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

One,

　

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

　

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

　

　

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

　

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

　

Second,

　

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

　

　

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

　

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

　

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

　

　

Third,

　

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

　

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

　

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

　

　

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

　

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

　

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

　

Neither is a good thing.

　

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

　

　

　

　

In recent years, online lending has become a means for many people to solve the shortage of funds. However, due to high interest rates, complicated terms and repayment pressure, borrowers may face the dilemma of overdue repayment, which has led to the emergence of legal documents-lawyers’ letters. Then, how long will it take for the online loan to send a lawyer’s letter to be sued? This question affects the nerves of countless people. This website will start with "How long will it take to send a lawyer’s letter to the online loan to be prosecuted", and comprehensively analyze the relevant questions to help readers understand the relevant legal procedures and countermeasures.

We need to know what a lawyer’s letter is. A lawyer’s letter is a written notice sent by a lawyer to the debtor in the name of a lawyer entrusted by the client (usually a creditor or an online lending platform) to urge the debtor to fulfill relevant obligations. For the online lending platform, the main purpose of sending a lawyer’s letter is to remind the borrower to repay the loan as soon as possible and avoid further legal means, such as prosecution.

Then, how long will it take for the online loan to send a lawyer’s letter to be sued? The lawyer’s letter is not the beginning of prosecution in essence, but an "ultimatum" issued by the online lending platform. If the borrower fails to repay the loan within the time specified in the lawyer’s letter, the online lending platform reserves the right to further legal prosecution. How long it will take to be prosecuted actually depends on many factors, such as the operation mode of the platform and the complexity of the case.

Many people will panic after receiving a letter from a lawyer, fearing that they will be prosecuted immediately. Sending a lawyer’s letter on an online loan does not mean that the borrower will be sued immediately. The platform usually tries to communicate with the borrower by lawyer’s letter first, so as to try to solve the loan problem as soon as possible.

Then, how long will it take for the online loan to send a lawyer’s letter to be sued? It needs to be clear that the lawyer’s letter is essentially just a legal notice and does not have compulsory execution. It is more of a warning in advance, making borrowers aware of the possible legal consequences. However, the repayment period is usually stated in the lawyer’s letter. For example, the borrower is required to pay off the debt within a few days after receiving the letter, otherwise the platform may take further legal action.

There is no fixed time point for the specific "how long it will be prosecuted". Some online lending platforms may push for prosecution 714 days after the lawyer’s letter is issued, while others may take months or even longer to take legal action. This is often related to the overdue amount, the borrower’s economic situation and the internal decision-making speed of the platform.

How long will it take for an online loan to send a lawyer’s letter to be prosecuted? This question is not only a procedural question, but also involves the legal basis.

According to Chinese laws, creditors (here is the online lending platform) have the right to sue in court to safeguard their rights and interests in debt disputes. Usually, the limitation of action for recourse of creditor’s rights is three years, that is to say, as long as the lawsuit is filed within three years, the court will accept it. Online lending institutions reduce the risk of capital flow, and usually do not delay to the limit of the statute of limitations, but will take action against malicious arrears as soon as possible.

Lawyer’s letter mainly plays the role of urging repayment, which has formal legal meaning, but in fact it has no direct legal force. As long as the overdue behavior is not effectively controlled, the online lending platform will evaluate whether to sue immediately or gain time for internal mediation according to the actual situation after issuing a lawyer’s letter.

It should be noted that different online lending platforms have their own internal regulations on the time to take legal action, but when the amount of arrears is large, the platform usually speeds up the process. Borrowers should negotiate with the platform as soon as possible, instead of passively avoiding it, so as not to quickly enter the prosecution stage due to delay.

Many borrowers choose to ignore or even ignore lawyers’ letters, which is very unwise. If you choose not to deal with it, the consequences may be very serious. Then, how long will it take for the online loan to send a lawyer’s letter to be prosecuted and what are the risks after it is not handled?

If the debtor fails to repay the loan according to the time specified in the lawyer’s letter, the online lending platform has the full right to submit it to the court for prosecution to safeguard its legitimate rights and interests. Once accepted by the general court, the debtor will face a series of troubles such as legal summons, trial and enforcement after losing the case.

Failure to deal with the lawyer’s letter may lead to the borrower being recorded with bad credit information, and then entering the "list of untrustworthy executors". If the amount owed is large and is not returned, the court may also implement measures such as freezing bank accounts and sealing up property after the judgment, which will greatly affect the borrower’s life.

In the face of a lawyer’s letter, the borrower should try his best to negotiate with the online lending platform instead of letting the situation deteriorate further. Otherwise, the time for prosecution after the online loan sends a lawyer’s letter may be greatly shortened, and creditors will actively promote the proceedings.

If you receive a letter from an online loan lawyer, the borrower should remain calm and actively face the question, rather than blindly delaying or evading. Specifically, we can take the following measures to avoid entering the prosecution stage quickly.

