eye　　　record

　　preface

　　Chapter I Review of Development during the Thirteenth Five-Year Plan Period

　　(1) Development achievements during the 13th Five-Year Plan period

　　(2) Major issues during the 13th Five-Year Plan period

　　Chapter II Development Situation

　　(A) the urgent need to achieve high-quality development under the new mission

　　(B) Under the new expectations, it is urgent to improve the scale efficiency.

　　(C) Under the new requirements, it is urgent to establish a digital intelligence ecology.

　　Chapter III General Ideas and Development Goals

　　(A) the overall thinking

　　(2) Basic principles

　　(3) Development goals

　　Chapter IV Key Tasks

　　(1) Accelerate the construction and optimize the layout, and establish a network of charging and replacing facilities covering the whole city.

　　(B) Improve efficiency and optimize services, and build a consumer-centered charging service system.

　　(C) Multi-party cooperation and social governance to create a sustainable industrial development ecology

　　(D) Interconnection and upgrading of digital intelligence to improve the level of refined management and intelligent decision-making.

　　Chapter V Organizational Guarantee

　　(A) to strengthen organizational coordination

　　(B) the implementation of work responsibilities

　　(3) Do a good job in media publicity

Preface

　　During the "Thirteenth Five-Year Plan" period, Beijing’s new energy vehicles developed rapidly, the energy supply capacity and service level of new energy vehicles continued to improve, and the industrial ecological system and supporting policy system were gradually improved. The "14th Five-Year Plan" period is the first five years for China to start a new journey of building a socialist modern country in an all-round way and March towards the goal of the second century. It is also a crucial period for Beijing to implement its strategic positioning as a capital city and build a world-class harmonious and livable capital. Charging and replacing facilities for new energy vehicles, including charging piles and power stations, are an important part of the Party Central Committee and the State Council to speed up the construction of new infrastructure. The development of charging and replacing facilities for new energy vehicles is an important content to promote the digital, intelligent, green and integrated development of traditional infrastructure, and to build new infrastructure. It is also an important guarantee to promote the healthy development of new energy vehicle industry and help achieve peak carbon dioxide emissions and carbon neutrality. Strengthening the construction and management of charging and replacing facilities for new energy vehicles is an urgent task to speed up the electrification of motor vehicles at present, and it is also an important measure to improve urban infrastructure, facilitate residents’ travel and promote urban low-carbon development.

　　In order to fully implement the spirit of the State Council’s New Energy Automobile Industry Development Plan (2021-2035), the National Development and Reform Commission and other departments’ Implementation Opinions on Further Improving the Service Support Capability of Electric Vehicle Charging Infrastructure, and Beijing’s Implementation Opinions on Further Strengthening the Construction and Management of Electric Vehicle Charging Infrastructure, This plan is formulated in accordance with the Beijing Urban Master Plan (2016 -2035), the 14th Five-Year Plan for Beijing’s National Economic and Social Development and the Outline of Long-term Goals for the Year 2035, and the Urban Management Development Plan for Beijing during the 14th Five-Year Plan period.

　　Implementation period of the plan: 2021-2025

Chapter I Review of Development during the Thirteenth Five-Year Plan Period

　　(1) Development achievements during the 13th Five-Year Plan period

　　During the "Thirteenth Five-Year Plan" period, Beijing attached great importance to the construction of charging piles and power stations, and the infrastructure for charging and replacing new energy vehicles made great progress. From 2015 to 2020, under the background that the number of new energy vehicles has increased rapidly from 36,000 to 400,000, the number of charging piles in the city has increased from 21,000 to 230,000, and the number of power stations has increased from 5 to 159, forming a good situation of moderately advanced pile stations and coordinated development of vehicles and piles (stations). By the end of 2020, Beijing has formed a social public charging network with an average service radius of less than 5 kilometers in the plain area of the city, in which the charging service radius of key areas such as the central city, Beijing Economic and Technological Development Zone and Yanqing Winter Olympics Area has been less than 0.9 kilometers, basically achieving the planning objectives during the "Thirteenth Five-Year Plan" period, which has played an important role in guiding, supporting and ensuring the popularization and application of new energy vehicles.

　　1. The scale of facilities is leading in China.

　　The overall scale is at the national leading level. By the end of 2020, 159 power stations and 230,000 charging piles had been built in Beijing, including 175,000 private charging piles, 29,000 public charging piles, 19,000 internal charging piles and 7,000 business-specific charging piles. Covering social parking lots, unit compounds, residential communities, as well as postal services, public transportation, rental, sanitation and other fields, it is at the leading level in the country.

　　The level of development in various fields has been continuously improved. In the case that the proportion of fixed parking spaces for private minibuses in the city is about 30%, the proportion of private self-use piles with cars is about 60%. With the strengthening of the construction guarantee of private self-use piles, the willingness of car owners with fixed parking spaces to buy new energy vehicles is greatly enhanced. The internal charging piles in the unit have become an effective supplement to private self-use piles, meeting the basic charging needs of more than 100,000 new energy vehicles, and fully solving the problem of difficult construction of charging piles in residential areas by using workplace charging. The charging efficiency of public charging piles has been continuously improved, and the proportion of fast-charging piles has increased from 33% at the end of 2015 to 65% at the end of 2020, which has promoted the full coverage of charging piles in venues in the Winter Olympics and fast-charging piles in expressway service areas. In terms of business-specific piles, public transportation, sanitation, logistics, leasing and other fields have selected and excavated their own space resources, and built a total of 654 special charging stations and 143 taxi-changing stations, which have been widely promoted and applied through cooperative construction and leasing, basically meeting the operational needs of vehicles in the public service field.

　　2. The industrial structure has initially taken shape.

　　Diversified charging and replacing market. By the end of 2020, the city has more than 170 charging facilities construction and operation enterprises, and gradually formed a diversified charging market with head enterprises such as State Grid Beijing Electric Power Company, TELD, Star Charging, Yiwei Energy and Putian New Energy as the mainstay, supplemented by small and medium-sized enterprises. The number of charging facilities of five head enterprises accounts for more than 70% of the city’s public charging facilities. 159 power exchange stations form the largest city-level power exchange network in the world.

　　Multi-featured business model. Enterprises actively explore and form a multi-featured business model. The first is the private pile sharing business model represented by Star Charging and Chinese third-class enterprises, which provides private pile installation and maintenance services for automobile enterprises and private pile sharing services for users. The second is the whole chain development model of production, sales, construction and operation of charging facilities represented by special calls and star charging enterprises. Third, large-scale operating companies such as State Grid Beijing Electric Power Company and TELECOM rely on user traffic to set up advertising spaces on the charging APP to obtain additional revenue models. Fourth, charging pile+value-added service mode, with charging network as the entrance and additional value-added services such as sales, leasing and maintenance, such as "State Grid Mall", an e-commerce platform launched by State Grid. Fifth, the new energy vehicle power exchange service ecological network formed by power exchange operators represented by AUTO and Weilai, which integrates power exchange service, battery life cycle management, power demand side response and energy storage.

　　3. Strong policy system guarantee

　　Establish an all-round policy system. During the "Thirteenth Five-Year Plan" period, Beijing has successively issued more than 20 policy documents, basically forming an all-round policy service system covering planning, construction, operation and safety management. The policy coverage ranks first in the country, and the policy synergy effect is gradually emerging.

　　Realize "three firsts" throughout the country. First, it is the first in the country to provide financial support for the construction of internal charging facilities in the unit and encourage opening to the outside world, giving full play to the integrated advantages of convenient internal charging and public services. Second, it is the first in China to implement and continuously optimize the operation subsidy policy with comprehensive operation as the main evaluation index, and guide enterprises to actively improve their operation and management capabilities, improve service efficiency and service level, and the facility failure rate continues to decline. Third, in combination with the self-discipline requirements of China Charging Alliance logo (testing, certification) evaluation and other industries, it is the first in the country to issue the management measures for safety production of charging and replacing facilities, guide charging and replacing facilities enterprises to establish and improve the safety production management system, formulate safety inspection plans year by year, and entrust a third party to carry out special safety inspections to build a solid foundation for safety.

