On September 5th, Tesla released a road map on social media, and predicted to launch fully autonomous driving technology (FSD) in China and Europe in the first quarter of 2025. Although it still needs regulatory approval, it still attracts great attention. At the same time, Tesla’s plan to launch Robotaxi (driverless taxi) on October 10 this year has also caused widespread discussion. It is reported that the Tesla Robotaxi conference will be held in Hollywood studios, and its vehicle seats may lie flat and rotate.

　　In April this year, Musk made a "lightning visit to China" to speed up the landing of FSD. Obviously, as a representative of American technology enterprises, Tesla is not willing to lag behind China enterprises in the field of driverless driving.

　　It is worth mentioning that after years of development, China’s driverless industry has taken Beijing as the starting point and completed an amazing leap from technology research and development to application, which has blossomed in major cities across the country.

　　It is understood that as one of the most active cities in driverless innovation in the world, Beijing has been leading the way since it released the first self-driving road test and demonstration policy in 2017, and promoted technological innovation with policies. At the beginning of 2024, the demonstration area has achieved full coverage of 160 square kilometers of intelligent networked roads and smart city private networks, taking the lead in opening a number of commercial pilot services such as autonomous driving, and keeping ahead in supporting policies, opening test roads, supervision and management, etc.

　　At present, Beijing has covered eight main application scenarios, including self-driving taxis, self-driving minibuses, unmanned feeder vehicles, unmanned delivery vehicles, unmanned sanitation vehicles, unmanned patrol vehicles, self-driving heavy trucks and unmanned retail vehicles.

　　In Yizhuang, Beijing, driverless cars from radish Kuaipao, Xiaoma Zhixing and Wen Yuan Zhixing are driving in the streets, providing travel services for more citizens.

　　Behind Beijing’s support for driverless development is a new round of global technical competition. As an important landing scene of artificial intelligence, driverless driving has become the commanding height of global scientific and technological competition. In order to accelerate the development of unmanned driving in China, many experts have called for speeding up legislation and policy innovation at the national level, promoting the large-scale landing of unmanned vehicles, and keeping China’s unmanned driving ahead.

　　The unmanned large-scale landing faces the "stone of other mountains". What are the challenges?

　　Not only Tesla FSD has entered China, but in recent years, unmanned driving between China and the United States has been staged at its peak, which has also pushed the competition in the global unmanned driving industry to a fever pitch. At the same time, Germany, Japan, Britain and many other traditional automobile manufacturing countries have also joined the unmanned competition camp, implemented industrial deployment from the national strategic level, and made continuous legislative actions to seize the development opportunities of the unmanned industry by creating an "institutional highland".

　　At present, Chinese and American companies are neck and neck in the landing of driverless technology. As the world’s industry leaders, Waymo in the United States and Radish Run in China have both crossed the threshold of unmanned automatic driving test and are competing for the speed of large-scale landing.

　　According to the data released by Waymo on September 5th, as of June, 2024, Waymo has traveled 15.4 million miles in Phoenix, 5.9 million miles in San Francisco, 855,000 miles in Los Angeles and 14,000 miles in Austin. The cumulative mileage of unmanned vehicles in the four cities has exceeded 22.2 million miles, an increase of 212% compared with 7.1 million miles eight months ago.

　　It is worth noting that Waymo announced two weeks ago that its number of paid trips for unmanned vehicles in the United States has exceeded 100,000 times per week. This figure was only 50,000 in May, which means that Waymo’s weekly single volume has doubled in just three months.

　　It is observed that this growth is related to Waymo’s continuous expansion of service area and allowing more users to take its driverless taxis this year. It is understood that Waymo expanded its driverless travel service in the San Francisco Peninsula in March this year, and announced in June that it would open its driverless travel service to users all over San Francisco. More than 700 unmanned vehicles were carried out in prosperous urban areas such as San Francisco and Los Angeles in the United States. Full-time (7×24 hours), unmanned and chargeable scale operation.

　　With the recent opening of unmanned driving in San Francisco, the surge in the number of unmanned vehicles and the increase in the number of users covered, Waymo also surpassed Radish Run, the largest self-driving travel platform in China. According to public data, since it landed in Wuhan in May 2022, there are only over 400 unmanned vehicles in Wuhan, and the order volume per quarter is about 826,000 orders, with an average of about 68,000 orders per week.

　　In the industry’s view, the large-scale development of Waymo autonomous driving is inseparable from the open attitude and "leap-forward, fast-paced" approach adopted by the United States for driverless driving. Boldly let go at the regulatory level and give a green light all the way, giving Robotaxi the greatest development space.

　　In the view of Lv Benfu, vice president of China National Innovation and Development Strategy Research Association and professor of Chinese Academy of Sciences, it is the window of global intelligent networked vehicles development, and the opportunity is fleeting. China’s driverless technology is at the leading level in the world, and the policy actively supports industrial development. Only when enterprises actively embrace intelligent networked vehicles without hesitation will they not fall behind in the core frontier technology field in the future.

　　However, European and American countries are also actively developing the driverless industry. For example, in June this year, the British "Self-driving Car Act" was approved by the royal family, which established a complete legal framework for self-driving cars, including the vehicle authorization system. Self-driving cars can not only be legally on the road, but also be authorized to provide automated passenger services. The British government said that the Bill will pave the way for self-driving vehicles to run smoothly in the UK in 2026.

　　In fact, driverless driving is a new industry that needs to be developed in practical application. It has no practical significance in simulation test and unmanned road test. It needs to verify technology in complex and changeable real roads, improve cognitive ability in interaction with surrounding real vehicles and pedestrians, and solve practical problems in the road ahead, so as to make unmanned vehicles stronger and safer.

　　Zhang Zhuting, chairman of the Legal Work Committee of China Communications and Transportation Association and a senior researcher at Taihe Think Tank, said that the development of autonomous driving in China has been in a critical period of development. The passage of the Self-driving Car Act in Britain and the successive legislation in other countries have greatly inspired us. At the same time, intelligent networked new energy vehicles are the main application direction of artificial intelligence and an important field for developing new quality productivity. We should speed up the introduction of policies and regulations related to autonomous driving to ensure the leading position of China’s intelligent networked automobile industry in the world.

　　Experts call for speeding up the opening of legislation and policies and promoting the scale of unmanned driving.

　　In the development process of unmanned driving, policy opening is the booster of this technology from "laboratory" to "test site". Up to now, the General Office of the State Council has initiated the revision of the road traffic safety law and road transport regulations. At present, more than 10 cities across the country have promoted local legislation on autonomous driving, and six places, including Shenzhen, Pudong, Yangquan, Wuxi, Suzhou and Hangzhou, have issued legislative documents, while Wuhan, Beijing, Hefei and Guangzhou have accelerated the legislative process.

　　Taking Beijing as an example, it has maintained a leading position in many aspects, such as testing road opening, evaluation standards, guiding policies, and license issuance, and has become a dual highland of intelligent networked automobile technology innovation and policy innovation. Through multi-faceted technical exploration, Beijing has achieved a key breakthrough in the "China Plan" for the integration of vehicles and Lu Yun, and demonstrated "China Power" to the world with the "Beijing Model".

　　It is worth mentioning that in July this year, the Beijing Economic and Information Bureau solicited opinions on the Regulations of Beijing Municipality on Self-driving Cars (Draft for Comment), and planned to support self-driving cars for urban bus passenger transport, network car rental, car rental and other urban travel services.

　　"The" Draft for Comment "proposes to support self-driving cars for urban travel services such as urban bus passenger transport, network car rental, etc., which shows Beijing’s determination to promote the commercial application of autonomous driving technology." Wang Peng, a researcher at the Beijing Academy of Social Sciences, pointed out that clarifying the application scenarios of self-driving cars through legislation will not only help to broaden its market space, but also provide legal support for related enterprises to innovate and explore in different fields. In the future, with the continuous maturity of autonomous driving technology, these application scenarios will be further enriched and improved to provide citizens with more convenient and efficient travel services.

　　At the same time, the "Draft for Comment" clarifies the legal status of self-driving cars. For a long time, self-driving cars have faced many obstacles due to the lack of clear legal definition. This legislation is expected to formally confirm the legal status of self-driving cars from the legal level and provide legal protection for them to drive on the road. This not only helps to promote the research and development and application of autonomous driving technology, but also provides a more stable and predictable policy environment for related enterprises and investors.

　　Previously, many experts and scholars called for accelerating legislative and policy innovation at the national level, clarifying the legal status of self-driving cars through legislation, promoting the scale of unmanned driving, and continuing to lead the development of the global driverless industry.

　　Jiang Haoran, member of Chinese People’s Political Consultative Conference, secretary of the Party Committee and chairman of Hengyin Financial Technology Co., Ltd., said that at present, the local small-scale pilot demonstration policy of local driverless vehicles on the road is mainly based on the scientific experiment of autonomous driving. Due to the lack of strong support from the superior law, the large-scale pilot demonstration for industrialization is difficult. It is suggested to strengthen the top-level legislative design at the national level, seize the opportunity of the current revision of the Road Traffic Safety Law, build a sound collaborative support and supervision system for autonomous driving, solidly and effectively promote industry norms and local legislation, and ensure the large-scale road traffic of driverless vehicles; At the same time, it is clear about the conditions and procedures for drivers’ vehicles to pass on the road, and support the road right permission of drivers’ vehicles in the form of laws and regulations.

　　He Xia, former chief engineer and professor-level engineer of the Institute of Policy and Economics of China Information and Communication Research Institute, believes that local governments should make full use of legislation, data regulations and documents to continue to accelerate the path of large-scale commercial exploration of autonomous driving. With the gradual maturity of the industry, the lack of superior law and the disunity of local legislation will affect the development of the whole industry, so it is necessary to give autonomous driving an appropriate legal status from the national level.

　　"Local legislation on autonomous driving should be further accelerated. Factors such as employment problems, mature algorithm technology and safety concerns brought about by industrial adjustment should not hinder the acceleration of local legislation." Yu Lingyun, a professor at Tsinghua University Law School and director of the Public Law Research Center, said.

　　China News Service, Toronto, October 31, 2008. A round of hearing on Meng Wanzhou’s extradition case about the abuse of procedures by Canadian law enforcement agencies in the process of arrest ended on October 30, local time in the High Court of British Columbia, Canada. Witnesses from Canadian law enforcement agencies admitted that there were mistakes in the process of arresting Meng Wanzhou when they appeared in court for cross-examination.

　　During this five-day hearing, three witnesses from the Royal Canadian Mounted Police and the Border Services Agency appeared in court successively and were cross-examined by both the prosecution and the defense. This is also the first time to let the outside world know about the specific process of Canadian law enforcement agencies arresting Meng Wanzhou, vice chairman and chief financial officer of Huawei, at Vancouver International Airport on December 1, 2018.

　　Officer of the Royal Mounted Police admitted that the procedure was "wrong"

　　The first half of the court was Winston Yep, a police officer of the Royal Canadian Mounted Police. He admitted that he knew this was a "high-profile" case before he acted.

　　Ye gave an affidavit to the judge before the action, describing that Meng Wanzhou has "no connection" with Canada. He signed his name without verifying the background information, and later found that the content was inconsistent with the facts, but he did not make corrections or any remedial measures. He admitted that it was his "mistake".

　　In this case, the content of the affidavit is the only source of information that the judge can rely on when deciding whether to issue a provisional arrest warrant.

　　During the operation, law enforcement officers failed to "immediately arrest" Meng Wanzhou on the plane according to the arrest warrant. Ye explained that this was due to "security concerns" and respect for the "jurisdiction" of the Border Service at the airport, but he did not mention security or jurisdiction issues in any notes or documents.

　　Ye said that she was worried that Meng had anti-reconnaissance ability and that she carried a knife with her. However, when Meng Wanzhou got off the plane, the law enforcement officers did not search whether she was armed, but confiscated and searched her electronic equipment.

　　Ye also failed to comply with the prosecution’s prior request to write an event schedule after the action. For many details such as changing the action plan, Ye responded that he had "forgotten".

　　Meng Wanzhou’s defense lawyer said in court that Ye’s answers to some questions were not honest.

　　Border officials admitted giving the password to the police by mistake.

　　In the second half of the hearing, kirkland, an official of the Canada Border Service Agency, was the main person who appeared in court for questioning. He said that before the action, he learned that Meng Wanzhou was listed as a "national security" alert figure by the Canadian Border Service. However, after interrogating Meng, he thought that she was not involved in national security issues.

　　Kirkland said that he had collected Meng Wanzhou’s mobile phone and put it in a radiation-proof bag provided by the FBI. He denied that the Border Service was collecting mobile phones for the FBI, but he was not sure whether the RCMP would hand over the items to the US.

　　He admitted that he "inadvertently" handed the note with Meng Wanzhou’s mobile phone password and his mobile phone to the RCMP, which basically violated the privacy law. He said that he felt heartache and headache.

　　Kirkland also admitted that she was really worried that the delay in executing the arrest warrant due to the interrogation of Meng would affect her rights.

　　The defense lawyer of Bangladesh believes that the border service agency’s practice is a trick to use the privilege to interrogate Bangladesh without a lawyer present and without telling the real reason for the confiscation of the mobile phone.

　　The witness who briefly appeared in court in the last half day of this round of hearing was Bryce McRae, an official in charge of the Canada Border Service Agency. He confirmed that the day before Meng Wanzhou flew to Vancouver, the US Federal Bureau of Investigation called and "unusually" asked the Canadian Border Service to provide the telephone number of the supervisor on duty the next day. However, the next day, the FBI did not report electricity.

　　McRae said that he "can’t remember" some specific questions about the pre-action meeting and the process of intercepting and interrogating Meng Wanzhou.

　　Meng Wanzhou’s team of lawyers has always believed that there was procedural abuse in this case, so the extradition procedure should be suspended and three branches should be set up to appeal. One is to prove the political nature of the case with the statements of senior politicians in the United States; The second is to demonstrate that there is procedural abuse in the process of detention of Meng by Canadian law enforcement agencies at the airport; The third is to point out that the case records and other documents provided by the United States to Canadian officials are misleading, and there are major omissions and misstatements. This round of hearing belongs to the second branch.

　　In this round of hearing, the prosecution lawyer tried to prove that the arrests were in line with the process requirements, and the mistakes did not hinder the effectiveness of extradition.