Actively communicate with online lending institutions.

After receiving the lawyer’s letter, the borrower should get in touch with the online loan platform as soon as possible, express his willingness to repay, and strive for a grace period or negotiate to extend the repayment period. Some platforms may agree to reach an installment repayment agreement to temporarily ease the financial pressure.

Review whether the terms of the contract are legal

The borrower can carefully check the original online loan contract, especially the interest rate clause. If the interest rate is found to be beyond the legal range (usually the annual interest rate shall not exceed 24% to 36%), you can claim to the court to reduce unreasonable repayment through legal channels.

Seek legal help

If there are threatening statements or bad practices in the lawyer’s letter, the borrower can invite the lawyer to intervene to help negotiate and avoid being disturbed by false collection. Lawyers can also evaluate the legal effect of lawyers’ letters and provide help for further litigation.

There is no uniform standard for how long it will take to issue a lawyer’s letter to an online loan, but borrowers should respond to such incidents with a positive attitude to avoid pushing the question to the litigation stage and increasing the processing cost and pressure.

The specific answer to "How long will it take for online loans to send lawyers’ letters to be prosecuted" is not fixed, and the influencing factors include the operation mode of online lending platform, the repayment attitude of borrowers and the complexity of the case itself. Lawyer’s letter is a prelude to legal action, not the formal beginning of legal procedure. After receiving the lawyer’s letter, the debtor still has the opportunity to negotiate repayment to avoid prosecution, but if the time limit given in the lawyer’s letter is ignored, the lawsuit may start soon.

Borrowers should also realize that not paying back on time will not only face prosecution, but also have a huge negative impact on their credit history, life and property. Active communication and legal handling are the correct ways to solve online loan disputes. No matter how complicated things are, escaping is not the solution.

twelveOne day at the end of the month:

In the morning, I just saw a case of pneumonia infected by novel coronavirus in Wuhan on the Internet, and I heard some comments in the department, but after all, Wuhan is still a little far from Beijing, and everyone didn’t pay much attention to it. When the shift is over in the morning, the director of the department and the head nurse will remind everyone that we should strictly implement the fever screening process at work, do a good job of self-protection, wear a mask at work and wash our hands frequently.

oneMid-June

In January, the epidemic situation gradually escalated, and the situation was grim. My heart was a little drummed. It was a very sad experience for both patients and medical staff to suffer from infectious diseases.onemoon14No.1 began to receive the notice of prevention, control and supervision of infectious diseases issued by higher authorities. The department leaders attached great importance to it and repeatedly emphasized the prevention and control work, and the medical staff in the department paid more and more attention.

17Years ago, I experiencedSARS. And these young nurses were still in primary school. As a head nurse and an old nurse, I will share my past experiences with them every morning when my shift is over. When I am moved, my eyes are full of tears, and the nurses will be moved by me. They tell me: Don’t worry, we will be obedient, take good care of ourselves, and guard the triage desk to prevent the epidemic from entering the hospital.……I warned the young nurses that the best protection for patients is to guide patients with fever to follow the normal screening process and protect the environment of emergency treatment!

Emergency triage is the first pass for patients to see a doctor, and it is also the small peak of emergency treatment before the holiday. The daily emergency volume is as follows500Many times. Some patients don’t understand the process of fever screening, and they all come to the emergency room at the first stop; However, some patients are afraid of the fever clinic, unwilling to go to the fever clinic and go directly to the emergency department, which requires the triage nurse to do a good job in screening. Every day, the triage nurse takes pains to ask about the patient’s medical history, body temperature, whether there are flu-like symptoms, contact history in epidemic areas, etc. The triage nurse who screened out the fever patients will make a good registration, patiently explain and guide the patients to the fever clinic for screening. If the patient has no contact history with the epidemic area and has concerns about going to the fever clinic, the nurses will also take the initiative to escort the patient to the fever clinic to dispel the patient’s concerns.

To do a good job in emergency triage, we must be patient, careful and responsible. Niuxue—An old nurse in the emergency department is serious and experienced. At triage, a patient who had a history of traveling abroad caught her attention. Although the patient had a hospital visit a few days ago, she still didn’t relax, insisted on taking her temperature and asking about her medical history in detail, without ignoring every detail. The patient didn’t understand and didn’t want to go to the fever clinic. She took the initiative to report. Director Li Fengjie and I patiently worked for the patient, personally accompanied the patient to the fever clinic, and contacted the director of infection department to pay attention to this patient. It is precisely because of such high-quality and responsible emergency personnel that our emergency department is very safe!

onemoon22Day (December 28th)

