Special feature of 1905 film network The appearance with a sense of high quality is one of her most eye-catching labels.Walking pictorial, the darling of fashion, became the cover queen of fashion magazines at home and abroad that year.But she is an actress, with a variety of customs and styles.She is.

Red lips with printed brocade cheongsam are graceful and pretty, without losing the charm of Qinhuai River women.

stage photo

Smoke waves flow, gestures are amorous feelings. From the eyes to the manners, it is full of flavor.He once said: "To let her play Yumo is to take a fancy to her unique temperament."

After three years of secret training, she portrayed Yumo’s mature and charming, intellectual atmosphere, meticulous, dusty and unconventional, beautiful and forbearing image, which made the original author Yan Geling full of praise.

"flowers of war" stills

In 2011, flowers of war, which won 600 million box office and became the annual Chinese box office champion, made NiNi, a 23-year-old fledgling, debut at the peak.

She has a variety of amorous feelings, and she will never be able to avoid beauty again.Her beauty is ever-changing, which can be pure and vivid.In school, NiNi, wearing a white sports school uniform, is so pure and lovely, gentle and clever, and the anise played by NiNi bears the imprint of youth, which reminds us of the youth that was shining and full of regret.

Stills of "In a hurry that year"

Long hair fluttering, beautiful in the park, she has also become a beautiful Zi Xia, smiling is full of aura.

Stills of Wukong Biography

Wearing a red dress and red lips, in the TV series "last romance", Ni Nihua is an intellectual and capable, confident and generous workplace elite Zhu Suosuo, which perfectly interprets the sentence adapted from Yi Shu’s original work: "A woman among women is dazzling."

Tv series "precious times of the past"stills

In the suspense movie, Nini is transformed into a three-faced Jiang Yuee, whose beautiful and devoted eyes are pure girls, and her cold and sharp temperament is a young woman in Leng Yan, and she is also a caring and loving mother full of tears.

Stills of "Kill"

In the TV series "Chen Xi Yuan" starring NiNi, Ni Ni performed the life of the heroine "Sansheng Sanshi" in three different states:

The spirit of the first life is lively and outgoing; Lin Mo, the second Sargam, was warm as the wind, and Ling Xi, the third, vividly interpreted the pull of humanity and divinity after returning from robbery.

Stills of TV series "Chenxiyuan"

But Ni Ni is far more than beautiful, and she can be soft and rigid.Dressed in a national costume, with a short ear-length hair, it is a combination of skill, intelligence and courage.

In the movie, NiNi lost her long hair, concealed her proud figure, and hid all kinds of amorous feelings, playing Wang Huiwu, a revolutionary figure who ran for women’s liberation, and gained an independent female force.

"1921" stills

Chivalrous women are classic and important roles in all the films, including feminine and beautiful women, heroic and rigid men, and the iron dragonfly in the movies is no exception.

"daoist magic" stills

NiNi’s heroic iron dragonfly is not only domineering, but also introverted.

In "daoist magic", she was not trapped by the face value and was not afraid of the ugliness in the play. She appeared as an ugly girl with buckteeth, and showed the rude and free-spirited side of the iron dragonfly just right. When she took off the human skin mask, the ugliness and beauty were extremely full, which was even more amazing.

Zhang Yimou once commented on NiNi: "I think she is a new type of a new era, and her future is limitless."Behind the halo, it is more of her own efforts.

NiNi and three powerful actors, Zhang zhen, and Wang, compete on the same stage, which not only has not been overshadowed, but also adds a purer stroke to the film 2.

Stills of Snow Storm

In Snowstorm, the role of doctor Sun Yan is to illuminate all crazy people. In the play, her dedication also made the crew members who performed together admire her.NiNi tried many times to go to the operating room, learn professional skills from doctors, and integrate himself into the role of forest doctors.

"Desperate Saburo" Zhang zhen said that NiNi worked harder than him, practicing more than 20 times for the lines of one word.The suffocating cold under the snowstorm can show the ultimate human nature.　

Stills of Snow Storm

When NiNi was filming a night scene where the car was trapped in a snowy mountain, the trunk of the car was open at MINUS 30 degrees, and the blower kept blowing at her for the manufacturing effect, but she still insisted on shooting it again and again.

Pang Ling, played by NiNi, is indispensable in the film. Even if sandwiched between two film emperors, NiNi’s performance is impressive.

Shock Wave 2 stills

After receiving the task from the boss, quickly seize the opportunity to make an action plan and lend a helping hand to the old love caught in the mud; At the scene of the action, we decided to suppress the pain in our hearts and issued orders in an orderly manner.

Shock Wave 2 stills

When you are sharp, you don’t want a man, and your tenderness is touching.

Shock Wave 2 stills

For more than ten years, the constantly polished acting skills are gradually pushing her forward, and the female role she plays is far more than just beauty.However, in this decade, there has never been a masterpiece in NiNi that can overshadow the light of flowers of war. For actresses, this is cruel.

Ni Ni once said: "I want to be an acting school, like an actor, and be remembered by the audience through superb acting, because beauty can’t last long."More and more excellent works make NiNi not only recognized for its beauty, but also for its advanced beauty.

Today, she loves the stage and fears the performance, and she is still quietly accumulating strength and waiting for opportunities.On the afternoon of December 11th, Movie Channel Shadow Man 1+1 will broadcast Snow Storm starring NiNi and Shock Wave 2, and NiNi, who is courageous and heroic, is worth looking forward to!

introduction

Sudden cardiac death is one of the most important problems faced by cardiologists. In many cases, the success rate of rescue is not high, so the mortality rate is still high. At present, most of the solutions are passive, and ICD (Implantable Defibrillator) is installed after patients survive, but the status quo of diagnosis and treatment of sudden cardiac death (SCD) is not optimistic. In this regard, Fuwai Hospital of China Academy of Medical SciencesProfessor Hua Wei.Report on "Current situation and challenges of prevention and treatment of sudden cardiac death in China".He mentioned that early defibrillation is the key to improve the survival rate of cardiac arrest, and early preventive implantation of ICD is the most effective means to prevent sudden cardiac death.

Sudden cardiac death is the first killer of cardiovascular disease.

The leading cause of death among adults in the United States is SCA (cardiac arrest), with an annual incidence of 450,000, which exceeds the sum of all these diseases, such as stroke (167,366), lung cancer (157,400), breast cancer (40,600) and AIDS(42156).

As a populous country, how many people have sudden cardiac death every year in China? Fuwai Hospital conducted an epidemiological survey more than ten years ago, and included the population of Beijing, Guangzhou, Shanxi and Xinjiang for sampling survey. It was the first time that the incidence of SCD in China was 418.4/100,000. If calculated by the population of 1.3 billion, the total number of sudden deaths in China was about 544,000/year, ranking first in the world.

The concept of sudden cardiac death

Definition: Sudden death due to heart causes is characterized by quickness, natural and unexpected within 1 hour after symptoms occur. About the etiology of SCA, 80% are coronary heart disease, chronic myocardial scar after myocardial infarction, acute plaque instability, rupture, bleeding and thrombosis. 10-15% are cardiomyopathy, including hypertrophic cardiomyopathy and dilated cardiomyopathy. Less than 5% of uncommon causes, such as primary electrical activity and hereditary ion channel abnormality, valvular disease or congenital heart disease, and other reasons. The triggering mechanism of SCA: transient ischemia, hemodynamic fluctuation, neurocardiovascular influence and environmental factors.

Prevention and treatment of sudden cardiac death-first aid outside the hospital

First aid outside the hospital:

Timely cardiopulmonary resuscitation and electrical defibrillation;

Most patients can not get timely and effective cardiopulmonary resuscitation;

The data shows that the popularity and effect of SCD out-of-hospital first aid are not good; According to the data of the United States in 2004, there were 166,000 cases of sudden cardiac death outside the hospital. Among them, only about 60% received emergency medical services, and the average survival rate after rescue was only 6.4%.

The above data may be lower in China.

Electrical defibrillation should be performed as soon as possible for patients with sudden cardiac death. Early defibrillation is the key to improve the survival rate of cardiac arrest.