　　Because the progress of questioning witnesses is slower than expected, the court will investigate the follow-up schedule, and will hold more sessions in November and December to continue cross-examination of witnesses and conduct hearings on other branches. The next hearing will begin in mid-November.

Wake yourself up and forget the past.

Everyone’s life, there are many unsatisfactory things. Too big to find a suitable job, buy a suitable house, and talk about a suitable object; Too small to be criticized by the leader because of a mistake, and I will be late soon but I can’t get on the subway.　

What makes people tired is not the distant mountains, but a grain of sand in their shoes. What limits one’s progress is often the feelings of falling in and the people and things that can’t be let go.

Wake yourself up, not thinking about the past, but also fearing the future; Is to forgive others, but also to reconcile with yourself; It is commitment and acceptance, and it is also a fresh start.　

The more people who know how to let go, the happier they will be.

02 restrain yourself and be steady and far-reaching.

Young and frivolous, anyone who doesn’t have a little achievement will show his face and show his sharpness.

We always think that only by showing others where we have been, what books we have read and what achievements we have made can we prove our knowledge and value. It was only after seeing the wind and rain that I found out: modest gentleman, humble self-grazing.

Make public will only waste time, and the collection can grow steadily. A person who has really seen the world is generally peaceful.

The most taboo thing about being a man is that the wood is beautiful in the forest and people are floating in the public; The most taboo thing in life is to indulge in fantasy and aim at empty voices. Such people will suffer a lot from life.

When you are proud, you should restrain yourself, know how to hide the front and guard against stupidity, keep a low profile and be simple, so that you can have a stable and far-reaching life.

Steady yourself and turn over against the wind.

People in this life, such as sailing on the sea, or smooth sailing, or difficult sailing against the wind. If you are in trouble, you will only lose your way and lose the game; Calm and calm, everything is calm, in order to follow the waves and stand upright.

In the face of uncontrollable life, no amount of money and house can compare with a stable and powerful heart.

● Don’t worry

Zeng Guofan said: "Everything must be handled calmly and gently. If you are in a hurry, you may be wrong." Only by keeping a steady mind, working hard in secret, and not worrying and fearing too much, can we turn the tables against the wind when the opportunity comes.

● Not impulsive

The sense of security brought by reason and calmness is far greater than recklessness and competition. Who can stay calm in consternation, remain stable in anger and stay awake in anger, who is the real hero.

● Don’t give up.

How many grievances can you swallow before you can achieve many great things. In the days of waiting, keep your mind steady and take root, so that you can flourish in the future.

Straighten yourself and see the value.

After half a lifetime, we will always find that some people have worked hard all their lives and still achieved nothing. It’s not that they don’t work hard and struggle, but that they don’t find their own position.

It is a state not to overestimate yourself. If you take yourself too seriously, you will only hurt the most; Hold yourself too high, and the worse you fall.

It is calm not to underestimate yourself. In this world, everyone is unique, so you don’t have to belittle your existence because of other people’s opinions.

The best state of life is to straighten your heart, recognize your position and see your own value.

There are three stages in life: seeing the world, seeing all beings and seeing yourself. People who truly understand, never cater to all kinds of voices, but can look straight at themselves and find the path that suits them best after trying again and again, so that they can grow up quickly.

Update yourself and enrich your life.

Invariably, you will only be trapped in the same place; Know how to renew yourself, and life will be rich and splendid.

Renew your thinking. We can’t judge the present by the past experience. The correct way is to take contingency measures at the right time. To be a creative and open-minded person, no matter how complicated the world is, you are vast and flowing.

Renew ideas. Times are changing all the time. If you don’t know how to adjust your direction with the times, people will easily fall into some kind of obsession and go to the dark. Learn to update ideas and embrace change with a positive attitude, so as to learn from others and accept all kinds of life.

Update one’s knowledge When you always keep your curiosity and curiosity and improve yourself through learning, you can truly have the ability and strength to change reality. Life is the best textbook, and the truth of life is hidden in every corner of it. All the books you have read and the world you have seen will constantly update the thickness and breadth of your life.　　

Source | People’s Forum Network, Philosophical Life Network, Missing Your Heart, Having Books; The picture comes from the Internet.

　　Beijing, Sept. 19 (Xinhua)-According to foreign media reports, on the 18th local time, American entrepreneur Musk said that China may eventually lead the world in the development of artificial intelligence (AI) technology.

　　It is reported that Israeli Prime Minister Benjamin Netanyahu is currently visiting the United States. On the 18th, he talked with Musk at the Tesla factory in fremont, California, and discussed a series of issues including artificial intelligence.

　　According to the report, when talking with Netanyahu, Musk said, "As for which countries you mentioned will have important leadership positions in the field of artificial intelligence, China is definitely one of them, and it is one of the top countries. It may be the first place."

　　On July 18th, the UN Security Council held a high-level public meeting with the theme of "Opportunities and risks brought by artificial intelligence to international peace and security". Zhang Jun, Permanent Representative of China to the United Nations, put forward five principles on the governance of artificial intelligence: first, adhere to ethics first; second, adhere to safety and controllability; third, adhere to fairness and inclusiveness; fourth, adhere to openness and tolerance; and fifth, adhere to peaceful use.

　　Zhang Jun said that China adheres to the concept of the community of human destiny and has always participated in the global cooperation and governance of artificial intelligence with a highly responsible attitude, and has successively submitted two position papers on the military application and ethical governance of artificial intelligence on the UN platform. China is willing to work with the international community to actively implement global development initiatives, global security initiatives and global civilization initiatives in the field of artificial intelligence, adhere to development priorities, safeguard common security, promote cross-cultural exchanges and cooperation, join hands with countries to share artificial intelligence technological achievements, and jointly prevent and respond to risk challenges.

　　Today, the 19th the Political Bureau of the Central Committee held the fifth collective study, the content of which was the communist party Declaration and its significance. This year marks the bicentennial of Marx’s birth and the 170th anniversary of the communist party Declaration. The CPC Central Committee has made arrangements for commemorating the 200th anniversary of Marx’s birth, and a commemorative meeting will be held in early May. At this time node, it is of great significance for the Political Bureau of the Central Committee to study the communist party Declaration collectively.

　　学习马克思主义基本理论是共产党人的必修课。党的十八大以来，中央政治局集体学习多次以马克思主义理论为题，先后学习了历史唯物主义、辩证唯物主义、马克思主义政治经济学的基本原理和方法论。这次中央政治局集体学习《共产党宣言》，目的是通过重温经典，感悟马克思主义的真理力量，坚定马克思主义信仰，追溯马克思主义政党保持先进性和纯洁性的理论源头，提高全党运用马克思主义基本原理解决当代中国实际问题的能力和水平。

　　在座的同志都读过《共产党宣言》，今天我们重温这一经典，依然深受教育、深受启发。结合这次学习，我谈3点认识。

　　一、深刻认识《共产党宣言》的重大理论贡献

　　《共产党宣言》的问世是人类思想史上的一个伟大事件。《共产党宣言》是第一次全面阐述科学社会主义原理的伟大著作，“向全世界公开说明自己的观点、自己的目的、自己的意图”，矗立起一座马克思主义精神丰碑。《共产党宣言》的重大理论贡献主要有以下几个方面。

　　2018年5月2日，中共中央总书记、国家主席、中央军委主席最高领袖来到北京大学考察。这是最高领袖在北京大学马克思主义学院，与正在就“解读新时代”进行座谈交流的中外学生亲切交谈。 新华社记者 李涛/摄

　　First, profoundly expounded the scientific world outlook of Marxism. The communist party Declaration describes a new world view, that is, historical materialism, in a thorough and vivid language, and provides people with a scientific ideological weapon for understanding nature and human society. In the history of human thought, idealism used gods, humanity and ideas to explain everything, which once dominated people’s understanding of social phenomena for a long time. Before the birth of Marxism, utopian socialism lashed out at capitalism and sketched out the prospect of the future society, but it could not find the right way and social force to realize its social ideal. In the communist party Declaration, Marx and Engels scientifically expounded the inherent contradictions of capitalism and the historical mission of the proletariat, and revealed the historical inevitability of socialism replacing capitalism. This paper brilliantly discusses the nature, characteristics, basic program and strategic principles of Marxist political parties, and draws a clear line between scientific socialism and other various socialist schools. Some important ideas put forward in the communist party Declaration, such as historical materialism, class struggle, historical mission of the proletariat, new communist society, all-round development of human beings, world market, etc., are revolutionary, groundbreaking and breakthrough in the history of human thought. The communist party Declaration profoundly reveals that the history since the slave society is the history of class struggle. It reveals the general law of human social development that productivity determines the relations of production, economic base determines the superstructure, and the contradictory movement between productivity and relations of production, economic base and superstructure promotes the orderly replacement of social forms.Reveals the internal contradiction between capitalist production socialization and private possession of means of production; It reveals the historical laws of the inevitable demise of capitalism and the inevitable victory of communism. As Engels said: "This principle seems simple, but if you look closely, you will immediately find that the initial conclusion of this principle is a blow to all idealism, even the most hidden idealism." He also said that "this fact is the most revolutionary conclusion not only for theory but also for practice". After the publication of the communist party Declaration, Marx and Engels developed their thoughts and finally formed a systematic and complete ideological and theoretical system. The communist party Declaration is a classic book with scientific insight into the development law of human society, a classic book full of the spirit of struggle, criticism and revolution, and a classic book that upholds the people’s position, strives for the interests of the people and strives for the liberation of all mankind. The scientific and revolutionary nature of Marxist theory stems from the scientific world outlook and methodology of dialectical materialism and historical materialism, which provides us with a powerful ideological weapon to understand and transform the world and points out the correct direction for world socialism.

　　Second, it profoundly expounded the advanced character of Marxist political parties. The communist party Declaration expounded the advanced nature of Marxist political parties, pointing out that communist party is not a special political party opposed to other workers’ parties, and they have no interests different from those of the whole proletariat. In practice, communist party is the most determined and always promoting part of the workers’ political parties in various countries; Theoretically, communist party is superior to the rest of the proletariat in that they understand the conditions, process and general results of the proletarian movement, and represent the future of the movement at the same time in the current movement. Marxist political parties must be composed of the most thorough and determined advanced elements, and communist party people should be the most tireless, fearless and reliable advanced fighters. These thoughts provide a fundamental basis for Marxist political parties to maintain their advanced nature and purity.

　　Thirdly, the political stance of Marxist political parties is profoundly expounded. The communist party Declaration made no secret of the class nature of Marxist political parties, took a clear-cut stand on the side of the proletariat and the broad masses of the people, enthusiastically eulogized the great role of the masses in promoting historical progress, regarded the proletariat as the representative of advanced productive forces, the grave digger of the capitalist system and the creator of the new social system, and emphasized that all the movements in the past were for or for the benefit of a few people, and the proletarian movements were for and for the benefit of the overwhelming majority. This clear political stance fully affirms the people’s historical dominant position and fully embodies the fundamental nature and purpose of Marxist political parties.

　　Fourthly, the lofty ideals of Marxist political parties are profoundly expounded. The communist party Declaration establishes that the highest goal of Marxist political parties is to realize communism, and regards the free and all-round development of human beings as the essential feature of communism. This lofty ideal has stood at the commanding heights of human morality, and has become the firm belief of generations of communist party people, the spiritual pillar of not fearing any risks and overcoming all difficulties, and the spiritual banner of Marxist political parties uniting the broad masses of people to smash the old world and create a new world.

　　Fifth, profoundly expounded the Marxist revolutionary program. The communist party Declaration pointed out that the first step of the workers’ revolution was to make the proletariat rise to the ruling class, strive for democracy, and use its own political rule to increase the total productivity as soon as possible. The communist party Declaration also puts forward concrete measures on how to develop the productive forces. Although some specific contents are no longer applicable today, the spirit contained in it is still of positive significance. These thoughts are of great and far-reaching guiding significance for Marxist political parties to lead the people in revolutionary struggle and seize power by force, to strengthen political power construction, especially the construction of the ruling party, to develop socialist democracy, develop social productive forces and promote all-round social progress after Marxist political parties seize power.

　　This is the interior of the White Swan Cafe, which was shot in the center of the Belgian capital Brussels on February 7, 2018, when Marx and Engels wrote the communist party Declaration. Xinhua News Agency reporter Ye Pingfan/photo

　　Sixth, profoundly expounded the internationalism spirit of Marxist political parties. The communist party Declaration made a profound analysis of capitalist production crossing national boundaries and constantly exploring the world market, scientifically predicted the universal trend of material production and spiritual and cultural production in the world, and further pointed out that communism is not a narrow geographical movement, and the proletariat must liberate all mankind in order to be completely liberated, and called on the proletarians all over the world to unite. This provides a scientific theoretical basis for Marxist political parties to embrace the whole world, benefit mankind and jointly create a better world.

　　The communist party Declaration is a rich theoretical treasure-house, which has made many theoretical contributions, and it is worthy of our repeated study and in-depth study, and constantly draw ideological nutrition from it.

　　Second, deeply understand the far-reaching influence of the communist party Declaration on world socialism.

　　Once the communist party Declaration was published, it promoted the development of world socialism in practice and profoundly changed the course of human history. Engels said that the communist party Declaration is "the most widely spread and international work in all socialist documents, and it is recognized by millions of workers from Siberia to California as a common program". Shortly after the publication of the communist party Declaration, a massive revolutionary movement broke out in Europe. In 1864, after the establishment of International Working Men’s Association (known as the "First International" in history), under the leadership of Marx, it supported the working class of all countries in their struggle and the oppressed nations in their struggle for national liberation. The Paris Commune Revolution, which broke out in 1871, was the first great attempt to overthrow bourgeois rule and establish a regime in which the people were the masters of the country. Through struggle, the working class of all countries have achieved great victories that could not have been achieved in the past, such as political voting rights, eight-hour working system and labor legislation.

　　In November 1917, Lenin led the October Revolution to success, which opened a gap in the weakest chain of capitalism, established the first socialist country in the world, and achieved a great leap from theory to practice. The success of the October Revolution proved the truth of the communist party Declaration and gave hope to proletarian revolutions and national liberation movements in various countries. After the end of the Second World War, a number of countries have successively embarked on the socialist road, and socialism has developed from one country to many countries, and the power of world socialism has been greatly enhanced.