　　Form a local standard system that adapts to the characteristics of the capital. The Standard for Planning and Design of Charging Infrastructure for Electric Vehicles (DB11/T 1455-2017) was issued, which clearly defined the planning and layout, construction site selection, allocation and construction index, site design, facility design, electrical design, energy utilization and information system of charging infrastructure, and unified the planning, design and construction standards of charging facilities. Organize the revision of the Code for Operation and Management of Electric Vehicle Charging Stations (DB11/T 880-2020), which provides practical basis for the operation service, operation safety and guarantee requirements, occupation and disposal of oil vehicles, personnel management, complaint evaluation and improvement of electric vehicle charging stations. By issuing a number of local standards and norms, the standardization and standardization of the operation and maintenance of new energy vehicle charging and replacing power stations have been promoted, and a characteristic local standard system that leads the country and adapts to the capital has been formed.

　　4. Breakthrough in key technologies

　　The charging and replacing efficiency is greatly improved. The taxi-to-power station realizes rapid power exchange in 1.5 minutes, and the single-station service capacity reaches 600 vehicles/day. In the future, Science City will be the first public charging station in China with a single gun output of 360 kW, which can be charged for 5 minutes and run for 200 kilometers.

　　Some progress has been made in the integration technology of optical storage and charging. The light storage and charging integrated charging station of the Universiade Village in Haidian District of Jingneng Electric Power was completed and put into operation, realizing a new energy supply mode of three-dimensional parking+roof distributed photovoltaic+lithium battery energy storage+large charging station. Charging pile enterprises such as Putian New Energy and Zhichong Technology explore the construction of video charging integrated pile.

　　Carry out a number of key technical research. Enterprises such as Star Charging, China Merchants Sanyou, TELECOM, etc. respectively carry out research and development of charging robots and flexible charging technologies. State Grid Beijing Electric Power Company has accelerated the research and development of vehicle-network collaborative technology and accelerated the pilot demonstration of intelligent and orderly charging facilities in residential areas.

　　5. Interconnection has been continuously strengthened

　　Establish a "1+N" platform system. Relying on the public service management platform of charging facilities in Beijing, a service system of "one municipal platform +N enterprise platforms" was constructed, which promoted the integration of information and data among different platforms and enterprises, and formed a multi-level interconnection model of "government supervision and guidance+enterprise market operation".

　　Social services and industry management capabilities have been continuously enhanced. Relying on the public service management platform of charging facilities in Beijing, the functions of status inquiry, route navigation, online payment, charging quantity monitoring and safety supervision have been realized for more than 90% operating enterprises, large supermarkets, transportation hubs, P+R parking lots, park scenic spots, expressway service areas and other places in the city, providing information and data support for government decision-making, industry management and user service.

　　(2) Major issues during the 13th Five-Year Plan period

　　1. It is difficult to build charging facilities in residential areas.

　　Charging piles in residential areas have not been built according to local conditions. Some residential areas are restricted by hardware conditions such as parking, electricity, etc., or are not supported by the property, and other owners disagree, etc., and the construction of private self-use piles and community public piles is hindered. The key lies in the unclear relationship between rights and responsibilities of all parties concerned.

　　2. The utilization rate of charging facilities is low.

　　First, there are excessive advanced construction and unreasonable spatial layout of social public charging facilities in some areas, which leads to waste of social resources; Second, the electricity and parking fees of some social public charging piles are too high, and the comprehensive charging cost is much higher than other charging facilities; Third, the occupation phenomenon of non-rechargeable vehicles has not been completely eliminated, and the contradiction between parking and charging still needs to be further solved; Fourth, the internal piles of the unit and the public piles of the community are not open enough to the outside world, so it is difficult to make full use of them.

　　3. The service level of facilities needs to be improved.

　　The development mode of emphasizing construction over management in the industry leads to the need to improve the charging service level, and the increasingly diversified charging needs still need to be further met. In order to solve the basic charging demand and emergency power supply demand, and better meet the multi-dimensional demand characteristics of charging time, speed, location, price and matching, it is urgent to realize refined management and establish a new dynamic matching relationship between supply and demand.

　　4. The intelligent level of facilities needs to be improved.

　　The interconnection of charging and replacing infrastructure is mainly limited to public charging and replacing facilities, and the coverage of self-use and special charging and replacing facilities is insufficient, so the value of information and data is difficult to play. At the same time, as the core interface of transportation and energy, and the key anchor point between dynamic and static of electric vehicles, the charging and replacing infrastructure has not been interconnected with electric vehicles and parking lots, and the support for orderly utilization of facilities and full sharing of resources is insufficient.

Chapter II Development Situation

　　With the promulgation and implementation of the National New Energy Vehicle Industry Development Plan (2021-2035), the development of new energy vehicles will enter a new stage of accelerated development. As a new type of infrastructure, charging and replacing facilities will also enter an important window period of rapid technology iteration and industrial transformation and upgrading during the "14th Five-Year Plan" period, which needs to be closely combined with the strategic deployment of the national new energy automobile industry development, and be considered as a whole with the 14th Five-Year Plan of Beijing and the long-term goal in 2035. Generally speaking, the development of charging and replacing facilities during the 14th Five-Year Plan period faces three major situations: new mission, new expectation and new requirements.

　　(A) the urgent need to achieve high-quality development under the new mission

　　As one of the seven major areas of new infrastructure construction, charging and replacing facilities undertake the important mission of supporting the strategy of strengthening the country by automobiles, promoting the national new energy revolution and stimulating new kinetic energy for economic development. On the one hand, the Supreme Leader General Secretary pointed out that "developing new energy vehicles is the only way to become a powerful automobile country". As an important guarantee for the popularization of electric vehicles, charging and replacing facilities are also an organic part of China’s powerful automobile country. The "14th Five-Year Plan" of charging and replacing facilities should be planned around the high-quality development of charging and replacing facilities. On the other hand, the new energy revolution to promote the transformation from traditional fossil fuels to electrification will be carried out in depth, and the release of "New Energy Automobile Industry Development Plan (2021-2035)" has further strengthened China’s strategic determination to develop new energy vehicles; The 14th Five-Year Plan for Beijing’s National Economic and Social Development and the Outline of Long-term Goals for the Year 2035 also clearly stated that strategic emerging industries such as new energy smart cars will be vigorously developed. It is predicted that during the "14th Five-Year Plan" period, driven by the three major factors of economy, energy and environment, Beijing will accelerate the scale development of new energy vehicles, from the existing 400,000 vehicles to 2 million vehicles, and put forward corresponding requirements for the scale and quality of charging and replacing facilities. At the same time, under the new pattern of double circulation in the international and domestic markets, charging piles, as a new type of infrastructure, will be organically integrated with technologies such as 5G, big data, artificial intelligence and car networking.It will become a central node connecting automobile, energy and Internet industries, leading to the expansion of domestic demand and injecting new kinetic energy into China’s economic growth.

　　(B) Under the new expectations, it is urgent to improve the scale efficiency.

　　Charging and replacing facilities have experienced a large-scale expansion in the "13th Five-Year Plan" period, and the "14th Five-Year Plan" period will enter a new stage in which both scale and efficiency will be developed. Based on the people’s yearning for a better life, the society has also put forward new expectations for the automobile charging and replacing service. From the basic demand of "having piles to use" in the past, it has further upgraded to the quality demand of "using well", paying more attention to the charging experience in terms of charging speed and service quality. Therefore, during the "14th Five-Year Plan" period, charging and replacing facilities not only need to achieve scale growth, but also need to pay attention to the improvement of charging and replacing efficiency and service level, and strengthen the integration and coordinated development of electrification, networking and intelligent technology, so as to meet the needs of large-scale development of new energy vehicles, improve the public service guarantee ability of charging and replacing facilities, and meet people’s new expectations for higher efficiency and better experience of charging and replacing facilities.

　　(C) Under the new requirements, it is urgent to establish a digital intelligence ecology.