I received an urgent notice from the hospital today, and the hospital is going to set up a medical echelon to build the Luhe River.—Isolation ward in Niubaotun campus. I sent a notice in the WeChat group, and everyone volunteered to sign up. To tell the truth, I really don’t know what young nurses are thinking now. However, to my surprise, the group immediately boiled up, from the old nurses in their fifties to the little nurses and advanced nurses who just joined the work, and everyone enthusiastically signed up. Zuo Feifei, an elderly male nurse in our department, was born less than a month ago in Erbao’s family, and her lover is in the hospital laboratory. He offered: At this moment, boys have to rush ahead! I quickly confided to him: the child is so young, does the family agree? Teacher Zuo seconds back: you can go at any time, no problem, mom and wife support it! Wang Xiaocui, a key nurse in Corey, is still breastfeeding and asked to go to the front line. She told me that she could go to the front line to work the night shift without breastfeeding! Yuan Wei, a young male nurse, didn’t work long. She sent a letter at the first time: Leader, I’m the first one. We boys are physically strong, so I’ll come first! Ji Jianjian: I spent a month in the A stream ward. I have experience. I’ll sign up! Teachers Zhang and Wang, who are in their fifties, are just like the children, unwilling to lag behind.……. Sitting in front of the computer, I can’t calm down for a long time, my eyes are wet, and my tears can’t help but stay. I posted a paragraph in the micro-group: I have experienced it.SARSI have felt the days of fighting side by side with my dearest friends and comrades-in-arms, and I have felt the most painful mental journey after my girlfriend got sick! Seeing everyone’s enthusiasm, full of emotion, and seeing the truth in times of crisis, thank you sincerely!

onemoon23Day (the 29th day of the twelfth lunar month)

The Spring Festival is coming, Wuhan is closed, and people all over the country are cheering for Wuhan! Yuan Wei, a nurse, got married this year. As a new uncle, she is going to pay a New Year call to her parents-in-law. After hearing the news, he immediately wrote to me: Leader, the situation is tense. I have returned my ticket and won’t go home. I’ll stay on duty or go to the front line, and my home work is done. Don’t worry!

Nurse Liu Xinrui made a New Year video entitled "The Best of Us" for everyone. In the video, we are fully armed and meticulously guarantee basic medical care for patients, and we can’t see their faces and smiles. At the end of the paragraph:2003The emergency department didn’t flinch in 1998,2020We are invincible in 2008! Yes, both mentally and technically, we emergency patients are ready! All of us are United as one to overcome the difficulties together. The emergency team is invincible, come on Luhe, come on Wuhan!

onemoon24Day (New Year’s Eve)

On this special Spring Festival, Chen Xu, the deputy head nurse, and I were on duty in the emergency room during the day shift and one at night! I can’t take care of the New Year’s greetings. I patrol the rescue room and triage desk over and over again, check the protection of on-the-job personnel, and guide patients and their families to wear masks. It is said that the masks on the market are out of stock, and the hospital leaders are very open-minded. All patients and their families who enter the emergency department will be provided free of charge without masks, and the doctors and patients will fight the epidemic together!

At six o’clock in the evening, director Xi Wei of the nursing department brought a New Year gift with the officers of the nursing department: a beautiful cup saidHappy holidays, hard work! It is very important to instruct us to make emergency triage, and guide the nurses to do a good job of protection. Although the director’s eyes are tired, his eyes are firm and give us confidence!

At eight o’clock in the evening, Dean Ji led the hospital leaders to pay a New Year call to everyone. The dean personally taught our young doctors and nurses how to wear masks and how to keep goggles from fogging. In the special period, the leaders are always careful and warm-hearted, which makes our frontline medical staff warm! The staff canteen brought jiaozi to everyone. Nurse Xu Ning said happily: jiaozi is particularly fragrant this year!

onemoon27Day (New Year’s Day)

Today, a patient was sent in, who had chest pain for some time and was afraid to come to the hospital for treatment. When he was sent to the emergency room, his breathing and heartbeat had stopped, and everyone refused to give up. He was wearing a thick mask, panting and sweating, and he had been doing cardiopulmonary resuscitation for a long time. How I hope to keep this young life!……

Faced with such a situation, it is understandable that patients are psychologically worried and everyone is afraid. The more special the period, the greater our responsibility. Just as the leaders of the hospital said, Luhe should have the spirit of responsibility in the face of the epidemic. While fighting the epidemic, we will ensure the basic medical care of the people in the region. Emergency personnel, cheer up, re-deploy our process, let the patients feel at ease, control the first level of emergency, and let the departments that accept patients have confidence. The patients who should be hospitalized will be admitted, and the moment of the operation will not wait!