Promote the use of AED (automated external defibrillator) in public areas with relatively high probability of witness cardiac arrest. Try to shorten the interval between stopping pressing and giving electric defibrillation, and CPR must be resumed immediately after giving electric defibrillation.

In 2010, JACC magazine reported the comparison of survival rate between CPR alone and CPR+AED for SCD patients outside the hospital. 13769 cases of SCD were selected, and only CPR was given before EMS arrived, with a survival rate of 9% (382/4 403). The survival rate was 24%(69/289) after CPR+AED treatment before EMS arrived, which was more than 2 times higher. Logistic regression results show that:AED therapy was significantly related to the survival rate of SCD patients, and the OR value was 1.75(p<0.002).

Current situation of AED configuration in China

At present, the number of defibrillators installed in public places in China is very limited, and fewer people know how to use them, which makes many patients lose the opportunity of first aid. It is difficult to carry around and play a role in time. It is impossible to issue treatment before the patient has syncope, which reduces the damage of important organs.

Prevention and Treatment of Sudden Cardiac Death —— Application of Wearable Defibrillator (WCD)

WCD can monitor the heart rhythm in real time. Once a patient has ventricular fibrillation, it can identify ventricular fibrillation in the shortest time, deliver electrode defibrillation, and effectively save the patient’s life. Automatic glue spraying during defibrillation; No conductive paste, no sticky electrode sheet; Light weight (the wearing part is only 0.815 kg); Make patient’s conscious judgment before defibrillation; Bidirectional wave 150 joules; Record and save the data 30 seconds before the heart event; Store ECG data for up to 75 minutes at a time.

AHA medical advice:

WCD technology has also been preliminarily studied in China. From June 2018 to October 2019, Fuwai Hospital and several hospitals jointly led a multi-center clinical observation study on wearable defibrillators in China. 54 patients with WCD were enrolled,Baseline information is as follows:

Indications of WCD under study:

1. Early acute myocardial infarction (within 40 days) with LVEF≤35%, 19 cases (35.2%).

2. 9 cases (16.7%) were waiting for heart transplantation and had high risk of SCD.

3. ICD could not be implanted temporarily for various reasons (such as infection), 7 cases (13.0%).

4. Newly diagnosed non-ischemic cardiomyopathy with LVEF<35%, 5 cases (9.3%).

5. Five cases (9.3%) met the secondary prevention of SCD, but the estimated survival time was less than one year.

6. ICD implantation was refused for various reasons (such as economy), 5 cases (9.3%).

7. After emergency revascularization (within 3 months), LVEF≤35%, 4 cases (7.4%).

Follow-up

1. Average wearing days: 51 34 days (longest 145 days, shortest 1 day);

2. Only 18 patients (33.3%) insisted on wearing it for one month during the three-month follow-up;

3.59.3% patients feel good about wearing; 33.3% feel ordinary when wearing;

4. The two main problems of wearing are the influence, and the size does not meet the requirements of its own body shape;

5. Only one patient was monitored for ventricular fibrillation (successful defibrillation);

6. Error-free discharge occurs.

The most effective means to prevent sudden cardiac death-implantable defibrillator (ICD)

In the United States, the annual incidence of sudden cardiac death is 250,000 to 350,000, and the average survival rate is only 5%. It is necessary to identify this high-risk patient to prevent cardiac arrest. Data show that ICD is as effective as 99% in the treatment of cardiac arrest. At the earliest, ICD needed open chest implantation, and now there are many jugular vein implants.

The progress of ICD treatment: the first ICD was implanted in the United States in 1980, approved by FDA in 1985, simple program control in 1987, hierarchical treatment in 1988, non-thoracotomy electrode lead system in 1989, biphasic ICD system in 1989, chest ICD system in 1993, unipolar defibrillation in 1993, miniaturization in 1993-1997, prolonged life and improved diagnostic ability. Now it has become a widely used method to prevent sudden cardiac death.

2017 ACC/AHA/HRS Guidelines for Patients with Ventricular Arrhythmia Management and SCD Prevention

Class I indications:

1. Survivors of SCD caused by ischemic heart disease, ventricular tachycardia or ventricular fibrillation, or stable ventricular tachycardia caused by hemodynamic instability or irreversible factors, with an estimated survival time of > 1 year, ICD implantation is recommended.

2. In patients with ischemic heart disease and syncope, if electrophysiological examination induces monomorphic sustained ventricular tachycardia and the expected survival time is more than 1 year, ICD implantation is recommended.

3. If the LVEF of ischemic heart disease is less than 35%, at least 40 days after myocardial infarction, or 90 days after revascularization, if the cardiac function is still Grade II or III on the basis of drug treatment guided by the guidelines, ICD is recommended for primary prevention.

Although ICD is a type I indication, it also has defects. After ICD is implanted in human body, its utilization rate is not very high. A prospective, non-randomized international multi-center clinical study of so-called level 1.5 prevention enrolled 3889 patients in 17 countries.

Level 1.5 prevention = level 1 prevention plus one or more items:

Non-persistent ventricular tachycardia; Frequent ventricular premature beats (> 10 beats/hour); LVEF<25%； History of syncope.

The results showed that the average follow-up was 21 10 months. Compared with the patients who did not receive ICD implantation, the all-cause mortality of the patients who received ICD implantation decreased by 49%.

The application of ICD in China, the first epicardial ICD system was implanted in 1992, and the first intravenous ICD system was implanted in China in 1996. With the formulation of ICD implantation indication guidelines and publicity and education, the number of implants has increased greatly every year since 2002. At present, about 5000-6000 patients are implanted with ICD every year in China. The proportion of primary prevention and secondary prevention in patients with ICD implantation in China is equal.

Difficulties that traditional intravenous ICD system may encounter;

Subclavian vein occlusion;

Vascular malformation;

Wear of venous lead (broken lead/broken insulation);

Difficult to pull out the lead (infection and other reasons);

The whole system needs to be removed due to infection.

In order to reduce and avoid complications caused by defibrillation leads via intravenous ICD electrodes, a brand-new technology "total subcutaneous ICD" has been developed. Vein-free lead defibrillation system, subcutaneous implantable ICD system, total subcutaneous implantation. There is no need to implant electrode leads into the heart through blood vessels to ensure the structural integrity of blood vessels. Implantation is strictly in accordance with anatomical structure, and radioscopy is not needed during implantation. The disadvantage is that pacing is not possible.

On December 23, 2014, Fuwai Hospital implanted the first SICD in China.

In 2015, ESC Guidelines recommended its Class Ⅱa:

For patients with ICD indications who do not need pacing, CRT or ATP treatment, S-ICDs should be considered as an alternative treatment for intravenous ICD.

2017 AHA/ACC/HRS VA/SCD guidelines will transfer it to Class I indications, but there are conditions: 　

"Implanting a subcutaneous cardioverter defibrillator (S-ICD) has a lower risk of infection than TV-ICD. Therefore, S-ICD is more suitable for patients with high risk of infection, such as patients with device infection, patients with end-stage renal disease, or patients with long-term immunosuppression. "

Multi-center SICD research in China and follow-up analysis of clinical application in multi-centers in implantable cardioverter defibrillator under the skin included 111 patients who successfully implanted S-ICD in 42 centers in China and had stable follow-up. The follow-up period was (272 283) d, with 39 cases of primary prevention (35.1%) and 72 cases of secondary prevention (64.9%). The results showed that 22 patients (20.8%) received 51 appropriate defibrillation treatments, and 9 patients (8.5%) had 24 inappropriate defibrillation treatments. The main cause of inappropriate defibrillation is t-wave oversensing. It is suggested that S-ICD implantation is effective and safe in China.

NEJM magazine published a prospective randomized controlled study of PRAETORIAN. This is the first prospective randomized controlled head-to-head study of S-ICD vs TV-ICD. There are 849 patients enrolled in 39 centers (Europe and the United States) in 6 countries, including 426 cases of S-ICD and 423 cases of TV-ICD. All products of TV-ICD can be enrolled (single cavity ICD), with ICD indications and meeting the requirements of S-ICD implantation.

Main end point:Compared with TV-ICD, S-ICD has non-inferiority, inappropriate electric shock, complications related to ICD system and needing intervention, and lead-related complications.