　　At present, China has entered a new development stage of vigorously developing the digital economy and promoting the modernization of governance system and governance capacity, which has brought important opportunities and higher requirements for the upgrading and transformation of the industry and the improvement of governance capacity. During the "14th Five-Year Plan" period, the charging and replacing facilities industry urgently needs to seize a new window of digital economy development. Based on the improvement of the interconnection level of charging and replacing facilities with big data, it will further accelerate the digital and intelligent upgrading of the industry, so as to achieve more detailed and intelligent decision support for overall planning of charging and replacing facilities, optimization of spatial layout, promotion of charging services, and efficient supervision of the industry. At the same time, it is also urgent to further deal with the relationship between the government, enterprises and consumers, build a coordinated development ecology with consumers as the core and industry-leading enterprises as the guide, covering cross-industry and cross-field integration and innovation such as charging and replacing facilities, new energy vehicles, energy supply and parking, and form a new pattern of social co-governance with multi-participation and win-win cooperation.

Chapter III General Ideas and Development Goals

　　(A) the overall thinking

　　Guided by Socialism with Chinese characteristics Thought of the Supreme Leader in the New Era, thoroughly implement the spirit of the 19th National Congress of the Communist Party of China and its previous plenary sessions, fully implement the spirit of a series of important speeches made by the General Secretary of the Supreme Leader to Beijing, fully implement the development concept of innovation, coordination, green, openness and sharing, base on the development orientation of new infrastructure construction of charging and replacing facilities, and according to the strategic deployment of national new energy vehicle development, Closely combined with the development trend and structural characteristics of new energy vehicles in Beijing, in accordance with the overall development idea of "optimizing layout to ensure increment, standardizing management of living stock, and problem-oriented to make up for shortcomings", we will adhere to the people-centered principle, focus on the combination of scale and efficiency improvement, supply-side structural optimization and demand-side orderly guidance, and build a charging network with "residence and office charging as the mainstay, supplemented by rapid power supply by public utilities" and a "reasonable and efficient and intensive layout" power exchange. Form a service system with high efficiency and excellent experience, and build a new industrial ecology with sustainable business model and coordinated development in many ways, which will provide strong support for promoting the high-quality and sustainable development of the new energy automobile industry, accelerating the construction of an automobile power, and promoting the green and low-carbon transformation of energy.

　　(2) Basic principles

　　Adhere to market-oriented scale. Give full play to the market’s resource allocation function, establish a sound support policy system, guide the large-scale development of the industry, and form a standard, standardized, convenient and efficient service system to meet diversified and differentiated service needs.

　　Promote the integrated development model. Strengthen the linkage between the two levels in urban areas, fully mobilize resources such as real estate development, property services, venue leasing, parking management, vehicle production, product manufacturing, facility operation, platform construction, power supply, investment management, etc., promote integrated development and provide diversified services.

　　Stick to the bottom line of safety and security. Strengthen the supervision and management of product manufacturing, installation and operation, promote the verification, certification and acceptance of facilities, carry out safety inspection and hidden danger investigation, play the role of platform safety early warning, strengthen assessment and evaluation, and urge the implementation of responsibilities.

　　Strengthen life cycle management. From the production and sales, planning and construction, operation and service, maintenance and management, retirement and other aspects of charging and replacing facilities, we will standardize the work requirements of each link, strengthen the operation and maintenance, upgrading and system upgrading of charging and replacing facilities, and realize the closed-loop management of charging and replacing facilities throughout their life cycle.

　　Improve the industry management mechanism. Improve the development mode of residence+office charging, supplemented by social public charging and replacing electricity. Establish the access, renewal and withdrawal mechanism of charging and replacing facilities, improve the subsidy methods and rules for charging and replacing facilities, take improving the management service level and solving hot issues of public opinion as the starting point, and give play to the policy incentive role of encouraging the advanced and eliminating the backward.

　　Focus on hot and difficult issues of people’s livelihood. Adhere to the hot and difficult issues such as the difficulty in the construction and management of charging piles in residential areas, establish and improve the charging pile construction and management system in residential areas, clarify the rights and responsibilities of relevant stakeholders in the process of charging pile construction and management, and explore the establishment of a new model demonstration model.

　　Establish a unified supervision platform for the whole city. Strengthen the interconnection of charging and replacing facilities in different regions, different enterprises, different platforms and different categories, strengthen the data sharing between charging and replacing facilities and traffic operation, power grid operation, parking management and other systems, improve the level of digital intelligence, improve service efficiency and support government decision-making.

　　(3) Development goals

　　By 2025, a charging and replacing facilities system that matches the development of 2 million new energy vehicles, uses charging and replacing facilities in an efficient and orderly manner, integrates and cooperates across departments, and realizes digital intelligence upgrading in the industry will be basically built, which is embodied in the following "three ones":

　　1. Establish a network of facilities covering the whole city to support the demand for charging and replacing 2 million new energy vehicles.

　　On the overall scale, by the end of the "14th Five-Year Plan" period, we will strive to reach 700,000 charging piles in the city, including 570,000 charging piles for personal use and public use in residential areas, 50,000 charging piles in units, 60,000 charging piles for public use and 20,000 charging piles for special business. The scale of power exchange stations has reached 310.

　　In terms of service radius, by the end of the Tenth Five-Year Plan period, a network of public charging facilities will be established in the plain area of the city, with 3 kilometers to find piles and 0.9 kilometers to find piles in the core area, so as to realize "easy to find and easy to use"; The average service radius of power exchange is less than 5 kilometers.

　　In terms of charging structure, by the end of the 14th Five-Year Plan period, the proportion of fast and slow charging of social public piles in the central city is not less than 2: 1, and that of social public piles in other areas is not less than 1: 2.

　　2. Build an efficiency-oriented service system to meet the needs of charging and replacing electricity and service improvement in different fields.

　　Focusing on improving the use efficiency and service level, we will promote the layout of charging facilities to match the charging needs of new energy vehicles in various fields of transportation, significantly improve the convenience of power supply and user satisfaction of new energy vehicles, and effectively guarantee the safety of power supply and supporting services. In the aspect of charging in residential areas, through the combination of "private charging piles+community public charging piles+new technology and new mode application", the problem of charging facilities construction in residential areas is effectively solved, and the charging guarantee ability is improved; In terms of internal charging, the combination of financial support, strengthening management and encouraging sharing will continuously improve the scale of facilities and service quality of charging piles in the unit, and form an effective complement with charging piles in residential areas; In terms of social public charging, by focusing on key scenes such as the large gap between supply and demand in the central area, the construction gap in rural areas, and the expressway service area, the facility layout optimization and the service level are simultaneously improved; In terms of special charging, space tapping and enterprise cooperation are combined to strengthen the service guarantee of charging piles in special fields such as public transportation, rental, logistics and sanitation. Explore the establishment of a comprehensive demonstration zone for charging services in key areas such as "three cities and one district". In the aspect of power exchange, the spatial layout of power exchange station is optimized as a whole to promote the development of vehicle-electricity separation mode.

　　3. Create a coordinated industrial ecology and realize a good situation of sustainable business model innovation and social co-governance.

　　By promoting the coordinated development and cross-domain integrated cooperation of charging and replacing facilities in various fields, we will create an industrial development ecology in which the government, enterprises and consumers participate together. By giving play to the leading and benchmarking role of high-quality enterprises, we will promote the establishment of a sustainable business model in the industry and lead the transformation and upgrading of the industry. By aggregating multi-dimensional data, we will strengthen the interconnection of charging and replacing facilities in different fields, accelerate the upgrading of digital intelligence in the industry, and improve the level of refined management and intelligent decision-making.

Chapter IV Key Tasks

　　(1) Accelerate the construction and optimize the layout, and establish a network of charging and replacing facilities covering the whole city.

