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.

　　What is the effect of the new military revolution in the world after nearly 20 years? What are the prospects after the change?

　　For readers who are slightly familiar with the military, "new military revolution" is a familiar phrase, and new military revolution is in full swing in many countries. It has been almost 20 years since the concept of "new military revolution" was put forward and put into practice. What is its effect? What is the future development prospect? China Youth Daily reporter interviewed Lin Dong, an associate professor of National Defense University.

　　Reporter: When and who initiated the new military revolution, and in what context did it begin?

　　Lin Dong: The 20th century is a century in which military revolution continues to take place. Today, the global new military revolution we are carrying out is relative to the military engineering revolution characterized by mechanization basically completed during the Second World War, and it is marked by informationization.

　　This change was first initiated by the US military, which originated from the contest with the China army and rose from the confrontation with the Soviet army. The early motivation was the Korean War, and then the Vietnam War. The US military deeply reflected on these two unsuccessful wars. Finally, tactically, it concluded that the US mechanized troops were strong in firepower, assault and maneuver, but weak in "melee", "night fighting" and sudden attacks during the March, and it was also unsuccessful to engage in "logistics strangulation war".

　　Reporter: the us military began to change for this?

　　Lin Dong: Yes, the US military began to implement the military sensing revolution in the 1950s, and later it developed into satellite reconnaissance and high-altitude UAV reconnaissance. Until the drastic changes in Eastern Europe occurred in the late 1980s, the US military quickly turned to general local conventional warfare, and prepared to turn the three major achievements in dealing with the Soviet nuclear war into the application of conventional warfare. First, the GPS system used to correct the time difference for intercontinental nuclear missiles flying across time zones was turned to provide navigation and positioning for various conventional mobile weapons and equipment; Second, the internet, a computer communication network established to resist the nuclear destruction of the Soviet Union, has been transferred to joint operations, which has become the basis of digital troops and network-centric warfare; Third, the Star Wars plan, which was prepared to break through with the Soviet Union, laid the foundation for the construction of the missile defense system.

　　It was also during this period that Marshall, director of the Net Assessment Office of the US Department of Defense, put forward the concept of "new military revolution".

　　Reporter: That is to say, the US military has explored the new military revolution before, and then it has an official name?

　　Lin Dong: It’s like this. In 1994, the then Secretary of Defense of the United States, Perry, formally put forward a comprehensive view of military reform based on the achievements of the military technology revolution, and named it the military affairs revolution. By the end of 1990s, after the Bush administration came to power, Rumsfeld, in combination with the needs of the "9.11" anti-terrorism war, re-positioned military reform as military transformation, trying to fully meet the needs of information development in the military establishment system, operational system and operational methods, and surpassing information in the development of weapons and technology, and opening up a broader world of military reform.

　　Reporter: Has the concept of new military revolution been recognized by other countries as soon as it was put forward?

　　Lin Dong: No, this concept was accepted late by other countries. Since 1980s, when people talk about the new military revolution, they mostly use the word high-tech war. It was not until the Gulf War in 1991 that the US military defeated hundreds of thousands of mechanized troops in Iraq with hundreds of casualties. Everyone was shocked and realized that a revolutionary military revolution had arrived.

　　Reporter: What was the goal of the early new military revolution?

　　Lin Dong: In the early days, the US military did not expect a historic leap forward, so the initial goal was not high. First, it was to save money. It was required that the new military revolution would enable the US military to rely on high technology to have a superior combat capability with about 300,000 troops. Second, fewer people are killed. Another important indicator of the new military reform proposed by the US military is that it can make the US military lose less than 10,000 people in conventional wars.

　　Although these two goals were achieved in the Gulf War, the US military at that time did not dare to take them lightly. However, the subsequent wars in Kosovo, Afghanistan and Iraq, without exception, the battlefield situation was one-sided with the US military. The number of combat troops sent by the US military has been reduced to tens of thousands, and even there has been a record of zero casualties in a war, and the US military has become ambitious.

　　Reporter: So far, has the new military revolution of the US military gone smoothly? Have all the goals been achieved?

　　Lin Dong: After Rumsfeld took charge of the US military command, he made every effort to promote military transformation, so in the middle of the new military transformation, he launched a brand-new strategic goal: First, to achieve a global strike, and the US military can strike any corner of the earth with one hour of emergency preparation; The second is to realize the integration of the army, integrated operations and integrated formation.

　　As a result, the integration construction encountered setbacks. First of all, Rumsfeld’s conflict with various services broke out. Rumsfeld made great efforts to promote joint operations and drastically weakened the position of the service headquarters. As a result, Rumsfeld was boycotted. However, Rumsfeld had no intention of quitting, and several generals of the army and navy were dismissed. As a result, he ended up being cornered by various services.

　　Secondly, there are serious differences of opinion among the services on the development direction of the new military revolution, and the Air Force put forward the idea of denying joint operations. The US Air Force believes that the assault stage of modern warfare is mainly air strikes, and the air combat forces of the navy and the army should all be under the command of the air force, and the implementation of coordinated assault with the air force as the main content of winning the war. The navy should become the transportation captain, and the army and the marine corps mainly occupy the city after the completion of the main air assault, and then go into the city to catch prisoners, and then fight terrorism and maintain stability.

　　This argument caused a great division and controversy among the US military services, which is still going on today. At present, the US military’s huge information system, national and theater missile defense systems are all disturbed by differences among various services, and their goals are vague and hesitant.

　　Reporter: Mr. Lin, the world’s new military revolution has been going on for nearly 20 years. Some people think that it is the sprint stage of the new military revolution, but in your new book "Beyond the military service era-systematic scientific thinking about the new military revolution", you suggest that the new military revolution is undergoing a spiral development process. What does this mean?

　　Lin Dong: At present, some people think that the new military revolution has formed a framework and entered a substantial leap stage. However, this is not the case. For example, the US military, as the leader of the new military revolution in the world, has carried out several core projects with budgets of trillions of dollars, such as GIG system of global information grid, NMD system of national missile defense, TMD system of theater missile defense, etc., thinking that they can win the all-round victory of the new military revolution with one effort, but all of them are frustrated and faced with huge strategic risks. At the same time, Rumsfeld, the leader of the new military revolution in the United States and former defense secretary, also resigned because of the quagmire of the Iraq war, and his radical military transformation policy was boycotted by all services of the US military.