Main results:The incidence of inappropriate treatment and complications of S-ICD is similar to that of TV- ICD. The mortality of S-ICD & TV-ICD is low; The lead-related complications were significantly reduced, with 6.6% (n=24) in the control group (TV-ICD) and 6.6%(n=24) in the control group (TV-ICD).

The future and development prospect of SICD. The disadvantage of full subcutaneous ICD is that it can not effectively pace the heart. If the patient has bradycardia, he can pace bradycardia with the help of a leadless pacemaker.

Another feasible scheme, EV-ICD,Defibrillation coil is under the sternum, closer to the heart, and can conduct effective cardiac pacing. The purpose of research and development is to realize low defibrillation threshold (DFTs), small size, long service life and pacing function including ATP (anti-tachycardia pacing) through EV-ICD. This technology has been clinically studied.

EV-ICD research is a prospective, non-randomized, first long-term clinical study in human body. Patients who meet the indications of class ⅰ or ⅱ A ICD were included; Under fluoroscopy, the defibrillation lead was buried in the posterior sternum area by subcutaneous tunnel tool, and the pulse generator was placed on the left side of the chest. The defibrillation efficiency was tested by inducing fibrillation during implantation, detecting and converting ventricular fibrillation. The energy to terminate ventricular fibrillation was usually 20J once or 30J； twice in succession. Follow-up was performed at 2 weeks, 4-6 weeks and 3 months after operation. The main safety end point was no instrument or operation-related complications within 3 months after operation.

The results showed that 21 patients tried to implant, and finally 20 patients successfully implanted EV-ICD；. One patient with mediastinal fibrosis failed to be implanted successfully.

Defibrillation therapy:One patient failed to induce ventricular fibrillation/tachycardia; 89.5% patients (17/19 cases) successfully terminated ventricular fibrillation, and the defibrillation threshold was ≤30J, and the median defibrillation threshold was 15J；. The defibrillation threshold of 10.5% patients was > 30J.

Bradycardia treatment:95% patients (19/20 cases) successfully completed the pacing test, and the pacing threshold in acute phase was ≤10V, with an average of 5.1±1.9V；; R wave perception test: the average amplitude of R wave is 3.2±1.7mV；; The amplitude of R wave during ventricular fibrillation is 2.8±1.7mV, and ventricular fibrillation during operation can be correctly identified.

EV-ICD studies the clinical application experience of long-term implantation of infrasternal extravascular ICD, which proves that EV-ICD overcomes the shortcoming that SICD can’t pace, and will have a wider application prospect.

summary

Sudden cardiac death should attract our attention. The prevention and treatment of sudden cardiac death in China has a long way to go, and we need all of you to work together to reduce the occurrence of SCD in China and save more patients.

-End-　

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.

One,

　

Let’s imagine a scene: you spent hundreds of thousands of dollars on a car, and after a few months, the sales came to chase after it and said, I’m sorry, you bought a low-priced car, but we mistakenly asked you to take a high-priced car, so we need to dismantle those configurations in your car that can only be enjoyed by high-priced cars.

　

What the Fxxx？ ! Do you think you are a fool as a consumer or admit that you are a fool?

　

　

You must think that this might only appear in a funny joke, then I can only say that you are naive. Because I did this kind of thing once recently.

　

Recently, according to foreign media reports, it was announced that the software of some delivered vehicles would be downgraded, because the company was equipped with a standard Plus version with a price of nearly $40,000 on the standard version they had sold for $35,000. After this situation, consumers were told in a hurry that they needed to withdraw this part of functions and configurations.

　

Second,

　

There is a need to popularize science here: there are some differences between our cars and the tradition. Some models of different versions are only different in software settings and almost identical in hardware configuration. Therefore, only by downgrading the software, some vehicle configurations including battery life can be adjusted. To put it bluntly, the configuration of the models they sell is wrong, so you can change your configuration directly through the system software.

　

　

This sounds like a very simple thing. Sales don’t have to "disassemble" your configuration, and the system can be remotely controlled. However, have car companies ever taken into account the violent attacks suffered by consumers?

　

There is no problem when buying a car, no problem when picking it up, and even the car that has been used for a while is still no problem. Then you informed me that "I’m sorry that your money suddenly didn’t pay enough, and we will downgrade it online for you"!

　

In my opinion, the only problem is that there is something wrong with our service. It is better to say that we are not focused enough than professional enough.At least, in the sales process of many traditional car companies, I have never heard of such a thing as paying low-priced money but selling high-priced cars by mistake.

　

　

Third,

　

According to the e-mail sent to some consumers who bought the standard model, "Your computer will soon receive the new software that matches the configuration of the standard model you ordered. As we communicated in April, this included a limited battery life of 220 miles (about 350 kilometers) and cancelled some software functions. To continue to experience the extended battery life, faster acceleration and autopilot functions of the standard Plus version, please arrange a service appointment through the application. "

　

According to this statement, these car owners can upgrade their configuration by adding money later.

　

Do you feel the same as me when you see this?This TM is not a marketing routine played by Tesla!

　

　

Pretend not to know, wait for the owner to get used to the high configuration, and then tell you that we are sorry that we made a mistake and will help you downgrade. If you want to continue to experience the high configuration, you can make a new appointment, dear! Maybe many car owners will think that they are used to high configuration, so add money and don’t want to be downgraded.

　

Of course, I must emphasize that the above paragraph is only my guess, but it is difficult for such a service accident to make consumers not have similar ideas. Not only that, the official price cut earlier, and then the basic assisted driving function was given, and the change from time to time made the car owners very headache.

　

Perhaps Tesla’s technology is awesome and the car is really smart enough, but please be more professional in sales and service. Don’t treat all consumers as fools. Such a "sales accident" either makes consumers suspect that there is something wrong with your system, or makes consumers suspect that your marketing has a routine.

　

Neither is a good thing.

　

Finally, consumers in the China market don’t need to worry, because the standard version has not been sold to the China market, and there are no cars yet, so any marketing routine can’t be yours for the time being.

　

　

　

　

　　On November 16th, the 6th World Sichuan Cuisine Conference officially opened in Guang ‘an, Sichuan. The conference released the Report on High-quality Development of Sichuan Cuisine Industry (2023). According to the report, by the first half of 2023, the number of stores in Sichuan cuisine had exceeded 320,000, far exceeding the number of stores in Guangdong cuisine, Jiangsu cuisine and other cuisines, and it was truly the largest cuisine in China. Spicy, spicy, green pepper and other flavors became consumers’ favorite flavors of Sichuan cuisine, which provided flavor guidance for the research and development of innovative dishes in Sichuan cuisine. It turned out that Sichuan cuisine was not just spicy. It is worth mentioning that in 2021, the Michelin list officially landed in Chengdu, becoming the fourth Michelin city after Shanghai, Beijing and Guangzhou. Do you like Sichuan food?

　　Introduction of eight Chinese cuisines;

　　The eight recognized cuisines in China are Sichuan cuisine, Guangdong cuisine, Shandong cuisine, Jiangsu cuisine, Zhejiang cuisine, Anhui cuisine, Hunan cuisine and Fujian cuisine.

　　The eight major cuisines are permeated with the Confucian spiritual pursuit of "never tire of delicacy and delicacy". After hundreds of years of inheriting ancient methods and innovation, the cooking techniques are rich and the dishes taste mellow, which has laid a good foundation for Chinese food to be fine, moderate, delicious, beautiful and healthy.

　　The characteristics of the eight major cuisines:

　　Sichuan cuisine is spicy and delicious, with heavy oil and heavy taste;

　　Cantonese cuisine is rich in color, smooth but not greasy;

　　Shandong cuisine is fresh and tender, and the soup is thick and mellow;

　　Su cuisine is fresh, crisp and rotten, with a sweet taste;

　　Zhejiang cuisine is delicious, crisp and tender, and the food is as beautiful as its scenery;

　　Anhui cuisine is simple in material selection and mellow in taste;

　　Hunan cuisine is widely used, fragrant, fresh and sour;

　　Fujian cuisine is mainly seafood, sweet, sour and salty.

one

Sichuan cuisine

Characteristics of Sichuan cuisine: spicy and delicious, famous for its rich, wide, thick and strong flavor. Enjoy the reputation of "one dish, one grid, one hundred dishes and one hundred flavors".