Luhe—Niubaotun campus is about to be opened, and emergency doctors Jiang Zhifeng and Yue Xiaoyan are going to the isolation ward! Well done, emergency personnel. You are warriors and our pride!

onemoon29Day (New Year’s Eve)

The epidemic situation has developed rapidly. Many directors and head nurses in the hospital have not rested these days. Director Li Fengjie has been living in the hospital, coordinating the treatment of patients after fever clinic and emergency screening. An ambulance roared into the emergency room. A patient was breathing very weakly. Without any hesitation, Dr. Haotian Wang asked the medical history before screening others, and quickly rescued him. Only a senior nurse was left in the resuscitation room to cooperate with the emergency opening of the airway, and the rescue was done in one go! The family members thanked the medical staff for their rescue, saying that they had read a lot of reports about the epidemic recently, and the ambulance was worried that it would be complicated to go to the hospital to delay the rescue. Wang Dafu said: We are medical staff, no matter what the environment, saving people first! When the voice declined, the ambulance sent another patient with chest pain. He put down his unfinished medical record, began to review the electrocardiogram, opened a green channel, completed the screening process in the shortest time, and escorted the patient to the catheter room for emergency surgery. No matter what the environment, emergency medical staff will give priority to saving people, which is the responsibility and responsibility of our Luhe medical staff!

At three o’clock in the afternoon, the nursing department held an emergency meeting, and the superior informed Wuhan that there was a shortage of nurses to organize.21A reserve team of nurses supported Wuhan for a short time.360Many people signed up to support Wuhan, and Director Xi Wei shed tears of excitement. Our nurses are so cute, and Luhe is very happy with you! EmergencyN4Teacher Yan Jing and Xu Bolong, nurses, entered the big list and were ready to support Wuhan. Corey was boiling. The rest nurses moved half the materials from home and supermarket. Director Li Fengjie brought a whole bag of diapers at the first time, and Director Jin Aichun sent a pile of thick socks. Wuhan is wet and cold, so let’s wear warm clothes. Teacher Xie, the warehouse keeper, while counting the protective materials, told everyone not to waste reasonable protection. Let’s bring enough materials to the nurses who are about to go out! In the WeChat group, Teacher Yan Jing sent a message: I love you, I love you all, and I accept all the love. I feel that there is a smooth road ahead. Although I haven’t gone yet, with your love, my immunity has soared! Just go to work in another place, and everyone should take good care at home! Xu Bolong said: My grandfather was born in the army, and grandpa said, this is war!

These days, I feel more and more sentimental. My four-year-old daughter holds my arm every day when she goes out. I hope I can stay at home with her for one day. My daughter is very sensible because her father told her that her mother has an important job. See all kinds of greetings from relatives and friends on WeChat, see all kinds of information sent back by frontline colleagues, see the silent efforts of every Luhe person, see the information from time to time in Wuhan ahead, eat the hot soup noodles donated by the society, and we are full of gratitude for those who have no time to drink water! Love colleagues, love patients, love Luhe, we are strong emergency medical staff, as long as we have confidence, we will certainly win this epidemic war!

On December 30, 2020, Beijing Institute of Biological Products Co., Ltd. quietly published a short announcement in official website. According to the interim analysis results of Covid-19 inactivated vaccine phase III clinical trial, the safety of Covid-19 inactivated vaccine of China Bio-Beijing Company of Sinopharm Group was good after inoculation.After two doses of immunization, the positive conversion rate of neutralizing antibody was 99.2%, and the protective power of vaccine against diseases caused by COVID-19 infection (Covid-19) was 79.34%.

Prior to this, Pfizer and Moderna from the United States also released the research results of phase III clinical trials of their own mRNA vaccines, and the protective power was over 90%. In this way, our vaccines seem to have a little poor protective effect. But be careful,This is not because our technology is not good, but more because of the congenital difference between mRNA vaccine and inactivated vaccine.

Immune protection induced by inactivated vaccine is relatively weak.

Inactivated vaccine is a vaccine made by inactivating virus by physical or chemical methods. Compared with live virus particles, the immunogenicity of inactivated virus is relatively weak, and adjuvant is often needed.

In 2013, a study entitled "Characterization of immune responses induced by activated, live attended and DNA vacuums against Japanese encephalitis virus in mice" was confirmed by Japanese encephalitis virus.Compared with artificial attenuated live vaccine and DNA vaccine, the immune response induced by inactivated vaccine is relatively weak.

Figure 1. Heading of the article

The researchers divided the mice into four groups, injected with inactivated vaccine (INV), live attenuated vaccine (LAV), DNA vaccine (pCAG-JME) and control, and then detected the antibody level in mice. At the end of the experiment, the total antibody titer induced by inactivated vaccine was significantly lower than that of attenuated live vaccine group and DNA vaccine group.

Fig. 2 Antibody level pairs induced by three vaccines

The researchers also detected the levels of different subtypes of IgG induced in the serum of mice, and found that there were differences among the three vaccines. The inactivated vaccine mainly induced IgG type 1 antibody, while the attenuated live vaccine mainly induced IgG type 2a antibody, and the antibody levels of DNA vaccine were both high.