　　1. Take measures to promote the construction of charging facilities in residential areas.

　　Accelerate the research and formulation of opinions on the construction and management of electric vehicle charging facilities in residential areas, clarify the rights and responsibilities of all stakeholders, and optimize the construction process of charging facilities in residential areas. For newly-built residential areas, the main responsibility of real estate development enterprises should be implemented, parking charging facilities should be equipped or installation conditions should be reserved in strict accordance with the planning and design requirements, and power supply facilities such as pipelines and bridges should be built into parking spaces when installation conditions are reserved, so as to meet the needs of direct electricity installation. For the fixed parking spaces with conditions in the stock community, the shortcomings in infrastructure construction should be made up in accordance with the principle of "all should be loaded". For the old community, the supplementary parking spaces and charging piles will be included in the comprehensive improvement project of the old community. Piloting the unified construction and uniform service model, and encouraging qualified enterprises to carry out construction and operation through market-oriented cooperation. Encourage the construction of DC fast charging public charging piles in public areas and surrounding places of the community according to a certain proportion, and give subsidies and support. Encourage private pile sharing mode and encourage the construction of intelligent charging piles with orderly charging control function. For areas with sharp contradiction between supply and demand and obvious tidal characteristics, it is encouraged to promote charging methods such as mobile charging vehicles to solve the problem of charging difficulties.

　　2. Strengthen the management of internal charging facilities.

　　Encourage qualified government agencies, public institutions, enterprises and institutions, combined with the actual needs, use the internal parking lot resources of the unit to build charging facilities with a combination of speed and speed, and give construction subsidies. Promote relevant units to apply to the local power supply company for installing energy-saving and emission-reduction nuclear reduction meters to achieve independent measurement. Under the condition that the electricity consumption of public charging facilities in the unit is measured separately, the electricity consumption of non-official vehicles is deducted from the electricity consumption statistics to promote energy efficiency improvement. Encourage charging pile operators to set charging service fees in accordance with the principle of marketization, and encourage the internal charging facilities of the unit to open and share at different times.

　　3. Strengthen the construction of public charging facilities in key areas.

　　Incorporate the construction of charging and replacing facilities into the special planning of municipal infrastructure, and formulate the layout planning of charging and replacing facilities in combination with various plans at all levels to improve the charging and replacing network in the block. For key functional areas such as central city, "three cities and one district", Yanqing Winter Olympics area, Capital Airport area, Daxing Airport Economic Zone, large supermarkets, logistics parks, key scenic spots, transportation hubs and other places with large demand and insufficient supply, as well as areas with public charging facilities such as expressways, suburban attractions and rural areas, we will support the construction and operation through subsidies, and guide the rational layout of social public piles. Efforts will be made to solve the problem of uneven development of public charging facilities, speed up the construction of a street (township) public charging basic guarantee network, and enhance the public service guarantee capacity. In view of suburban attractions, rural areas and other areas with weak charging service capacity, we will make overall arrangements, select sites with power capacity expansion and on-site construction and transformation conditions, and introduce charging pile operators to carry out charging pile construction and operation. Encourage the use of marginal, scattered and idle land of enterprises and institutions to build social public charging piles, and encourage township areas to use collective land to build social public charging piles.

　　4. Strengthen the integration of charging and replacing facilities in Beijing, Tianjin and Hebei.

　　Incorporate the construction of fast-charging piles into the supporting infrastructure of expressway service areas, clarify the standards and specifications for the construction of fast-charging stations in expressway service areas, further improve the charging capacity of expressway service areas, and promote the full coverage of expressway fast-charging networks in Beijing, Tianjin and Hebei. Based on the requirements of the integrated development of Beijing-Tianjin-Hebei, we will further promote the planning and construction of charging and replacing facilities in Beijing-Tianjin-Hebei, explore the establishment of an information service platform for unified charging and replacing facilities in Beijing-Tianjin-Hebei, unify information and data collection and exchange protocols, and establish an information and data sharing mechanism.

　　5. Promote the development of special charging facilities in key areas.

　　Coordinate the resources of special charging stations in key areas such as public transportation, logistics, sanitation, postal services and tourism, and promote the simultaneous planning and construction of charging and replacing facilities and stations. Select qualified special stations and explore the construction space of charging and replacing facilities in the stations. Support enterprises to use their own stations to build special charging and replacing facilities, appropriately simplify the examination and approval procedures for supporting power grid construction and transformation projects, and encourage qualified charging stations to open to the public. Encourage charging pile enterprises to cooperate with special vehicle enterprises, and build high-power fast-charging piles and special parking spaces in hot spots such as the operation and parking of special vehicles around the Fifth Ring Road, the Sixth Ring Road, major high-speed entrances and exits into the city, long-distance passenger stations, logistics parks, passenger transport and freight distribution centers, and encourage logistics enterprises to implement the charging mode of "self-owned stations as the mainstay, supplemented by social utilities".

　　6. Promote the construction of power exchange stations and encourage the development of vehicle-electricity separation mode.

　　Promote the planning and site selection of power station, select qualified construction sites, improve the management procedures of power station construction and operation, and optimize the spatial layout of power station. Give operating subsidies to qualified power exchange stations, encourage the construction of charging and replacing integrated stations and the development of vehicle-electricity separation mode, and guide the coordinated development of charging and replacing modes. Encourage power exchange enterprises to conduct unified management of onboard batteries and power exchange station batteries, and promote the formation of unified power exchange standards in major areas. Encourage the cascade utilization of batteries and promote the application of retired batteries in power grid coordination. Guide all kinds of funds and investment companies to participate in the financing of power exchange stations and vehicle-electricity separation operation projects.

　　7. Promote the construction of a network of urban vehicle energy and power.

　　Carry out collaborative planning research on energy supply infrastructure based on vehicle energy structure transformation, and realize the orderly connection and rational allocation of traditional energy supply infrastructure such as gas stations and new energy supply infrastructure such as charging and replacing facilities. Promote the construction of a network of urban vehicle energy and power, support the use of existing venues and facilities, and carry out comprehensive energy supply services.

　　(B) Improve efficiency and optimize services, and build a consumer-centered charging service system.

　　1 to improve the efficiency and service level as the focus to improve the subsidy assessment system.

　　Improve the subsidy policy for the construction and operation of charging facilities, quantify the assessment requirements for the scale, management level and service level of charging facilities in enterprises, increase the weight of the utilization rate of charging facilities in the assessment criteria for the operation of public charging facilities, and reflect the policy incentive effect of "encouraging the advanced and eliminating the backward". In view of the hot issues reflected by users, a rapid response mechanism is established, a collaborative work system of "corporate responsibility, industry self-discipline and government supervision" is established, the disposal of enterprises is included in the operation assessment criteria, and the exit mechanisms of "zombie enterprises" and "zombie piles" are established. We will build and improve supporting service facilities for charging and replacing electricity, set up evaluation standards for high-quality supporting services for charging and replacing electricity, and guide and publicize excellent demonstration sites. For the guaranteed charging service site, formulate and improve the identification standards and operational service requirements, and encourage charging pile operators to actively participate in the guaranteed charging service.

　　2. Promote appointment charging and changing and intelligent and orderly charging.

　　Promote the pilot demonstration of public charging and replacing facilities in hot spots, cultivate users’ booking behavior habits, grasp the characteristics of users’ needs, guide users to charge and replace electricity at wrong peaks, and improve the utilization rate of facilities. Promote intelligent and orderly charging, study and formulate standards and control strategies for charging piles in residential areas to access the power grid, and establish a multi-level intelligent and orderly charging management system in residential areas. Study the time-of-use electricity price policy of residential charging, and improve the comprehensive utilization efficiency of power grid through digital intelligent control means.

　　3. Study and establish a social evaluation mechanism with user experience as the core.

　　Taking the consumer experience as the core, making full use of multi-dimensional big data such as facility operation and vehicle operation, and focusing on the service, quality and efficiency of charging facilities, a socialized evaluation mechanism for charging facilities industry is established. Promote the identification evaluation based on the service capacity, management level and service level of charging facilities, distinguish identification certification piles and non-identification certification piles with eye-catching signs, increase the publicity and guidance of identification certification piles, guide enterprises to pay attention to public evaluation and quality reputation assessment, and cultivate a number of high-quality enterprises with scale and brand effect.