　　The older generation of revolutionaries of our Party were all influenced by the communist party Declaration and embarked on the revolutionary road. Our party’s first party program was formulated in accordance with the spirit of the communist party Declaration. The new-democratic revolutionary road, socialist revolutionary road, socialist construction road and Socialism with Chinese characteristics road pioneered by our Party are all great creations that combine the basic principles of Marxism with the concrete reality of China. The Communist Party of China (CPC) is a faithful inheritor of the spirit of the communist party Declaration.

　　The communist party Declaration is the most influential work in modern times. Over the past 170 years, the communist party Declaration has been translated into more than 200 languages and published in thousands of editions, making it one of the books with the largest circulation in the world. In the past 20 years, various western institutions have selected "thousand-year thinkers" and "most influential scholars", and Marx is among the best, even at the top. Since the international financial crisis in 2008, "Marx fever" has risen again in the world, and the research on communist party Declaration and Das Kapital has become hot again. Facts have proved that the truth power of the communist party Declaration is eternal, and it has deeply influenced and will continue to profoundly influence the course of world history.

　　Third, adhere to the scientific principles and spirit of the communist party Declaration.

　　When Marx and Engels were alive, they said that some parts of the communist party Declaration "can be modified" or "written in different ways", but it "expounds the general principles that are completely correct until now". Although the communist party Declaration was born 170 years ago, its basic principles are not out of date and will not be out of date. I said, "If you feel insecure in your heart, study the classic works and read the communist party Declaration several times", which is about learning new things by reviewing old ones. Today, we review the communist party Declaration, that is, we should apply the scientific principles and spirit contained in the communist party Declaration to the practice of mastering great struggles, great projects, great undertakings and great dreams, and constantly write a new chapter in adhering to and developing Socialism with Chinese characteristics in the new era.

　　First, unswervingly strive for the lofty ideal of communism and the common ideal of Socialism with Chinese characteristics. The communist party Declaration revealed the inevitable trend of human society finally moving towards communism, which laid the theoretical foundation for communist party people to strengthen their ideals and beliefs and stick to their spiritual homeland. The establishment of ideals and beliefs is a rational choice, not a temporary impulse. It is far from enough to have simple feelings, and it must be supported by profound theoretical beliefs, otherwise it will be shaken at the slightest sign. As long as we master the basic principles of Marxism, we can deeply realize that the realization of communism is a long historical process that is gradually achieved by one stage goal, and it needs several generations to continue to struggle, struggle hard and struggle unremittingly; We can deeply realize that Socialism with Chinese characteristics is the only way to realize the great rejuvenation of the Chinese nation, and it is also a successful way for the Communist Party of China (CPC) people to lead their people to pursue lofty ideals and open up a bright future. At the beginning of this year, I said at the seminar for leading cadres at the provincial and ministerial levels and the newly-appointed two committees: "If socialism has not achieved today’s success in China, if the Communist Party of China (CPC)’s leadership and China’s socialist system also collapsed in the domino-like changes of the disintegration of the Soviet Union, the collapse of the CPSU and the drastic changes in Eastern Europe, or failed for other reasons, then socialist practice may wander in the dark for a long time, and as Marx said, it will wander around the world as a ghost." Thanks to Socialism with Chinese characteristics’s continuous success,After the end of the cold war, the situation of world socialism has been greatly reversed, the passive situation of socialism in the competition with capitalism has been greatly reversed, and the superiority of socialism has been greatly demonstrated. We should unify the lofty ideal of communism with the common ideal of Socialism with Chinese characteristics and what we are doing, strengthen our road confidence, theoretical confidence, institutional confidence and cultural confidence, not be afraid of any risks, not be confused by any interference, always adhere to the ideals and beliefs of communist party people and live up to the glorious title of communist party people.

　　Second, faithfully practice the people-centered development thought. To learn and apply the communist party Declaration, we must not forget our original intention and mission, always put the people in the highest position in our hearts, better promote people’s well-being, and promote the all-round development of people and social progress. To plan development, we should focus on meeting the people’s growing needs for a better life, implement the new development concept, focus on solving the problem of insufficient development imbalance, improve the quality of development, and constantly improve people’s quality of life and taste of life. To deepen reform, we must handle major issues involving reform from the standpoint of the people, resolutely get rid of all institutional and institutional obstacles that hinder the development of productive forces, resolutely get rid of all ideological concepts that hinder the progress of social civilization, and bring more sense of gain, happiness and security to the people. To safeguard and improve people’s livelihood, we should focus on making the fruits of development more fair and benefit all the people, do our best and do what we can, promote social fairness and justice, and make continuous progress in educating young children, learning and teaching, earning income from work, getting medical care for the old, living and supporting the weak, and constantly moving towards common prosperity for all the people.

　　On May 9, 2018, a foreign audience was praised by Beijing for "the power of truth — — In the theme exhibition commemorating the bicentennial of Marx’s birth, more than 500 communist party Declarations published by different countries were displayed. China News Service reporter Jia Tianyong/photo

　　Third, conform to the general trend of world development and promote the building of a community of human destiny. At present, the multi-polarization of the world, economic globalization, social informatization and cultural diversity are developing in depth, and the degree of interdependence among countries is unprecedented, which fully confirms the scientific foresight made by Marx and Engels in the communist party Declaration. Every country has the right to development, and at the same time, it should consider its own interests at a broader level, not at the expense of the interests of other countries. Unilateralism and protectionism do not conform to the law of human social development. We must unswervingly safeguard and develop China’s development interests, at the same time, we must unswervingly open wider to the outside world, urge the international community to share the responsibility of the times, cooperate to meet the challenges brought about by economic globalization, and push economic globalization towards a more open, inclusive, inclusive, balanced and win-win direction, so that different countries, different classes and different groups can share the opportunities brought about by economic globalization.

　　Fourth, strengthen party building in accordance with the new requirements of the new era. The communist party Declaration laid a theoretical foundation for the Marxist theory of party building. Since the 18th National Congress of the Communist Party of China, we have not only gained a new understanding of upholding the Party’s leadership in theory, but also made new explorations in practice, perfecting the system and mechanism of the Party’s leadership in all work. We should implement and embody the Party’s leadership in all aspects of reform, development and stability, internal affairs, foreign affairs and national defense, and managing the party, country and army, and ensure that the Party always takes the overall situation into consideration and coordinates all parties. If the Party wants to lead the people to advance the great social revolution and realize the great rejuvenation of the nation, it must carry forward the spirit of self-revolution, and its determination to further promote the comprehensive and strict administration of the Party cannot be shaken, its requirements cannot be lowered, and its strength cannot be weakened. We should conscientiously implement the general requirements and major arrangements for Party building in the new era put forward by the 19th National Congress of the Communist Party of China. While promoting Party building as a whole, we should focus on solving new problems within the Party, and strive to solve the formalism and bureaucracy problems strongly reflected by the people, the problems that some cadres dare not do, are unwilling to do and will not do, and the problems that some grass-roots Party building is weakened, blurred and marginalized, so as to ensure that our Party will always maintain its true colors as a Marxist political party and always be at the forefront of the times.

　　Fifth, constantly open up a new realm of Marxism in China. Keeping pace with the times, sharing the destiny with the people, and paying attention to and answering major issues raised by the times and practice are the secrets of Marxism’s eternal vitality. The general principles expounded in the communist party Declaration are correct on the whole, but the communist party Declaration cannot be required to provide ready-made answers to all the specific questions raised by the development of human society after 170 years. We should treat science with a scientific attitude, pursue truth with the spirit of truth, and constantly give Marxism a new era connotation. We should have an insight into the times, grasp the general trend of the times, stand at the forefront of human development, actively explore major issues related to the future and destiny of mankind, and contribute China wisdom and China’s solutions to the global challenges facing the world today and the common problems facing mankind. It is necessary to closely contact the creative practice of hundreds of millions of people, respect the people’s dominant position and initiative, make new generalizations, gain new understanding and form new achievements. We must adhere to the problem orientation, focus on the major practical problems, overall strategic issues and hot and difficult issues that the people are concerned about in China’s reform, opening up and socialist modernization, and provide new ideas, new ideas and new methods for solving problems. We should absorb all outstanding cultural achievements created by human beings, deepen our understanding of communist party’s laws of governance, socialist construction and the development of human society, develop Marxism in the 21st century and contemporary Marxism in China, and continue to write a new chapter of Marxism in China.

　　Sixth, strengthen the study and research of Marxist classics. Party member and cadres, especially senior cadres, should make good use of the classic Marxist works such as the communist party Declaration, persist in applying what they have learned to promote learning, learn from the original, read carefully and thoroughly, master the Marxist stand, viewpoints and methods skillfully, and constantly improve the theoretical quality of Marxism. It is necessary to intensify the compilation of classic works, insist on producing both achievements and talents, and cultivate a backbone team of Marxist classic works compilation in the new era. It is necessary to deepen the research and interpretation of classic works, promote the popularization of classic works, and constantly introduce various theoretical propaganda works that are loved by the masses and close to public life, so that the theory can be understood and accepted by hundreds of millions of people and draw the largest concentric circle of thoughts.

　　In another 30 years, that is, the 200th anniversary of the publication of the communist party Declaration in 2048, it is the time when we will build a socialist modern power in an all-round way and realize the great rejuvenation of the Chinese nation. At that time, the people of the Communist Party of China (CPC) and China will further prove the scientificity, truth and foresight of Marxism with their own feats. Let’s take practical actions to welcome this great moment!

　　(This is the speech made by General Secretary of the Supreme Leader on April 23, 2018 during the fifth collective study in the 19th the Political Bureau of the Central Committee. )

Ordinary alleys, in front of the people, are related to people’s livelihood and happiness. 21 and 10 kilometers of back streets and alleys are being fully launched. Backstreets and alleys change the foundation and win the hearts of the people. How to change the old and rejuvenate the new? This is the focus of attention of the masses and the focus of government planning. Yueyang Economic Development Zone promotes the smooth operation of back streets and alleys as the key work in 2020, specializes in the pain points and difficulties of people’s livelihood, and strives to make the citizens’ "last journey home" more beautiful.

Link up and down to improve the long-term mechanism of controlling back streets and alleys

Whether a city’s environment is good or not depends not only on the main roads, but also on the local "embroidery skills" under the back streets and alleys.

In the Economic Development Zone, many back streets and alleys have become boring for a long time because of their early completion and lack of unified planning:

Walking out of the door, the roads are narrow and damaged, and illegal buildings along the street occupy the roads that are not spacious;

When I came to the street, the traffic signs and markings were unclear, vehicles were parked at will, and cars were everywhere.

……

These problems not only affect the image of the city, but also seriously affect the quality of life of residents. It is the general trend and the will of the people that the back streets and alleys are unblocked. In order to add value to the city, improve temperament, and enhance the people’s sense of gain and happiness, we have to win the battle of rectifying the back streets and alleys.

In the face of the battle of comprehensive improvement of back streets and alleys, it is very important not to fight unprepared. The Economic Development Zone has built a new governance mechanism from top to bottom, which has laid a solid institutional foundation for the upgrading and transformation of back streets and alleys.

—— At the first time, the "Comprehensive Improvement Plan for Back Streets and Alleys" was issued, and comprehensive traffic improvement was carried out on traffic jams such as back streets and alleys and market towns in the whole region to ensure orderly travel of residents, standardized road traffic management, and good results were achieved in blocking and ensuring smoothness.

—— The district, management office and community shall establish a three-level linkage mechanism, carry out dragnet investigation, list the problems, define the categories of streets and lanes, formulate measures for improvement, and draw up a road map and timetable for improvement.

-"three-point construction and seven-point management", and the "road length system" management is fully implemented in the Economic Development Zone. According to the actual distribution of streets and lanes, each management office focuses on localized management, supplemented by all communities according to their responsibilities, and sets a responsibility road length for each lane, and matches "housekeepers" for "ownerless" back streets and lanes, thus compacting the work responsibilities.

—— In order to improve the utilization efficiency of parking resources and alleviate the shortage of parking resources, the Economic Development Zone has intensified its rectification efforts. In view of the phenomenon of illegal parking of motor vehicles, 21 back streets and alleys within the scope have been affixed with a single sticker according to the principle of "all stickers should be affixed"; Optimize traffic facilities and implement the optimization and promotion of traffic static management order.

From formulating the top-level design scheme, planning and leading the promotion to setting up special working classes, implementing the road length system, and compacting responsibilities at different levels, a new mechanism has been formed in the Economic Development Zone. Through the implementation of a series of work measures such as the top-down linkage mechanism, the implementation mechanism of front-line work, and the accountability mechanism for accountability, the governance of back streets and alleys has achieved remarkable results, which has been widely recognized and supported by the general public. Up to now, the whole district has completed the "white-to-black" of back streets and alleys about 8,200 meters, completed the dredging of sewage pipe network for 3.56 kilometers, demolished 26 illegal sheds and booths, divided 285 parking spaces, optimized 48 traffic sign signs, hung 75 banners in important road sections and public places, and distributed more than 12,000 leaflets.

"One Road, One Policy", Compacting "Road Length System" and Realizing "Road Changzhi"

"Whether the back streets and alleys are neat and orderly tests the level of refined management of the city. Compared with the main roads in the jurisdiction, some problems in the back streets and alleys are often unnoticed and concerned." Zhou Cihua is the deputy director of Daqiao Community and the "road length" from the fence of Daqiaohe Primary School to the roadway of Daqiao Vegetable Market. This year, the roadway was included in the action plan to improve the smoothness of back streets and alleys. Taking this opportunity, Zhou Cihua visited residents many times to investigate the bottom. Some people report that there are many pits and depressions on the road, which is not conducive to travel; Some people also reported that every rush hour to and from school, traffic jams are often caused by occupation of roads and random parking of vehicles, which is miserable.

Zhou Cihua kept these in mind, and joined forces with grid workers, police officers and urban management team members to vigorously rectify the back streets and alleys: repair the roads and improve facilities in the alleys, dismantle the pavilions and sheds, delimit non-motor vehicle parking areas, standardize parking management, and strengthen publicity and persuasion on out-of-store operation and occupation-of-road operation … Through joint rectification, the hidden dangers in small streets and alleys have been eliminated, the order has been standardized, the environment has been beautiful, and the residents’ mood has been relaxed.