Fig. 3 Different IgG subtypes induced by three vaccines

The researchers also compared the levels of cytokines induced by vaccine and the levels of dendritic cells and Treg in detail, and there were some differences. Anyway,There are some differences in immune response induced by inactivated vaccine, attenuated live vaccine and nucleic acid vaccine. It is not surprising that the protective effect of inactivated vaccine is not as good as that of RNA vaccine.

Inactivated vaccine has the best safety.

Because the clinical data of phase III vaccine of Beijing Institute of Biological Products have not been published in any authoritative journals,Therefore, the safety of inactivated vaccine BBIBP-CorV in China, mRNA vaccine BNT162b2 in Pfizer and mRNA vaccine mRNA-1273 in Moderna Company are examined from the published phase I/II clinical trials of vaccines.Someone has made statistics on the safety data of phase I/II clinical trials of various COVID-19 vaccines, and all the data are shown in the following figure. After the first dose of mRNA-1273 vaccine was injected, the incidence of systemic grade I adverse reactions was 53.3%, grade II adverse reactions were 13.3%, local grade I adverse reactions were 73.3%, and grade II adverse reactions were 13.3%. After injecting the second dose, the incidence of systemic first-class adverse reactions was 20%, and the incidence of second-class adverse reactions was 80%. The incidence of local first-class adverse reactions was 66.7%, and the incidence of second-class adverse reactions was 26.7%. No adverse reactions above grade 3 were found locally or systemically.

However, after injection of Pfizer’s BNT162b2, the incidence of local or systemic adverse reactions was 41.7%, and the incidence of adverse events above grade 3 was 8.3%. For people aged 65-85, the incidence of local or systemic adverse reactions is 25%, and the incidence of adverse reactions above grade 3 is 8.3%.

The results of phase I clinical trial of domestic inactivated vaccine BBIBP-CorV in China show that the incidence of first-grade local or systemic adverse reactions is 33% for people aged 18-59, and that of second-grade adverse reactions is 13%. For people over 60, the incidence of adverse reactions is 29%, and there are no adverse events above grade 3. In the results of Phase II clinical trials, the incidence of Grade I adverse events was 15%, and the incidence of Grade II adverse events was 2%.

Fig. 4 Adverse reactions of various vaccines.

Judging from these data, among the three popular vaccines at present, the safety of inactivated vaccine in China is absolutely the best, not to mention the recent allergic storm of Pfizer vaccine, which has caused rare allergic reactions in dozens of people.

Domestic vaccines with 79% protection and no serious adverse reactions are absolutely safe and effective.Because China’s epidemic prevention and control work is very well done, we have to overcome many difficulties when conducting clinical trials of vaccines. After all, the epidemic situation in COVID-19 is well controlled and there is no condition for clinical trials, which is one of the reasons why the progress of phase III clinical trials lags behind others. We should see that even if our protection efficiency does not exceed 90% in the United States, inactivated vaccine obviously has advantages, such as it is safer and easier to store and transport. Although our protective effect is not as good as the two vaccines in the United States, it has reached the standard of vaccine approval, and the protective effect far exceeds 50%, which is trustworthy.

On June 28th, CCTV reported that it was supposed to be the law enforcement department of traffic violators, but it acted as an "umbrella" for those who were rectified. Since June last year, Harbin has destroyed 251 "protective umbrellas" hidden in the traffic system in two batches. Hongsheng Wang, the former detachment leader of the municipal traffic administrative comprehensive law enforcement detachment, and Wang Wei, the former deputy detachment leader of the municipal traffic police detachment, have been "double-opened" and transferred to judicial organs for legal treatment.

129 law enforcers act as umbrellas for personal gain.

The phenomenon of "black car" in Harbin has a long history. As early as 2007, some people reported that some people bought scrapped vehicles as taxis and operated in different regions. By 2015 and 2016, the phenomenon of "black car" reached its peak, and even openly competed with regular taxis to grab passengers, asking for exorbitant prices, looting and extortion, and passengers suffered greatly.

Hongsheng Wang, the former detachment leader of Harbin Traffic Administrative Comprehensive Law Enforcement Detachment, accepted the trial site (data picture)

As soon as the "black car" is rectified, it will disappear, and if it is not rectified, it will be on the road again. For more than 10 years, the problem of "black cars" has been banned and repeated. The reason is that, in addition to the benefit drive, the "umbrella" within the management department is the direct cause of the proliferation of "black cars".

"We must resolutely guard against and correct what the people oppose and hate", and implement the requirements of the Supreme Leader General Secretary. The main leaders of Heilongjiang Province and Harbin clearly put forward that it is an important task to punish illegally operated vehicles and investigate and deal with "protective umbrellas" to safeguard the interests of the people. On June 26 last year, a task force was formally established in Harbin to crack down on illegal operation of vehicles and strictly investigate the "protective umbrella" behind them.