Representative dishes: kung pao chicken, shredded pork with fish flavor, boiled fish, pork slices for couples, etc.

　　1, kung pao chicken, with chicken as the main ingredient, supplemented by peanuts, peppers and other accessories, tastes red but not spicy, spicy but not fierce, and the meat is smooth, with crispy peanuts, which makes people drool. Legend has it that this dish was handed down from Shandong in the Qing Dynasty, and it originated from the "Fried Chicken with Sauce" in Shandong cuisine.

　　2. Fish-flavored shredded pork. This dish is made of shredded pork tenderloin fried with pickled peppers, ginger, garlic, sugar and vinegar. It is salty, fresh, sweet and sour, and the onion, ginger and garlic are rich.

　　3, boiled fish, usually made of fresh grass carp, bean sprouts, peppers and other ingredients. It is characterized by "oily but not greasy, spicy but not dry, hemp but not bitter, and tender meat".

　　4. Husband-and-wife lung slices are marinated with cow scalp, beef heart, beef tongue, tripe and beef as the main materials, then sliced, made with auxiliary materials such as Chili oil and pepper noodles, and poured with red oil. The taste is spicy and spicy.

2

Cantonese cuisine

Characteristics of Cantonese cuisine: the color is slippery but not greasy, and it pays attention to frying, frying, stewing, stewing, etc. The taste characteristics are cool, light, crisp and fresh.

Representative dishes: roast suckling pig, sweet and sour sweet and sour pork, lobster baked in soup and sweet and sour melon cups.

　　1. Roasted suckling pig: It is characterized by crispy skin, tender meat and crisp bones, and it melts in the mouth, which is one of the Guangdong roast flavors.

　　2, sweet and sour meat: golden color, crisp outside and soft inside, crispy skin and tender meat, sweet and sour taste. Enjoy a high reputation at home and abroad.

　　3. Baked lobster in soup: a seafood dish with lobster as the main ingredient and broth, especially suitable for nourishing.

　　4. Eight-treasure winter melon cup: Dice lean pork, chicken, ham, prawns, mushrooms, magnolia and scallops, add refined salt, monosodium glutamate, cooked lard and appropriate amount of water, and steam with high fire. This dish is clear and white in color, fresh and soft in wax gourd meat, and fragrant in flavor. It is a delicious seasonal delicacy.

three

Shandong cuisine

Characteristics of Shandong cuisine: strong and fresh flavor, preference for onion and garlic seasoning, especially for cooking seafood, various animal offal and soup.

Representative dishes: Jiuzhuan large intestine, stir-fried kidney flower, sweet and sour carp, fried sea cucumber with onion, fried clam with oil, stewed mullet egg soup, etc.

　　1. Jiuzhuan large intestine is a representative dish of Shandong cuisine and a traditional famous dish in Jinan City, Shandong Province. It was initiated by the owner of Jiuhualin Restaurant in Jinan in the early years of Guangxu in Qing Dynasty. It was originally called "Braised Large Intestine" and later renamed "Jiuzhuan Large Intestine". This dish is ruddy in color, soft and tender in texture, and has five flavors of sour, sweet, fragrant, spicy and salty. It was rated as "Chinese food" and one of the top ten classic dishes in Shandong.

　　2, stir-fried kidney flower, a classic dish in Shandong cuisine. The heat mastered when stir-frying kidney flowers is sweet and sour, which is the chef’s competition skill. This dish tastes particularly tender, and its lips and teeth are fragrant. It feels like slipping into the throat when eaten in the mouth, which is particularly refreshing.

　　3. Sweet and sour carp, the most representative dish of Shandong cuisine. The shape fried by carp is like carp yue longmen, which is very beautiful. After the fish body is poured with juice, it looks particularly red and bright, and its taste is crisp, sweet and sour, which has been recognized by many people.

　　4. Scallion-roasted sea cucumber is mainly made of water-soaked sea cucumber and green onion. The sea cucumber tastes soft and smooth, and the green onion is a specialty of Zhangqiu, and it tastes sweet. Sea cucumber is a kind of eight treasures, and it is also a very nutritious food, which has the functions of improving memory and preventing arteriosclerosis. So this dish is a delicious and healthy famous dish.

four

Jiangsu cuisine

Characteristics of Jiangsu cuisine: fresh, crisp and rotten, with a sweet taste. Cooking skills are famous for stewing, stewing and stewing, and attention is paid to mixing soup and keeping the original juice.

Representative dishes: Squirrel mandarin fish, duck blood vermicelli soup, Qingong meatballs, Nanjing salted duck, etc.

　　1. Squirrel mandarin fish (Sweet and Sour Mandarin Fish) is a traditional local dish in Suzhou City, Jiangsu Province. When the fried mandarin fish (or mandarin fish) is served on the table, it is immediately poured with steaming marinade, and it squeaks, hence its name because it sounds like a squirrel. Emperor Qianlong once tasted this dish. This dish is characterized by crispy outside and tender inside, orange color, sweet and sour taste and pine red fragrance.

　　2. Duck blood vermicelli soup is a traditional dish in Nanjing and an important representative dish in Jinling cuisine. Duck blood vermicelli soup is made of duck blood, duck intestines, duck liver, etc., and duck soup and vermicelli are added. It is popular all over the country because of its mild taste, fresh fragrance and smoothness, as well as the taste characteristics suitable for both north and south.

　　3. Qingong meatball is a traditional Huaiyang dish. It was once a famous tribute in the Qing Dynasty, so it is also called "Qinggong meatball". It has been made for hundreds of years and is one of the top ten famous dishes in Jiangsu Province. It is characterized by smoothness, tenderness, elasticity, white soup and delicious taste. There is a saying that "falling on the ground and jumping a few times will make your mouth tender and fragrant". Eating meatballs often also has dietotherapy effects such as fitness and beauty, tonifying the middle energizer and benefiting qi, and improving immunity.

　　4. Nanjing salted duck is a famous specialty in Nanjing and one of the important representatives of Jinling cuisine. Nanjing salted duck has a long history of making, and the salted duck skin produced is tender, fat but not greasy, delicious, fragrant, crisp and tender. In the season when osmanthus is in full bloom around Mid-Autumn Festival, the salted duck is the best in color and taste, so it is also called osmanthus duck.

five

Zhejiang cuisine

Characteristics of Zhejiang cuisine: fresh and tender, soft and smooth, mellow and glutinous, refreshing and not greasy.

Representative dishes: West Lake vinegar fish, Dongpo meat, Longjing shrimp, steamed meat with lotus leaf powder, etc.

　　1. West Lake vinegar fish, alias uncle and sister-in-law Chuanzhen, is one of the top ten classic dishes in Zhejiang and four famous dishes in Hangzhou, belonging to hangzhou dishes. The vinegar fish in the West Lake began in the Southern Song Dynasty. According to legend, Zhao Gou, Emperor Gaozong, visited the West Lake by dragon boat, tasted its fish and praised it. Later, he was regarded as the "grandmaster" of the fish. This dish is bright red in color, tender and delicious with crab flavor, sweet and sour, and unique.

　　2. Dongpo Meat, a famous dish in Hangzhou, is a return meat from Xuzhou, which is one of the "four treasures of Dongpo" in Xuzhou. According to legend, it was created by Su Dongpo. Dongpo meat is a dish with bright red color, half fat and half thin meat, fat but not greasy, and sweet and salty flavor at the entrance.

　　3. Shrimp with Longjing, a famous traditional dish in Hangzhou, Zhejiang. This dish is fresh and soft, the shrimps are white and tender, the buds and leaves are fragrant, and the color is splendid. There is tea fragrance in the shrimp, and there is shrimp fresh in the tea, which has endless aftertaste. Longjing shrimp was rated as one of the top ten classic dishes in Zhejiang Province.

　　4. Steamed pork with lotus leaf powder is a special traditional dish in Jiaxing City, Zhejiang Province, which belongs to Zhejiang cuisine. In the late Qing Dynasty, it was said that its name was related to the "Wind and Lotus in Quyuan" of the "Ten Scenes of West Lake". It is made of fresh lotus leaves from Hangzhou, fried rice flour and seasoned pork wrapped and steamed. The characteristics of steamed meat with lotus leaf powder, lotus leaf can cool blood and detoxify, the meat is crisp and rotten, the rice flour is soft and glutinous, and the meat is fragrant and fat but not greasy.

six

Hunan cuisine

Hunan cuisine is characterized by strong oil color, spicy, delicious and soft; The method of making is known as stewing, stewing, waxing, steaming and frying.