　　4. Strengthen the research and development and demonstration application of key technologies.

　　Give full play to the main role of enterprise innovation, actively promote the research and development of key technologies such as rapid charging and replacing, high-power charging, high-energy density battery, intelligent and orderly charging, vehicle-network cooperation (V2G), wireless charging, integration of source, network, load and storage, integrated station of optical storage and charging and replacing, integrated pile of video charging, battery cascade utilization, safety monitoring and early warning of distribution system, information sharing and unified settlement system, and promote the demonstration application of key technologies. Encourage orderly charging, vehicle-network cooperation, source-network load storage and other technologies to participate in power grid load regulation and control, and improve the utilization rate of power grid resources.

　　(C) Multi-party cooperation and social governance to create a sustainable industrial development ecology

　　1. Promote the integrated development of charging, replacing and parking.

　　Encourage the combination of charging stations and commercial real estate, build integrated service facilities for charging, replacing and parking, improve the charging service capacity of public places and expand value-added services. Explore the construction and operation of charging facilities into the assessment requirements of public parking lots, guide parking management units to carry out general care for charging and replacing facilities, promote the construction of special charging berths in public parking lots, and implement the management responsibility of special charging berths in public parking lots. Vigorously promote the integrated settlement of parking fees, electricity charges and service fees and package discounts. Aiming at the problem of parking fees caused by charging, this paper studies and explores the multi-party sharing mode of charging pile operators, parking lot operators and users.

　　2. Promote the coordinated development of charging facilities in various fields and the innovation of electricity consumption mechanism.

　　Promote the coordinated development and cross-disciplinary cooperation of charging facilities in various fields, encourage social participation, encourage innovation in construction, operation, service and management modes, and promote cross-disciplinary open sharing. Study the "green electricity trading" mechanism, so that the construction and operation enterprises of charging and replacing facilities and electric vehicle users can enjoy the preferential policies related to the consumption of clean energy.

　　3. Improve the quality supervision and safety supervision system of charging and replacing facilities.

　　Continue to strengthen the quality supervision and management of the production, construction and installation of charging and replacing facilities, and strengthen the product quality and safety responsibility of automobile, battery and charging and replacing facilities manufacturers. Strengthen the quality inspection, identification evaluation and construction project acceptance management of charging and replacing facilities and equipment, and focus on strengthening the quality supervision of charging facilities in residential areas. Give full play to the responsibility of territorial safety supervision, and organize the safety inspection and hidden danger investigation of electric vehicle charging and replacing facilities. Explore the indicators such as the success rate of one-time charging, the availability of equipment, the accuracy of measurement, and the passing rate of identification evaluation into the enterprise assessment. Establish a fire safety accident traceability mechanism, strengthen the source safety responsibility of car companies and battery companies, and form a safety supervision system covering charging facilities in various fields. Strengthen the online real-time monitoring function, give full play to the role of platform security early warning, and promote the exchange and sharing of cross-platform security early warning information. Improve the insurance system of charging and replacing facilities, and reduce the risk of enterprise operation and user use.

　　(D) Interconnection and upgrading of digital intelligence to improve the level of refined management and intelligent decision-making.

　　1. Strengthen the integration of data resources of charging and replacing facilities.

　　Establish and improve static and dynamic data transmission standards and data acquisition mechanisms for charging and replacing facilities in various fields. Further strengthen the interconnection of various charging and replacing facilities, and encourage the information transformation of charging facilities in existing residential areas. Promote head enterprises to take the lead in integrating information and data resources of different platforms and enterprises through marketization, and give full play to the advantages of information and data collection.

　　2. Promote the sharing of vehicle, pile and position information data.

　　Accelerate the data integration of charging and replacing facilities supervision platform with new energy vehicle monitoring data platform and parking lot operation management platform, and explore the construction of an integrated supervision system for vehicles, piles and parking spaces. Establish a data sharing mechanism related to new energy vehicles, clarify the technical interface standards for data sharing of new energy vehicles, charging piles and parking spaces, and explore interconnection with travel platform orders. Formulate a charging data security system, build a unified vehicle, pile and location identity authentication and security trust system, ensure data security in the process of charging data collection, transmission and utilization, and strengthen information data security management throughout the life cycle.

　　3. Strengthen the government decision-making support function.

　　Based on the existing platform, the functional architecture is upgraded and integrated, the three-level system construction of "data aggregation layer-social service layer-decision support layer" is improved, and the decision support function is strengthened, so as to realize the refined decision support in the scenarios of social performance evaluation, layout optimization guidance, charging facilities assessment and charging safety guarantee.

Chapter V Organizational Guarantee

　　(A) to strengthen organizational coordination

　　Give full play to the overall coordination role of the joint meeting of new energy vehicles in the city, establish and improve the collaborative promotion mechanism led by the Municipal Urban Management Committee and coordinated by various industry authorities in different fields, clarify the division of responsibilities, and improve supporting policies.

　　(B) the implementation of work responsibilities

　　The district governments earnestly undertake the responsibility of organizing and promoting the development of electric vehicle charging and replacing facilities as a whole, give full play to market forces to participate in construction and operation, put the construction and management of charging and replacing facilities as a special government task on the agenda, formulate work plans and strictly implement them.

　　(3) Do a good job in media publicity

　　Organize relevant departments, trade associations, enterprises and news media to publicize the development policies, planning and layout, construction trends, new technologies and models of charging and replacing facilities through various forms, strengthen the guidance of charging and replacing demand, respond to the masses in time, improve service quality, and play the role of social supervision and social evaluation.

Topic: Global Blocking of Influenza A (H1N1)

Infectious disease expert Zhang Yanping

　　　 CCTV News: Zhang Yanping, an expert in infectious disease prevention and control in China Center for Disease Control and Prevention, had an online exchange with CCTV netizens on the prevention and control of new influenza A (H1N1). Zhang Yanping answered the question that netizens are concerned about whether H1N1 is a common disease or a difficult disease. He thinks that H1N1 is an infectious disease of respiratory tract, not a difficult disease, and it can be completely prevented and controlled according to the epidemic characteristics of influenza.

Video playback > > >　　 　Live pictures > > >　　　 　Interview record > > >　　　 Special topics on prevention of influenza A (H1N1) > > >

◆ Don’t worry about catching influenza A (H1N1) except in special circumstances (Figure) Details > > >

◆ Influenza A (H1N1) is not a difficult disease (Figure) Details > > >

◆ Infectious disease expert: The mortality rate of the new H1N1 influenza is relatively low (Figure) Details > > >

◆ There is no scientific basis for the statement that "young people are susceptible to viruses" (Figure) Details > > >

◆ Timely medical treatment is the key to prevent influenza A (H1N1) Details > > >

◆ At present, you don’t need to buy a mask disinfectant, you should strengthen your exercise. Details > > >

　　　 Zhang Yanping said that influenza A (H1N1) is a new infectious disease, which has just appeared, and we lack a basic understanding of its epidemic law and characteristics. It has not been found in the mainland, so the information we get is the basic information obtained through the exchange between the World Health Organization or some other institutions, not to say that it is a difficult disease, because it is an infectious disease of respiratory tract, and we have a basic understanding of common influenza and seasonal influenza, which we can completely prevent and control according to the epidemic characteristics of this disease.

　　　 Zhang Yanping said that the emerging disease can be called a new type of influenza A (H1N1), and the common influenza prevalent in China can be called seasonal influenza. First of all, the two diseases have different meanings and different genotypes. In addition, infectious diseases are the same, consistent, all patients and normal people mentioned just now, and the transmission route is the same, except that the virus of influenza A (H1N1) is reported to be mainly young and middle-aged. In addition, the epidemic performance is similar. Another important feature is that our seasonal flu has a corresponding vaccine, but this new type of flu has no vaccine at present.

　　　 Zhang Yanping told netizens that the Institute of Virus Prevention of China Center for Disease Control and Prevention, where he works, is an institution engaged in the prevention and control of infectious diseases, mainly focusing on the basic structure of these viruses and the whole development. For this time, our main task is to research and develop diagnostic reagents for influenza A (H1N1), which have been developed in this respect and may be diagnosed within 12 hours if necessary.

