Situation and Demand of Medical Science and Technology Development in the Twelfth Five-Year Plan

(1) The challenge of disease prevention and control is arduous.

In recent years, cardiovascular and cerebrovascular diseases, malignant tumors, diabetes and other chronic non-communicable diseases are on the rise, and they are younger, which has become the main cause of death for urban and rural residents in China and brought heavy medical burden. The incidence of major infectious diseases such as tuberculosis, AIDS and hepatitis remains high, and new infectious diseases such as SARS and influenza A (H 1N 1) continue to appear. The situation of infectious disease prevention and control is still very serious. While China has made great achievements in population control, the problem of getting old before getting rich has also followed. The disease prevention and health protection of the elderly population have brought great economic pressure to society and families. In addition, birth defects have become a major social problem, psychological and mental disorders are increasing, major natural disasters and accidental injuries occur frequently, and common and frequently-occurring diseases such as respiration and digestion still plague the health of the general public. The impact of food safety and environmental hazards on health has intensified, with high incidence of occupational diseases and endemic diseases, constant emergence of iatrogenic and drug-induced diseases, continuous expansion of sub-health population, and low level of diagnosis and treatment technology in rural primary medical institutions, further aggravating the grim situation of disease prevention and control. Facing many challenges, the existing level of medical knowledge still has great limitations. Many major diseases, including common frequently-occurring diseases, still lack economic and effective means of prevention and treatment, and the scientific and technological support capacity for disease prevention and treatment needs to be improved urgently.

(2) The demand for health is growing rapidly.

Health is the most common and basic need of human beings. At present, the main characteristics of China's health demand are low starting point, large total amount and poor overall health status of residents. With the continuous improvement of economic conditions, education level, science and technology, industrial development and other factors, public health needs are rapidly released, and people pay more and more attention to disease prevention, which promotes the rapid development of medical service industry and biomedical industry, including drugs and medical devices, and also leads to the shortage of medical resources in China. At the same time, with the continuous improvement of public health awareness, family medical care, rehabilitation care, personal health and other products have gradually become new market growth points, and the proportion of medical care consumption expenditure to personal consumption expenditure has gradually increased, and the modern health service industry has grown rapidly. The purpose of medical science and technology is not only to relieve pain, but also to meet people's multi-level needs to improve their health and quality of life, and to provide better health services.

(3) Scientific and technological innovation is highly active.

The endogenous motivation brought by understanding life phenomena and solving health problems, as well as the continuous progress of multidisciplinary theories and methods based on life sciences, have promoted the continuous expansion of the depth and breadth of medical research. The deepening research on molecules, cells, tissues, organs, systems and the whole has accelerated the development of medicine in new directions such as prediction, prevention and individualized diagnosis and treatment; New technologies such as medical imaging, molecular diagnosis, gene therapy, cell therapy, minimally invasive surgery, tissue engineering, biomedical materials, targeted drug therapy, non-invasive detection, real-time monitoring, digital medical care, telemedicine and mobile medical care have been continuously developed, and the means of disease prevention and treatment and the level of medical services have been continuously improved; The combination of traditional medicine's health concept, medical practice and modern medicine is getting closer and closer, and the combination of traditional Chinese and western medicine has become a remarkable feature of the development of medical science and technology in China. With the increasingly extensive cross-infiltration and integration of multi-disciplines, medicine has gradually become an important engine to promote the integration and application of biology, materials, information, engineering and other disciplines, and the development of medical science and technology has entered an important strategic opportunity period.

(4) Accelerate the transformation of medical model.

With the deepening of scientific understanding, exploring the mysteries of life, revealing the essence of human health and diseases, and seeking safer and more effective intervention methods are no longer simple biomedical problems, but complex systematic scientific problems including biology, environment, psychology and society. Medical science and technology has entered the era of holistic medicine with multi-angle and all-round research. The development of medical science and technology is increasingly dependent on the cross-infiltration, integration and close cooperation of multi-disciplinary and multi-field large corps operations. Focusing on the development demand of medical science and technology, it is becoming a new development trend to strengthen the integration of medical research resources, promote the cross-integration between different disciplines and technical fields, promote the close connection between cutting-edge technology, basic research and clinical medicine, and accelerate the establishment of an overall collaborative research model.

(5) Industrial competition is becoming increasingly fierce.

The health industry, led by innovative drug research and development and advanced medical device manufacturing, is an important foundation to support the construction of national medical and health system and promote the improvement of medical service level, and it is one of the most intense and important strategic commanding heights for countries all over the world. Under the dual influence of technology-driven and demand-driven, the global health industry continues to grow and develop rapidly. The United States has always been in the leading position in the world, and Europe has shown a strong momentum of development. Japan has established the strategic goal of "establishing the country through bio-industry", and China has also designated bio-medicine as a strategic emerging industry to be developed during the Twelfth Five-Year Plan period. However, generic drugs are still the main chemicals and biopharmaceuticals in China, and large, medium and high-end medical devices mainly rely on imports. The development of Chinese medicine industry is also facing many challenges such as resources and standards. Further accelerating the development of biomedical strategic emerging industries is not only an urgent need to support the construction of medical and health system and reduce the public's medical burden, but also an important strategic need to face the future development of big health industry and promote the transformation of medical model.

(6) The strategic significance is increasingly prominent.

Medical and health care is related to social harmony, economic development and political stability. Governments all over the world are vigorously developing medical science and technology to solve the problem of prevention and treatment of major diseases and achieve the goal of national health care. The improvement of health level has become one of the important indicators to measure and evaluate the social development of various countries. Many countries have started and are implementing health strategies, and the proportion of investment in medical research is increasing. The research expenditure of the National Institutes of Health (NIH) accounts for more than one-third of the research expenditure in the non-defense field in the United States, reaching $36,543,802 billion in 2065,438+00, and maintaining a continuous growth trend; Britain plans to invest 654.38+05 billion pounds in research and development of cancer and other diseases in 654.38+00 years. No matter the total investment or the proportion of scientific and technological investment, there is still a big gap between China's medical scientific and technological investment and that of developed countries. It is of great strategic significance to further increase investment in medical science and technology and accelerate its development.