Representative famous dishes: fish head with chopped pepper, western Hunan Waipo, Jishou sour meat, Yongzhou blood duck, etc.

　　1. Chopped pepper fish head, mainly made of bighead carp fish head and chopped pepper, and steamed with soy sauce, ginger, onion, garlic and other accessories. The dishes are bright red in color, rich in flavor and tender in meat. Fat but not greasy, soft and waxy, fresh and spicy.

　　2. Pickled dried prunes (potherb mustard), dried radishes, Jiangdou Gan, shredded cabbage, etc. are used as the potherb in western Hunan, and white pepper (pepper), ginger, red dried pepper, vegetable oil, salt, garlic, chives, etc. are added and stir-fried to serve.

　　Features: spicy and delicious, bibimbap is excellent, delicious and appetizing.

　　3. Jishou sour meat is a dish made of fat pork. Materials include fat pork, refined salt, pepper powder, corn flour, dried red pepper, green garlic, peanut oil, vinegar and so on.

　　Characteristics, yellow and spicy, slightly sour, fat but not greasy, unique flavor.

　　4, Yongzhou blood duck, choose 2-3 kg of live duck, kill the duck blood for later use, and cut the duck into pieces. Add peanut oil in an iron pan. When the oil temperature is seven minutes hot, pour the chopped ginger, onion, garlic and dried red pepper into the wok and stir-fry until fragrant. Add eggplant pieces and coriander, then add duck pieces and stir-fry, and then add soup to stew. Collect juice, pour duck blood on it, stir fry, add cooking wine and pepper, pour sesame oil out of the pot.

　　Features: This dish is bright in brown and black, red in black, spicy, fresh and tender, with heavy oil, salty and palatable, and is suitable with wine and meals.

seven

Anhui cuisine

Characteristics of Anhui cuisine: simple selection of materials and mellow taste. With ham as seasoning, crystal sugar is fresh, good at stewing and paying attention to pyrotechnics.

Representative dishes: Huizhou Stinkfish, Gourd Duck, Huangshan Fang La Fish and Huizhou Yipin Pot.

　　1. Huizhou Stinkfish is a traditional dish in Huizhou. This "flavored mandarin fish" smells smelly, tastes fragrant, and the meat is tender, mellow and refreshing, keeping the original flavor of mandarin fish. Its production process is very particular, that is, fresh mandarin fish is marinated in a wooden barrel with light salt water at room temperature of about 25℃, and the fish body will give off a smelly smell. Then fry in oil pan, add pork slices and bamboo shoots, and braise in soy sauce over low heat until the soup is concentrated.

　　2, gourd duck, belonging to Huaiyang cuisine, is a traditional Suzhou dish with a long history. Its dish is shaped like a gourd, the duck meat is soft and boneless, fat but not greasy, the stuffing is loose and waxy, and the taste is fresh, salty and mellow, which is very suitable for the elderly and children.

　　3. Huangshan Fang La Fish is one of the traditional famous dishes of Anhui cuisine. Fang La, the leader of the Northern Song Rebel Army, used raw fish and shrimp to repel enemy soldiers. The locals created this dish in memory of him. This dish is mainly made of mandarin fish and shrimp, and is made by different cooking methods such as frying, sliding and steaming. It tastes salty and delicious, with sweetness in acid.

　　4. Huizhou Yipin Pot is a special hot pot food that is often eaten in Huizhou in winter. Its ingredients are very rich, including shark’s fin, abalone, hen, etc. It tastes very delicious, with good color, fragrance and taste.

eight

Fujian cuisine

Characteristics of Fujian cuisine: seafood is the main raw material, paying attention to sweet, sour, salty and fragrant, and the color is delicious and fresh.

Representative dishes: Buddha jumping wall, shredded chicken bird’s nest, emerald pearl abalone and litchi meat.

　　1. Buddha jumps over the wall, which is a famous dish among the top ten representative dishes of Fujian cuisine, so it will be served at many banquets, especially state banquets. Its ingredients are relatively expensive, such as abalone, shark’s fin and sea cucumber, but they are really delicious.

　　2, shredded chicken bird’s nest, which belongs to a relatively high-standard dish, tastes light, but it tastes particularly delicious, and it is also particularly nutritious, which is very suitable for pregnant women and the elderly.

　　3. Emerald Pearl abalone is a traditional dish in Fuzhou. With abalone and scallops as the main ingredients, it is made by seiko. Because it is shaped like jade, it is named jade pearl abalone. This dish is rich in nutrition, beautiful in shape, delicious in taste and expensive in materials, so it is naturally the top grade of the banquet.

　　4. Litchi meat is one of the traditional famous dishes in Fuzhou and one of the five representative dishes of Fujian cuisine. It has a history of more than 200 years. Litchi meat is named after its tender and smooth taste, sweet and sour taste, and its shape, color and taste are all like litchi.

　　CCTV News:On October 21st, 2017, coincided with the grand opening of The 19th National Congress of the Communist Party of China, the 23rd China Yiwu International Commodities Fair, the largest commodity fair in China, was held in Yiwu, Zhejiang.

　　This year’s Yiwu Fair has 4,100 standard booths, involving 14 major industries. Combining with the cultivation direction of emerging sectors, it has set up eight special areas, namely "Made in Zhejiang" theme area, standard Expo area, innovative design, smart lifestyle, fashion department stores, international brands, e-commerce and trade services, and women’s Federation handicrafts, with a total of 10 pavilions with an exhibition area of 100,000 square meters. It attracted more than 2,200 enterprises from 16 countries and regions including Australia, Japan, Brazil, Germany, Italy and France, as well as 24 provinces (municipalities and autonomous regions) in China.

　　As an important supporting meeting in the 2017 Yiwu Fair, the "2017 China Retail Department Store (Yiwu) Purchasing Summit" was held simultaneously during this period. The summit was hosted by the Executive Committee of Yiwu International Commodity Expo in China, jointly organized by Zhejiang China Commodity City Group Co., Ltd. and IBMG International Business Management Group, and sponsored by Yiwu Mr. Huolang Trading Co., Ltd., and the conference received extensive attention and praise from the government, industry, news media and people from all walks of life.

　　More than 200 enterprise bosses and senior executives from more than 50 retail enterprises, including national top 100 retail enterprises, listed companies and regional leading enterprises, led their professional purchasing teams to participate in the summit. In order to actively broaden the domestic sales channels of local suppliers in Yiwu, improve the purchasing efficiency and quality of participating retailers, and promote the in-depth cooperation between suppliers and retailers, the summit invited Mr. Li Sheng, deputy director of the Expert Working Committee of China Business Federation, Professor Wu Leijun, course director of SPACE China Business College of the University of Hong Kong, and other big coffee makers in the retail industry to conduct in-depth thematic discussions and share, and specially arranged a number of on-site retailers’ fair for high-quality goods, which promoted many categories such as household goods, imported goods, knitwear, toys, cultural offices and sporting goods. During the summit, the delegates also visited well-known local enterprises in Yiwu, and went deep into the factory to learn about commodity technology.

　　Mr. Jiang Ming, President of China Business Federation, made an opening speech for the summit.

　　In his opening speech, Mr. Jiang Ming, President of China Business Federation, said: Yiwu has changed from "buying and selling the whole country" to "buying and selling the whole world". This is a hot spot for entrepreneurship, a land of real miracles. Department stores cover a wide range of commodities, and have become synonymous with Yiwu. Yiwu International Trade City is one of the largest export bases of small commodities in China, and its market extroversion has reached 65%.

　　The theme of this conference, "focusing on commodities, upgrading layout-supply chain reconstruction under consumption upgrading", fits the background of the retail industry environment, identifies the profit model, returns to the essence of retail, and locates customers with commodities. This summit will discuss how to rebuild the supply chain in the new retail era with the help of Yiwu’s advantages, new technologies and new theories, focus on market consumers, push forward with the pace of transformation of both domestic and foreign trade in Yiwu Fair, and strive for the healthy and rapid development of the retail industry and a broader future!