Editor: Liu Yuan

As the "king of fruit", people still have many questions about it, such as whether it is "fragrant" or "smelly"? Does durian shell have any other use value besides pricking people? Who should eat durian carefully … Don’t worry, let’s talk about durian in this article.

Is durian fragrant or smelly?

People have different opinions on the smell of durian, which is a combination of fragrance and odor. Some people say it is super "fragrant", while others say it smells like a gas tank. If durian is baked in the oven, it may be misunderstood by neighbors as "baking shit".

Why does durian smell so special?

In fact, the normal smell of fresh durian is very sweet, accompanied by onion flavor and elegant fruit fragrance, which is very delicious. However, if the picking time is too late and the durian is over-ripe on the tree, it will emit a sulfur smell. In addition, if durian is kept in a closed environment, it will also give off a special smell.

Some people have analyzed the flavor components of seven common durians, and found that there are 58 kinds of volatile substances in durian, so it has a strong flavor. Because of the existence of esters and sulfides, durian has its own unique and strong fragrance. Among them, sulfur compounds make durian produce a unique "onion-sulfur" smell, and different contents and proportions will also make people have different perceptions and evaluations. Sulfide components are the highest in Jinfeng durian, so its smell is the most special and strong; The existence of esters makes durian have fruity aroma and pleasant smell, which is the highest among the golden pillow durian, but it will also be affected by factors such as heredity, environment (temperature, rainfall, altitude), cultivation and harvesting technology.

How about durian nutrition?

Durian is delicious, but its nutrition is really good.

-Vitamins: Durian has better vitamin content than many common fruits, such as vitamin B, vitamin E, nicotinic acid, etc.

-Minerals: Durian has good potassium and magnesium content, especially the potassium content is as high as 261 mg /100 g, which is higher than that of bananas that can supplement potassium in everyone’s mouth. Eating 100 g can meet 13% of the daily potassium demand of the general population, which is also very helpful for controlling blood pressure.

-protein: Although the quality of protein in fruit is not as good as that of meat, eggs and milk beans, in terms of content, the protein content of durian is considered as the best in fruit, which can provide 2.6 grams of protein per 100 grams, 6.5 times that of apples.

-Dietary fiber: According to the nutrition database of USDA, the total dietary fiber content of durian is 3.8g/100g, which is 1.6 times that of apple.

However, although durian is rich in nutrition, its calories can not be underestimated. The calorie per 100 grams is as high as 150 kilocalories, which is equivalent to a small bowl of rice.

How to use durian shell and durian core?

Although durian is soft inside, it is covered with armor and thorns. Most people throw away durian shells and durian cores when they eat durian, thinking that it is useless to keep these two goods.

▲ Figure: durian shell (left) and durian core (right)

In fact, they can really use it. Both the white pulp endothelium of durian shell and durian stone can be used to make soup, which can increase the flavor of soup. Durian stone can also be cooked and eaten alone. After cooking, peel off the outside and there is a small nut inside, which tastes a bit like chestnut and is quite delicious.

▲ Figure: Small nuts in durian core

In addition, durian shell and durian stone also have some nutritional value. Animal experiments show that the extract of white pulp endothelium from durian shell has certain anti-inflammatory effect; Durian stone contains vitamins, minerals and other nutrients.

How to buy a good durian?

-Look at the crack: durian will crack when it matures. Try to choose a smaller crack, which will increase the risk of pollution.

-Look at the color: With the increase of durian maturity, the durian shell will gradually turn yellow, which may be caused by the increase of β -carotene content. Therefore, choosing durian with a yellow shell means that it is relatively more mature. If the color is blue, it means that the maturity is not enough, and the taste may be worse.

-Smell: Choose something sweet and fruity, and don’t choose something with obvious odor, which may be too mature or deteriorated.

-Touching the fruit thorns: With the increase of durian maturity, the fruit thorns will gradually soften and the thorns will turn brown. If the durian thorns are blue or hard, it is not mature enough.

▲ Figure: The tip of the fruit thorn turns brown.

-Tap to listen to the sound: When the fruit reaches a certain maturity, there will be a gap between the pulp and the shell. When something is tapped on the fruit (such as the back of a knife), it will make a hollow sound.

-Variety selection: Durian with golden pillow is the largest, with more pulp, smaller seeds and high edible rate, but with thick peel and high organic acid content; Maoshanwang durian has large fruit, more pulp, thicker peel and higher soluble solids content.

How to store the durian I bought?

If durian is left too long, it will make people smell bad more easily. This is because durian is a climacteric fruit, which means that during the period from the stop of growth to the beginning of aging, the respiratory rate will suddenly increase and there will be a peak. This process will release ethylene, the respiration will rise rapidly, and the fruit will be more mature.

It was found that durian’s respiratory jump was very active at 24℃, 27℃, 30℃ and 33℃. Too mature durian is easy to rot and stink.

Therefore, in order to inhibit the degree of respiratory jump of durian during storage, it must be placed in a low temperature environment. However, because it belongs to tropical fruit, chilling injury will occur if the storage temperature is too low, especially when it is stored with skin. For example, durian with golden pillow will suffer chilling injury when it is stored at 13℃.

Therefore, if the durian is shelled, it is recommended to store it at about 15℃, and it can be stored for about 3 weeks at the longest. Because durian meat is less prone to chilling injury than durian shells, durian meat can also be peeled off separately, wrapped with plastic wrap and stored in the refrigerator. Depending on the maturity, it can be stored for up to one month, but the flavor may deteriorate if it is stored for too long, and it is best not to exceed half a month.

In addition, durian pulp can also be frozen and preserved, even if it is preserved for more than 3 months, the flavor is still good, and a durian ice cream can be harvested.

Who should eat durian carefully?

Although durian has a unique flavor and a smooth and sweet taste, not everyone can eat it. There are four types of people who must eat less or not eat durian.

-Diabetic patients: Although its GI value (glycemic index) is not very high, only 49, which is a food with low GI, its carbohydrate content is as high as 28.3 g /100 g, which contains sucrose, glucose, maltose and fructose. After eating 100 g of durian, the GL (glycemic load) is more than 10, and the range of blood sugar increase is quite obvious.

Therefore, if you have high blood sugar, try not to eat it.

-Obese people: Durian is among the best among fruits in terms of calories. Eating as much as a fist is equivalent to a small bowl of rice and nearly three times as much as apples. If you want to control your weight or lose weight, you must keep your mouth shut and eat less durian.

▲ Figure: One piece of durian meat is about 90 grams.

-Nephropathy patients: Durian is a high-potassium fruit. Nephropathy patients with hyperkalemia should try to eat less or not.

-People allergic to durian: Some people may be allergic to durian, so don’t eat it.

Author: Xue Qingxin, member of China Nutrition Society, registered dietitian, health manager, public dietitian.

Audit: Ruan Guangfeng, Deputy Director of Kexin Food and Health Information Exchange Center

　　The river is rushing, and there are hundreds of rivers. On the banks of the Pujiang River, the east wind blows, achieving a win-win situation and agitation.

　　"At present, the momentum of world economic recovery is insufficient, and all countries need to help each other in the same boat and seek common development. China will always be an important opportunity for world development, and will firmly promote high-level opening up and continue to promote economic globalization in a more open, inclusive, inclusive, balanced and win-win direction. " The letter from the Chairman of the Supreme Leader to the 6th China International Import Expo is inspiring, and once again declares to the world China’s firm determination to promote high-level opening-up and economic globalization.

　　On November 10th, the 6th China International Import Expo(CIIE) came to a successful conclusion at the National Convention and Exhibition Center. Guests from 154 countries, regions and international organizations gathered in the "Four-leaf clover", 72 countries and international organizations appeared in the national exhibition, and 3,486 enterprises from 128 countries and regions participated in the enterprise exhibition, which concentrated on displaying 442 representative first-time new products, technologies and services. This year’s annual intentional turnover in China International Import Expo(CIIE) reached a record high, reaching 78.41 billion US dollars, an increase of 6.7% over the previous session. This report card has injected strong positive energy into the development and prosperity of the global economy.

