2016年 · 第10卷第04期

As a sunrise industry in China's health service industry, the development of health examination has made great contributions to China's health service industry. In order to realize the sound and rapid development of health examination industry and lead and guide health management (physical examination) institutions all over the country to standardize the health examination control work, the editorial committee of Chinese Journal of Health Management and the Health Management Branch of Chinese Medical Association organized relevant scholars in the field of health management (physical examination) nationwide to form the Guide for Quality Control of Health Examination on the basis of in-depth investigation and repeated consultation. This guide is the first academic norm on quality control of health examination in China, which is formed on the basis of learning from relevant research results and practical experience at home and abroad. It is the basic academic compliance and behavior guide for all kinds of medical and health care institutions at all levels in China to carry out health examination services. It is of great practical significance to improve the service quality and level of nearly 10,000 health management (physical examination) institutions in China, meet the growing multi-level and diversified health needs of citizens, and form health management information standards and Chinese health big data.

Malignant tumor is a major chronic disease that threatens human health seriously, and is one of the most serious public health problems in China and even the world in the 21st century. Tumor control has become the focus of health strategy of governments all over the world. According to the 2014 Global Cancer Report released by the International Agency for Research on Cancer (IARC) of the World Health Organization (WHO), it is estimated that the incidence of cancer in China accounts for about 22% of the global incidence of cancer. Among 184 countries and regions, the incidence of cancer in China ranks 68th, ranking above the average level^[1]。 In recent years, with the development of society and economy in China, the intensification of industrialization, urbanization and aging, as well as the change of population growth and lifestyle, the composition of malignant tumor spectrum in Chinese residents has changed significantly, and the overall incidence level is on the rise. The practice of prevention and treatment in areas with high incidence of cancer has proved that comprehensive measures such as health education, risk factor intervention and effective early diagnosis and treatment can effectively reduce the morbidity and mortality of malignant tumors and improve the survival rate. By formulating national cancer prevention and control policies, increasing investment and taking effective measures to systematically carry out cancer prevention and control work, 40% of malignant tumors can be prevented, and 1/3 of tumors can be found in the early stage and cured^[2]Standardized clinical diagnosis and treatment can improve the therapeutic effect and reduce the national health and economic burden, which is of great significance to building a harmonious society and realizing the Chinese dream of people's health.

With increasing morbidity and mortality, cancer has become the leading cause of death and a major public health problem in the Chinese population. According to the survey of "2015 China Cancer Statistics", there were an estimated 4.292 million new cancer cases and 2.814 million cancer deaths in China in 2015. Lung cancer has become the most common cancer and the leading cause of cancer death. Gastric cancer, esophageal cancer, and liver cancer are also common cancers, ranking among the leading causes of cancer death^[1]。 Therefore, early screening and management of cancer patients is an extremely important link in the process of cancer diagnosis and treatment, and it is urgent to find reliable tumor markers.

The level of adolescent physical activity is declining, and the lack of physical activity has become the most important public health problem in the 21st century^[1]。 The WHO report identifies physical inactivity as the fourth leading risk factor for death, accounting for about 6% of global death attributes^[2]At the same time, insufficient physical activity is also an important risk factor for many chronic diseases^[3]。 With the continuous improvement of residents' living conditions and the continuous development of road traffic, the majority of young students spend less and less time in outdoor activities and sports, while the sedentary behavior and screen time (such as reading books, doing homework, watching TV, playing mobile phones, surfing the Internet, etc.) are increasing. The lack of physical exercise behavior not only affects the development of students' physical fitness, but also leads to mental health problems, such as more and more students appear overweight, obesity and depression symptoms^[4]。 Therefore, in September 2013, the author investigated the physical exercise behavior and influencing factors of junior high school students in Shaoxing, Zhejiang Province.

In recent years, with the improvement of people's living standard, the change of diet structure and lifestyle, the incidence of fatty liver is increasing. Fatty liver is a lipid metabolism disorder disease, which is caused by various reasons, and is formed by excessive accumulation of fat in liver cells, which is related to simple obesity, drinking, nutritional disorders, diabetes, etc^[1]。 Fatty liver has become the second liver disease after viral hepatitis, and 5% to 15% of patients are at potential risk of developing cirrhosis^[2]。 The occurrence of fatty liver is closely related to behavior and lifestyle, and good lifestyle is the key to effectively control fatty liver^[3]。 To this end, we implemented WeChat intervention for fatty liver patients in the healthy physical examination population from June 2014 to July 2105, aiming to improve fatty liver patients' awareness of disease knowledge and promote healthy behaviors to treat and control the development of fatty liver, and provide theoretical basis for health intervention of fatty liver patients.

Bipolar disorder used to be known as manic-depressive psychosis and is one of the most common major mental disorders in psychiatry. The lifetime prevalence of adult bipolar disorder worldwide ranges from 0.1% to 7.5%^[1]In 2010, the lifetime prevalence of bipolar disorder in the community population in Beijing was 0.69%^[2]。 The clinical manifestations of bipolar disorder are complex and changeable, and it is easy to be misdiagnosed and missed. A full understanding of the manifestations and characteristics of bipolar disorder can help in early diagnosis and correct treatment, thus improving patient prognosis. This article will focus on the clinical manifestations, diagnosis and disease characteristics of bipolar disorder.

Family is the basic unit of community and the basic unit of community health management. Family has its own development cycle, and different health needs and health problems exist in different stages^[1]。 It is a feasible measure to promote the development of community health management and the improvement of community health level by introducing the principles and methods of health management to improve family health care service, establishing a general practitioner health management service team by community health service center and signing responsibility contract with family, and incorporating family health care service into community health management according to the theory of family life cycle^[2]。

With the continuous improvement of people's living standards, the incidence of chronic non-communicable diseases is high. Although the state has implemented universal basic medical insurance, the cost of medical insurance is far from keeping up with the sharp increase in medical expenses caused by the high morbidity rate. Speeding up the development of health management, shifting high-quality resources to early prevention, and shifting from "disease" as the center to "health" as the center are the only ways to deepen medical reform and resolve conflicts^[1]。 Therefore, in 2013, after the State Council issued "Several Opinions on Promoting the Development of Health Service Industry", Hubei Provincial Health and Family Planning Commission issued "Guiding Opinions on Carrying out Health Management Pilot Work", which was led by government departments and started the health management pilot work in the whole province^[2]。 In August 2015, the Hubei Provincial Government listed vigorously promoting health management as a key task of medical reform in Hubei Province^[3]。 Huangpi District is one of the health management pilots determined by Hubei Provincial Health and Family Planning Commission, through active exploration and innovation^[4]The Huangpi model of health management work of "one mechanism, four parties management, five services and four medical linkages" has been initially formed.