The growing burden of non-communicable disease (NCD) represents a major challenge to health development. We must overcome by giving higher priority to NCD prevention, control and surveillance in its program of work.

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Bureau of Health Promotion

Non-communicable Disease Prevention

• The growing burden of non-communicable disease
  (NCD) represents a major challenge to health
  development. We must overcome by giving higher
  priority to NCD prevention, control and
  surveillance in its program of work.

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The main services of non-communicable diseases
prevention

• The disease prevention and health promotion of
  five diseases
• Diabetes
• Heart disease
• Cerebrovascular disease
• Asthma
• Kidney disease

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Non-communicable Diseases Control Plan

• Enhanced diseases cognition and promote
  lifestyle program of people.
• Health promotion of high risk group.
• Early diseases detection and early diseases
  control.
• Establishing the diseases care quality monitor
  system.
• Empower diseases support system.
• The plan of insurance payment to diseases.
• Conducting relevant research and surveys.

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Integrated Preventive Health Service (IPHS)
Community Integrated Screening
Case Management
Health Promotion
Health Education
Referral System
Integrated Preventive Health Service (IPHS)
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• Implementing screening and care management
• NHI provides periodical health examination
• age 40-64 once every 3 year
• ? 65 once every year
• Provides integrated on-the-site screenings in
  community of chronic diseases for adults and the
  elderly.
• Extensively implementing community healthcare
  management programs to follow-up cases detected.

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20032005 IPHS Referral Rate
Items No. of Abnormality Referral Rate
Hypertension Cases 196,646 87.7
Hyperglycemia Cases 70,568 87.8
Hypercholestero-lemia Cases 134,254 84.7
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Diabetes prevention and control

• Develop Monofilament screener and teaching
  materials, and revise diabetes prevention
  guidelines.
• 2 . Conduct a variety of promotional activities
  to raise the awareness and to subsequently lead
  to a healthy lifestyle.
• 3 . Develop early warning detection blood sugar
  and promote taking action to prevent diabetes of
  high risk groups.

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Diabetes prevention and control
4. Develop a shared care system in 25 cities and
counties. Publish the booklet Instructions
on shared care of diabetes. 5. Set up 5
diabetic training centers and 116 diabetic health
promotion centers. 6. Set up 423 diabetic
patient self-help groups to share self- care
behaviors in effectively controlling diabetes,
and to support psychological adaptation for
diabetes.
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Framework of diabetes shared care
Bureau of health department of health (BHP)
?(?)?????
Board of health
hospital of diabetic share care net and diabetic
team care canter
Diabetes share care net
??
the payment improvement program for diabetes (NHI)
nurse
Doctor internal medicine, family medicine,
endocrine, metabolism
diabetic patients
Inspector and other specialist
Diabetic group
dietician
The specialist of cardio-vascular?ophthalmology?de
ntal
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Bureau of Health Promotion
Mortality of Diabetes Mellitus
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Cardiovascular diseases Prevention and Control
1. Promote World Heart Day campaign in
September. 2. Update and develop several series
of cardiovascular diseases educational
materials. 3. Provide integrated on-the-site
screenings and healthcare in community of
chronic diseases for adults and the
elderly. 4. Develop national guidelines on
hypertension and dyslipidemia .
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Cardiovascular diseases Prevention and Control
5. Expand health promotion programs for high risk
groups of cardiovascular diseases. 6. Set up
a complete prevention model including early
diagnosis, health education, and case management
. 7. Promote shared care to upgrade the care
quality of chronic disease. 8. Set up stroke
preventive center to establish an entire
service structure including prevention,
diagnosis, treatment, and rehabilitation.
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Mortality trend of cardiovascular diseases
(Age-Standardized Rate,1980-2004)
Data from Department of Health, 2004
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Asthma prevention and care
1. Promote The Asthma Patient Health Consultation
Services, 78 hospitals included . 2.
Administer governmental medical staff ?families
of children with asthma, and caretakers in
kindergartens trainings on the care and
treatment of asthma in children. 3. Create a
asthmatic patients self-help booklet in 2004,
and promote the material in 2005. 4. Conduct
epidemiologic studies and construct case
management model.
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Mortality of asthma
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kidney disease prevention
1. Promote World Kidney Day campaign in June. 2.
Update and develop several series of kidney
diseases educational materials. 3. Health
counseling and promotion agencies for kidney
disease at 19 medical care institutions. 4.
Follow up the patients therapeutic outcome by
integrating the health care providers to
prevent the aggravation of renal function
and lower the incidence of ESRD.
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kidney disease prevention

• 5. Promote the personnel training of kidney
  disease prevention for nurses from the health
  bureaus and medical professional personnel at the
  public and private health sectors.
• 6. Implement the case management of kidney
  disease.
• 7. Establish the research for kidney disease
  prevention.

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Mortality of Kidney
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The main programs at present

• 1.Create community hypertension,
  hypercholesterolemia, hyperglycemia screening and
  high risk cases management model .
• 2.Promote integrated preventive health service.
• 3. Life-style health promotion for diabetic high
  risk group.
• 4.Promote metabolic syndrome program.
• 5.Enhance diabetic share care network.
• 6.Strengthen diabetic self-care support system.
• 7.Promote metabolic syndrome health management.
• 8. Promote community health management for
  stroke patient.
• 9. Promote COPD case management.
• 10.Set up health counseling and promotion
  agencies for kidney disease.