Zhou Cihua told reporters that at the beginning of the renovation of back streets and alleys, the bridge community decided on the guiding ideology of facilitating people, serving the people and benefiting the people. According to the governance idea of "one road, one policy", it carefully studied and formulated the renovation plan. The things that the "road captains" managed included environmental sanitation, traffic order, municipal facilities and other aspects, and fulfilled their daily duties such as "daily patrol, frequent visits, real-time reporting and timely recording". In addition, sanitation workers, law enforcement officers and volunteers carry out operations and patrol management continuously, and deal with problems as soon as they are found or received from the masses to ensure that small problems do not stay overnight and big problems have echoes.

The most important thing is to see kung fu and determination in detail. Through step-by-step inspections, we found the "blind spots" in urban management and filled the shortcomings of civilized quality. Nowadays, walking in the streets of the Economic Development Zone, it is not difficult to find that: the phenomenon of indiscriminate hanging and littering along the street has disappeared; Occupation of roads and littering of vehicles have been greatly improved, the roads are clean and tidy, and the traffic is smooth … The "road length system" has been fully implemented, and the environmental improvement is very different.

Recently, the Economic Development Zone has adopted the "1+6" one-road-long responsibility system management mode (one joint team member, one community secretary, one grid worker, one police officer, one urban management team member, one sanitation worker and one volunteer) for the purpose of improving the fine management of the city, and has formed a "patrol" by combining with grid management, standardized management and "three guarantees in front of the door".

There are many road management points in the back streets and alleys of urban areas, and it is far from enough to rely solely on the strength of relevant functional departments. It is difficult to solve the problems of traffic chaos and "dirty environment".

"Please park your car in the parking space. There is a lot of traffic now, so as to avoid traffic congestion …" Every rush hour, in some back streets and alleys of the Economic Development Zone, party member volunteers wearing little red riding hood and holding command flags can be seen everywhere to discourage uncivilized traffic behaviors such as non-motor vehicles crossing the road at will, stopping and misplacing, patiently and meticulously reminding residents to pay attention to safe and civilized travel, and actively assisting traffic police to maintain traffic order. It is reported that since the launch of the action to improve the smooth flow of back streets and alleys, the Traffic Comprehensive Improvement Command of Economic Development Zone has guided all levels of departments in the jurisdiction, adhered to the guidance of party building, and led the masses to actively participate in the action through the demonstration of volunteer service in party member, forming a good atmosphere for people’s hearts to build, govern and share.

　

The government work report proposes to expand high-level opening to the outside world and promote mutual benefit and win-win results. Actively connect with high-standard international economic and trade rules, steadily expand institutional opening, enhance the linkage effect of two resources in the domestic and international markets, consolidate the basic disk of foreign trade and foreign investment, and cultivate new advantages in international economic cooperation and competition.

In the past year, the CPC Central Committee with the Supreme Leader as the core unswervingly promoted high-level opening up, persisted in promoting reform, development and innovation through opening up, promoted the construction of an open world economy, and opened up a broad space for development. China’s export share in the international market has remained stable, the actual use of foreign capital has been optimized, and the international influence and appeal of building the "Belt and Road" have become more prominent.

The deputies said that in the new era and new journey, we must unswervingly expand high-level opening up, continuously optimize the business environment, consolidate the basic disk of foreign trade and foreign investment, cultivate new advantages in international economic cooperation and competition, and constantly bring new impetus and opportunities to the world with our new development.

Promote a steady increase in the quality and quantity of foreign trade and accelerate the construction of a trade power.

The government work report proposes to promote a steady increase in the quality of foreign trade. The deputies said that at present, the momentum of world economic growth is insufficient and the demand is weak, but the industrial base, factor endowment and innovation ability on which China’s foreign trade development depends are constantly enhanced. We should continue to play the supporting role of exports in the economy, strengthen our confidence, go all out to stabilize foreign trade and accelerate the cultivation of new kinetic energy of foreign trade.

Expand new growth points such as intermediate trade and green trade. Representative Du Weidong, Chairman of Chongqing Xiyong Microelectronics Industrial Park Development Co., Ltd. believes that it is necessary to base on the local industrial base, cultivate new quality productivity, promote the upgrading of processing trade, increase the added value of products, and enhance the international competitiveness of Chinese enterprises and products. At present, Xiyong Microelectronics Industrial Park mainly exports smart terminals such as notebook computers, and is deeply empowered by new technologies such as naked-eye 3D and artificial intelligence (AI), which promotes the processing trade to extend to the high end of the industrial chain value chain.

Promote the healthy development of new formats such as cross-border e-commerce. "Cross-border e-commerce, as a new foreign trade format with fast development speed, great potential and strong driving effect, is becoming the development trend of international trade." Deputy Li Kuiwen, member of the Party Committee of the General Administration of Customs and director of Guangdong Branch, said. In recent years, China has continuously improved policies on customs clearance, taxation and foreign exchange, supported the reform and innovation of cross-border e-commerce comprehensive test area, cultivated and expanded cross-border e-commerce entities, optimized the layout of infrastructure such as overseas warehouses, and promoted the healthy and vigorous development of cross-border e-commerce.

Optimize the trade environment. Deputy Li Kuiwen said that as a major foreign trade province, Guangdong is actively building a high-level gateway hub for opening to the outside world, solidly promoting the construction of smart customs, implementing the action of "strengthening the country through smart customs", continuously improving the port business environment, optimizing the customs clearance operation process, and creating a market-oriented, rule-of-law and international first-class port business environment.

Increase investment and steadily expand institutional opening up.

The government work report puts forward that "more efforts should be made to attract foreign investment" and "restrictions on foreign investment access in the manufacturing sector should be completely abolished, and market access for services such as telecommunications and medical care should be relaxed".

The deputies said that to accelerate the construction of a new development pattern, it is necessary to promote the efficient connection between the domestic and international markets and resources, steadily expand the institutional opening of rules, regulations, management and standards, and build a new open economic system at a higher level.

Actively attract and utilize foreign investment. "Last year, the State Council issued opinions and put forward 24 policies and measures to stabilize foreign investment, which released China’s firm determination to promote opening up and greatly encouraged the confidence of foreign investment in China." Member Jiang Ying, the relevant person in charge of Deloitte Limited, said that China’s pragmatic measures of continuous opening-up are of great benefit to foreign investors, and Deloitte will continue to give full play to its professional advantages to help foreign-funded enterprises deepen their cultivation in China.

In-depth implementation of the promotion strategy of the Pilot Free Trade Zone to create a new highland for opening up. "Implement investment facilitation measures focusing on process supervision; The implementation of the’ non-stop flight permit’ in the transportation field has shortened the processing time by an average of 70% … Since its establishment, the Lingang New Area of Shanghai Pilot Free Trade Zone has maintained its openness, reform intensity and development momentum, and gradually formed a’ five freedoms and one convenience’ system. " Deputy Gu Jun, deputy secretary-general of Shanghai Municipal Government and director of the Municipal Development and Reform Commission, said that Shanghai will continue to benchmark the highest standards and the best level, focus on cross-border service trade and the development of leading industries, and explore the construction of an institutional system and supervision model that is linked to high-standard economic and trade rules, so as to explore new paths and accumulate new experiences for comprehensively deepening reform and opening up.

On March 1st, Hengqin Guangdong-Macao Deep Cooperation Zone officially implemented the branch line management and customs clearance operation. "Zhuhai actively meets high-standard international economic and trade rules, relies on the policy advantages of Hengqin Guangdong-Macao Deep Cooperation Zone, and allows more innovative elements to converge and overlap in Hengqin through infrastructure’ hard connectivity’ and institutional rules’ soft connectivity’ to promote the optimal combination of global industrial chain supply chains." Deputy Huang Zhihao, Deputy Secretary of Zhuhai Municipal Committee and Mayor of Guangdong Province, introduced that in the next step, Zhuhai will accelerate the construction of a new economic and trade channel for the Hong Kong-Zhuhai-Macao Bridge, expand the platform function of global cooperation for the China Air Show, and promote high-quality development through high-level opening.

Deeply participate in global industrial division of labor and cooperation, and promote the construction of an open world economy.

The deputies said that efforts should be made to promote the high-quality development of foreign trade, deeply participate in the global industrial division of labor and cooperation, maintain a pluralistic and stable international economic structure and economic and trade relations, and let more win-win results of cooperation benefit people of all countries.

Promote high-quality joint construction of the "Belt and Road" and go deep and practical. "For more than 10 years, the joint construction of the Belt and Road has achieved fruitful results and has become the most popular international public product and the largest international cooperation platform in the world today." Member Gong Fuwen, vice president of the Higher People’s Court of Shaanxi Province, said that it is necessary to do a good job in the implementation of the eight actions of building the "Belt and Road" with high quality, steadily promote cooperation in major projects, implement a number of "small but beautiful" livelihood projects, and actively promote cooperation in the fields of digital, green, innovation, health, cultural tourism and poverty alleviation.

Deepen bilateral and regional economic cooperation. Negotiate and sign high-standard free trade agreements and investment agreements with more countries and regions, promote the negotiation of the China-ASEAN Free Trade Area version 3.0, and fully and deeply participate in the WTO reform … China’s efforts to build an open world economy are progressing steadily.

"ASEAN has been China’s largest trading partner for four consecutive years, and bilateral trade and investment have continued to grow. With the in-depth implementation of the Regional Comprehensive Economic Partnership Agreement (RCEP) and the negotiation of the China-ASEAN Free Trade Area version 3.0, the potential of economic and trade cooperation is expected to be further explored. " Wei Zhaohui, Party Secretary and Director of International Expo Bureau of Guangxi Zhuang Autonomous Region, said that Guangxi will continue to hold China-ASEAN Expo with high quality, deepen and expand cooperation with ASEAN countries in the fields of commerce, trade, industry, labor, science and technology, education, etc., and show new achievements in China-ASEAN destiny community with closer service construction. (Reporter Luo Shanshan Tian Wei Huang Ford Wang Liang; Reporters Chang Qin, Li Gang, Jiang Xiaodan, Yuan Taoxiong, Zhu Jiaqi and Xie Weiqun participated in the writing)

According to the data recently released by the General Administration of Customs, the import and export volume of China in February this year exceeded US$ 411.2 billion, up 1.3% year-on-year. At the press conference held by the State Council Information Office a few days ago, the relevant person in charge of the General Administration of Customs introduced that, according to the trend, the import and export of China’s foreign trade have obviously stabilized since February, and the last week of February has increased by more than 15% compared with the previous week. With the overall improvement of China’s economic situation, the momentum of the smooth start of foreign trade in the first two months is expected to be maintained.

The export situation is better than expected.

The data shows that in February, China’s import volume reached US$ 197.2 billion, up 4.2% year-on-year, ending the trend of declining growth rate for four consecutive months; In February, the export volume decreased by 1.3% year-on-year, but it was significantly narrower than that in the previous three months. "Overall, the start is stable and the trend is improving." Yu Jianhua, director of the General Administration of Customs, introduced the foreign trade development situation in the first two months of this year, saying, "In terms of scale, the total export value in the first two months reached a record high, with an increase of 0.9%, which was better than expected. The total value of imports and exports exceeds 6 trillion yuan, which is the second time in history. "

In terms of composition, China took the lead in resuming work and production during the epidemic period, and the export of epidemic prevention materials and "house economy" products increased substantially, raising the foreign trade base. "We have calculated that if the’ one-off factor’ is excluded, the import and export growth in the first two months of this year will exceed 10%." Yu Jianhua said.

To help foreign trade recover, the Customs has introduced a series of measures. According to Yu Jianhua, in terms of ensuring smooth flow, as of December last year, the overall customs clearance time for imports and exports nationwide was reduced by 67% and 92% respectively compared with 2017; In terms of cost reduction, the customs supports enterprises to enjoy various preferential tax policies, and last year alone, it reduced taxes and refunded taxes for foreign trade enterprises by 285 billion yuan; In terms of excellent service, we carried out the policy of "the Commissioner of Customs delivers the goods to the door", innovated the supervision mode of "putting the goods before inspection" and "green channel" for agricultural and food products, transferred 87 commodity codes out of the legal inspection catalogue, and continuously optimized the port business environment.

Yu Jianhua said that in view of the pain points and difficulties of enterprises, the customs will also study new policy measures in terms of unblocking import and export logistics, optimizing port business environment, reducing enterprise costs, and supporting the development of new formats, such as promoting the construction of smart customs and helping enterprises to make full use of free trade agreements such as RCEP.

"tailor-made" supervision of cross-border e-commerce

As one of the new formats of international trade development, cross-border e-commerce shows great vitality. Nowadays, more and more goods made in China enter the international consumer goods market through cross-border e-commerce.

Different from traditional trade, cross-border e-commerce presents the characteristics of fragmentation, quantification and informationization. The data shows that the number of import lists of cross-border e-commerce is 5-6 times of the number of goods declarations in the same period, and the average value of each order is less than three ten thousandths of the goods declarations. "In the process of supervision, we seized contraband such as controlled psychotropic drugs, articles infringing intellectual property rights, and’ exotic pets’. It should be said that these new situations have challenged the customs supervision work. " Sun Yuning, deputy director of the General Administration of Customs, said.

How to effectively supervise cross-border e-commerce? Sun Yuning said that the General Administration of Customs has introduced a customs clearance management system different from traditional trade, and created a customs supervision model suitable for the characteristics of cross-border e-commerce through classified management and "tailoring".

On the basis of the original "business-to-person (B2C)", the General Administration of Customs put forward the supervision policy of "business-to-business (B2B)" and "business-to-person (B2B2C)". In this process, we strengthened the empowerment of science and technology, developed and applied a unified version of cross-border e-commerce supervision information system, and realized the integrated management of transaction, payment, logistics and other related data. "At the same time, we comprehensively promote the paperless filing of cross-border e-commerce export overseas warehouses, and realize’ one place for filing, universal’. By the end of February, the number of cross-border e-commerce overseas warehouse enterprises registered with the customs had reached 1,713. " Sun Yuning said.

Promote stability, improve quality and have confidence

At present, global inflation is high and the growth of major economies is weak, which has a continuous impact on global trade. The WTO recently predicted that the global trade in goods was weak in the first quarter of this year, and it is expected to increase by only 1% for the whole year. The recent fluctuations in financial markets in some western countries have impacted the global trade environment, which is also an external challenge for China’s foreign trade to promote stability and improve quality.