　　The great exposure of the new military revolution in the west, led by the US military, shows a huge deviation in the theoretical guidance of military revolution, which comes from people’s stagnation in mechanized thinking to solve the information problem. Therefore, I think that the new military revolution in the west led by the United States is entering an adjustment period, and everyone’s understanding of the new military revolution in the world is also entering a gray area, which requires a breakthrough in thought and theory.

　　Reporter: In your book, you propose to "transcend the military service era". Does it mean that the future army will no longer be divided into land, sea and air forces, so how to organize the future army?

　　Lin Dong: The establishment system of the army is determined by the way of fighting.

　　In the mechanized era, the army fights according to the division of natural geographical space, so it is necessary to divide the army, navy and air force. The army controls the land, the navy controls the sea and the air force controls the air, each of which has its own symmetrical combat targets and fights independently of each other.

　　However, since the late World War II, there has been a phenomenon of cross-growth of services, and the cross-development of services has moved towards a super-service structure, and each service has tried to develop into a big army that includes the forces of other services.

　　Up to now, all services have broken the boundaries of services and extended to other battlefields. The air force can fight naval battles and land battles, the army has planes and surface ships, and the navy is decathlon, thus breaking the pattern of monopolizing land battles, naval battles and air battles respectively, and also bringing about the problems of repeated development of service combat capabilities and serious waste of military resources.

　　In order to solve the problem of the expansion of various services, the military all over the world invariably put forward the strategic problems of developing joint operations, sharing operational resources and dividing the military organizational system for the second time.

　　At present, there are two opinions on reforming the military service system. One is that the German army proposed to abolish the organizational system of the three armed forces and set up three major services, namely, the long-range strike force, the stable operation force and the information support force. Another view is to keep the current service establishment, but make the service units modular and can be reorganized with other service units, and at the same time add a horizontal organization to form three networks of reconnaissance, strike and maneuver, and all service units participate in the actions of these three networks.

　　Now it seems that the US military was adapted according to the second plan.

　　Reporter: When do you think the U.S. military will realize informationization, and where is the direction of change after informationization?

　　Lin Dong: According to the three indicators of global strike, global arrival and global surveillance proposed by the US military, its information transformation will be basically completed around 2025.

　　At that time, the focus of the US military’s reform will also shift. At present, these shifting directions have been used as new concept weapons in experimental research. First, the material revolution, mainly relying on nanotechnology to build micro-weapons. The second is the power revolution to solve the problem of high energy consumption. The third is the firepower revolution. Nowadays, the US military is designing a network fire system, a 64-tube vertical firing artillery array, which does not need a steel shell, and the ammunition fired in one minute can catch up with half of the current battalion. Fourth, laser weapons enter the battlefield and use high-energy lasers to destroy incoming enemy missiles, thus fundamentally solving the missile defense problem. The fifth is the flexible technology revolution, which has created humanoid flying robots that can fly and walk. With the help of intelligent technology, soldiers can fly spaceships that can reach the moon and catch turtles in the sea, spraying inexhaustible lasers and galloping between heaven and earth. (China Youth Daily Xuehong Li)

Editor: Cao Jin

　　CCTV News:From June to August, 2016, a telecom fraud gang committed fraud crazily. During this period, Cai Shuyan, a college student, committed suicide by jumping into the sea after being defrauded of tuition and living expenses of 9800 yuan. On the morning of 28th, the Intermediate People’s Court of Jieyang City, Guangdong Province sentenced seven defendants, including Chen Minghui, to life imprisonment and three years’ imprisonment.

　　The court found through trial that from August 2013 to March 2014, Chen Minghui repeatedly hired Tang Xiaohui (sentenced) to pretend to be a variety show such as "Where is Dad?" and sent more than 730,000 false winning fraud messages to mobile phone users.

　　From June to August, 2016, Chen Minghui recruited and assembled Fan Zhijie, Gao Xuezhong, Ye Qifeng, Xiong Yunjiang and others to form a criminal gang. By sending false winning information such as "Taobao" and "Run Brothers", he induced the winners who received the information to log in to the "phishing website" to fill in their personal information to receive the prize, and pretended to be a customer service staff to trick the winners into paying the "deposit" on the grounds of redemption. Pretending to be court staff and lawyers, it is a breach of contract that the "winner" fails to pay the "security deposit" or receive the prize as required. It is necessary to sue or have sued the "winner" and continue to pay the handling fee before withdrawing the lawsuit and obtaining the prize, threatening and luring, and defrauding the "winner" again, defrauding many people of property totaling RMB 1.041 million. Among them, Cai Shuyan, a student about to attend university, committed suicide by jumping into the sea after being defrauded of tuition and living expenses of 9800 yuan.

　　The court also found that Lin Shiya knowingly engaged in illegal and criminal activities by Ye Qifeng and others, and still illegally entrusted him with point-of-sale terminal equipment (POS machines), which provided convenient conditions for him to cash in the stolen money. Knowing that others are engaged in illegal and criminal activities, Chen Liyi still sells several bank cards to others for fraud. In addition, Xiong Yunjiang was caught by the traffic police for drunk driving in Haikou.

　　The court held that in the joint crime of fraud, Chen Minghui, Fan Zhijie, Gao Xuezhong, Ye Qifeng and Xiong Yunjiang, for the purpose of illegal possession, formed a telecom fraud criminal gang, used communication tools and online means to defraud an unspecified majority of people, and caused a student to commit suicide. The amount of fraud was particularly huge and the circumstances were particularly serious, all of which constituted fraud. Xiong Yunjiang also drunk driving a motor vehicle on the road, and his behavior constitutes a crime of dangerous driving, which should be combined with several crimes according to law. Knowing that others commit crimes, Lin Shiya has repeatedly provided point-of-sale terminal equipment (POS machines) to help transfer the proceeds of crimes. Knowing that others commit crimes, Chen Liyi still provides multiple bank accounts for others to transfer the proceeds of crimes, which has constituted the crime of concealing and concealing. According to the facts, nature, circumstances and the degree of harm to society of each defendant, the Intermediate People’s Court of Jieyang City, Guangdong Province sentenced the defendant Chen Minghui to life imprisonment, deprived of political rights for life and confiscated all personal property. The defendants Fan Zhijie, Gao Xuezhong and Ye Qifeng were sentenced to fixed-term imprisonment ranging from 15 to 13 years and fined for fraud; The defendant Xiong Yunjiang was sentenced to 11 years in prison and fined for fraud and dangerous driving. The defendant Lin Shiya was sentenced to three years’ imprisonment and the defendant Chen Lucy li was sentenced to one year and four months’ imprisonment and fined for concealing and concealing the crime. The defendants were ordered to jointly refund the fraudulent money to the victim.