　　Year after year, we will build a level, effective and better China International Import Expo(CIIE). The functions of the four platforms of international procurement, investment promotion, people-to-people exchanges and open cooperation have been continuously enhanced, and the attributes of international public goods shared globally have become more prominent. It has become a win-win stage for China and the world, and has made positive contributions to accelerating the construction of a new development pattern and promoting the development of the world economy.

　　A window to build a new development pattern — —

　　Provide new opportunities for the world with the new development of China.

　　"If the world is good, China will be good; If China is good, the world will be better. " On the new journey of Chinese modernization, China has accelerated the construction of a new development pattern and constantly provided new opportunities for the world with the new development of China.

　　Goods, services and technologies gather here, and production, investment and consumption emerge here. China International Import Expo(CIIE) has become an international platform for China to connect with the world market, integrate industries, promote creativity and learn from each other. Being in the China International Import Expo(CIIE) Exhibition Hall, carefully installed booths and mutually beneficial and win-win contracts make people feel the same frequency resonance between China and the world.

　　China is an important stabilizer and power source for world economic growth.

　　A few days ago, the first domestic large-scale cruise ship "Ada Modu" was officially named and delivered. The heating, ventilation, communication and fire prevention systems on the cruise ship were produced by johnson controls, who participated in China International Import Expo(CIIE) for six consecutive years. “‘ Ada Modu ’ Some of the equipment orders in the world were signed on China International Import Expo(CIIE). " Yang Guang, vice president of johnson controls and general manager of China District, said, "Today, China is not only a big market in the world, but also a source of global innovation and technology."

　　During the interview in China International Import Expo(CIIE), many foreign-funded enterprises talked about "China Opportunity". What are the opportunities in China? It is the advantage of super-large-scale market demand, the upgrading of industrial structure, the transformation of old and new kinetic energy, and the new space brought by coordinated development and green development.

　　"Participating in this year’s China International Import Expo(CIIE) is more obvious about the upgrading trend of the China market." Yan Xiaofeng, Marketing Director of Northeast Asia of Kony Crane Equipment (Shanghai) Co., Ltd. said, "Strong domestic demand and complete industrial system make the China market a driving force for the growth of multinational enterprises."

　　Promoting reform and development through opening up is an important magic weapon for China’s modernization drive to continuously achieve new achievements.

　　"In China International Import Expo(CIIE), we signed purchase agreements with suppliers in the United States and Europe, covering analytical instruments, biopharmaceutical raw materials and other categories, and established a global supply chain system with deep cooperation." Zhang Han, vice president of Qilu Pharmaceutical Group, often said.

　　Equipped with Japanese Panasonic smart VR glasses produced by Lakeside Optical Core Semiconductor (Jiangsu) Co., Ltd. using micro-display technology, it can bring viewers a 4K high-definition virtual reality scene. "In the process of open cooperation, we constantly enhance our competitiveness and go to the international market." Wu Di, chairman of Lakeside Optical Core, said.

　　Taking the initiative to strengthen international cooperation, China has become the world’s largest commodity trading country and the main trading partner of more than 140 countries and regions. In the past 10 years, its annual average contribution rate to world economic growth has exceeded 30%, and it has achieved its own rapid development through mutual benefit and win-win.

　　To promote high-quality development, China and the world jointly cultivate new kinetic energy for global development.

　　The world’s first "super elevator", the net zero discharge system of industrial wastewater & HELIP; … At this year’s China International Import Expo(CIIE), keywords such as "green" and "intelligence" can be seen everywhere, with the world premiere, the first exhibition in Asia and the first show in China staged in turn.

　　"This year in China International Import Expo(CIIE), more than half of the nearly 30 high-tech exhibits we brought are innovative achievements that integrate global resources and China wisdom." Zhang Wei, global executive vice president of GE Healthcare, introduced.

　　At present, the process of digitalization, intelligence and greening is accelerating. China complies with the new requirements of high-quality development, opens up new fields and tracks for development, shapes new development momentum and advantages, and provides broad cooperation opportunities for enterprises from all countries.

　　A high-level open platform — —

　　Let China market become a big market shared by the world.

　　As the world’s first national-level exhibition with the theme of import, China International Import Expo(CIIE) witnessed China’s opening wider and wider.

　　A number of major opening-up measures launched in the first five sessions of China International Import Expo(CIIE) have been implemented. Through the China International Import Expo(CIIE) platform, China has unswervingly and comprehensively expanded its opening up, making the China market a big market shared by the world and injecting more positive energy into the international community.

　　Continue to promote the opening up of "greater market opportunities", actively expand imports, and create huge market dividends for the world.

　　This year in China International Import Expo(CIIE), a blueberry the size of a coin has attracted much attention, which is the world’s first new product brought by Xin Rongmao, a fruit importer — — Pavo Peruvian desert blueberry. "In recent years, we have seized the important opportunity of China to expand imports and upgrade consumption, and continuously introduced fruits such as kiwifruit, Chilean cherries and Thai coconut green into the China market." Guo Min, deputy director of Xinrongmao Market, said.

　　Further reduce tariffs, improve the level of customs clearance facilitation, reduce the institutional cost of import links, and accelerate the development of new formats and new models such as cross-border electronic commerce … … China sincerely opens its market to all countries and shares big market opportunities.

　　We will continue to promote the opening-up of "better integration of rules", further relax market access, and let more foreign investors share the market opportunities in China.

　　As an old friend of China International Import Expo(CIIE), Standard Chartered Bank has signed more than 20 strategic cooperation agreements in China International Import Expo(CIIE), "matchmaking" nearly 5,000 small and medium-sized enterprises.

　　Zhang Xiaolei, President of Standard Chartered Bank (China), said that from being granted the custody qualification of China Securities Investment Fund, to participating in the first batch of pilot projects of cross-border wealth management, and then being approved to set up a wholly foreign-owned securities company, thanks to China’s financial opening policy, Standard Chartered Bank has been developing continuously in China market.

　　This year marks the 45th anniversary of China’s reform and opening up and the 10th anniversary of the construction of the Pilot Free Trade Zone. In June 2019, Syngenta Group registered in Shanghai Pilot Free Trade Zone. In August this year, Syngenta Group completed a super-large-scale syndicated financing of 20 billion yuan. "The construction of the Pilot Free Trade Zone has made logistics, data flow, capital flow and people flow more smoothly. As a global company, we have benefited a lot." Yang Lin, executive director and chief accountant of Syngenta Group, said.

　　At this year’s China International Import Expo(CIIE), the State Administration of Market Supervision (State Standards Committee) issued nearly 400 foreign language versions of national standards, promoting the system compatibility between China standards and international standards, and promoting institutional opening through standard cooperation.

　　Continue to promote the opening of "better business environment", create a first-class business environment with marketization, rule of law and internationalization, and protect the legitimate rights and interests of foreign investment.

　　Having participated in China International Import Expo(CIIE) for six consecutive years, Zhou Xiaping, senior vice president of Novo Nordisk, was deeply impressed by the "blog entry effect": "China’s first connectable and transmissible smart insulin pen exhibited in the 5th China International Import Expo(CIIE) has been listed in China. China International Import Expo(CIIE) shows China’s open attitude, sincerity of cooperation and inclusive mind. "

　　Exhibits become commodities, exhibitors become investors, and the continuous release of the "Expo-entry effect" is a vivid example of China’s continuous promotion of high-level opening up and optimization of business environment. Sun Chenghai, deputy director of China International Import Expo Bureau, said that as a platform to promote high-level opening up, the measures released in China International Import Expo(CIIE) have also promoted the optimization of the domestic business environment.

　　Global Shared International Public Goods — —

　　Help promote the construction of an open world economy

　　China is advancing the construction of a powerful country and the great cause of national rejuvenation in an all-round way with Chinese modernization. What China pursues is not the modernization that is immune to itself, but it looks forward to working with other countries, including developing countries, to realize modernization together.