"The challenges facing China’s foreign trade are short-term, cyclical and global; The opportunities ushered in by foreign trade development are long-term, structural and regional. " Cheng Shi, chief economist of ICBC International, believes that the global total demand is expected to increase with the impetus of economic growth and scientific and technological progress, and the globalization of service trade may become a breakthrough point for China’s foreign trade development.

Yu Jianhua introduced that in the first two months, more enterprises entered the foreign trade field, and the customs newly registered 46,000 foreign trade business entities, indicating that market confidence is accumulating and recovering. "In terms of orders, the proportion of new export orders increased continuously. In terms of new kinetic energy, the total export of electric vehicles, lithium batteries and solar cells increased by 60%. In terms of trade diversification, China’s import and export to countries along the Belt and Road increased by more than 10%, and its total import and export to other RCEP members increased by more than 3%. " Yu Jianhua said.

"On the whole, the foreign trade situation is still severe and complicated, but it also contains many opportunities." Yu Jianhua said, comparatively speaking, China’s competitive advantage is still obvious. With the overall improvement of China’s economic situation, the momentum of the smooth start of foreign trade in the first two months is expected to be maintained. This year, China is confident to achieve the goal of promoting stability and improving quality in foreign trade.

(Editor: Zhao Xinyue, Yue Hongbin)

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　　The academic atmosphere and the cultivation of scientific research talents have always been a topic of concern to the whole society. Ding Zhongli, deputy to the National People’s Congress and vice president of China Academy of Sciences, said in an interview with Beijing Youth Daily that "digging people with heavy money" can have some effects, but it will also make some people impetuous. For scientists, "feelings are the first", they are willing to contribute to the country and are willing to sacrifice themselves. "This is the feelings of scientists". In addition, he believes that there is no fault in high-end academic talents, but they are increasingly specialized and subdivided.

　　On academic atmosphere: most people in academic circles have a correct attitude.

　　Beiqing Daily: Last year, China’s medical papers were collectively retracted by foreign journals. How to evaluate this matter?

　　Ding Zhongli: This question should be understood from two aspects:

　　On the one hand, as long as there are people, there may be fraud, which cannot be avoided. It can only be "once, once". To evaluate the scientific and technological community, we should see that fraud is not the mainstream, and that most researchers are working honestly. Therefore, to discuss this issue, we must first admit that there is indeed fraud and plagiarism in academic circles, but we must also be clear that this situation is not the mainstream, but a very rare phenomenon.

　　On the other hand, as far as the medical field is concerned, as a doctor, the main energy should be focused on saving lives and asking doctors to evaluate their professional titles by writing articles, which may itself involve the problem that the evaluation system is not reasonable enough.

　　Beiqing Daily: So in your opinion, the mainstream of academic circles is still practical and rigorous?

　　Ding Zhongli: Most people in academic circles have correct attitudes and study styles. In fact, everyone’s papers are to be reviewed and tested by others. You said that you had made an amazing discovery, reached a genius-like conclusion, and made a sensation in the world. This doesn’t count, and it has to be constantly tested by others. All scientific achievements need to be tested. If the results can’t stand the test, it means that your findings and conclusions are likely to have problems, and accordingly, your style of study is likely to have problems.

　　Because of this shock, the academic tradition is: attach great importance to the evidence and reliability of the experiment, and attach great importance to the reproducibility of the experimental results. In fact, there are very few people who take risks (fake). Therefore, on the whole, the academic atmosphere is correct.

　　On Talent Cultivation: Rational View of "Introducing Talents with Heavy Money"

　　Beiqing Daily: How do scientific research institutions participate in the national talent training system?

　　Ding Zhongli: For our China Academy of Sciences, it is mainly to cultivate high-quality and high-level graduate students. The quality of the talents we have trained has always been at a high level, and they mainly work in science and education units after graduation. For another example, some ministries and commissions, such as the Ministry of Agriculture, the Meteorological Bureau, the Oceanic Administration, the Seismological Bureau, and the Ministry of Land and Resources, all have research institutes, and they are also training graduate students, and the training quality is good. This is a very important part of our national science and technology innovation system.

　　Beiqing Daily: How do you view the situation that some local scientific research institutions are facing brain drain and relatively insufficient funds?

　　Ding Zhongli: This may be caused by two reasons:

　　First, the competitiveness of such institutions may be insufficient, including the level of wages and funds, which are the elements that constitute competitiveness.

　　Second, if a local research institution can be closely integrated with the local economic and social development, it should be no problem to develop under the background that the whole people attach importance to scientific and technological innovation. On the other hand, if this kind of scientific research institutions can’t be closely integrated with local economic and social development, there will be not much to do and there will be insufficient financial support. Naturally, it will cause the brain drain, which is also a normal phenomenon. So many scientific research institutions always have high or low financial support. Therefore, it is normal to have a certain brain drain or even a certain elimination.

　　Beiqing Daily: Some scientific research institutions will choose to "introduce talents with heavy money". For scientific research, what is the relationship between funds and talents?

　　Ding Zhongli: There is a relationship between the two. It’s the same for any country or unit if there is not enough funds to attract good talents. Therefore, on the one hand, don’t think too terrible about "digging people with heavy money", and don’t label it easily, thinking it is a terrible thing. Some people may wonder how heavy the so-called "heavy money" of some scientific research institutions will be. It’s actually not too heavy.

　　On the other hand, if everyone adopts the method of "digging people with heavy money", it may have a negative impact. Why? Because it may make talents very impetuous, and there will also be some "talents" who are waiting for the price. Of course, human weakness!

　　Talking about scientific feelings: willing to contribute to the country and sacrifice yourself.

　　Beiqing Daily: What is the turnover of Chinese Academy of Sciences?

　　Ding Zhongli: Generally speaking, we now have less talents flowing in and more talents flowing out. Because the Chinese Academy of Sciences does not have a lot of money to dig people, we always emphasize attracting people with a good environment and retaining people with a stable career. Therefore, our current salary is relatively lower than that of some universities with deep pockets, so there will be more people being dug away, which is also a challenge we are facing now.

　　Of course, we hope to dig less people, but rely on our own talents to solve difficulties. The Chinese Academy of Sciences recruits so many graduate students every year, trains them well, and gives some outstanding graduates a platform for development. I believe they will all grow up in the future. In fact, many of the backbone of the Chinese Academy of Sciences are now cultivated by themselves, and the so-called digging is not necessarily much better. Academicians of Chinese Academy of Sciences come from many schools, but the proportion of academicians from famous schools is not high. Therefore, everyone’s abilities are similar, and their IQ is similar. Geniuses are only a few, but unfortunately I am ignorant and have never seen them. But doing scientific research, I think attitude is the first, and feelings are the first.

　　Beiqing Daily: In your opinion, what are the feelings of scientists?

　　Ding Zhongli: Willing to contribute to the country and willing to sacrifice himself.

　　Beiqing Daily: In the past year, several master researchers of Chinese Academy of Sciences, including Nan Rendong, passed away. There are voices from outside that there is a "high-end academic talent gap". What do you think?

　　Ding Zhongli: Now there are more and more high-level talents. How can there be a fault? Moreover, the present era is not the era of masters, because with the development of science, the division of labor is becoming more and more detailed and specialized. Most of the "everyone" are experts who have done a very profound job in a certain subdivision field. Nan Rendong is a "everyone" in the field of radio astronomical telescopes.

　　This edition/reporter Zhang Ya

State and municipal people’s governments, provincial committees, offices, departments and bureaus:

　　"Yunnan Fuwai Cardiovascular Hospital Comprehensive Reform Pilot Overall Plan" has been approved by the provincial people’s government and is hereby issued to you, please implement it carefully.

　

　

General Office of Yunnan Provincial People’s Government

August 29, 2018

　

　　(This piece is publicly released)

　

Overall scheme of comprehensive reform pilot of Fuwai Cardiovascular Hospital in Yunnan Province

　　In order to promote the reform and development of Fuwai Cardiovascular Hospital in Yunnan Province (hereinafter referred to as Yunnan Fuwai Hospital), we strive to explore a new way of comprehensive reform of public hospitals that is in line with the actual situation in our province, build Yunnan Fuwai Hospital into a world-class high-end medical service center, and make every effort to help our province build a world-class "healthy living destination card".

　　I. Scope of reform

　　This reform pilot was implemented in Fuwai Hospital in Yunnan, which is managed as a public welfare second-class institution.

　　Second, the overall requirements

　　Guided by the Supreme Leader’s Socialism with Chinese characteristics Thought in the New Era, conscientiously implement the spirit of the 19th National Congress of the Communist Party of China, conscientiously deepen the reform and deployment of the medical and health system, follow the basic path of the "three-medical linkage" reform of medical care, medical insurance and medicine, earnestly implement the government’s responsibility for running medical services, give full play to the main role of Yunnan Fuwai Hospital, and try first in exploring and innovating the management system and operation mechanism of public hospitals. Efforts will be made to promote reforms focusing on medical consumables and drug procurement methods, total personnel management, medical insurance payment methods, personnel compensation systems, medical service prices, financial subsidies, etc., and strive to achieve the organic unity of social benefits and operational efficiency, forming a good situation in which the government is at ease, patients are satisfied, and hospitals are healthy and sustainable.

　　III. Objectives and tasks

　　By the end of 2020, we will explore the formation of a relatively perfect modern hospital management system and a new mechanism for maintaining public welfare, mobilizing enthusiasm and ensuring sustainable operation of public hospitals, so as to realize the homogenization of management between Yunnan Fuwai Hospital and China Academy of Medical Sciences, and significantly improve the medical level and service quality. Yunnan Fuwai Hospital has fully opened 12 clinical centers and 27 medical departments for coronary heart disease, hypertension, congenital heart disease and arrhythmia, with 10,000 cases of interventional surgery and 2,500 cases of heart, great vessels and peripheral vascular surgery each year, of which the proportion of third-and fourth-grade operations exceeds 50%, the total service volume and the number of difficult and severe cases in diagnosis and treatment have reached the leading position in China, and the number of new technologies and projects for diagnosis and treatment of cardiovascular diseases has been at the forefront in China, initially covering all. Yunnan Fuwai Hospital will be built into "Yunnan Congenital Heart Disease Screening Management Center" and "Yunnan Cardiovascular Disease Quality Control Center", and gradually become a national regional medical center and clinical medical research center based in Yunnan, facing southwest and radiating South Asia and Southeast Asia.

　　On the basis of accelerating the improvement of clinical discipline construction level and disease prevention ability of Fuwai Hospital in Yunnan, a high-quality cardiovascular disease specialist training base will be basically built, which will be used as a technical support platform to radiate the whole province and promote the continuous improvement of cardiovascular disease treatment ability of hospitals at all levels in the province. By 2020, more than 500 cardiovascular medical professionals will be trained in the province, and the cardiovascular department of 50 county-level hospitals in the province will meet the basic standards of medical service capacity of county hospitals required by the state, and 10 county-level hospitals will meet the recommended standards; Support five state-level hospitals to carry out more than 10 kinds of cardiovascular surgery, and provide technical support for the construction of the province’s cardiovascular chronic disease prevention and control system.

　　Fourth, reform measures

　　(a) to carry out the reform of modern hospital management system. Formulate the Articles of Association of Fuwai Cardiovascular Hospital in Yunnan Province. On the premise of strengthening government supervision and assessment, the relevant departments directly under the provincial government delegated the authority of internal personnel management, department setting, middle-level cadre appointment, internal performance assessment and salary distribution to Fuwai Hospital in Yunnan, giving the hospital full autonomy in operation and management. Strengthen the Party building in Fuwai Hospital of Yunnan in an all-round way, give full play to the leading role of the Party Committee of the hospital, and build the Party organization into a strong fighting fortress. Improve the internal management organization, management system, rules of procedure and procedures of Yunnan Fuwai Hospital, and standardize the internal governance structure and power operation rules.(Responsible unit: Provincial Health and Family Planning Commission, Editorial Office, Human Resources and Social Security Department, Finance Department, Yunnan Fuwai Hospital; The first one is the lead department, the same below)

　　(two) to carry out the reform of medical consumables and drug procurement methods. Yunnan Fuwai Hospital is allowed to be the main body of procurement, directly negotiate prices with high-value medical consumables manufacturers and purchase independently. Take the procurement with quantity and budget, explore the way of cross-regional and specialized hospital joint procurement, and reduce the inflated price of high-value medical consumables. High-value medical consumables are purchased in the high-value medical consumables procurement system of the provincial centralized drug procurement platform, and independent bargaining is carried out offline. The negotiated unit price and total amount are subject to the supervision of relevant departments. According to the reform requirements of Fuwai Hospital in Yunnan, the high-value medical consumables procurement system of the provincial centralized drug procurement platform was developed and reformed individually. In the medical insurance information system, the actual purchase price of Yunnan Fuwai Hospital is protected accordingly. Explore the implementation of the "one-vote system" for the procurement of high-value medical consumables, and Yunnan Fuwai Hospital will directly settle the payment with the production enterprises. According to the procurement method of high-value medical consumables, the procurement reform of suitable drugs and low-value medical consumables will be carried out. For the cases paid according to the project, Yunnan Fuwai Hospital reduces the burden of patients by reducing the high-value medical consumables and the inflated price of drugs.(Responsible units: Provincial Health and Family Planning Commission, Department of Finance, Department of Human Resources and Social Security, Public Resources Trading Administration, Yunnan Fuwai Hospital)

　　(three) to carry out the total personnel management pilot. According to the type characteristics and related factors of Fuwai Hospital in Yunnan, the total number of personnel needed for Fuwai Hospital in Yunnan is determined scientifically and reasonably, and the dynamic adjustment is implemented. Strictly regulate the scope of the total number of personnel, and the personnel within the total number shall be managed according to the staffing of the institution and enjoy the treatment of the personnel of the institution. Simultaneously carry out the pilot reform of government procurement services.(Responsible unit: Provincial Organizing Office, Human Resources and Social Security Department, Finance Department, Health and Family Planning Commission, Yunnan Fuwai Hospital)