The Municipal Commission for Discipline Inspection dispatched more than 30 business backbones of discipline inspection and supervision offices to participate in special rectification actions throughout the process. In the early stage, in order to investigate the problem more thoroughly, the cadres of the Commission for Discipline Inspection disguised themselves as unannounced visits, ventured to take a "black car" many times to understand the situation and mastered a lot of valuable information. After a month’s careful arrangement, starting from the early morning of July 27th, the Municipal Commission for Discipline Inspection organized and coordinated the public security, transportation and other departments to launch the "closing the net" action.

After checking 16,800 related vehicles, seizing 214 illegally operated taxis, knocking out 7 "black car" gangs, and handing over the clues of 174 illegally operated taxis to the public security organs, the "protective umbrellas" hidden behind them were revealed one by one.

On November 13th of that year, the Supervision Bureau of Harbin Municipal Commission for Discipline Inspection publicly reported the investigation and punishment of party member cadres and staff acting as "protective umbrellas" for illegally operating taxis, and severely investigated and held 129 party member cadres and staff accountable.

Among the 129 public officials notified, some involved the supervision department’s ineffective performance of the main responsibility, dereliction of duty, some involved the inaction and disorderly actions of law enforcement departments, some party member cadres lost their principles, interceded for illegal operators to ask for cars and mitigated punishment, some party member cadres tipped off illegal operators or tried to cover up the people involved, and even worse, they abused their powers because of accepting benefits and acted as "protective umbrellas" for the illegal operation of "black car" gangs.

Seven cadres, including Hongsheng Wang, the detachment leader of the Municipal Traffic Administrative Comprehensive Law Enforcement Detachment, and Li Lun, the political commissar, were expelled from the Party and public office for allegedly abusing their powers to commit crimes, harboring crimes or accepting bribes, and were transferred to judicial organs for legal treatment. Other party member cadres were punished by probation, dismissal of their posts in the Party, and severe warnings within the Party, depending on the seriousness of the case, for accepting bribes, informing people, caring for intercession and other violations.

Eight party member cadres, including Tan Hongzhi, former party secretary and director of the Municipal Transportation Bureau, Qi Ming, deputy director, and Liu Wei, leader of the discipline inspection team, were dismissed from their posts in the Party and removed from their posts by the administration for failing to perform their main responsibilities and supervisory responsibilities.

Among the 122 "protective umbrellas", 108 people are involved in the public security system.

It’s only been more than half a year since the last briefing. On June 25th, the Supervision Committee of the Harbin Municipal Commission for Discipline Inspection informed 122 leading cadres and public officials about the issue of "protective umbrellas" for the "crazy trucks". Among them, Wang Wei, deputy detachment leader of the municipal traffic police detachment, Ming Changqing, team leader of the municipal traffic police Daoli, and Yu Guangjun, etc. 11 people were transferred to judicial organs for legal treatment.

Wang Daoan, the captain of the city traffic police, Li Renming, the captain of Taiping, Han Ming, the captain of Haxi, and Gao Wenfeng, the political commissar of Acheng Brigade, were dismissed. Zhang Jidong, the former captain of the patrol brigade of the municipal traffic police detachment, and Pan Guangping, the captain of the bungalow, were respectively punished by party discipline and government affairs.

Ma Tengxiang, former deputy director of Nangang Branch of the Municipal Public Security Bureau, intervened in law enforcement and provided protection for illegal acts of trucks. He was punished by staying in the party and determined his retirement benefits according to his non-leadership positions at the official level.

Fourteen public officials from Daoli District, Daowai District, nangang district, Xiangfang District, Songbei District Urban Management Law Enforcement Bureau and Transportation Management Office of the Municipal Transportation Bureau failed to perform their supervisory responsibilities, and were punished by party discipline and government affairs respectively.

These 122 leading cadres and public officials have various ways to violate the law and discipline, some abuse their powers to give the green light, some reveal secrets to sell people’s feelings, some organize groups to violate the rules, some interfere in law enforcement, some interfere in the project for personal gain, and some release water from the source to make changes, which seriously undermines the authority and credibility of law enforcement.

It is worth noting that among the 122 "protective umbrellas", 108 people are involved in the public security system, including 100 public security traffic police.

In order to make the cadres of public security organs deeply learn the painful lessons of this case, earnestly rectify the problems, thoroughly eliminate the negative effects, and reshape the new image of public security traffic police, on the 27th, Harbin public security organs held a warning education conference.

The Harbin Public Security Bureau has studied and promulgated the "six whatevers and six unifications" prohibition iron regulations, thoroughly investigated and sorted out hidden dangers in the overall scope, and comprehensively carried out special rectification in terms of team style, police handling, law enforcement quality, and collusion between traffic police and police stations and police officers.

At the same time, a key work inspector group was set up to station in the traffic police detachment to comprehensively supervise the work of building a clean and honest party style, rectifying work style, and providing four zero services. Solidly promote the strict management of the party and the police in an all-round way, and regard June 27 of each year as the overall "warning education day" to guide the education of the whole police not to forget the shame and alarm bells.