　　Recently, the market supervision departments in many places issued a notice on the unqualified food sampling list. The Paper combed and found that it involved many problems such as pesticide residues and microbial pollution. The market supervision department has carried out verification and disposal work.

　　It is noteworthy that coliforms were detected in tableware and rice noodles in the unqualified sampling list of several batches of food published by Tai ‘an Municipal Market Supervision Administration and Baise Municipal Market Supervision Administration.

　　Why are coliforms detected in tableware and rice noodles? Kai Zhong, deputy director of Kexin Food and Nutrition Information Exchange Center, said that coliforms mainly come from the intestines of warm-blooded animals, but they are widely distributed in nature. Dishes, rice noodles and so on have coliforms exceeding the standard, mostly because of secondary pollution.

　　Many enterprises were found to contain coliforms in their products.

　　On July 5th, Tai ‘an Municipal Market Supervision Administration issued the information circular on food safety sampling inspection (hereinafter referred to as the circular), which disclosed problems such as excessive pesticide residues and microbial pollution.

　　According to the notice, coliforms were detected in the tableware plates of Fuchunyuan Restaurant in Taishan District and Shandong Xiaolongxiao Jiutian Catering Management Co., Ltd. in Taishan District. According to the national food safety standards, coliforms should not be detected in tableware.

　　Tai ‘an Municipal Market Supervision Administration said in the notice that the market supervision department of the place where the production and operation enterprises are located has ordered the enterprises to find out the product flow, recall and remove the unqualified products, control risks, file an investigation, and analyze the reasons for rectification. The unqualified products involved have been verified and disposed of as required.

　　The Paper combed and found that Baise Municipal Market Supervision Administration had previously released the 26th food safety supervision and sampling information announcement in 2021 on July 1, which also showed that the prepared fresh and wet rice noodles sold by Guangxi Tiandong Weimeijia Agricultural Products Development Co., Ltd. and tianlin county Huaxu Food Co., Ltd. were all found to have coliforms.

　　Kai Zhong, deputy director of Kexin Food and Nutrition Information Exchange Center, said that coliforms are the general name of many bacteria, including Escherichia coli. It is a hygienic indicator bacterium, but it does not lead to disease if it is detected. The higher the detection value, the greater the possibility. Coliform bacteria can be detected in many foods, but as long as there are no pathogenic bacteria, it will generally not cause health hazards. As for the source of coliform bacteria, Kai Zhong said that coliform bacteria mainly come from the intestines of warm-blooded animals, but they are widely distributed in nature. Dishes, rice noodles and so on have coliform bacteria exceeding the standard, mostly because of secondary pollution.

　　According to the interpretation information released by the market supervision department, coliform bacteria is one of the commonly used indicator bacteria for food pollution at home and abroad. The detection of coliform bacteria in food suggests that it is more likely to be contaminated by pathogenic bacteria (such as Salmonella, Shigella and pathogenic Escherichia coli). Excessive coliform bacteria may be caused by the pollution of processing raw materials and packaging materials of products, or the pollution of products by production equipment and environment such as personnel and tools during production, and the incomplete sterilization of products with sterilization technology.

　　A variety of foods were found to have excessive drug residues.

　　In addition to coliform bacteria, some enterprises have been found to have drug residues and other problems. In the notice issued by Tai ‘an Municipal Market Supervision Administration on July 5, the bureau disclosed that the content of "procymidone" in leeks sold by Baxianju Commercial Bank in Ningyang County and Yanzhuang Haiwei Supermarket in Daiyue District was higher than the national food safety standard.

　　The Paper combed and found that in recent food sampling notices issued by many market supervision administrations, the problem of unqualified drug residue detection of enterprise-related products appeared.

　　On July 2nd, the 7th notice of Gansu Provincial Market Supervision Bureau on the sampling inspection of unqualified food showed that chloramphenicol, a drug banned from food animals, appeared in Jinghui brand acacia honey produced by Gansu Jinghui Bee Industry Co., Ltd..

　　On July 5, 2021, Jilin Provincial Market Supervision and Management Department’s 27th notice on unqualified food showed that the carp sold by Fengyun Aquatic Products Company in Automobile Industry Development Zone, Wuchang Fish sold by Yixin Aquatic Products Store in Chaoyang District and snakehead sold by Guo Di Seafood Wholesale Company in Kuancheng Agricultural Products and Aquatic Products Market were all found to exceed the standard.

　　The attachments of the above-mentioned relevant notices show that excessive coliforms are likely to cause intestinal diseases such as dysentery, which may cause symptoms such as vomiting and diarrhea. The pesticide procymidone is irritating to people’s eyes and skin. Long-term consumption of leeks with excessive procymidone residues may cause neurological disorders.

　　The market supervision department reminds consumers that when they find the unqualified products involved in the notice, they can call the 12315 hotline to complain or report.

In February, 2021, new york Mayor’s Food Policy Office released the first 10-year food policy plan "NYC: A 10-year food policy plan". This series consists of seven articles, translated by the team of "the other mountains all appear dwarfs under the sky.-Sustainable City and Transportation". This is the fourth article, which introduces the second goal of new york’s ten-year food policy plan: to make new york’s food economy promote economic development and provide good jobs.

New york has more than 40,000 food enterprises, employing hundreds of thousands of workers. It is difficult to calculate the exact number of workers, because there is no reliable data to explain the number of workers in the "gig economy" in food distribution. These workers and enterprises are vital to the health and well-being of new york people. The food industry is an important source of employment and property income for colored people and immigrant communities (79% of food workers in new york are colored people, including 43% Latinos and 21% Asians).

