国家卫生健康委发布《成人健康体检项目推荐指引（2025年版）》 体检更精细 健康管理更有效（民生一线）

Core Viewpoint - The National Health Commission has released the "Adult Health Examination Project Recommendation Guidelines (2025 Edition)", introducing a "health examination self-assessment questionnaire" and incorporating mental health screening into the evaluation system, transitioning health examinations from a "standardized package" to a "risk-oriented" model for individuals aged 18 and above [1] Group 1: Guidelines and Framework - The guidelines aim to standardize health examination practices, protect the health rights of examinees, and promote high-quality development in the health examination industry [1] - The guidelines are based on previous documents and have been systematically revised to adapt to changes in disease patterns and medical evidence, facilitating a shift from health examinations to health management [2] - Key tasks of adult health examinations include enhancing management of common diseases and early diagnosis and treatment of major diseases, with a focus on cancer risk [2] Group 2: Health Management and Education - The guidelines encourage individuals to transition from passive examinees to active health participants, enhancing health literacy and self-management capabilities [3] - The introduction of a three-tier health examination system, including a self-assessment questionnaire, basic examination items, and chronic disease risk screening, helps create a closed-loop health management process [4] - The self-assessment questionnaire includes personal lifestyle, medical history, and family disease history, guiding examinees to reflect on their health status and providing critical information for subsequent examinations [4] Group 3: Risk Assessment and Screening - The guidelines integrate risk assessment throughout the process from questionnaire to basic examination to in-depth risk screening, improving the specificity of early disease prevention and intervention [5] - Specific disease risk screening projects are categorized into recommended and optional levels, allowing targeted in-depth screening based on basic examination results [4] Group 4: Long-term Health Guidance - The guidelines establish a unified standard for enhancing the standardization of health examination services and management, extending services from examinations to long-term health guidance [6] - Individuals are encouraged to complete the self-assessment questionnaire thoroughly to understand their health risks and select appropriate chronic disease risk screening projects based on their results [7] Group 5: Targeted Health Examination Focus - Different populations have varying health examination focuses based on age, with young individuals focusing on establishing health baselines and screening for infectious diseases, while middle-aged individuals should prioritize cardiovascular diseases, cancer risks, and diabetes [8] - Gender and family disease history are critical considerations, with specific screenings recommended for women and men based on prevalent health risks [8] - Lifestyle factors are also important, with recommendations for additional screenings based on smoking, dietary habits, and stress levels [8]