(Reporter Li Wenxue)

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Comparison of onset speed

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

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

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

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

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

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

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

The key to prevent influenza is to strengthen personal protection;

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

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

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

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

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

○ fever < 38.5℃: physical cooling.

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

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

○ Diarrhea: probiotics, montmorillonite powder, etc.

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

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

Expert style

Li Yanhong:

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

Good at direction:

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

Social service:

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

Vice Chairman of Allergy Committee of Shenzhen Medical Doctor Association

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

Vice Chairman of Allergy Prevention Committee of Shenzhen Preventive Medicine Association

Member of Guangdong Allergy Branch

Member of Respiratory Diseases Branch of China Geriatrics Society.

Standing Committee member of Shenzhen Medical Association Respiratory Disease Branch

Member of Sleep and Respiratory Branch of China Geriatrics Association.

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　　CCTV News:2023 is the 25th anniversary of the establishment of diplomatic relations between China and South Africa, and it is also the BRICS "South Africa Year". At the press conference on August 17th, a spokesman for the Ministry of Commerce said that in recent years, under the strategic guidance and personal promotion of the two heads of state, the economic and trade cooperation between China and South Africa has made great progress.

　　Bilateral trade grew rapidly. In 2022, the bilateral trade volume between China and South Africa reached US$ 56.74 billion, a year-on-year increase of 5%, a record high in eight years. In the first half of 2023, it was further accelerated, with an increase of 11.7%. China has been South Africa’s largest trading partner for 14 consecutive years, and South Africa has been China’s largest trading partner in Africa for 13 consecutive years.

　　Two-way investment has achieved remarkable results. China is one of South Africa’s major sources of investment, with an investment stock of more than 10 billion US dollars, covering finance, home appliances, automobiles, mining, energy and other fields. South Africa is also the African country that actually invests the most in China, and the two sides have formed a stable and strong cooperative relationship in the supply chain and industrial chain.

　　Cooperation under the multilateral framework is strong and effective. The two sides jointly safeguard the non-discriminatory, open, inclusive and transparent multilateral trading system, emphasize the importance of multilateralism, and jointly promote the success of the 12th WTO Ministerial Conference beyond expectations. Relying on the BRICS cooperation mechanism, we issued a unanimous voice to support the multilateral trading system, release the potential of the digital economy, promote trade and investment and sustainable development, and strengthen supply chain cooperation.

　　As the greatest industrial product in the 20th century, automobiles have greatly changed people’s lives, expanded their travel radius, brought great convenience to people and improved their quality of life. Everything is a double-edged sword, and life on wheels has both advantages and disadvantages.

　　However, with the growing demand for short-distance travel, a considerable number of domestic manufacturers are aiming at the blue ocean market of "Old Man Le", creating the dream of owning a luxury car with a price close to the people, avant-garde fashion and tens of thousands of yuan. A considerable number of "three noes" products were born, but the following problems are great traffic safety and personal safety hazards, driving on the road without a license and without a license, causing countless painful accidents. Here, Sina Auto appeals to consumers to buy cars legally and reasonably, not to buy low-speed old scooters easily, and not to go on the road illegally.

　　Is there really no other choice except the low-speed old scooter within 100,000 yuan? Of course not. Today’s article will recommend several pure electric vehicles that are affordable, small and lovely, can meet national laws, regulations and related policies, and can legally drive on the road.

　　Wuling Hongguang MINIEV

　　Official guide price: 28,800-46,800 yuan.

　　It is true that Wuling will build whatever the people need! Wuling Hongguang MINIEV achieved sales of more than 420,000 vehicles from January to December in 2021, which shows how accurate Wuling is in controlling consumer demand. After all, only when the buyer’s market is strong enough can the seller’s excellent data be achieved.

　　It seems no exaggeration to regard Wuling Hongguang MINIEV as a national electric vehicle. As a mini-car, Hongguang MINIEV adopts the layout of front and rear drive and three doors and four seats. The permanent magnet synchronous motor it carries can provide the maximum torque of 85Nm and the maximum power of 20kW. The NEDC mileage of the model equipped with ternary lithium battery is 120km, and the cruising range of the model equipped with lithium iron phosphate battery is 170km. At the same price, it is wise to buy a national car that can legally go on the road.

　　BYD Dolphin

　　Official guide price: 96,800-12,480 yuan

　　BYD Dolphin occupies many firsts of BYD brand, such as: the first model adopting BYD’s brand-new Logo, the first marine car model, the first model based on E platform 3.0 and so on. The appearance design of BYD Dolphin is eye-catching, and the bionic design all over the car is easy to get the favor of soft and cute girls.

