【医在中国Q＆A·开栏语】

Healthcare in China Q&A: Opening words

过去5年，中国医疗体系迎来深刻变革：中国人均预期寿命达到79岁，基本医保覆盖超13亿人，药品价格显著下降，远程医疗几乎实现县域全覆盖。即日起，中国网开设《医在中国Q＆A》系列问答栏目，聚焦医疗变革背后的制度创新，解读中国在分级诊疗、中医药发展、公共卫生应急等领域的实践，为全球公共卫生治理提供中国方案。

Over the past five years, China's healthcare system has undergone profound transformations: the average life expectancy of Chinese people has reached 79 years, basic medical insurance now covers more than 1.3 billion people, drug prices have significantly decreased, and telemedicine services have reached almost all areas at the county level.

Today, China.com.cn launches the “Healthcare in China Q&A” series, which focuses on the institutional innovations behind these changes. The series will interpret China’s practices in areas such as the hierarchical medical system, the development of traditional Chinese medicine (TCM), and public health emergency, to offer Chinese solutions for global public health governance. 

医在中国Q&A |呵护儿童青少年健康健康生活方式从小抓起

Healthcare in China Q&A | Healthy Youth, A Healthier China: Why It Is a National Priority?

中小学聘任健康副校长、配备专职心理健康教育教师，开创“儿科和精神卫生服务年”“健康体重管理年”等行动，推行“每天锻炼一小时”“营养改善计划”……在中国，呵护儿童青少年健康成长作为“国之大者”，由国家统筹、社会协同、家庭学校共同参与。为何如此重视儿童青少年健康？在学校之外，社会各界如何编织起一张坚实的健康防护网，以保证“一个不掉队”？

How does China's whole-of-society approach to youth health work? It ranges from appointing "Health Principals" and mental health teachers in schools to launching nationwide campaigns that promote an active hour of exercise daily and better nutrition. Treated as a top national priority, this coordinated effort weaves a safety net designed to ensure no child is left behind.

Q1：“呵护儿童青少年健康”，为什么上升到“国策”？

Q1: Why Is Youth Health So Important in China?

A:“呵护儿童青少年健康”关乎民族的未来和国家的长远发展。每个孩子的身心健康，直接关系亿万家庭的幸福，也是国家核心竞争力的一部分。近视、肥胖等健康问题，对未来人口质量带来系统性挑战。因此，中国将“呵护儿童青少年健康”看作“国之大者”，这是为国家的未来进行重要的健康投资，确保发展的根基稳固。

A: China views the health of its youth as fundamental to national strength and sustainable development. The well-being of millions of families and the nation's future competitiveness are tied to the physical and mental health of every child. Addressing challenges such as myopia and obesity is a strategic priority. Therefore, safeguarding the health of children and adolescents is a matter of national policy—a crucial investment in the country's most vital asset: its future.

Q2：学校之外，社会各界如何筑牢“青少年健康”防护网？

Q2: How does China's whole-of-society approach to youth health work? 

A:“家校社医”协作织网。医疗机构深入参与学校健康管理，与家庭、学校形成协同防控闭环。社区卫生服务中心和家庭医生为孩子们建立健康档案，定期进行视力、体重、口腔、心理、骨骼等方面的监测与早期干预。社区努力创造有利于儿童青少年活动的健康环境；企业和公益组织纷纷推出“快乐操场”“健康进校园”等公益计划，将资源、设备和服务带入校园；媒体营造积极健康的社会氛围；家庭充分发挥健康的第一课堂作用。

A: China is weaving a robust “whole-of-society” safety net to support the health of its youth. Hospitals partner with schools and families to coordinate health management. Community centers help track student development, while businesses and NGOs contribute resources. Media promotes healthy lifestyles, and families act as primary health educators—all working together in a coordinated effort.

Q3：青少年健康，如何做到“一个不掉队”？

Q3: How Can We Ensure No Child Is Left Behind in Youth Health?

A:持续强化顶层设计，将儿童青少年健康相关工作纳入国家战略和中长期规划，着力缩小城乡、区域间资源差距，破除阶层固化。重点加强对农村和资源薄弱地区的投入，确保那里的孩子也能享受营养改善和基本健康服务。同时，通过建立健康档案和常态化监测，精准识别每一个面临健康风险的孩子，无论是身体上还是心理上，并及时给予个性化帮助。

A: China is implementing a national strategy to close health gaps among youth. Investments are being increased in rural and under-resourced areas to guarantee basic health services and improved nutrition for every child. Through comprehensive health tracking and monitoring, children at risk, both physically and mentally, can be identified early and receive timely, personalized support. 

2023年中国中小学生《国家学生体质健康标准》优良比例达56.6%，小学、中学配备专职心理健康教育教师的学校比例为42.3%和64.8%。越来越多儿童在运动中强体魄、在劳动中健全人格、在生活中养成良好习惯。

Progress is already visible: in 2023, 56.6% of students met national physical fitness standards, and dedicated mental health teachers were present in 42.3% of primary and 64.8% of secondary schools. These efforts reflect a steady rise in the overall well-being of children and adolescents.

总策划：薛立胜

Executive Producer: Lisheng Xue

策划：蔡晓娟 张运兴

Planning Director: Xiaojuan Cai, Yunxing Zhang

统筹：刘佳

Project Coordinator: Jia Liu

供稿：郝晓宁 孙强、谢雨薇（国家卫生健康委卫生发展研究中心、健康和人口发展战略研究院 ）

Content Provider: Xiaoning Hao，Qiang Sun, Yuwei Xie (National Center for Health Development Research, NHC)

编辑：孙晓彤

Editor: Xiaotong Sun

推广：杨岳巍 金淳曦 常瑶 沈雪

Promotion: Yuewei Yang, Chunxi Jin, Yao Chang, Xue Shen

翻译：郭峰

Translator：Feng Guo

编审：张艳玲 王月博

Managing Editor：Yanling Zhang, Yuebo Wang

【“医在中国Q&A”系列】

医在中国Q&A① | 中国医疗卫生服务体系的独特性是什么？

医在中国Q&A②丨中国医疗卫生服务网如何“铺满”基层？