　 　 [XCAR test drive original]

　　　　Domestic pickup truck culture started relatively late compared with European and American countries. Both the market environment and consumers’ concept of car purchase are in a relatively immature stage. I believe that when many people talk about pickup trucks, they still link them with cheapness and freight for the first time. Of course, in the past two years, with the introduction of some American pickup trucks, a high-end pickup truck culture focusing on playing with cars has gradually emerged. Looking at the domestic auto market, the current situation of pickup trucks can be said to be serious. One is the cheap pickup truck based on freight, and the other is the American high-end pickup truck just mentioned. The pickup truck market between these two types is basically blank. The Isuzu D-MAX we test-drive today has a clear mission, which is to strive to be a pioneer in this market.

　　　　Since the D-MAX produced by Isuzu’s domestic joint venture manufacturer (Jiangxi Isuzu) has not been officially launched, we chose Australia, where Isuzu has a large number of pickup trucks and the pickup market is relatively mature, to get close contact with this model.However, after three months, we will be able to see the D-MAX model produced by Jiangxi Isuzu in the domestic market.

　　　　Since D-MAX is about to be produced in China, I have to talk about its manufacturer &mdash; &mdash; Jiangxi Isuzu. For consumers, this is a strange and young manufacturer. Jiangxi ISUZU is a joint-venture vehicle manufacturer established by Japanese Isuzu in China.It is jointly funded by Japanese Isuzu and jiangling motors Group, with the equity ratio of 50:50.

　　　　The model that Jiangxi Isuzu is about to put into production at present is D-MAX pickup truck, which is the protagonist of our test drive today. At the end of next year, Jiangxi Isuzu will also introduce a heavyweight SUV model for production. This model, named MU-X, has been listed in international markets such as Australia.

　　　　When it comes to the history of D-MAX, if you read the picture below, I believe it can bring back some memories. Isuzu pickup truck began to enter China from TF model. At first, it was introduced and produced by Qingling. Later, domestic independent brands began to copy this model.

　　　　Since it is a pioneer in the domestic mid-range pickup market, does D-MAX really have no competitors? From the perspective of head-on confrontation, there is really no pickup truck model in the domestic mid-range pickup truck market that can be similar to D-MAX in price, configuration and technical level. But from the perspective of positioning, it seems that only Toyota’s hilux can be regarded as a competitor.

　　　　Although Zhengzhou Nissan’s D22 pickup truck is similar to D-MAX in positioning and design, the D22 model is too old to compete with D-MAX in the same generation. The Nissan Navara pickup truck, which can really compete with D-MAX, has no plans to introduce it at present.

　　　　The positioning of Isuzu D-MAX was introduced by the author at the beginning, and it mainly focuses on the mid-range pickup market. In addition to the outstanding loading capacity of pickup trucks, D-MAX has excellent performance in the interior space and passability. Although it is the pioneer of mid-range pickup trucks in China at present, it is also in sync with the international level in terms of technology. However, if D-MAX wants to make some achievements in this strange emerging market, it is indeed difficult to see the current domestic pickup truck environment and road regulations. For example, in a first-tier city like Beijing, the driving of pickup trucks will still be greatly restricted, which is an unavoidable reality.

　　Perfecting the basic socialist economic system is the institutional guarantee for high-quality economic development and the construction of a modern and powerful country. Standing at a new historical starting point, we should adhere to and improve the socialist basic economic system and promote high-quality economic development in accordance with the requirements put forward by the Fourth Plenary Session of the 19th CPC Central Committee, closely focus on the goal of high-quality development, firmly grasp the important key point of adhering to and improving the socialist basic economic system, and vigorously promote China’s economy to achieve high-quality development.

　　The socialist basic economic system is a great creation of the party and the people and an institutional guarantee for high-quality development.

　　The Fourth Plenary Session of the 19th CPC Central Committee took "public ownership as the main body, multiple ownership economies developing together, distribution according to work as the main body, multiple modes of distribution coexisting, and socialist market economic system" as Socialism with Chinese characteristics’s basic economic system, which is the latest summary and development of China’s socialist basic economic system, a major institutional innovation for China’s socialist basic economic system, and also an important theoretical innovation, reflecting the combination of theoretical innovation, institutional innovation and practical innovation. These economic systems are interrelated and mutually promoted, forming a socialist basic economic system, which is a great creation of the party and the people and an institutional guarantee for high-quality development.

　　The dominant position of public ownership has maintained the nature of the socialist system and the socialist direction of China’s economic development.Adhering to the common development of various forms of ownership has mobilized the enthusiasm of all parties, released new vitality for economic development, improved the enthusiasm and creativity of market players, and cultivated new kinetic energy for economic development. This system maintains the advantages of public assets in quantity, strengthens the control of public economy in important areas of national economy in quality, and realizes the combination of quality and quantity. By improving relevant laws, regulations and policies, we will promote and guide the healthy development of the non-public sector of the economy, so that the public sector of the economy and the non-public sector of the economy can work together to better serve the economic development in the new era.

　　The ownership structure with public ownership as the main body and multiple ownership economies developing together determines the distribution system with distribution according to work as the main body and multiple modes of distribution coexisting.The ownership system determines the distribution system, the dominant position of public ownership determines the distribution according to work, and the coexistence of various forms of ownership determines the coexistence of various modes of distribution. Taking this distribution system as the content of the basic socialist economic system ensures the long-term stability of this distribution system. The basic economic system with distribution according to work as the main body and multiple modes of distribution coexisting plays a positive role in narrowing the income gap, avoiding polarization and improving the income of workers. This distribution system has improved the mechanism that labor, capital, land, knowledge, technology, management, data and other production factors determine their remuneration according to their contributions, and improved the redistribution adjustment mechanism with taxation, social security and transfer payment as the main means, which can rationally adjust the distribution relationship between urban and rural areas, regions and groups, protect legitimate income and ban illegal income.

　　Raising the socialist market economic system to a basic economic system is an affirmation of the combination of socialist system and market economy.The socialist market economy is the combination of socialist system and market economy. Perfecting the socialist market economy system is to build an economic system with "effective market mechanism, dynamic micro-subjects and moderate macro-control", which is a combination of strong market, strong government and strong enterprises. The Fourth Plenary Session of the 19th CPC Central Committee brought the socialist market economy system into the basic economic system, which deepened our party’s understanding of the role of market economy and the relationship between market and government, and showed the world that the direction of developing socialist market economy in China will remain unchanged in the future.

　　On the basis of adhering to the main role of public ownership economy, actively explore various forms of public ownership to promote high-quality economic development.

　　The Decision of the Fourth Plenary Session of the 19th CPC Central Committee put forward "exploring various forms of public ownership" in the paragraph of state-owned economic reform. Putting "exploring various forms of public ownership" in the first sentence has profound significance.

　　On the basis of adhering to the dominant position of public ownership, we can explore the diversification of public ownership.Public ownership and its realization form are the relationship between content and form. Under the premise of adhering to the dominant position of public ownership, the realization form of public ownership can be diversified, and the organizational form and management mode of public assets can be diversified with the goal of maintaining and increasing the value of public assets. The choice of the realization form of public ownership mainly depends on the development level of productive forces. At present, China is still in the primary stage of socialism, and the multi-level and unbalanced development of productive forces in the primary stage of socialism determines the diversification of the realization form of public ownership. The diversification of the forms of public ownership includes two meanings: the first meaning is that the forms of public ownership are diversified, and its own diversification includes ownership by the whole people and collective ownership, etc., and the diversified forms of public ownership can be combined with each other to form more diversified forms of public ownership. At the same time, the carrier of property rights of public ownership is also diversified, and the management system and mode of public ownership can also be diversified. The second meaning is that public ownership coexists with other forms of ownership in the primary stage of socialism, forming an ownership structure with public ownership as the main body and multiple ownership systems coexisting. According to the diversification of public ownership forms, we can promote the separation of ownership and management rights and realize the separation of state-owned economy and state-owned assets in concept and operation, which further shows that the realization form of public ownership economy is not only the type of state-owned enterprises, but also can explore various forms of realization.