　　(four) to carry out the reform of medical insurance payment methods. The reform of medical insurance payment mode will be carried out mainly by grouping payment methods according to disease types and disease diagnosis. Medical insurance agencies at all levels in the province shall pay for the diseases with clear diagnosis and treatment plan and admission criteria and mature diagnosis and treatment technology in Fuwai Hospital, and reasonably determine the payment standard of diseases (disease groups), the proportion of medical insurance payment and the proportion of individual patients’ payment, and implement packaged payment, with the balance retained and the cost overruns not covered. Strive to make the proportion of cases paid by groups according to diseases and disease diagnosis in Yunnan Fuwai Hospital exceed 80% by 2020, and the medical insurance agency will adjust and maintain the settlement method and information system according to the reform needs of Yunnan Fuwai Hospital. The hospital information system of Yunnan Fuwai Hospital is open to medical insurance agencies and audit departments, and is subject to supervision and audit. According to the principle of "scientific, safe, standardized, effective, economical and ethical", the clinical pathway management and quality control work adapted to the functions and tasks of Yunnan Fuwai Hospital should be implemented, and the diagnosis and treatment behavior should be standardized in strict accordance with the diagnosis and treatment routine and technical regulations to ensure medical quality and safety.(Responsible unit: Provincial Department of Human Resources and Social Security, Department of Finance, Health and Family Planning Commission, Yunnan Fuwai Hospital)

　　(five) to carry out the reform of personnel compensation system. Establish a personnel management system that is compatible with the total personnel management. Implement the autonomy of employing people in Yunnan Fuwai Hospital, and allow Yunnan Fuwai Hospital to independently recruit and introduce personnel by means of examination or inspection under the premise of strictly implementing information disclosure, process disclosure and results disclosure. Encourage Fuwai Hospital in Yunnan to introduce outstanding professionals from abroad, and play a good role as a platform to cultivate and improve the level of relevant medical disciplines in the province. Talents who are urgently needed and in short supply from outside the province and have the qualifications of deputy senior and above professional and technical positions or have obtained doctoral degrees can re-establish personnel files after leaving their original units to work in Fuwai Hospital in Yunnan. Fuwai Hospital in Yunnan should change the fixed employees into contract employees, change the identity management into post management, and set up posts according to needs, compete for posts, hire by posts, and set salaries by posts. Formulate specific personnel management systems such as personnel entry and exit, assessment, rewards and punishments within the total amount, and establish an employment mechanism that can enter and exit, and can be promoted and demoted. Boldly innovate the talent incentive mechanism, and high-level talents introduced by Yunnan Fuwai Hospital can enjoy relevant subsidy policies and project support in accordance with regulations.(Responsible unit: Provincial Health and Family Planning Commission, Editorial Office, Human Resources and Social Security Department, Finance Department, Yunnan Fuwai Hospital)

　　In accordance with the requirements of "allowing hospitals to break through the current wage control level of public institutions, allowing medical service income to deduct costs and withdraw funds according to regulations to be mainly used for personnel rewards", we will actively explore the establishment of a salary system that conforms to the characteristics of the medical industry and fully mobilize the enthusiasm, initiative and creativity of medical personnel. Yunnan Fuwai Hospital will be included in the pilot unit of salary system reform of public hospitals in our province, and the corresponding policy inclination will be given when the total performance salary is approved. Support Yunnan Fuwai Hospital to actively explore various distribution methods such as target annual salary system, agreed salary system and project salary system. Explore the implementation of the target annual salary system management for the main person in charge of Yunnan Fuwai Hospital, and the required funds will be uniformly charged from the operating subsidy funds and service purchase funds arranged by the provincial finance, and will not be arranged separately. Encourage medical staff in Fuwai Hospital in Yunnan to strengthen scientific research innovation. If important scientific research achievements and achievements are transformed into clinical diagnosis and treatment standards and technical specifications, holders of scientific research achievements can enjoy 80% of the benefits from the transformation of achievements and promote the transformation of achievements. It is strictly forbidden to link the salary of medical staff with business income and income from medicines, consumables, inspections and tests.(Responsible units: Provincial Department of Human Resources and Social Security, Department of Finance, Health and Family Planning Commission, Science and Technology Department)

　　(six) to carry out the price reform of hospital medical services. Yunnan Fuwai Hospital is allowed to set its own price within the range of no more than 10% on the basis of the current first-class medical service price in our province. For the medical service items with no approved price in our province, if there are existing ones in Fuwai Hospital of China Academy of Medical Sciences, according to the principle of homogeneity and same price, Fuwai Hospital of Yunnan can refer to the medical service price of Fuwai Hospital of China Academy of Medical Sciences. Yunnan Fuwai Hospital’s new medical service project authorizes Yunnan Fuwai Hospital to independently check the trial price. On the basis of establishing and perfecting the clinical pathway management system, we will support Fuwai Hospital in Yunnan to carry out the reform of pricing mode of charging according to diseases and independently formulate charging standards. Yunnan Fuwai Hospital is allowed to carry out special outpatient service within the scope of not exceeding 10% of the total medical service, and the special outpatient service fee is subject to market adjustment. The actual implementation price of Yunnan Fuwai Hospital should be reported to the Provincial Price Bureau, the Health and Family Planning Commission and the Human Resources and Social Security Department for the record within 10 working days before implementation.(Responsible units: Provincial Price Bureau, Health and Family Planning Commission, Human Resources and Social Security Department)

　　(seven) to carry out the reform of financial subsidies. Reform and improve the financial guarantee mode for Fuwai Hospital in Yunnan, explore the establishment of financial support mode suitable for the reform of Fuwai Hospital in Yunnan, and gradually arrange hospital operation subsidy funds by purchasing services to realize the decoupling of financial subsidy funds from staffing. From 2018 to 2021, according to the principle of "full support, fixed subsidy, gradual adjustment and stimulating vitality", the operating subsidy funds of Yunnan Fuwai Hospital will be reasonably arranged; After 2022, according to the quantity and quality of services provided by Fuwai Hospital in Yunnan, the government will approve the funds for purchasing services. The financial subsidy funds are invested in the planned equipment purchase, key discipline development, personnel training, retirees’ expenses in line with national regulations, policy loss subsidies, and government-designated emergency treatment, disaster relief, foreign aid, agriculture support, border support and counterpart support for urban and rural hospitals.(Responsible units: Provincial Department of Finance, Development and Reform Commission, Human Resources and Social Security Department, Health and Family Planning Commission)

　　(eight) to carry out the reform of hospital service model. The Provincial Health and Family Planning Commission delegated the establishment of departments and the management authority of doctors’ practice in Fuwai Hospital of Yunnan. Yunnan Fuwai Hospital can set up its own departments according to the needs of reform and development, and report them to the Provincial Health and Family Planning Commission for the record; Doctors and nurses from Fuwai Hospital of China Academy of Medical Sciences are allowed to practice at Fuwai Hospital in Yunnan and report to the Provincial Health and Family Planning Commission for the record. Fuwai Hospital in Yunnan should strengthen the construction of hospital culture and build a harmonious doctor-patient relationship. Carry out appointment diagnosis and treatment, increase the proportion of appointment diagnosis and treatment services, and vigorously promote appointment diagnosis and treatment by time and centralized appointment inspection. Steadily carry out daytime surgery to shorten the time for patients to wait for hospitalization and surgery. Take patients as the center, promote multidisciplinary diagnosis and treatment mode, and provide "one-stop" diagnosis and treatment service for patients. Innovate emergency services to provide patients with a green channel for medical treatment and integrated comprehensive treatment services. Using Internet technology to continuously optimize the medical service process, and provide patients with convenient services such as appointment, mobile payment, inter-clinic settlement, bedside settlement, medical reminder, result inquiry and information push.(Responsible unit: Provincial Health and Family Planning Commission, Yunnan Fuwai Hospital)

　　V. Safeguards

　　(1) Strengthen organizational leadership. The leading group for the construction, reform and development of Fuwai Cardiovascular Hospital in Yunnan Province and Yunfu International Cardiovascular Hospital should strengthen the overall coordination of the pilot reform of Fuwai Hospital in Yunnan Province.

　　(2) create a good atmosphere. Relevant departments at the provincial level should strengthen the overall situation awareness and sense of responsibility, cooperate with each other and make concerted efforts to form a joint effort and a good atmosphere for fully caring for and supporting the reform and development of Yunnan Fuwai Hospital, and give active support to Yunnan Fuwai Hospital in participating in scientific research projects and achievements declaration in the province, employing graduate students with teachers’ qualifications, and evaluating the first and the best. Other medical and health institutions in the province should strengthen cooperation and exchanges with Fuwai Hospital in Yunnan with a more open and inclusive attitude, and jointly promote the continuous improvement of the diagnosis and treatment capacity of cardiovascular diseases in the province.

　　(3) Strengthen performance appraisal. The Provincial Health and Family Planning Commission should guide Yunnan Fuwai Hospital to formulate performance evaluation methods, establish a public welfare-oriented evaluation system, and effectively strengthen the internal management of the hospital. According to the specialty characteristics of Fuwai Hospital in Yunnan and the requirements of the reform pilot task, the assessment and evaluation indicators are determined scientifically and reasonably, with emphasis on indicators such as the degree of public welfare goal realization, medical quality, cost control, sustainable development, operational performance, social satisfaction and employee recognition. The performance appraisal of Yunnan Fuwai Hospital should be carried out simultaneously with the annual and term target responsibility appraisal of the dean, and the party building work should be carried out simultaneously with the professional work. The assessment results should be linked with financial subsidies, medical insurance payment, total performance salary, salary, appointment and dismissal, rewards and punishments of the dean (secretary), so as to promote the improvement of medical service quality in Yunnan Fuwai Hospital.

　　(4) Strengthen supervision and evaluation. Give full play to the role of monitoring, evaluation and special supervision, timely supervise the implementation of key tasks of Fuwai Hospital in Yunnan, establish and improve the supervision and inspection mechanism and evaluation accountability mechanism, increase supervision and guidance, and focus on matters that are ineffective or slow in progress. The Provincial Health and Family Planning Commission takes the lead in establishing a monitoring and evaluation system, formulating methods for evaluating the effect of hospital reform, regularly monitoring and evaluating the implementation of the pilot reform of Fuwai Hospital in Yunnan and the reform effect, analyzing and studying the difficulties and problems arising in the reform process in a timely manner, and monitoring the reform progress once every six months to form a monitoring report. By the end of 2020, the third party will be organized to evaluate and summarize the reform effect of Fuwai Hospital in Yunnan, and mature and effective experiences will be promoted in due course. Relevant provincial departments should sum up and improve relevant reform policies in time to ensure the continuity of policies and the stable and sustainable development of Fuwai Hospital in Yunnan.

　　Attachment: 1. Pilot Program for the Reform of Medical Consumables and Drug Purchase Mode in Fuwai Cardiovascular Hospital of Yunnan Province

　　　　　2. Yunnan Fuwai Cardiovascular Hospital Staff Total Management Pilot Program

　　　　　3. Yunnan Fuwai Cardiovascular Hospital Medical Insurance Payment Mode and Personnel Compensation System Reform Pilot Program

　　　　　4. Yunnan Fuwai Cardiovascular Hospital Medical Service Price Reform Pilot Program

　　　　　5. Yunnan Fuwai Cardiovascular Hospital Financial Subsidy Reform Pilot Program

　　　　　6. Implementation plan for improving the diagnosis and treatment capacity of Fuwai Cardiovascular Hospital in Yunnan Province

　

Annex 1

Pilot program for the reform of medical consumables and drug procurement mode in Fuwai Cardiovascular Hospital of Yunnan Province

　　In order to promote Yunnan Fuwai Cardiovascular Hospital (hereinafter referred to as Yunnan Fuwai Hospital) to carry out the pilot reform of medical consumables and drug procurement methods, this plan is formulated according to the Overall Plan for Comprehensive Reform Pilot of Yunnan Fuwai Cardiovascular Hospital.

　　I. General requirements

　　In accordance with the general direction and requirements of the reform of public hospitals, adhere to the principles of openness, fairness and justice, strengthen the "three-medicine linkage" of medical care, medical insurance and medicine, encourage Fuwai Hospital in Yunnan to try first, and further reduce the inflated prices of medical consumables and medicines through various procurement methods such as independent procurement, quantity procurement and joint procurement.

　　Yunnan Fuwai Hospital uses business income and its own funds to carry out medical consumables and drugs procurement projects, allowing hospitals to purchase independently, openly selecting distribution enterprises to be responsible for distribution, and linking with medical insurance payment and disease charging policies. Encourage Yunnan Fuwai Hospital to jointly purchase with relevant specialized hospitals across regions, and further improve the participation of hospitals in centralized drug procurement. The procurement projects of medical consumables and drugs carried out by Yunnan Fuwai Hospital with special financial funds are carried out in strict accordance with the provisions and procedures of People’s Republic of China (PRC) Government Procurement Law, People’s Republic of China (PRC) Bidding Law and other laws and regulations.

　　Second, the reform measures

　　(A) the scientific preparation of procurement plans

　　According to the catalogue of medical consumables and drugs used in Fuwai Hospital of China Academy of Medical Sciences, the procurement plan and budget are put forward with reference to not less than 80% of the medical consumables and drugs used in the previous year.

　　(B) to carry out high-value medical consumables procurement reform.

　　1. Purchasing method. On the premise of carrying out the compound payment mode of grouping payment according to disease type and disease diagnosis, and combining various payment methods, Yunnan Fuwai Hospital is allowed to be the main purchasing body, adopt online procurement and offline negotiation on the provincial centralized drug procurement platform, and directly negotiate the purchase price of high-value medical consumables with high-value medical consumables manufacturers, and the negotiated unit price and purchase amount are subject to the supervision of relevant departments. According to the reform requirements of Fuwai Hospital in Yunnan, the high-value medical consumables procurement system of the provincial centralized drug procurement platform was developed and reformed individually. In the medical insurance information system, the actual purchase price of Yunnan Fuwai Hospital is protected accordingly. Yunnan Fuwai Hospital is allowed to explore cross-regional joint procurement with relevant domestic specialized hospitals to ensure that the procurement price is lower than the reference price of the provincial centralized drug procurement platform.

　　2. Distribution management. Yunnan Fuwai Hospital openly selects high-value medical consumables comprehensive service enterprises according to relevant laws and regulations. Comprehensive service enterprises can set up a first-class management warehouse of high-value medical consumables in Fuwai Hospital of Yunnan, and implement zero inventory management to ensure the timely supply and quality safety of high-value medical consumables.

　　(three) to carry out the reform of purchasing methods of drugs and low-value medical consumables.