　　BYD Dolphin has certain advantages in size. It is a typical small car, and its actual interior space is more advantageous than other fuel vehicles of the same level. If you travel daily, the model equipped with 70kW motor can meet the requirements. If you have higher requirements for the performance of the vehicle, you can choose the Dolphin Knight Edition equipped with 130kW motor. Entry-level models can achieve a NEDC mileage of 301km, and models equipped with larger battery packs have a NEDC mileage of over 400km. The rotating screen on the center console is enough to prove the inner strength of BYD Dolphin. Is such a car attractive enough?

　　Ou la hei Mao

　　Official guide price: 69,800-84,800 yuan.

　　In the past two years, the word "slap cat" has appeared more and more frequently. Almost everyone has a few friends who are keen on slapping cats in their circle of friends. If you drive a car with the word "cat" in its name, will it be as happy as slapping cats? The brand of Euler has prepared such a black cat for consumers that can make you sigh.

　　Euler Black Cat has a retro appearance. As an entry-level model of Euler brand, Black Cat is equipped with two kinds of motors with 35kW and 40kW power, and adopts the layout of front drive and four doors and five seats. The cruising range of the entry-level model NEDC is 301km, the cruising range of the main model NEDC is 351km, and the cruising range of the top model NEDC is 401km. In the fast charging mode, it can be charged to 80% in half an hour, which is very cost-effective.

　　Chery new energy xiaomayi

　　Official guide price: 66,900-82,900 yuan.

　　Little Ant is an entry-level model of Chery New Energy, and it has captured a large number of young consumers from the listing place, including many young ladies with extremely high values. With its lovely appearance and cruising range of more than 300km, it has gained a considerable number of orders.

　　It is easy to get confused about the names of the micro-sugar version, the semi-sugar version and the full-sugar version when I look at the configuration table for the first time. In fact, different sugars represent different configurations. The sweeter the configuration, the higher the configuration. All the models are equipped with ternary lithium batteries or lithium iron phosphate batteries in different configurations. Which one to choose depends entirely on personal preferences. In addition, the small ants adopt the layout of rear drive, which can provide driving pleasure. Only after they have tried it can they know whether it is as sweet as a cup of milk tea.

　　Nezha v

　　Official guide price: 62,900-12,080 yuan.

　　Nezha V is a rare small SUV pure electric vehicle in this class. After seeing enough mini or small hatchback, is this cute small pure electric SUV more appetizing?

　　Nezha V is equipped with a 40kW or 55kW permanent magnet synchronous motor. The NEDC cruising range can be 301km for the standard cruising model and 401km for the long cruising model. The layout of the front driver has made great contribution to the trunk volume of Nezha V. In the fast charging mode, it only takes half an hour to charge to 80%.

　　Zero run T03

　　Official guide price: 68,900-84,900 yuan.

　　Compared with other models, the zero-run T03 may have a lower brand awareness, but it is the fastest charging model in the slow charging mode among all the models recommended today. It takes only 2.75 hours for the entry-level model and 3.5 hours for other models to charge to 100%.

　　The design of the zero-run T03 is very classy, and it is easy to be recognized as an imported or joint-venture brand. It is worth noting that only the entry-level model of zero-run T03 is equipped with 55kW motor, and the cruising range of NEDC is 301km, while other models are equipped with 80kW motor, and the cruising range of NEDC reaches 401Km, which is not common in this level.

　　Baojun KiWi EV

　　Official guide price: 69,800-89,800 yuan.

　　Baojun KiWi EV is the most futuristic model among all the recommended models today. The two grooves on the bumper are very suitable for sitting in the front of the car to get a group of photos that are highly praised in the circle of friends. The rich body color matching is in line with the pursuit of personalized body color by young consumers.

　　Baojun KiWi EV is equipped with a 40kW permanent magnet synchronous motor, with a cruising range of NEDC of 305km, which can be charged to 80% in one hour in fast charging mode and 100% in slow charging mode. The battery life and charging efficiency are not excellent, but in the face of Baojun KiWi EV’s sci-fi modeling, it is quite necessary to forget the cost performance for a short time.

　　Redding mango

　　Official guide price: 29,800-56,900 yuan.

　　Everyone may have some models of the Reading brand, but Bidewen behind the Reading brand is famous, especially in the sales of electric bicycles. After finding the new target, the mango model launched by Reading Electric Vehicle, with a starting price of 29,800 yuan, has become the most direct competitor of the elderly scooter that cannot legally go on the road together with Wuling Hongguang MINIEV.

　　As Reading, who has little experience in building cars, Mango models are equipped with 25kW and 35kW motors, and only the top models equipped with 35kW motors support fast charging mode. Other models can only be charged through slow charging mode, and the charging rate is 100% in 8 hours. The cruising range of NEDC is 130km, 200km and 335km for top models with different battery capacity. Although the data is not excellent, the biggest advantage of reading mango is that the starting price is close to the people.