　　The state-owned economy should adjust its strategic layout, with progress and retreat.General Secretary of the Supreme Leader has made many speeches on the structural adjustment of the layout of the state-owned economy. He proposed, "Speed up the layout optimization, structural adjustment and strategic reorganization of the state-owned economy. Advance and retreat, do something different, innovate and develop a batch, reorganize and integrate a batch, clean up and withdraw a batch, promote the concentration of state-owned capital in strategic key areas and advantageous industries, and accelerate the strategic adjustment of the state-owned economy. " According to the exposition of the Supreme Leader General Secretary and the spirit of the Fourth Plenary Session of the 19th CPC Central Committee, we need to deepen the supply-side structural reform, adjust and optimize the layout structure of the state-owned economy, revitalize the manufacturing industry and the real economy, actively promote the transformation and upgrading of traditional industries, and accelerate the development of strategic emerging industries. In the economic development of the new era, around the major strategy of serving the country, we should persist in making progress and retreating, and do something different. We should invest more state-owned capital in important industries and key areas that are related to the lifeline of the national economy, especially strategic emerging industries, promote the upgrading of economic structure, optimize the layout of state-owned assets and state-owned enterprises, and cultivate new economic growth points.

　　Take mixed ownership as a new realization form of public ownership.The Fourth Plenary Session of the 19th CPC Central Committee included the reform of mixed ownership in the scope of state-owned economy, which is to bring the reform of mixed ownership into the scope of ownership reform and explore the realization form of public ownership through the reform of mixed ownership. This means that the mixed ownership economy with cross-shareholding and mutual integration of state-owned capital, collective capital and non-public capital is an important realization form of the basic economic system. This form is conducive to amplifying the function of state-owned capital, improving the competitiveness of state-owned capital, expanding the development space of private capital, and promoting and developing all kinds of ownership capital together. As a new form of public ownership, the reform of mixed ownership is not only a breakthrough in the reform of state-owned enterprises, but also brings new opportunities for the development of private enterprises. Through the promotion of mixed ownership reform, we can promote the integrated development of state-owned capital and non-public capital, thus stimulating the endogenous power of China’s high-quality economic development.

　　Improve the policy system to support the new form of public ownership.Exploring the new realization form of public ownership economy is to better adhere to the dominant position of public ownership, and developing mixed ownership economy is a new exploration of the realization form of public ownership and an important way to consolidate China’s basic economic system. However, the development of mixed ownership economy needs to improve the policy system supporting the new realization form of public ownership, and focus on solving the reform motive force of mixed ownership, the equal protection of all kinds of property rights in the reform of mixed ownership and the operation mechanism of mixed ownership. Focusing on the development of mixed ownership, it is necessary to highlight the transformation of operating mechanism, explore a management and control model that adapts to the development of mixed ownership economy, and enhance the enthusiasm and initiative of social capital to participate in the reform of mixed ownership of state-owned enterprises. We will create an integrated development of various ownership entities, use resource elements equally according to law, and form a market environment that is open, fair and just to participate in competition and equally protected by law.

　　Combine the improvement of the high-level socialist market economic system with the construction of a high-level open economic new system to promote high-quality economic development.

　　Achieving high-quality economic development requires certain conditions. This condition is the combination of the role of the government and the role of the market. The combination of a high-level domestic socialist market economic system and a high-level opening-up system is the institutional and institutional basis for achieving high-quality development. To this end, we should combine the improvement of the high-level socialist market economic system with the construction of a high-level open economic new system to promote high-quality economic development.

　　On the basis of giving play to the decisive role of the market in resource allocation, we should correctly handle the relationship between the government and the market, give full play to the role of the government, and combine the role of the government with the role of the market to promote high-quality economic development.With the goal of high-quality development, we should correctly handle the relationship between the government and the market, realize the combination of the government and the market on the basis of effectively exerting the decisive role of the market, and accelerate the high-quality development. On the one hand, realize the combination of government function and market function. In the process of economic development, we should follow the laws of market economy and improve the market system. Clarify the decisive role of the market in resource allocation and truly change the mode of economic development. At the same time, we should change government functions, give play to the role of supervision, guidance and regulation, and play the role of government through macroeconomic regulation, making up for market failures and the supply of public goods. On the other hand, a modern economic system is established through the combination of government and market. Build an economic system with effective market mechanism, dynamic micro-subjects and moderate macro-control. Through the combination of the role of government and market, on the basis of quality reform, efficiency reform, power reform and improving total factor productivity, we will accelerate the construction of a modern economic system with supply-side structural reform as the main line. Build a modern industrial system with coordinated development of real economy, scientific and technological innovation, modern finance and human resources.

　　Realize the combination of a high-level socialist market economy and a higher-level open economic new system to promote high-quality development.On the one hand, China should build a high-level socialist market economic system. Build a high-standard market system, speed up the improvement of the property rights system, and realize effective incentives for property rights. Accelerate the market-oriented allocation of factors and realize the free flow of factors. Create a unified, open and competitive market environment. Improve the property rights definition system, property rights allocation system and property rights transaction system, and promote the market-oriented allocation of factors. In accordance with the spirit of the Fourth Plenary Session of the 19th CPC Central Committee, improve the system and mechanism of scientific and technological innovation, improve the system and mechanism of encouraging and supporting basic research and original innovation, and improve the incentive mechanism of scientific and technological talents and the policy system of scientific and technological management. Establish a technological innovation system with enterprises as the main body, market orientation and deep integration of Industry-University-Research. On the other hand, it is necessary to build a new open economic system at a higher level. The Third Plenary Session of the 18th CPC Central Committee proposed to build a new open economic system, and the Fourth Plenary Session of the 19th CPC Central Committee proposed to build a new open economic system with a higher level. Comparatively speaking, the requirements for opening up are higher and the level is higher, which means that in the new era, we should implement comprehensive opening-up in a wider scope, in a wider field and at a deeper level. In order to achieve this goal, we should strive to create a market-oriented, rule-based and international business environment, further promote the construction of a new open economic system, and promote high-quality economic development with a high level of openness.

　　Author: Ren Baoping, Dean and Professor of Graduate School of Northwest University and Changjiang Scholar of Ministry of Education.

The cold wave strikes, and every time this season, colds seem to become "frequent visitors." In the office, subway and bus … I hear sneezing and coughing from time to time.

Many people have complained that they feel weak all day after catching a cold, and their whole body aches, and sometimes they have fever, which is even heavier than usual colds. If you have the above symptoms, you are likely to have influenza, also known as flu.

Winter is the season of influenza, and the intensity of influenza is increasing in many places at present. How can we prevent it? How to distinguish influenza from common cold?

Today, we invited Li Yanhong, director of Peking University Shenzhen Hospital, to lead us to understand the flu and take preventive measures during the winter solstice.

National monitoring data show that influenza is the main respiratory infectious disease in China, and the number of reported cases in China is increasing gradually, among which influenza A virus and influenza B virus are the main sources of infection.

The flu is coming, which makes people wonder why it is more vulnerable to the flu in winter.

First of all, when the temperature drops in winter, the influenza virus is more likely to survive and spread in a cold and dry environment.

The transmission route of influenza is mainly respiratory droplets, and it can also be transmitted directly or indirectly through oral cavity and nasal mucosa. In winter, people prefer to move indoors, with many people in contact and a relatively sealed environment, which undoubtedly creates good conditions for the spread of the virus.

Secondly, the immune system may be weakened in a cold environment, and in winter, people do relatively little exercise and outdoor activities, and the sunshine time is short, which leads to the decline of vitamin D level, relatively weak immunity, and are more susceptible to influenza virus infection.

Furthermore, if you still have bad habits such as unbalanced diet and lack of adequate sleep, which affect the health of the immune system, the flu will easily find you.

In a word, the increase of influenza patients in winter is the result of many factors, from environmental conditions to people’s behavior habits, which will affect the spread and incidence of influenza.

Influenza and common cold are two different respiratory diseases. Although they are both caused by viruses, there are some differences.

● Virus type: Influenza is caused by influenza virus, while common cold is caused by many different viruses, such as rhinovirus and coronavirus.