The catering industry is also very important to the city, because it is the main attraction of residents, workers and tourists, supporting many other industries, such as office employment in the central business district and attracting tourists. In fact, the catering industry is the key to making new york so attractive. Its economic contribution is also great. In 2019, the taxable sales of the catering industry reached nearly $27 billion.

However, working in the food industry or owning a business is extremely challenging. The food industry usually has a low profit margin, while the cost of running a business in new york is high. About 99% of food enterprises in the city are small enterprises with less than 100 workers, while 70% are micro enterprises with less than 10 workers. In addition, the wages of food workers are usually low, and they lack job security and mobility opportunities. Many deliverymen (an increasingly important part of the food industry) are considered as independent contract workers and cannot get the same protection and benefits as employees.

If new york wants to improve its food system, it must first support both food workers and food enterprises. The support for the two is not mutually exclusive, but mutually reinforcing. These strategies also focus on the future of food enterprises, including supporting a new ownership model that conforms to the principles of economic democracy and technological change.

Size of food enterprises in new york (calculated by number of employees). Cartography: the other mountains all appear dwarfs under the sky., the picture is from NYC Food Forward, only translated in Chinese.

Strategy 1: Protect the rights and interests of food practitioners　

Implementing fair scheduling method in fast food industry

New york will strictly implement the fast food fair scheduling laws, so as to optimize the fast food industry into a benign occupation with stable and predictable working hours and wages. Strong law enforcement will ensure that workers in fast food restaurants can arrange shifts fairly and even get overtime pay when the shift schedule is temporarily changed. Law enforcement will also ensure that workers in the fast food industry can settle down through regular shifts in high-mobility industries.

Provide financial and technical support for workers’ cooperatives

The cooperative model has a long history in the food field. Worker-owned cooperatives have yet to become a powerful tool for new york to accumulate assets and eliminate the gap between the rich and the poor. In order to meet the needs of food enterprises, new york will not only coordinate existing auxiliary projects to support cooperatives, such as Employee Ownership, but also explore innovative financial and technical support projects.

When it is not appropriate for the government to directly intervene in enterprises, the New York City Government will also explore cooperation with community-based organizations, business improvement areas (BID) and merchant associations, and provide support for cooperative organization efforts in five administrative regions.

Improve the situation of food workers.

New york will promote a series of state and federal bills to improve the situation of workers in the food industry, as listed below:

(1) Ensure that all employees in the food industry are included in the federal and state welfare plans;

(2) For employers who fail to protect workers’ health, abolish relevant laws that limit their responsibilities;

(3) Change the state regulations on tip pool sharing, and expand the scope of employees who participate in tip sharing, so that employees without tips can also get some sharing;

(4) To cope with emergencies, set up a hazard pay for grass-roots food workers.

Provide support to practitioners of food programs.

New york will make efforts to provide support to practitioners of food programs. Under the circumstance that the purchasing power is restricted by the current laws, new york will first ensure that food suppliers abide by the current labor laws and collect more labor-related information from food suppliers. In addition, new york will promote the revision of applicable laws and use food procurement power to optimize the working conditions of food practitioners.

Expand child care services to solve the problem of night care for children of food practitioners.

During the COVID-19 crisis, new york deeply realized the hard work and important role of food practitioners. Child care has been provided through the Regional Enrichment Centers "and child care programs throughout the city. With the gradual recovery of the city, existing facilities for childcare projects will be expanded or new projects will be created, including night and weekend care, which is the time when children need care most and parents are most inconvenient to take care of. Providing night and weekend child care will enable parents who often work at night and weekend classes to improve their work flexibility and reduce the cost of childcare.

Feasibility study on developing basic social security benefits

New york will conduct a feasibility study on the basic social security benefits for all food workers. This study will explore the potential partnerships among food practitioners, enterprises, community organizations and financial institutions. This project focuses on providing welfare protection such as pension and medical insurance for food practitioners. New york will also push the federal government to introduce a bill to provide full and fair social security benefits for all employees, regardless of their employers, workplaces or job nature.

Strategy 2: Simplify the process, encourage innovation and support small food enterprises.

Promote tax credits for small businesses.

New york will promote state legislation and establish a tax deduction mechanism for small businesses, including the food industry, to promote the recovery of small businesses in new york. Eligible enterprises with a total income of less than $1 million will receive a tax credit of 6% of their rent in 2021, with a maximum tax credit of $10,000.

Simplify the related processes of food enterprises

New york will review the regulations and enforcement procedures related to small food enterprises (including street vendors) to streamline the process. New york will improve efficiency as much as possible, and expand consolidated licensing and inspection services, so that simplified processes can benefit start-up and existing small food enterprises. The municipal government will also carry out innovation in matters related to food enterprises and increase opportunities for participation, especially cooperation with immigrant organizations.

Support the food enterprises of new york Housing Bureau.

New york will cooperate with enterprises and community organizations to expand the Food Business Pathways of new york Housing Bureau (NYCHA). The establishment of the Business Accelerator Program aims to enable residents of the public housing development project of new york Housing Bureau and those who hold the Class 8 housing clause subsidy voucher of new york Housing Bureau (note: the subsidy voucher program was established in 1978 to provide assistance to eligible low-and middle-income families in renting houses from private hands) to start and develop food business.

Promote the protection of food property and customer data.

The successful operation of food business relies more and more on the data of third-party providers. However, food enterprises often lack professional knowledge or the ability to use these services on favorable terms, and may not be able to obtain key information such as customer data. New york has convened a number of stakeholders to jointly promote initiatives to protect the data of food enterprises and customers, such as the "data bill of rights" for food enterprises and customers.

Support the needs of food enterprises and cooperatives

New york will convene stakeholders in the food industry to identify and design new projects to meet the special demands of food enterprises and non-profit organizations. New york City will then promote the effective implementation of these projects by the state and federal governments. This may include developing new financing and technical assistance programs to help mutual-help and self-operated workers’ cooperatives and small food enterprises.

Suppliers are more likely to participate in the urban procurement process.

New york will promote the smooth connection between potential food suppliers and the urban procurement process. PASSPort, a digital procurement portal in new york, will launch new functions to improve the procurement process. Including: simplifying the collection process, speeding up the issuance of invoices, improving transparency more widely and promoting cross-departmental cooperation.