　　1. Purchasing method. In accordance with the principle of "platform procurement, bargaining with quantity, two-vote system and centralized distribution" and the relevant provisions of the provincial health and family planning commission on classified procurement, Yunnan Fuwai Hospital is allowed to carry out bargaining procurement of drugs and low-value medical consumables with quantity through the provincial centralized drug procurement platform, which will be distributed centrally by distribution enterprises. Belonging to the pricing procurement, the winning bid price announced by the provincial centralized drug procurement platform is the highest price limit, and the method of exchanging price for quantity is adopted, and the quantity procurement is linked with the quantity price; Belonging to bargaining procurement, independent bargaining procurement on the provincial centralized drug procurement platform; For special drugs, such as poisonous drugs, blood products and some new drugs, which are not hung on the procurement platform, they are indeed purchased for the record according to the relevant requirements because of clinical needs.

　　2. Distribution management. According to relevant laws and regulations, Fuwai Hospital of Yunnan Province selected distribution enterprises for drugs and low-value medical consumables to ensure the supply, quality and safety of drugs and low-value medical consumables.

　　(4) Charge management

　　1. Charge for high-value medical consumables. For cases paid by the project, the high-value medical consumables used are charged according to the actual purchase price and the markup rate stipulated in the Interim Measures for the Price Management of Non-profit Medical Services in Yunnan Province. According to the disease, according to the disease diagnosis related group payment cases, the balance retained, cost overruns do not make up.

　　2. Fees for drugs and low-value medical consumables. Drugs are charged according to the winning bid price announced by the provincial centralized drug procurement platform, and the bonus is cancelled. Low-value medical consumables shall be implemented in accordance with the relevant provisions of the price management of medical services in our province. With the further improvement of the national drug price negotiation mechanism, the scope of negotiation varieties is gradually expanded, and the policy convergence with medical insurance management and handling departments is well done.

　　3. Price protection. The list of expenses issued by Yunnan Fuwai Hospital to patients can only list the quantity of drugs and medical consumables used, subtotal and total expenses, and protect the prices of individual categories.

　　(5) Contract management

　　Yunnan Fuwai Hospital signed a distribution service contract with the distribution enterprise. The procurement of high-value medical consumables is subject to the "one-vote system".

　　Third, the job requirements

　　(1) Strengthen supervision. Provincial Health and Family Planning Commission, Public Resources Trading Administration, Food and Drug Administration, Finance Department, Audit Office and other departments should strengthen the supervision and inspection of the procurement, distribution and use of medical consumables and drugs in Yunnan Fuwai Hospital. Information on the purchase and use of medical consumables and drugs in Fuwai Hospital of Yunnan Province should be disclosed to the public in a timely manner and consciously accept social supervision; It is necessary to establish a publicity and interview system, implement prescription comments, give full play to the role of pharmacists in rational drug use, and improve the level of rational use of medical consumables and drugs; It is necessary to strengthen prescription management and ensure that doctors prescribe drugs according to their generic names. Outpatients can choose to buy drugs at Fuwai Hospital or retail pharmacies in Yunnan by prescription. Strictly control the unreasonable increase of medical expenses.

　　(2) Strengthen the prevention and control of integrity risks. Fuwai Hospital in Yunnan should make collective decisions by including medical consumables and drug procurement in the "three majors and one big project"; It is necessary to focus on strengthening the system construction, with the support of modern information technology, to build a clean and honest risk prevention and control system with clear powers and responsibilities, standardized processes, clear risks, effective measures, timely early warning and in line with the characteristics of the health industry, and to establish a long-term working mechanism to control commercial bribery in the field of medical purchase and sale.

　

Annex 2

Pilot Program of Total Staff Management in Fuwai Cardiovascular Hospital of Yunnan Province

　　In order to promote Yunnan Fuwai Cardiovascular Hospital (hereinafter referred to as Yunnan Fuwai Hospital) to carry out the pilot project of total personnel management, this plan is formulated according to the Overall Plan of Comprehensive Reform Pilot of Yunnan Fuwai Cardiovascular Hospital.

　　I. General requirements

　　In accordance with the relevant requirements of deepening the classification reform of public institutions, deepening the reform of "streamline administration, delegate power, strengthen regulation and improve services" and deepening the reform of medical and health system, we should persist in the innovation of system and mechanism, innovate the staffing management of Fuwai Hospital in Yunnan, implement the management of total personnel, and establish an employment mechanism that can enter and exit, and can be promoted and demoted. Adhere to decentralization, fully give Yunnan Fuwai Hospital the autonomy of employing people, and stimulate the endogenous motivation of hospital reform and development. Adhere to the principle of "active, cautious and controllable", steadily push forward the reform pilot work, study and solve the difficulties and problems in the pilot work in time, and accumulate experience and practices.

　　Second, the reform task

　　(1) Scientifically and reasonably verify the total number of personnel. The provincial editorial office, together with the Provincial Health and Family Planning Commission, the Department of Finance and the Department of Human Resources and Social Security, comprehensively considers the characteristics of Yunnan Fuwai Hospital, the actual number of open beds, the service population, the service volume, the personnel structure and the development trend, and scientifically and reasonably determines the total number of personnel needed for Yunnan Fuwai Hospital. The total number of staff in Yunnan Fuwai Hospital is 550 for the first time. The total number of personnel shall be dynamically managed, and in principle, it shall be dynamically adjusted once every two years.

　　(two) the scope and proportion of total personnel management. The personnel included in the total personnel management include: members of the hospital leadership, administrative personnel, professional and technical personnel (doctors, pharmacy, medical technology, nursing and other professional and technical personnel) and the backbone of the workers. Within the approved total number of personnel, the proportion of professional and technical personnel is not less than 90%, and the administrative personnel and workers are not higher than 10%.

　　(3) Establish a personnel management system that is compatible with the total personnel management. In accordance with the relevant requirements of the "streamline administration, delegate power, strengthen regulation and improve services" reform, simplify administration and decentralize power, and fully give Yunnan Fuwai Hospital the autonomy of employing people. According to the staffing management of public institutions, the personnel within the total amount enjoy the corresponding treatment of the staff of public institutions in terms of post employment, professional title evaluation, assessment, rewards and punishments, social insurance, personnel flow, income distribution and retirement benefits. The recruitment staff of Fuwai Hospital in Yunnan should make the recruitment plan and scheme according to the requirements of information disclosure, process disclosure and results disclosure, and after being approved by the Provincial Health and Family Planning Commission and the Provincial Department of Human Resources and Social Security, take the form of examination or investigation to recruit independently; After joining the company, it is qualified by the evaluation of Fuwai Hospital in Yunnan and approved by the Provincial Health and Family Planning Commission and the Provincial Department of Human Resources and Social Security, and can be included in the total personnel management.

　　Fuwai Hospital in Yunnan should establish and improve the employment mechanism of being able to enter and exit, be able to go up and down, formulate the evaluation method, index system and specific personnel management system for the entry and exit of personnel within the total number of personnel, and organize the implementation after being reported to the provincial office, the Department of Finance, the Department of Human Resources and Social Security and the Health and Family Planning Commission for the record.

　　Third, the job requirements

　　(1) Strengthen organizational leadership. The provincial editorial office is responsible for verifying the total number of staff in Yunnan Fuwai Hospital and taking the lead in coordinating and promoting the pilot work; The Provincial Health and Family Planning Commission is responsible for the guidance and supervision of Fuwai Hospital in Yunnan; The Provincial Department of Finance and the Department of Human Resources and Social Security cooperate to do the relevant work. Fuwai Hospital in Yunnan is the main body responsible for the pilot work, so we should earnestly organize and implement it.

　　(2) Steady and orderly progress. Fuwai Hospital in Yunnan should formulate a specific implementation plan and refine the work tasks item by item; It is necessary to strictly implement various policies and regulations, strictly perform work procedures, establish a correct orientation for employing people, and fully mobilize and stimulate the enthusiasm of cadres and workers.

　　(3) Strengthen supervision and guidance. The provincial editorial office shall, jointly with the Provincial Health and Family Planning Commission, the Department of Finance and the Department of Human Resources and Social Security, strengthen supervision and guidance on the pilot work, closely follow the progress of the pilot work, study and solve problems in the work in a timely manner, and sum up experiences and practices.

　

Annex 3

Pilot scheme of medical insurance payment method and personnel salary system reform in Fuwai Cardiovascular Hospital of Yunnan Province

　　In order to promote Fuwai Cardiovascular Hospital of Yunnan Province (hereinafter referred to as Yunnan Fuwai Hospital) to carry out the pilot reform of medical insurance payment method and personnel compensation system, this scheme is formulated according to the Overall Plan for Comprehensive Reform Pilot of Fuwai Cardiovascular Hospital of Yunnan Province.

　　I. General requirements

　　Focusing on the goal of deepening the reform of medical and health system, we will explore the establishment of medical insurance payment methods that conform to the actual situation and medical service characteristics of Fuwai Hospital in Yunnan, and stimulate the endogenous motivation of hospitals to standardize diagnosis and treatment behavior, control costs, and reasonably treat and refer patients; Explore the establishment of a flexible and efficient personnel management system that is compatible with the total personnel management; According to the requirements of "allowing hospitals to break through the current wage control level of public institutions, allowing medical service income to deduct costs, and then withdrawing various funds according to regulations, we will explore the establishment of a salary distribution system that conforms to the actual situation of Fuwai Hospital in Yunnan, and strive to reflect the value of medical staff’s knowledge, technology and labor, mobilize the enthusiasm of medical staff, enhance the public welfare of the hospital, and promote the healthy development of Fuwai Hospital in Yunnan.

　　Second, the reform task

　　(A) to carry out medical insurance payment reform pilot.

　　1. The implementation of multiple compound medical insurance payment methods based on disease types and disease diagnosis related groups. According to the characteristics of medical services in Fuwai Hospital in Yunnan, for diseases with clear diagnosis, clear diagnosis and treatment path and mature diagnosis and treatment technology, payment is implemented according to the disease type and related groups of disease diagnosis. For complex cases that cannot be settled by disease type and disease diagnosis, they shall be paid according to the project. All kinds of payment methods implemented by Fuwai Hospital of China Academy of Medical Sciences and outside the province can be supported in time in combination with the actual situation in our province. By 2020, Yunnan Fuwai Hospital will make the proportion of cases that are paid according to diseases and diseases diagnosis more than 80%, and medical insurance agencies will adjust and maintain the settlement methods and information systems according to the needs of hospital reform. Establish and improve the equal consultation mechanism between medical insurance agencies and Yunnan Fuwai Hospital, and the incentive and risk sharing mechanism of "balance retention and reasonable cost overruns sharing".

　　2. Support Yunnan Fuwai Hospital to develop new technologies and projects. The provincial human resources and social security department timely studied and formulated the medical insurance payment policy to support the new technologies and new projects carried out by Fuwai Hospital in Yunnan.

　　(B) to carry out the personnel management system reform pilot.

　　1. Decentralize the right to evaluate professional titles. The right to evaluate the deputy senior title of health technology was delegated to Yunnan Fuwai Hospital, which independently evaluated the qualification of the deputy senior title of health technicians in our hospital in accordance with the national and provincial professional and technical title evaluation procedures and relevant management regulations.

　　2. For foreign high-level experts and young doctors under 40 years old who are mainly introduced from Fuwai Hospital in Yunnan Province, if they are selected as "high-end foreign experts" and "special young talents" in Yunnan Province’s Thousand Talents Program after evaluation, they will be given a one-time working and living allowance of 500,000 yuan and a maximum project funding of 1 million yuan.

　　3. The high-level talents introduced by Fuwai Hospital in Yunnan Province are in urgent need of shortage in our province. Upon the assessment of the Provincial Department of Human Resources and Social Security, they are given 500,000 yuan, 300,000 yuan and 200,000 yuan housing subsidies and 100,000 yuan, 70,000 yuan and 50,000 yuan working funds respectively, and actively do a good job in introducing talents.

　　4. Timely apply for the "Green Channel Service Certificate for Introducing High-level Talents in Yunnan Province" for talents who meet the prescribed conditions introduced by Yunnan Fuwai Hospital, and enjoy corresponding services in accordance with the regulations.

　　(C) to carry out the pilot reform of the salary system

　　1. Yunnan Fuwai Hospital will be included in the pilot reform of salary system of public hospitals in our province. Yunnan Fuwai Hospital is allowed to break through the current wage control level of public institutions, allowing medical service income to deduct costs and withdraw various funds according to regulations, which are mainly used for personnel rewards.

　　2. Tilt the relevant salary policy. Yunnan Fuwai Hospital is allowed to establish a salary system that adapts to the characteristics of the hospital in accordance with the Implementation Opinions of the Provincial Department of Human Resources and Social Security, the Department of Finance, and the Health and Family Planning Commission (Yun Ren She Fa [2017] No.96). The Provincial Department of Human Resources and Social Security gives corresponding policy inclination when approving the total amount of performance pay.

　　3. Give internal distribution autonomy. Give Yunnan Fuwai Hospital autonomy in performance appraisal and internal distribution, focusing on key positions and high-level talents, focusing on reflecting the value of medical staff’s technical services and mobilizing the enthusiasm of medical staff.

　　Third, the job requirements

　　(1) Strengthen organizational leadership. Relevant departments directly under the provincial government should closely cooperate and coordinate to promote reform, properly link up policies and give full play to policy synergy; It is necessary to carry out the evaluation of the reform effect in time to provide support for the reform and improvement of the province’s medical insurance payment method and personnel compensation system.

　　(2) Strengthen internal management. Fuwai Hospital in Yunnan should establish and improve the internal management system matching with the reform pilot, make full use of the role of medical insurance in regulating, guiding, supervising and restricting medical service behavior and expenses, strengthen the management of medical personnel, actively control costs and expenses, and improve the efficiency of the use of medical insurance funds. On the basis of the approved total number of personnel, exercise the autonomy of hospital personnel management and salary distribution according to the law and regulations.

　　(3) Strengthen supervision and management. Provincial departments should strengthen the supervision and management of medical service behavior, personnel management and salary distribution of Fuwai Hospital in Yunnan. The medical insurance management department should strengthen the management of medical insurance service agreement, improve the medical insurance information system, improve the scientific and reasonable assessment system, strengthen the dual control of medical expenses and medical quality, and link the assessment results with the medical insurance fund payment.

