ABSTRACT
With the rapid development of China's economy and society, spine and spinal cord injuries mainly due to high-energy injuries caused by high falls and traffic accidents are still the focus in the field of spinal trauma in China. Spine and spinal cord injuries are characterized by high disability rate, many complications, and treatment difficulties, which brings heavy burden to individuals, families and society. During the "13th Five-Year Plan" period, focusing on precise and minimally invasive treatment of spine and spinal cord injuries, a large amount of explorations have been performed in aspects of diagnosis, classification and treatment techniques. The theory of "spinal cord fascia compartment syndrome" and "microenvironment imbalance of spinal cord injury" are creatively put forward. Six national clinical diagnosis and treatment guidelines are formulated and three expert consensuses are issued, which standardizes the clinical diagnosis and treatment practice of spinal and spinal cord injury in China. Three achievements win the second prize of the National Science and Technology Progress Award, representing the highest level in the field of clinical diagnosis and treatment of spine and spinal cord injuries in China during the "13th Five-Year Plan" period. In this article, the authors mainly elaborate the highlights and progress of clinical diagnosis and treatment of spine and spinal cord injuries in China during the "13th Five-Year Plan" period from the perspective of new technoloqy and theory, guideline and consensus and technological awards.
ABSTRACT
The 13th five-year plan is a critical period for China's social and economic development and it is also the key time for the development of the discipline system of wound repair with Chinese characteristics. Wound repair is not only a clinical treatment issue, but also relates to the construction of the discipline system, and it is an important part of the construction of a healthy China. During the "13th five-year plan" period, under the joint promotion or efforts of the country, societies and experts, the construction of the discipline system of wound repair with Chinese characteristics achieves rapid development in aspects of construction of discipline and discipline base, featured wound repair model, and training of professionals and talents. Therefore, the author summarizes the achievements of discipline system of wound repair with Chinese characteristics in the 13th five-year plan. Meanwhile, its future development is prospected.
ABSTRACT
Chinese government launched National Essential Public Health Services Program since 5 years ago;a program of which the progress, achievement, challenges and a knowhow for a better implementation are concerned by the related policy makers, implementers and researchers. Based on the years of experience in this area, combining literatures and reports relevant to this program, this paper summed up its background and progress, analyzed prob-lems and challenges as well as put forward the policy recommendations for a better implementation of the work. The results were mainly described in three different ways as follows:firstly, the public health service delivery system was formed;secondly, services types and target population were annually increased; and thirdly, there were remarkable health and social benefits. However, for such a big program that is related to multiple government departments and health institutions, contradictions may emerge during implementation. Therefore, it is important to deal with its dif-ferent relationships. Recommendations for further implementation of the work in the coming “Thirteenth-Five-Year”plan are enlightened to deepen a perfect essential public health service delivery mechanism from the financing and management, service package scoping, service delivery system and approach, and performance evaluation facets.