In addition, new york will explore ways: using matchmaking tools and group buying strategies to increase the number of bids for urban food contracts; Expand technical support and guide the procurement process; Provide process navigator to assist small suppliers in the procurement bidding process; And explore to simplify the application process of M/WBE (note: M/WBE: minority and women-owned business enterprises, enterprises owned, operated and controlled by ethnic minorities and women).

Strategy 3: Help the next generation of food workers get high-quality jobs.

Launch a community recruitment plan for the food industry.

New york will use the current new york NYC plan and the proposed Community HireNYC Legislation to expand the recruitment demand, and set up good entry-level posts in the whole food procurement process, including food production, distribution, transportation and other related work.

New york will combine the existing and new training plans to provide human resources for suppliers, and require suppliers to provide interviews and employment opportunities for qualified low-income people. New york will also cooperate with anchor institutions to expand the number of high-quality entry-level jobs in food procurement, and pay special attention to core institutions in underserved communities.

Support food technology vocational training

New york’s partners in catering, manufacturing and industry will continue to keep pace with the technological upgrading of the industry. These partners will provide advice to small business service organizations (SBS) on the development of specific labor force and provide new technology training programs for industry practitioners. This can ensure that employees are at the forefront of technological change and that they learn new skills at work, rather than being replaced by new technologies.

Create and expand the career path of food practitioners

New york will ensure the prospect and "Qian Jing" of food industry, both warehouse workers and kitchen staff can be developed, and provide more training, certification and business plans for food practitioners.

Listed below:

(i) Expand training and entrepreneurship programs for commercial kitchens, such as the First Course NYC and Food Business Pathways in new york;

(ii) providing English as a Second Language services for non-native English-speaking food workers;

(iii) Cooperating with the industry to provide the US Department of Energy (DOE) vocational and technical education courses for practitioners in food production, processing, storage and distribution processes;

(iv) Linking youth training programmes with career paths;

(v) Explore the curriculum options of NYC Health Department’s Health Academy of new york Municipal Health Bureau, which is a labor force development center that provides food safety training for food practitioners.

Make a development plan for campus food practitioners

To provide the healthiest and freshest food for students in new york, well-trained practitioners are essential. New york will cooperate with academic circles and the private sector to provide accurate and comprehensive training courses for all school food managers. Training topics include but are not limited to: leadership skills, storage and organization, knife skills, use of tools and equipment, basic cooking skills, menu planning and food preparation. New york will also make an in-depth analysis of the current training programs to see if it is necessary to upgrade.

(This article was translated by the team of "the other mountains all appear dwarfs under the sky.-Sustainable City and Transportation" and checked and edited by The Paper. Translators: Lin Ruoran, Guo Yue, Hao Lu, Jin Yutong, Lei Lian, Lu Yating, Sun Yuting, Tang Hui, Yang Xiaohan, Yang Shasha, Yi Siqing, Zhou Jin, revisers: Xiang Xinyi, Liu Daizong. )

Notice of the General Office of the Ministry of Commerce on Promoting the Brand Chain Development of Convenience Stores
Commercial circulation letter [2019] No.223

The competent commercial departments of all provinces, autonomous regions, municipalities directly under the Central Government, cities under separate state planning and Xinjiang Construction Corps:

In order to implement the spirit of the Central Economic Work Conference and the deployment of the Government Work Report, adapt to the trend of consumption upgrading, improve the convenience of commercial facilities, improve the convenience of consumption and the quality of life of residents, adhere to the people-centered principle, and meet the people’s growing needs for a better life, the Ministry of Commerce decided to promote the construction of brand chain convenience stores throughout the country. The relevant matters are hereby notified as follows:

First, attach great importance to the development of brand chain convenience stores

Convenience store is the retail format closest to the lives of ordinary people, and it is an important carrier to meet people’s convenient consumption needs and serve people’s livelihood. In recent years, China’s brand chain convenience stores have accelerated their development, ranking in the forefront of retail formats for many years in a row. However, there are still problems such as insufficient total number of brand chain stores, unreasonable layout, imperfect service functions, and weak management ability. Promoting the development of convenience store brand chain is conducive to improving consumption convenience, improving consumption quality and stimulating consumption potential, which is an important livelihood project. All localities should raise awareness and put the development of brand chain convenience stores into an important work agenda, as an important starting point for implementing the consumption upgrading action plan and promoting the transformation and upgrading of physical retail, and continue to promote it in a planned and step-by-step manner.

Two, combined with the actual situation to determine the key to promote the city

The development of brand chain convenience stores is promoted by cities. According to the working steps of "overall deployment, key promotion and gradual extension", the development of brand chain convenience stores in municipalities directly under the central government, cities with separate plans and provincial capitals should be started first in 2019. On the basis of focusing on promoting these cities, all localities can choose some other cities to promote them in combination with the actual local economic development.

Three, pay close attention to the development of brand chain convenience stores.

Local competent commercial departments should guide the relevant cities to combine the existing work basis, promote branding, chaining and intelligence according to the spirit of the National Conference on the Development of Brand Chain Convenience Stores and the requirements of the Compilation Points of the Work Plan for the Development of Brand Chain Convenience Stores (see Annex), pay close attention to the study and formulation of work plans, and clarify work objectives, work priorities and safeguard measures. It is necessary to organize consulting institutions, think tank experts, industry associations and business representatives to participate in the formulation and demonstration of the plan, so as to improve the pertinence and operability of the plan. Municipalities directly under the central government, cities with separate plans and provincial capital cities should submit their work plans to the Ministry of Commerce before the end of July, and other cities should submit them before the end of September.

Fourth, improve the policy system to support the development of brand chain convenience stores

In view of the outstanding problems affecting the development of brand chain convenience stores, all localities should learn from the practices of Beijing, Xi ‘an, Fuzhou and other cities, focus on deepening the "streamline administration, delegate power, strengthen regulation and improve services" reform and optimizing the business environment, promote the introduction of policies to support the development of brand chain convenience stores, and provide support from the aspects of store location, registration, business license, technology application and supply chain construction, so as to create a good business environment for the development of convenience stores. We must do a good job in the implementation of the policies that have been introduced.

