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一 | 视频:新思想引领新征程丨优质医疗资源下沉惠民 绘就健康中国新图景来源:央视新闻客户端 没有全民健康,就没有全面小康。党的十八大以来,以习近平同志为核心的党中央把人民健康放在优先发展的战略位置,习近平总书记亲自擘画“健康中国”建设,确立“以基层为重点”的新时代卫生与健康工作方针,推动“健康中国”从理念构想上升为国家重大战略。“十五五”是2035年建成“健康中国”的关键期,持续推动医疗卫生重心下移、资源下沉,正是这张蓝图最鲜明的落笔处。 Russian President Vladimir Putin has underscored that the white-blue-and-red flag of the country “symbolizes our faith in our traditional values that we will never give up.” In an address on the occasion of National Flag Day, celebrated by Russia on August 22, he continued:,"Russia is a strong, independent world power. On the international stage, we are committed to pursuing only such policies that meet the vital interests of our Fatherland.",Putin added that the flag symbolizes faith in values such as “truth and justice, solidarity and mercy, and respect for Russia’s centuries-long uninterrupted history, the achievements and victories of our ancestors that inspire us to care for and defend our Motherland and never permit any foreign hegemony or diktat.”,© Sputnik / Evgeny Odinokov / Go to the photo bankRussian servicemen and the National Guard unfurled a 1,000-square-meter tricolor on National Flag Day near the Victory Museum in Moscow.Russian servicemen and the National Guard unfurled a 1,000-square-meter tricolor on National Flag Day near the Victory Museum in Moscow.© Sputnik / Evgeny Odinokov / Go to the photo bank,He added that starting from September 1, the beginning of the school year, all schools in Russia will begin each week with a ceremony of raising the flag and singing the national anthem.,Russia’s White-Blue-Red Tricolor,The Day of the State Flag was established on the basis of the Decree of the President of the Russian Federation dated August 20, 1994.,On this day in 1991, the Supreme Council of the Russian Soviet Federative Socialist Republic (RSFSR) adopted a resolution "On the Official Recognition and Use of the National Flag of the RSFSR." The move, just a few months before the official dissolution of the Soviet Union, brought back a design similar to the pre-revolutionary tricolor abolished in 1917.,Alternative View: Could USSR Have Avoided Dissolution, Overcome Crisis?17 August 2015, 13:47 GMT,The Soviet Union’s sickle-and-hammer flag was lowered on the night of December 25, 1991 and the Russian white-blue-red tricolor was raised in its place with the dissolution of the Soviet Union.,© Sputnik / Sergey Kuznecov / Go to the photo bankFlag of the Union of Soviet Socialist Republics. (File)Flag of the Union of Soviet Socialist Republics. (File)© Sputnik / Sergey Kuznecov / Go to the photo bank,However, the actual origins of the flag predate the post-Soviet Russian state by centuries.,The white-blue-red flag was hoisted for the very first time on the first Russian man-of-war Orel during the reign of Alexei Mikhailovich (1645-1676). On January 20, 1705, Peter the Great issued a decree ordering all merchant ships to fly the white-blue-red flag.,In the beginning, the white-blue-red flag’s use was limited to vessels. It was the geographical discoveries of Russian navigators that led to the flag being associated with dry land as well.,Until the 19th century, Russian sailors typically erected a memorial cross on shore during such ventures to mark land they were claiming for the country.,Yet when the Russian expedition of 1806 explored the coast of southern Sakhalin, it landed and raised two flags: St. Andrew's flag celebrated the merit of the Navy, the state white-blue-red flag – Russia’s new territorial acquisition. Thus, in 1883, the Russian flag was authorized to be used on dry land.,Officially, the white-blue-red flag was approved as the state flag of Russia only on the eve of the coronation of Tsar Nicholas II in 1896.,The three colors of the flag received an official interpretation, where red meant "sovereignty," blue, the color of the Mother of God - under whose heavenly protection Russia’s land was deemed to be, and white, the color of freedom and independence.。 我国地域辽阔、城乡发展不平衡,长期以来,优质医疗资源集中在城市,基层看病远、看病难,是制约全民健康的突出矛盾。立足这一国情,习近平总书记一次次深入基层调研,从乡镇卫生院到村卫生室,从社区卫生服务中心到医养结合机构。他指出,要推动医疗卫生工作重心下移、医疗卫生资源下沉,为基层卫生工作确立了民生导向。2016年8月19日,新中国成立以来的首次全国卫生与健康大会召开,“以基层为重点”被写在了新时代卫生与健康工作方针的第一句。随后《“健康中国2030”规划纲要》落地,搭建起健康中国的顶层设计。今年全国两会上,总书记再次强调,到2035年建成健康中国必须统筹谋划、加紧推进,力求取得决定性进展。