● Severity: Compared with a cold, the course of influenza is generally longer, taking 5-10 days, and the symptoms are usually more serious, mainly including high fever, severe headache, body aches, cough and sore throat. The common cold can be cured in 5~7 days, and its symptoms are relatively mild, usually manifested as respiratory symptoms such as stuffy nose, runny nose, cough and sore throat.

● Onset speed: The onset speed of influenza is relatively fast, and the illness is rapidly aggravated within one or two days. The onset of the common cold is slow, and the symptoms gradually appear.

Comparison of onset speed

● Scope of infection: Influenza usually causes a large-scale epidemic, while the common cold is commonly spread among individuals.

● Risk of complications: Influenza may cause serious complications, such as pneumonia, myocarditis and craniocerebral encephalitis. The common cold generally has fewer complications.

Generally speaking, the flu is relatively serious and spreads quickly, while the common cold is lighter and has a smaller spread range. In terms of treatment and prevention, influenza needs more attention, while the common cold can generally be relieved by rest and appropriate drugs.

At present, influenza has entered a period of high incidence, and the following susceptible groups need special attention.

For example, pregnant women, young children, the elderly, patients with chronic diseases such as heart disease, lung disease and diabetes have relatively weak immunity and are more susceptible to influenza virus.

Although influenza is mostly a self-limited disease, symptomatic treatment is generally adopted to alleviate symptoms, but a few patients can develop pneumonia and even rapidly develop into severe diseases.

Therefore, for people susceptible to influenza, it is necessary to do personal protection.

The key to prevent influenza is to strengthen personal protection;

◆ Pay attention to hygiene: wash your hands with soap and water frequently, or use alcohol-based hand sanitizer, especially after touching public places, coughing and sneezing.

◆ Healthy lifestyle: keep enough sleep, eat a balanced diet, exercise moderately, improve your immunity, and keep windows open and ventilated every day at home.

◆ Wear a mask to avoid contact with viruses: Be sure to wear a mask when going out, try to avoid close contact with people who have been infected with the flu, avoid going to crowded places, and reduce the chance of infection.

◆ Vaccination against influenza: Influenza vaccine is one of the most effective ways to prevent influenza. Regular vaccination against influenza can improve immunity and reduce the risk of influenza infection. In particular, people with poor resistance can be vaccinated against influenza in advance.

If you have flu symptoms, it is recommended to rest at home and keep enough rest. Minimize contact with others, drink plenty of water, and properly ingest foods rich in vitamin C, such as citrus fruits and green leafy vegetables, which will help relieve symptoms. For ordinary patients, it is mainly symptomatic treatment.

○ fever < 38.5℃: physical cooling.

○ High fever (≥38.5℃): antipyretic drugs such as ibuprofen and acetaminophen can be taken;

○ Cough and expectoration: ambroxol hydrochloride, acetylcysteine, Su Huang to relieve cough;

○ Diarrhea: probiotics, montmorillonite powder, etc.

At the same time, it is also necessary to use targeted anti-influenza drugs, such as oseltamivir and mabaloxavir. However, it should be noted that oseltamivir and mabaloxavir are mainly used for the treatment of influenza A and B, but not for the common cold and bacterial infection. And when used for treatment, the sooner the flu symptoms appear, the better, and it needs to be taken within 48 hours after the symptoms appear, which can shorten the duration of symptoms.

Tips: oseltamivir and mabaloxavir are prescription drugs, so it is best to take them under the guidance of a doctor.

Expert style

Li Yanhong:

Chief physician, Department of Respiratory Medicine, Shenzhen Hospital, Peking University

Good at direction:

He has been engaged in clinical, teaching and scientific research work in respiratory medicine for more than 30 years, and went to the hospital of Japan Independent Medical University for further study in 2014. He undertook theoretical teaching and clinical teaching for 8-year graduate students in Peking University, presided over the completion of one Shenzhen-level project, and published more than 20 papers in SCI journals and core journals.

Social service:

He is currently the vice chairman of the Shenzhen Medical Association’s respiratory disease society of integrated traditional Chinese and western medicine.

Vice Chairman of Allergy Committee of Shenzhen Medical Doctor Association

Vice President of Shenzhen Respiratory Diseases Branch of Chinese Medical Doctor Association

Vice Chairman of Allergy Prevention Committee of Shenzhen Preventive Medicine Association

Member of Guangdong Allergy Branch

Member of Respiratory Diseases Branch of China Geriatrics Society.

Standing Committee member of Shenzhen Medical Association Respiratory Disease Branch

Member of Sleep and Respiratory Branch of China Geriatrics Association.

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　　China Daily Online, May 6 (Xinhua) Foreign media reported that recently, with the fermentation of American banking crisis, panic is intensifying in the American financial circle represented by Wall Street. Many people in the industry pointed out that the current market situation is not good, and the crisis may spread again, but the regulatory system has not paid enough attention to it.

　　"Starting with the collapse of the Silicon Valley Bank, although the government intervened to provide protection for depositors and provided loans to major banks, fear has taken root and continued to breed on Wall Street." CNN reported that.

　　"We feel a strong sense of worry and feel that something is about to happen." The report quoted Ed Moya, a senior market analyst at Anda, as saying, "Infectious panic has never dissipated."

　　This is a First Total Bank photographed in new york, USA on May 1st. (Xinhua News Agency, photo by Guo Ke)

　　Recently, the First Total Bank of the United States declared bankruptcy, becoming the third bank in the United States to close this year. Investors are beginning to worry, who will be next? Many people have focused their eyes on a regional bank in California &mdash; &mdash; Western Pacific Union Bank. On Thursday, the bank’s share price was close to "halved", and the bank has also said that it is currently exploring "strategic options".

　　Not only the Western Pacific Union Bank, but also the share price of lines West Bank in the United States once plunged after the Financial Times broke the news that it was seeking to sell. The Arizona-based bank subsequently denied the report, making its share price "recover lost ground", but its market value has dropped by 65% this year.

　　In addition, regional banks located in the southeast &mdash; &mdash; First Horizon Bank is also "teetering", and its $13 billion M&A agreement with Dominion Bank of Canada has been terminated.

　　In the face of concerns, Western Pacific Union Bank said that the bank’s current liquidity is abundant, the available liquidity is still stable, and it exceeds uninsured deposits, accounting for 188%. However, this data does not seem to completely dispel the market’s doubts.

　　"Usually, these data can dispel investors’ fears, but now it is &lsquo; Extraordinary period &rsquo; 。” Edmoya said, "Even if the data doesn’t look so bad, as long as the market is eyeing you, the game is over."

　　The pessimism of the market has also been verified by the statements of some well-known investors. On Thursday, Bill Ackerman, a well-known American investor and billionaire, stated on the social media platform that the current regional banks in the United States have generally fallen into crisis.

　　Ackerman criticized the American banking supervision system. He also said: "It takes decades to build confidence in financial institutions, but it only takes a few days to completely destroy this trust. With the fall of dominoes, the next fragile bank started again &lsquo; Teetering &rsquo; 。”

　　With the collapse of many banks, the financial hegemony of the dollar system is disintegrating. (Source: China Daily Roger English China Journal, March 24, 2023, 8th edition)

　　Ackerman and others are calling on the US government to further intervene and raise the upper limit of deposit insurance in the United States. At present, the maximum insured amount of most deposit accounts of the Federal Deposit Insurance Corporation of the United States is $250,000. For many companies that are struggling, this amount can only be regarded as a drop in the bucket. But even so, raising the deposit ceiling requires bipartisan support in the US Congress, and "for rational market participants, no one will count on this".

　　Ackerman is not the only one who criticizes American regulators. Mohammed El-Elian, chief economic adviser of Allianz, also said that the Fed should solve the problem of banking turmoil. He said that the risk of more bank failures has not been eliminated. The big banks in the United States will not be among the first-round shocks, and the problems will all focus on smaller and regional banks.

　　David Rosenberg, a famous economist, also criticized the Fed’s attitude towards the banking crisis. He believes that in the face of the continuous fermentation of the banking crisis, Fed officials have not paid enough attention to it.

　　"We are likely to default on our debts at the moment, and the banking crisis is spreading. Sorry Jamie (referring to Federal Reserve Chairman Jerome Powell), the crisis is not over. Focusing on inflation, these people can’t hear clearly. " Rosenberg said.