V. Strengthening organizational guarantee

The Ministry of Commerce will establish a three-level linkage working mechanism among departments, provinces and cities, study and formulate the development indicators of brand chain convenience stores from the aspects of convenience store layout, development quality, policy environment and working mechanism, and focus on guiding and promoting municipalities directly under the central government, cities with separate plans and provincial capitals, and make quarterly statistical summary and feedback on the progress and problems. The provincial commerce departments should strengthen the supervision and guidance of relevant cities, clarify the timetable and phased results, compact the work responsibilities, and put the work plan in place. Relevant cities should establish an inter-departmental coordination mechanism and give full play to the role of relevant functional departments and grassroots governments such as districts, counties and streets; Establish a normal communication mechanism between government and enterprises, and listen to and solve problems encountered in enterprise development in a timely manner.

Six, timely summary and promotion of typical experiences and practices.

The Ministry of Commerce will organize the compilation of the development report of brand chain convenience stores, adopt various communication methods, and summarize and promote the typical experiences and practices of promoting the development of brand chain convenience stores in various places. Local commercial authorities should actively organize the media to carry out publicity and reports, use various channels to carry out exchanges and cooperation, and create a good public opinion atmosphere for the development of convenience stores. Relevant work progress and opinions and suggestions shall be reported to the Ministry of Commerce in a timely manner.

Attachment: Key Points of Working Plan for the Development of Brand Chain Convenience Store

General office of Ministry of commerce
July 1, 2019

attachment

Key points of compiling the development plan of brand chain convenience stores

All localities should scientifically plan the general idea of developing brand chain convenience stores on the basis of in-depth investigation and extensive consultation, combined with local consumption level, consumption characteristics and convenience business development, fully embody the principles of government guidance, market operation, focusing on people’s livelihood and diversified development, organize the preparation of a good work plan, and clarify development goals, main tasks and safeguard measures. The work plan shall be prepared by the competent department of city commerce and approved by the local people’s government. The work plan shall include but not limited to the following aspects:

First, the foundation of development

Focus on the basic situation of the city’s economic and social development, residents’ consumption and convenience business development, and find out the basic base of the main chain brand enterprises of convenience stores in this city. Basic data such as the number of existing brand enterprises, the number of stores, and the basic layout should be fully grasped (the data is as of the end of June 2019) as the baseline for evaluating the progress of the work, and clearly reflected in the work plan in the form of a list.

Brand chain convenience stores refer to convenience stores that operate directly or by joining, with unified image identification, unified store management and control, unified facilities configuration, unified service standards, unified commodity procurement and unified logistics distribution. Enterprises with unified trade names and logos and low standardization in other aspects are not included in the statistical scope of brand chain convenience stores.

Second, the development goals

The development goals are planned in three years, with the end of June 2019 as the benchmark, indicating the goals achieved in each year. Goals can be set in both quantity and quality. In terms of the number of development, it is necessary to make clear the two quantitative goals of brand enterprises and brand chain stores, and at the same time, set the structural development goals from the dimensions of community, distance or population around building a "quarter-hour convenient life service circle" in combination with local reality. It is necessary to highlight the organization and scale orientation, and focus on developing brand chain enterprises with more than 50 chain stores and high reputation and integrity. In terms of development quality, it should reflect the achievements of convenience stores in improving service functions, improving service capabilities and upgrading modernization level.

III. Main tasks

Clear the main tasks of developing brand chain convenience stores, and explain the measures taken in optimizing the layout of convenience stores, improving the convenience service level and strengthening the application of information technology.

Optimize the layout of convenience stores. This paper focuses on the measures to be taken in increasing the resources of convenience stores, expanding the network of brand chain convenience stores and cultivating leading enterprises. According to the situation of commercial facilities, consumption level and consumption habits in different regions, the allocation standards of convenience commercial facilities such as convenience stores should be studied and formulated. Increase the applicable store resources of convenience stores through multiple channels, promote the implementation of the requirement that the area of commercial and comprehensive service facilities in newly-built communities accounts for no less than 10% of the total construction area of the community, and strengthen the security of convenience stores. It is necessary to combine the renovation work of old urban communities, and use the space resources that have been withdrawn from rectification to encourage brand chain convenience stores to settle in. Promote hospitals, universities, stadiums, parks, scenic spots and other public service places to open store resources to brand chain convenience stores. Encourage brand chain convenience store enterprises to transform and upgrade old small shops, grocery stores, canteens and other decentralized convenience stores. Encourage the introduction of well-known brand chain convenience store enterprises with cross-regional development.

Improve the level of convenience services. This paper focuses on the measures to be taken to support convenience store enterprises to expand their business scope, improve service standards, strengthen logistics and distribution capabilities, and transform and improve service environment. It is necessary to support convenience store enterprises to develop their own brand products, expand the sales of fresh food products, provide on-site manufacturing and selling services such as simple meals and drinks, and carry various kinds of convenience life services. Encourage the extension of convenience store business hours and support the opening of 24-hour convenience stores. Support brand chain enterprises to build their own or adopt third-party logistics services, implement joint distribution and centralized distribution, and build an intensive and efficient logistics distribution system. Encourage qualified enterprises to develop food and fresh products production bases and central kitchens, and establish a whole cold chain distribution system. Guide enterprises to benchmark leading enterprises in the industry, establish high-level service standards, optimize processes and enhance service experience. Advocate the concept of green consumption.

Strengthen the application of information technology. This paper focuses on the measures to be taken to support the digital transformation of brand chain enterprises and promote the intelligent and intelligent development of chain operations. Encourage enterprises to integrate chain store resources and online traffic resources, and carry out online and offline integrated operations. Support chain enterprises to apply technologies such as cloud computing and artificial intelligence, and establish a smart supply chain driven by consumer big data, such as commodity procurement, inventory management and order management, to improve operational efficiency. We will promote payment technologies such as self-service settlement, code scanning payment, and face-brushing payment, and encourage the use of commodity management technologies such as digital shelves, electronic price tags, and wireless radio frequency, so as to improve the level of service intelligence and optimize the consumer experience.

