outdoor sports sector and the central fitness and leisure sector. Create a number of outdoor sports projects and brands with regional characteristics and independent intellectual property rights in our province, and form a number of sports industry clusters, sports tourism demonstration bases, sports leisure development zones and sports characteristic towns.(Provincial Sports Bureau takes the lead; The state and municipal people’s governments are responsible for the implementation)

(eight) to strengthen scientific and technological support, promote monitoring and evaluation and research and innovation.

1. Improve the monitoring and evaluation system. Integrate the monitoring information of single-disease and single-factor chronic diseases and their risk factors, further strengthen the death cause monitoring, tumor registration and cardiovascular disease reporting system, establish a network reporting platform for chronic diseases and nutrition monitoring information at the provincial, prefecture and county levels, gradually realize the real-time update of information on the incidence, illness, death and risk factors of key chronic diseases, and regularly publish monitoring information about chronic diseases. Take the state and city as the unit, basically find out the main chronic diseases, influencing factors and disease burden in the administrative area. A cohort study on nutrition and chronic disease risk factors, health intervention and disease management was carried out. Use big data and other technologies to strengthen information analysis and utilization, grasp the epidemic laws and characteristics of chronic diseases, identify major health problems, and provide evidence-based basis for formulating policies and strategies for the prevention and treatment of chronic diseases. Strengthen the monitoring of environmental quality, quality and safety of agricultural products, such as water, soil, air and other environmental media and workplaces, gradually realize cross-industry cross-departmental cross-level vertical reporting and horizontal exchange, and dynamically implement risk assessment and early warning of environmental, food and other factors and health. (Provincial Health and Family Planning Commission takes the lead; Provincial Environmental Protection Department, Agriculture Department and Food and Drug Administration cooperate; The state and municipal people’s governments are responsible for the implementation)

2. Promote the transformation of scientific and technological achievements and the application of appropriate technologies. Strengthen the construction of provincial clinical medical research institutions and collaborative innovation networks and improve the research system of major chronic diseases. Guided by the integration of information, biology and medical science and technology, we will strengthen basic research, applied research and translational medicine research on the prevention and treatment of chronic diseases. Coordinate superior forces, promote research on pathogenic factors, pathogenesis, prevention and intervention, diagnosis and rehabilitation, medical devices, new vaccines and innovative drugs of chronic diseases, focus on breaking through key technologies of precision medicine, "internet plus Health Care" and big data, and support the popularization and application of new technologies and products such as genetic testing in the field of chronic disease prevention and treatment. In view of the chronic diseases with advantages of traditional Chinese medicine, this paper summarizes and forms the health intervention scheme of traditional Chinese medicine for chronic diseases and promotes its application. Combined with the needs of chronic disease prevention and treatment, we will select and promote mature and effective technologies for chronic disease prevention, diagnosis and treatment, rehabilitation and health care, and accelerate the transformation and application of results. Carry out research on social determinants and disease burden of chronic diseases, and explore effective ways to prevent and control chronic diseases. Actively participate in the exchange and cooperation in the prevention and treatment of chronic diseases in the aspects of professional training, information communication and sharing, prevention and treatment technology exchange and cooperation, and capacity building.(led by the Provincial Science and Technology Department; Provincial Health and Family Planning Commission, Food and Drug Administration, and Provincial Association for Science and Technology; The state and municipal people’s governments are responsible for the implementation)

Third, safeguard measures

(1) Strengthen organizational leadership. The people’s governments of prefectures and cities should give priority to people’s health, take the prevention and treatment of chronic diseases as the key content of building a healthy Yunnan and deepening the reform of the medical and health system, incorporate them into important livelihood projects, determine work objectives and assessment indicators, formulate local plans and implementation plans for the prevention and treatment of chronic diseases, strengthen organization and implementation, establish and improve the coordination mechanism for the prevention and treatment of chronic diseases, and regularly study and solve major problems in the prevention and treatment of chronic diseases.(State and municipal people’s governments are responsible)

(2) Implementing departmental responsibilities. Health and family planning departments should jointly organize the implementation of this plan with relevant departments and carry out supervision and evaluation. The financial department should implement the relevant funds in accordance with the requirements of the government’s health investment policy. The department of human resources and social security should further improve the relevant outpatient security policies and payment mechanisms, and give play to the role of medical insurance in controlling fees. Comprehensive coordination institutions for the prevention and treatment of major diseases at all levels should play an overall coordination role, and promote the departments of industry and information technology, education, science and technology, civil affairs, human resources and social security, environmental protection, urban and rural housing construction, agriculture, sports, safety supervision, food and drug supervision at the same level to perform their duties, thus forming a joint force for the prevention and treatment of chronic diseases.(The office of the joint meeting of the provincial prevention and control of major diseases takes the lead; The members of the joint meeting of the provincial prevention and control of major diseases are responsible for the division of responsibilities; The state and municipal people’s governments are responsible for the implementation)

(3) Strengthen personnel training. We will improve policies and measures conducive to the training and use of talents, and strengthen the training of talents in the fields of health education, health management, medical care, public health, nursing, rehabilitation and Chinese medicine. Strengthen the cooperation between doctors and teachers, deepen the educational reform in colleges and universities, strengthen the education and training of medical students’ knowledge and ability in the prevention and treatment of chronic diseases, support the establishment of health promotion, health management and other related majors in colleges and universities, strengthen targeted continuing medical education, and focus on cultivating compound and practical talents in the prevention and treatment of chronic diseases. Improve the evaluation system of professional and technical titles, and promote the growth, development and rational flow of talents.(The Provincial Department of Education, the Department of Human Resources and Social Security, and the Health and Family Planning Commission are responsible for the division of responsibilities; The state and municipal people’s governments are responsible for the implementation)

(4) create a good atmosphere. All localities and departments should widely publicize and maintain the major strategic ideas, principles and policies to promote people’s health, and publicize the great significance, objectives, tasks and strategic measures of implementing the comprehensive prevention and control strategy for chronic diseases. It is necessary to strengthen positive publicity, public opinion supervision, scientific guidance and typical reports, enhance the general understanding of the prevention and treatment of chronic diseases in society, and form a good atmosphere in which the whole society cares for and supports participation in the prevention and treatment of chronic diseases.(Provincial Health and Family Planning Commission takes the lead; Provincial Press, Publication, Radio, Film and Television Bureau and Information Office cooperate; The state and municipal people’s governments are responsible for the implementation)

Iv. supervision and evaluation

Relevant departments should perform their respective duties according to the division of tasks, keep abreast of the work progress, exchange information regularly, jointly carry out supervision and effect evaluation, conduct a mid-term evaluation of the implementation of the plan in 2020, and organize a final evaluation of the implementation of the plan in 2025. States and cities should establish a supervision and evaluation mechanism, organize and evaluate the progress and effect of planning implementation, regard the implementation of planning as an important matter of government supervision and supervision, and promote the implementation of planning objectives and tasks.(The office of the joint meeting of the provincial prevention and control of major diseases takes the lead; The member units of the joint meeting of the provincial prevention and control of major diseases cooperate; The state and municipal people’s governments are responsible for the implementation)