　

Annex 4

Pilot scheme of medical service price reform in Fuwai Cardiovascular Hospital of Yunnan Province

　　In order to promote Fuwai Cardiovascular Hospital of Yunnan Province (hereinafter referred to as Yunnan Fuwai Hospital) to carry out the pilot reform of medical service price, this scheme is formulated according to the Overall Plan for Comprehensive Reform Pilot of Fuwai Cardiovascular Hospital of Yunnan Province.

　　I. General requirements

　　Actively and steadily push forward the reform of the pricing mode of medical services in Fuwai Hospital in Yunnan, do a good job in linking the price of medical services with policies such as medical care, medical insurance and medicine, and gradually establish a scientific, reasonable, dynamic adjustment and multi-participation medical service price formation mechanism to ensure the sustainable operation of Fuwai Hospital in Yunnan, the affordability of medical insurance funds and the overall burden of the masses.

　　Second, the reform task

　　(1) Yunnan Fuwai Hospital is allowed to set its own price within the range of no more than 10% on the basis of the current price of first-class medical services in our province.

　　(II) For the medical service items with no approved price in our province, if the Fuwai Hospital of China Academy of Medical Sciences already exists, according to the principle of homogeneity and the same price, Fuwai Hospital of Yunnan can refer to the medical service price of Fuwai Hospital of China Academy of Medical Sciences.

　　(three) the new medical service projects carried out by Fuwai Hospital in Yunnan Province shall be independently approved by the hospital for trial price.

　　(4) For the diseases that have not been charged by diseases in our province at present, on the basis of establishing and perfecting the clinical pathway management system, support Yunnan Fuwai Hospital to carry out the reform of charging by diseases and independently formulate charging standards.

　　(5) In order to meet patients’ medical service needs at different levels, Yunnan Fuwai Hospital is allowed to carry out special outpatient service within the scope of not exceeding 10% of the total medical service, and the special outpatient service fee is subject to market adjustment.

　　Third, the job requirements

　　(1) Strengthen guidance and supervision. The Provincial Price Bureau, the Health and Family Planning Commission, and the Human Resources and Social Security Department should closely cooperate and cooperate with each other, strengthen the guidance and supervision of the reform of medical service price in Fuwai Hospital in Yunnan, make overall consideration of the interests of all parties, and do a good job in the convergence of policies such as medical service price, medical insurance and fee control; It is necessary to guide Yunnan Fuwai Hospital to establish and improve the internal price management system, implement the system of clearly marked price and detailed list of medical expenses, and create an honest medical unit.

　　(2) Do a good job in monitoring and evaluation. The Provincial Price Bureau, the Health and Family Planning Commission, and the Human Resources and Social Security Department should pay close attention to the situation after the reform of medical service prices to prevent the relevant supporting policies from being in place, resulting in an increase in the burden on hospitals or patients; It is necessary to strengthen the evaluation of the reform situation and effect, and timely adjust and improve the reform policy.

　　(3) Strengthen support for reform. Fuwai Hospital in Yunnan should scientifically calculate the cost of medical services and diseases, and provide scientific data support and reference for setting prices; It is necessary to bring cost accounting, price management and patient burden into the hospital performance appraisal system, and mobilize the enthusiasm of medical staff and management personnel to control fees; It is necessary to publicize the service items, prices and charging basis, supervision and reporting telephone numbers and other contents to the society in a prominent position.

　　(4) Standardize the price adjustment behavior. For medical services that are subject to market adjustment and independently set prices, Yunnan Fuwai Hospital reasonably sets prices according to service costs and market conditions and keeps them relatively stable, and the price adjustment period shall not be less than one year. The actual implementation price of Yunnan Fuwai Hospital should be reported to the Provincial Price Bureau, the Health and Family Planning Commission and the Human Resources and Social Security Department for the record within 10 working days before implementation.

　

Annex 5

Pilot program of financial subsidy reform in Fuwai Cardiovascular Hospital of Yunnan Province

　　In order to promote Fuwai Cardiovascular Hospital of Yunnan Province (hereinafter referred to as Fuwai Hospital of Yunnan Province) to carry out the pilot reform of financial subsidies, this plan is formulated according to the Overall Plan for Comprehensive Reform of Fuwai Cardiovascular Hospital of Yunnan Province.

　　I. General requirements

　　Adhere to the public welfare nature of public hospitals, reform and improve the way public finance supports public hospitals, establish a scientific and reasonable financial guarantee and compensation mechanism, and promote the formation of a new mechanism for hospital operation that is conducive to maintaining public welfare, mobilizing enthusiasm and ensuring sustainability.

　　Second, the reform task

　　(1) Arrangement of subsidy funds

　　From 2018 to 2021, Yunnan Fuwai Hospital will be subsidized by means of fixed subsidy and gradual adjustment. Among them, 70 million yuan will be allocated for operation subsidy in 2018, 70 million yuan in 2019, 60 million yuan in 2020 and 50 million yuan in 2021.

　　After 2021, in accordance with the requirements of government procurement service reform of public institutions and referring to the security policies of other provincial public hospitals, Yunnan Fuwai Hospital will be subsidized.

　　(2) Ways of financial subsidies

　　In 2018, the transitional financial subsidy policy was implemented, and the financial funds were directly allocated to Yunnan Fuwai Hospital. Starting from 2019, we will implement the reform of financial support mode based on government purchasing services, and arrange the financial subsidy funds of Yunnan Fuwai Hospital to be included in the departmental budget of the Provincial Health and Family Planning Commission for protection. As the main body of government purchasing services, the Provincial Health and Family Planning Commission will include the subsidy funds in the departmental budget of the Provincial Health and Family Planning Commission in the form of government purchasing services, and report them to the Provincial Department of Finance for review, and sign a government purchasing service contract with Yunnan Fuwai Hospital in accordance with the relevant provisions on government purchasing services, and pay them according to the contract.

　　Third, the job requirements

　　(1) Strengthen policy implementation. The Provincial Department of Finance earnestly implemented the financial subsidy policy for Fuwai Hospital in Yunnan. The Provincial Health and Family Planning Commission studied and formulated a specific implementation plan for the reform of government procurement services in Fuwai Hospital in Yunnan.

　　(2) Improve financial management. All revenues and expenditures of Yunnan Fuwai Hospital are included in the budget management, and the relevant provisions of the financial system and accounting system are strictly implemented. The Provincial Department of Finance strengthens the overall budget and financial management of Fuwai Hospital in Yunnan, and organizes the annual financial report audit of the hospital in conjunction with the Provincial Health and Family Planning Commission to promote the steady and healthy development of the hospital.

　　(3) Strengthen performance appraisal. The Provincial Department of Finance, together with the Provincial Health and Family Planning Commission and other departments, explored the third-party performance evaluation of government-purchased services in Fuwai Hospital of Yunnan Province, and established an incentive and restraint mechanism linking the assessment results with the subsidy funds. The evaluation results served as an important reference for the payment of service purchase funds and the selection of service purchase projects, and effectively improved the efficiency in the use of financial funds.

　

Annex 6

Implementation plan of improving diagnosis and treatment ability of Fuwai Cardiovascular Hospital in Yunnan Province

　　In order to further improve the diagnosis and treatment ability and level of Fuwai Cardiovascular Hospital in Yunnan Province (hereinafter referred to as Yunnan Fuwai Hospital), this plan is formulated according to the Overall Plan for Comprehensive Reform of Fuwai Cardiovascular Hospital in Yunnan Province.

　　I. General requirements

　　Relying on the support of the medical management level and technical force of Fuwai Hospital of China Academy of Medical Sciences (hereinafter referred to as Fuwai Hospital of the Academy of Medical Sciences), we will gradually improve the diagnosis and treatment ability and level of Fuwai Hospital. Yunnan Fuwai Hospital has fully opened its clinical center and medical technology department, and its discipline construction has reached the requirements of the national evaluation standard for key clinical specialties. It has basically built a high-quality cardiovascular disease specialist training system, which is used as a technical support platform to radiate the whole province, promote the continuous improvement of cardiovascular disease treatment ability of hospitals at all levels in the province, provide technical support for the construction of the prevention and control system for cardiovascular chronic diseases in the province, and realize the objectives and tasks set in the Overall Plan for Comprehensive Reform of Cardiovascular Hospital in Fuwai, Yunnan Province.

　　Second, the main measures

　　(1) Homogenized introduction of advanced medical technology from Fuwai Hospital of Chinese Academy of Medical Sciences

　　1. Homogenization and introduction of hospital information system. Fuwai Hospital of Yunnan adopts the core information system independently developed by Fuwai Hospital of Chinese Academy of Medical Sciences to ensure the seamless connection of information between Fuwai Hospital of Yunnan and Fuwai Hospital of Chinese Academy of Medical Sciences, and the core information system is homologous and homogeneous. Establish a closed-loop information solution with hospital information system and electronic medical record system as the core, highly integrated image archiving and transmission system, laboratory information system and other whole processes, covering different fields such as medical treatment, teaching, scientific research and disease prevention and control.

　　2. Give full play to the leading role of experts stationed in Fuwai Hospital of Chinese Academy of Medical Sciences. Relying on the long-term team of doctors, technicians, nursing and management experts stationed in Fuwai Hospital of the Academy of Medical Sciences, we will accelerate the formation of an expert group integrating medical treatment, teaching, scientific research, personnel training and international cooperation, and lead the development of cardiovascular disease diagnosis and treatment in the province.

　　3. Actively carry out academic exchange activities at home and abroad. Fuwai Hospital of Chinese Academy of Medical Sciences sent first-class experts to Yunnan to carry out academic exchange activities. Fuwai Hospital of Yunnan actively undertakes academic exchange activities at home and abroad, such as the International Complex Congenital Heart Disease Summit Forum, Kunming International Cardiovascular Disease Forum, Fuwai Aortic Disease Treatment Seminar, the latest progress seminar of interventional therapy for cardiovascular diseases, and the "Heart Pacing in 100 Counties", so as to enhance the diagnosis and treatment ability of cardiovascular diseases in Yunnan and effectively play the role of radiation to drive and lead the demonstration.

　　(B) to strengthen the construction of talent team

　　Arrange all young and middle-aged doctors, technicians and nursing staff in Fuwai Hospital of Yunnan to go to Fuwai Hospital of Chinese Academy of Medical Sciences for standardized training in cardiovascular diseases. Fuwai Hospital in Yunnan adopts various forms, such as young doctors’ growth tutorial system, applying for a master’s degree with the same academic level, and circulating training for further professional study, to give full play to the role of experts in the hospital, to improve the overall quality of medical staff, to build a team of professional and technical personnel with both morality and skills, and to gradually make the academic qualifications, professional titles and age structure of the professional personnel more reasonable and perfect. Relying on the brand advantage of Fuwai Hospital of Chinese Academy of Medical Sciences, talents with associate senior and above professional and technical post qualifications or doctor’s degrees that are urgently needed in hospitals are introduced from outside the province, and personnel files can be re-established after leaving their original units to work in Fuwai Hospital of Yunnan. Fuwai Hospital of Yunnan creates favorable conditions for introducing talents.

　　(C) to strengthen medical quality control

　　Fuwai Hospital in Yunnan should standardize the diagnosis and treatment process according to the requirements of the national cardiovascular disease quality control index system, ensure that the diagnosis and treatment process meets the quality control requirements, effectively reduce the surgical mortality and infection rate, and ensure the homogeneity of hospital medical quality with Fuwai Hospital of Chinese Academy of Medical Sciences. Yunnan Fuwai Hospital should take the lead in establishing quality control indicators of cardiovascular diseases in Yunnan Province in accordance with the requirements of the Provincial Health and Family Planning Commission, and guide relevant medical institutions in the province to standardize the diagnosis and treatment of cardiovascular diseases.

　　(D) to strengthen the guidance and assistance to the grassroots.

　　1. Regularly send experts to primary hospitals to guide the work. Establish a cardiovascular disease specialist alliance with the participation of provincial, prefecture and county hospitals. Through the establishment of "Yunfu Clinic", ward rounds, surgical teaching, etc., directly participate in the clinical work of primary hospitals, and rapidly improve the diagnosis and treatment ability of cardiovascular diseases in primary hospitals. Fuwai Hospital in Yunnan should regularly organize experts to help primary hospitals, and send at least 5 experts with deputy senior titles or above to guide medical activities in cities, counties and hospitals every month for no less than 2 days.

　　2. Regular teaching and on-site training for primary hospitals. Set up a "Yunfu Lecture Hall", formulate personalized training programs according to the needs of primary hospitals and doctors, and strive to improve the standardization of diagnosis and treatment in primary hospitals. Establish a long-term cooperation mechanism with grassroots hospitals to open a "green channel" for people in remote areas to see a doctor. Give priority to the procedures of hospitalization, discharge, and application for special hardship fund for referral patients in primary hospitals, and apply for charitable fund for poor children with congenital heart disease.

　　3. Implement the "Yunyan Plan". Support cardiovascular internal medicine and surgeons from hospitals at or above the county level to go to Fuwai Hospital in Yunnan for standardized training in cardiovascular diseases. According to the needs of the grassroots, short-term (1-3 months), medium-term (3-6 months) and long-term (12 months) training programs are offered for key physicians of different levels, different seniority and different sub-professional directions.

　　4. Improve the scientific research level of primary hospitals. Relying on the scientific research platform of Fuwai Hospital of Chinese Academy of Medical Sciences and Fuwai Hospital of Yunnan Province, we will set up horizontal scientific research projects, absorb the staff of grass-roots hospitals to participate in the research of scientific research projects, and improve the scientific research ability.

　　5. Establish a telemedicine service network. Relying on Fuwai Hospital of Chinese Academy of Medical Sciences and Yunnan Fuwai Hospital as the fulcrum, we will integrate the telemedicine network resources of tertiary hospitals, county hospitals and township hospitals in the province, and further develop the information platform and remote grading diagnosis and treatment network of Yunnan Cardiovascular Disease Diagnosis and Treatment Center. Establish a large database of cardiovascular disease prevention and control in Yunnan Province to improve the ability of cardiovascular disease prevention and control at the grassroots level.

　　Third, the job requirements

　　(1) Strengthen organization and implementation. Fuwai Hospital in Yunnan should refine the work tasks item by item, define the time schedule, and earnestly organize the implementation.

　　(2) Strengthen supervision and inspection. The Provincial Health and Family Planning Commission should strengthen the guidance, inspection and supervision of Fuwai Hospital in Yunnan, and regularly carry out monitoring and evaluation to ensure the effectiveness of the work.