Fourth, safeguard measures

In accordance with the requirements of the work notice, safeguard measures are formulated from the aspects of organization and leadership, working mechanism, policy system, follow-up evaluation, etc., the specific division of labor is defined, the work responsibilities are implemented, and the system guarantee is effectively strengthened. Specific encouragement and support policies can be formulated separately after the work plan is determined, but the basic direction should be clearly defined in the plan, and all localities should be encouraged to extend the existing financial support projects to qualified convenience store enterprises. According to the needs of work, all localities can form a "1+N" work system, that is, a work plan, N supporting measures such as encouraging and supporting policies, community convenience business allocation standards, and brand chain convenience store construction guidelines.

Jing Ren She Fa No.42 [2022].

Human Resources and Social Security Bureau of each agriculture-related area:

　　In order to further deepen the "streamline administration, delegate power, strengthen regulation and improve services" reform in the field of employment, standardize the employment management of rural labor force in this Municipality, continuously improve the ability and level of employment service, and promote the rural labor force to achieve employment insurance, the relevant work on strengthening the employment management service of rural labor force is hereby notified as follows:

　　First, strengthen data support and demand inquiry

　　(1) Adjust and optimize the data platform for rural labor employment and insurance. Based on the information of agricultural registered population in this city, the scope of rural labor force is defined by sharing data such as students, labor ability appraisal, pension insurance benefits and social insurance registration. Comprehensive rural labor employment insurance status, social insurance payment period, etc., to determine the key assistance targets of employment insurance work, to provide data support for promoting rural labor employment insurance.

　　(two) to carry out the employment demand survey. Focusing on the unemployed insured rural labor force, through telephone communication, on-the-spot visits, etc., we carried out a survey of employment demand, and learned in detail the basic information, unemployment reasons, skill level and employment insurance willingness of the unemployed insured rural labor force. If the employment status of rural labor force changes, guide it to handle relevant registration in time.

　　Second, streamline and optimize the registration procedures

　　(1) Broaden the channels for handling. Eligible rural laborers can hold valid identity documents (including resident ID cards and social security cards), provide personal information on job hunting or employment transfer, and register for job hunting or employment transfer through public employment service agencies in towns (streets) where they are registered, or through online channels (including the government website of the Municipal Human Resources and Social Security Bureau, the "Beijing People’s Society" APP and the "Beijing People’s Society" WeChat WeChat official account), and inform individuals of the results in person or by SMS. When rural laborers who have the willingness to transfer employment apply for job registration or transfer employment registration, they will no longer submit materials such as subsistence allowances, disability, education, professional qualifications, employment and unemployment certificates.

　　(2) Simplify the procedures. If the rural labor force is recruited by the employer and participates in the social insurance for employees, the registration of transfer employment and the registration of employees’ social insurance shall be handled together, and the registration information of transfer employment shall be subject to the registration information of employees’ social insurance, without separate registration of transfer employment. If the rural labor force has any objection to the result of the merger, it may apply to the township (street) public employment service agency of the domicile for review. Township (street) public employment service agencies should do a good job of review, and inform individuals of the results of the review in a timely manner.

　　(3) Promote the application of social security cards. The social security card will be used as the main certificate for rural labor force to apply for job registration, transfer employment registration, enjoy public employment services and various employment promotion policies, and the Beijing Rural Labor Force Transfer Employment Certificate will be gradually abolished. The issued Beijing Rural Labor Force Transfer Employment Certificate will continue to be valid. If the rural labor force does not hold a social security card or really needs the Beijing Rural Labor Force Transfer Employment Certificate, it can apply for an electronic certificate or print the transfer employment registration record at the township (street) public employment service agency and online channels where it is registered.

　　Third, strengthen public employment and follow-up services

　　Township (street) public employment service institutions should strengthen the dynamic tracking management of the rural labor force in this city, provide refined public employment services, and record the service frequency, service effect and policy implementation throughout the process.

　　(1) For rural laborers who have not achieved employment insurance, according to their personal needs, they actively provide basic public employment services such as policy and regulation consultation, career introduction and career guidance, promote employment and entrepreneurship policies and vocational training programs, carry out job-seeking skills guidance, accurately match job information and pay a return visit to job-seeking results.

　　(two) to meet the conditions of people with employment difficulties, give priority and key assistance, carry out one-on-one employment assistance, track and solve the difficulties and problems in the employment process, and help them achieve employment insurance as soon as possible. If it is difficult to achieve employment through market channels, it can be included in the social welfare employment organization as required.

　　(3) To provide regular follow-up services for rural laborers who have achieved employment insurance, focus on the employment trends of rural laborers, strengthen the promotion of employment and social security policies, and improve the stability of rural labor employment.

　　Fourth, the job requirements

　　(1) attach great importance to it. Standardizing rural labor employment management services is an important measure to promote rural labor employment and insurance. The human resources and social security bureaus in agriculture-related areas should strengthen publicity and guidance, classify policies, provide accurate assistance, and improve the effectiveness of their work in light of the regional reality, focusing on the outstanding problems such as the uneven demand for rural labor employment and insurance, and the difficulty in transferring key assistance objects to employment.

　　(2) Focus. The human resources and social security bureaus in agriculture-related areas should increase the intensity of basic public employment services, make overall plans to promote the demand arrangement, service provision, job recommendation and policy implementation of unemployed rural laborers, and generally carry out a survey of rural laborers’ willingness to participate in employment before the end of each year. At the same time, according to the actual situation in the region, we will study and introduce targeted policies and measures to ensure the steady progress of rural labor employment and insurance.

　　(3) Strengthen coordination. The human resources and social security bureaus of the agriculture-related areas shall timely implement the provisions of the documents, strengthen the supervision, guidance and business training of the township (street) public employment service institutions, help solve the problems existing in the promotion of work, and in case of special circumstances, give timely feedback to the Municipal Human Resources and Social Security Bureau.

　　This notice shall be implemented as of December 1, 2022. If the provisions of the former Municipal Human Resources and Social Security Bureau are inconsistent with this notice, this notice shall prevail.