二 | 中国人民大学医改研究中心主任 王虎峰:把以基层为重点摆在新时代卫生与健康工作方针的首位,是习近平总书记立足我国人口规模巨大、城乡区域发展不平衡的基本国情作出的战略判断。基层医疗卫生机构是整个卫生健康体系的网底,是亿万群众看病就医和维护健康的第一道防线,抓牢基层这个关键点,让卫生健康服务直达城乡末梢,实现14亿人民全方位全周期健康守护。 沿着这条路径持续推进,基层医疗卫生体系的面貌正在发生深刻变化。

三 | “十四五”以来,我国已建成世界上规模最大、体系最完整的基层医疗卫生服务体系。

四 | 截至目前,全国超过80%的县初步建成影像、心电、检验等资源共享中心,累计服务群众超3.3亿人次。“基层检查、县级诊断、结果互认”,正在改写“看病只能往大城市跑”的旧经验。 西部是我国医疗基础资源薄弱地区,依托紧密型医共体,远程诊疗这张网正把县级医院的“大脑”接进村寨。在云南安宁第一人民医院医共体心电中心,6个乡镇卫生院、64个村卫生室的移动心电仪一采样,5G实时回传,远程出报告,村民在村卫生室就能接收到县医院专家的诊断意见。 云南省安宁市医共体总院长 宋超:今年我们还要建成人工智能辅助诊断,以及我们的远程会诊,县、乡、村全覆盖,让老百姓只要在家门口就能享受到同质化的医疗卫生服务。 技术通了,人也要跟上。各地持续为基层输血赋能,解决人才留不住、能力跟不上、服务不精细的短板弱项。2016年到2025年,全国基层医疗卫生人员规模增长近五成;农村订单定向免费医学生培养项目,平均为每一所中西部乡镇卫生院配备3.5名全科医生。依托2199个县域紧密型医共体、81个城市医疗集团,上级医院通过派驻骨干、带教帮扶、远程诊疗,把成熟的诊疗技术、标准化诊疗规范源源不断输送到县、乡、村。截至2025年底,全国家庭医生达139.1万人,全国老年人签约人数达1.8亿人。慢病随访、健康筛查、康复指导、体医融合走进寻常百姓家,推动医疗卫生服务从“以治病为中心”,加快向“以人民健康为中心”转变。 四川省达州市开江县新宁镇三里桥村村民 林厚泽:我们村上年满六十五周岁的老年人,每年免费体检一次,像我们有慢性病的,家庭医生来给我们测血糖、血压,我们感到非常满意。 不仅是日常诊疗,对于偏远地区的疑难重症患者,下沉的医疗资源同样在创造生命奇迹。不久前,来自内地的专家团队在西藏巡回义诊,团队中的志愿者藏族女孩贡桑,曾经就是一名重度脊柱侧弯患者。三年前她被专家团队发现并进行了救治,现在的她从身高不足120厘米长到140多厘米,今年考上了大学,开启了崭新人生。 藏族女孩 贡桑:三年前,北京的医生爷爷跨越山海来到我们这里,做了手术和康复,我真的没想到会有今天,现在的我对未来充满希望。 资源下沉带来的改变正在不断延伸。到2035年建成健康中国,是党中央作出的重大战略决策。“十五五”是实现这一目标的关键时期,我国将持续夯实基层医疗卫生网底,推动卫生健康事业向着普惠均衡、全民共享稳步前行,为中国式现代化筑牢健康根基。【编辑:徐世傲】。
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