Beijing Municipal Bureau of Human Resources and Social Security　　　　

November 17, 2022　　

Xinhua News Agency, Beijing, March 23rd (Reporter Hu Hao)The case of illegal operation of vaccines in Shandong has recently aroused public concern about vaccines: what will happen if vaccines are not transported through the cold chain? Worried that the vaccinated vaccine is invalid, do you want to replant it? What’s the difference between the first-class vaccine and the second-class vaccine in transportation and use? At the media forum organized by the National Health and Family Planning Commission on the 23rd, experts from China’s immunization program answered questions of general concern.

Why should vaccines be refrigerated? How terrible is a vaccine that is not refrigerated?

Zhao Kai, academician of China Academy of Engineering and chairman of the National Committee of Experts on Immunization Planning: Vaccines are biological products made by various pathogenic microorganisms. Some vaccines are attenuated viruses, for example, the main component of measles vaccine is attenuated measles virus, which is alive; Have a plenty of inactivated vaccine, after the bacteria are inactivated, it is an active protein, which plays an immune function.

Therefore, vaccines are delicate. For example, vaccines are afraid of heat and light, and sometimes some vaccines are afraid of freezing. In order to keep the vaccine active, cold chain should be used in transportation.

Generally speaking, if there is no cold chain during the storage and transportation of the vaccine, the activity of the vaccine will be affected more or less, but it is also related to the length of time and temperature outside the cold chain.

As for whether vaccines that have not been transported by cold chain will have adverse vaccination reactions, two factors need to be integrated. One is to investigate the cold chain situation of illegal vaccine transportation, and the other is to investigate the monitoring situation of the information management system for suspected adverse vaccination reactions.

Wang Huaqing, MD, Chief Physician of China Center for Disease Control and Prevention: Theoretically, the vaccine involved is a vaccine produced by a regular manufacturer, not a fake vaccine or a fake vaccine. It has quality control in the early stage, and the safety risk will be less. The impact of not having cold chain transportation in the later period needs to be evaluated.

What is the relationship between class I vaccine and class II vaccine? What’s the difference between management?

Wang Huaqing: A class of vaccines includes three situations. First, 14 vaccines designated by the state prevent 15 diseases. Second, the increase of the provincial health administrative department is included in the national immunization plan. The third is the emergency immunization organized by the government. For example, if there is an epidemic, emergency immunization is needed, or it is possible to predict that the disease will become popular and organize group vaccination, which all belong to the first type of vaccine.

The first type of vaccine is vaccinated free of charge; The second kind of vaccine is self-funded and voluntary.

The management of the second type of vaccine is technically the same as that of the first type of vaccine. The technical requirements are the same whether in circulation or use. However, its procurement methods are different and its supply channels are different. The procurement of the first type of vaccine is carried out by the government, and then distributed step by step through the disease control system, and finally to the inoculation unit. The second type of vaccine is based on the regulations on the management of vaccine circulation and vaccination. Production enterprises can supply it directly to business enterprises, or to disease control departments and vaccination units. Business enterprises can supply disease control institutions, vaccination units or other business enterprises. So the channels are different.

Is there any difference in quality between domestic vaccines and imported vaccines?

Zhao Kai: The technological level of domestic vaccines is completely similar to that of foreign countries. In particular, the quality of vaccines, China’s 2010 edition pharmacopoeia and the European Union’s pharmacopoeia standards are the same. Some domestic vaccines and imported vaccines have been compared or observed, and they are all the same.

Every batch of vaccines produced in China must undergo compulsory inspection and audit before they are put on the market, which is called "batch inspection". Those that fail are not allowed to go on the market. I think this quality is guaranteed.

Wang Huaqing: Actually, domestic vaccines and imported vaccines require the same standards, and they will not enter the market until they reach the standard. Most of our country uses domestic vaccines, and the control of infectious diseases in China is the contribution of domestic vaccines. If there is no domestic vaccine, the control of polio, hepatitis B and measles in China will not be so good. These are all the effects obtained by inoculating children with our own vaccines. Therefore, the final evaluation depends on whether the disease has been controlled after the application of the vaccine and whether its suspected abnormal reactions have increased. In fact, from our monitoring, there is no big difference between domestic and imported vaccines.

How to deal with vaccines near the shelf life? Is it possible to vaccinate the public with expired vaccines?

Han Cheng, director of Desheng Community Health Service Center in Xicheng District, Beijing: As a primary health service center, our vaccine procurement path is very strict, and there are also strict regulations on the validity period. Drugs that have expired in the past six months cannot enter the procurement and distribution system, and the system will automatically block them. It is impossible to enter the organization. In addition, the purchase of vaccines is on a monthly basis, and one batch is used up before entering the second batch, and it is cleaned once a month, and it is uniformly distributed and purchased by the Beijing Center for Disease Control and Prevention.

How do I know if my vaccine is a problem vaccine? Can it be traced back?

Han Chengcheng: The batch number of the vaccine can be traced back. Each child has a batch number corresponding to each medicine, which can be checked. Therefore, it can be traced back to which child a batch number was hit. The validity period of the vaccine, the time of vaccination, etc. are also completely traceable.

Wang Huaqing: When the vaccine enters the disease control system, there will be a receipt form, when it was delivered, the process of delivery, its temperature, the varieties delivered and the quantity, all of which have a complete receiving record. In the process of use, there are two records, including the parents’ signature, when and what vaccine the children took, which company and the batch number. One is the vaccination certificate in the hands of the parents, and the other is the record or vaccination card of the electronic information system.

Is it necessary to confirm whether the vaccine is effectively vaccinated by antibody testing? Is it necessary to replant the vaccine?

Wang Huaqing: If you were not vaccinated in childhood, when should you replant? Different vaccines are different, which needs to be judged again.

We are all very concerned. Did I succeed after the vaccination? The international general principle is that there is no need for testing, because if the vaccine reaches a high vaccination rate, the whole population will have a barrier.

Vaccination, under normal circumstances, does not mean that everyone produces protection, because the main function of vaccine is a group. For example, if 80% to 85% of polio is successful after taking sugar pills, polio will be blocked and eliminated.

If everyone is vaccinated, we will build this crowd barrier. If some people are vaccinated and some people are not vaccinated, the disease may become popular in the future. Therefore, to control an infectious disease, we must maintain a very high vaccination rate in vaccination, especially in the use of vaccines in the national immunization program. If the vaccination rate is not high, then the disease will become popular.