　　The annual list of exhibitors in China International Import Expo(CIIE), from the powerful world top 500 to the small and medium-sized enterprises in the least developed countries; From an old friend who participated in the exhibition continuously to a new face who participated for the first time … … China has always adhered to an open and inclusive attitude, and promoted the construction of an open world economy with practical actions, so that the fruits of development can benefit people of all countries more fairly.

　　"Belt and Road" is a high-frequency word in this year’s China International Import Expo(CIIE). Among the 72 exhibitors in the national exhibition, 64 "Belt and Road" jointly built the country. Through China International Import Expo(CIIE), more partners who jointly build the country will find new business opportunities and seek new development.

　　A variety of exhibits brought by Yihai Kerry Arowana this year are the results of the "One Belt, One Road" cooperation. "I hope to give full play to the advantages of enterprises and deepen the agricultural cooperation between China and the co-construction countries." Cui Xinyu, director of sustainable development of Yihai Kerry Arowana, said.

　　Separated from the main stadium in China International Import Expo(CIIE), the Greenland Global Commodity Trade Port, Kazakhstan, Mongolia, Uruguay and other national pavilions opened, amplifying the spillover effect of China International Import Expo(CIIE) in all directions. Since its opening in 2018, Greenland Global Commodity Trade Port has opened 43 "Belt and Road" national pavilions and 19 Silk Road e-commerce national pavilions, serving more than 300 "Belt and Road" enterprises and exhibiting more than 10,000 "Belt and Road" commodities.

　　Firmly support and help the vast number of developing countries and provide China’s plan and China’s strength for common development.

　　With the help of China International Import Expo(CIIE), Bangladeshi jute handicrafts, Zambian honey and Guinea-Bissau cashews, we have created unprecedented sales performance in the China market.

　　Adhering to inclusiveness, China International Import Expo(CIIE) has extensively invited the least developed countries to participate in the exhibition since the first session, and promoted local specialty products to enter the China market by providing some free booths, building subsidies and tax incentives for the purchase of exhibits, so that people from all countries can share the fruits of economic globalization and world economic growth.

　　"China International Import Expo(CIIE) is an important opportunity for developing countries." Pamela Kirk, Executive Director of the International Trade Center — Hamilton said that one of the most important ways to achieve the sustainable development goals of the United Nations is to promote the sustained export growth of the least developed countries, thus promoting their economic and social development, and China International Import Expo(CIIE) has played a great role.

　　Promote the building of a community of human destiny, jointly meet global challenges, and jointly create a better future for mankind.

　　"In China International Import Expo(CIIE), you can have in-depth exchanges with world-leading enterprises, which will bring important opportunities for further promoting in-depth cooperation, integrated development and mutual benefit with global supply chain partners." Song Hailiang, Party Secretary and Chairman of China Energy Construction Group, said.

　　Wei Yanqing, vice president of Aoyou Dairy in China, said that taking the opportunity of participating in China International Import Expo(CIIE), the company will continue to seek wider, deeper and higher-level international cooperation to bring more and better products and services to consumers around the world.

　　The World Open Report 2023 released at the Hongqiao International Economic Forum shows that in the new era, China has adopted a more proactive opening-up strategy, and China International Import Expo(CIIE) is getting better and better. Building the Belt and Road Initiative has become a popular platform for international public goods and international cooperation, and it has embarked on a path of reform and opening up and a benign interaction between China and the world.

　　Economic globalization is the historical trend and the aspiration of the people. Open cooperation and mutual benefit are the most sensible and natural choices. China will continue to work with other countries on the big stage of opening up, better provide international public goods and services that are shared globally, help promote the construction of an open world economy, and make win-win cooperation benefit the world.

　　(Reporter Luo Shanshan, Ouyang Jie, Ge Mengchao, Virginia Lieu, Zhang Zihan, Qu Xinming, Qi Zhiming, Liu Shuwen)

　　On May 15th, Ukrainian President Zelensky hinted that Kiev may soon receive F-16 fighter jets. On 16th, the British government announced that its Prime Minister Rishi Sunak and Dutch Prime Minister Mark Rutte had agreed to establish an "international alliance" to help purchase F-16 fighter jets for Ukraine.

　　F-16 fighter.

　　According to the Guardian reported on May 16th, a Downing Street spokesman issued a statement that day, Sunak and Rutte "will strive to establish an international alliance to provide Ukraine with air combat capability and everything from training to purchasing F-16 jets." The statement said that leaders of all countries agreed that it is of great significance for allies to provide long-term security assistance to Ukraine to ensure that they can contain future attacks.

　　On 15th, Zelensky and Sunak had a one-on-one meeting in Chequers. After the meeting, Zelensky said that they discussed fighter planes and were positive in persuading the United States and other western countries to provide Ukrainian aircraft. He said: "I think you will hear some very important decisions in the near future, but we must do more work for it." According to reports, at the meeting, Britain also promised to provide "hundreds of attack drones."

　　In February this year, Britain said that it would start training Ukrainian pilots with standard NATO technology. On May 15th, Britain reiterated this point, saying that the plan was to help "build a new Ukrainian air force with NATO-standard F-16 fighters".

　　F-16 fighter jets are manufactured by Lockheed Martin, a US defense company. At present, about 3,000 F-16s are in service in 25 countries or regions. On the evening of May 15th, when asked whether the United States changed its position on supplying jets to Ukraine, John Kirby, spokesman of the White House National Security Council, responded: "No."

　　Zhongxin Jingwei Client, August 12th (Seimi Zhang) According to the plan of the Ministry of Housing and Urban-Rural Development, by the end of this year, 46 key cities have basically completed garbage sorting and treatment systems, and other prefecture-level cities have achieved full coverage of domestic waste sorting by public institutions. There are only more than four months left in 2020. What is the progress of garbage sorting in various places?

　　During the year, 10 places have joined the ranks of garbage sorting.

　　In the data map, Xin Jingwei Seimi Zhang took a photo

　　According to incomplete statistics, 10 places including Beijing, Shanxi, Suzhou, Dezhou, Jiangmen, Neijiang, Urumqi, Wuhan, Nanning and Yueyang have joined the garbage classification during the year.

　　On July 31, the Standing Committee of Nanning Municipal People’s Congress held a press conference, announcing that the Regulations on the Management of Domestic Waste Classification in Nanning came into effect on August 1, and the classification of domestic waste in Nanning officially entered the "mandatory era". Domestic waste collection units do not collect domestic waste in accordance with the regulations, and the comprehensive administrative law enforcement department of urban management or the county environmental sanitation department shall order them to make corrections, and those who refuse to make corrections shall be fined between 5,000 yuan and 30,000 yuan; Units engaged in domestic waste transportation in violation of regulations also have corresponding penalties, up to 20,000 yuan.

　　In addition, on August 3rd, at the press conference of "Beijing Municipal Domestic Waste Management Regulations" for three months. Wen Tianwu, deputy director of the Beijing Urban Management Law Enforcement Bureau, said that since the implementation of the Regulations on May 1, as of July 31, Beijing has filed a total of 6,990 cases of illegal domestic waste classification and 3,323 cases of illegal personal waste classification.

　　Zhang Yan, deputy director of Beijing Urban Management Committee, said that there are 44 domestic waste treatment facilities in Beijing, which can basically meet the needs of domestic waste classification treatment in this city. By the end of July, 436 sorting stations had been built and renovated in Beijing. In addition, 22,000 sorting bucket stations have been upgraded and renovated in Beijing. In order to guide more ordinary residents to participate, Beijing will roll out the "bucket-staring tactics" in an all-round way, and mobilize seven categories of people to participate in the bucket-front duty in the sinking community.

　　Lin Lin, a commentator on the Workers’ Daily, thinks that the "bucket-staring tactics" seems to be a stupid way, but it is an indispensable "embroidery" spirit and pragmatic attitude to implement garbage sorting. Only when work sinks can garbage be separated and life become beautiful.

　　Ying Xiwen, head of the macro-regional research team of the People’s Bank of China think tank, told the Sino-Singapore Jingwei client that it is necessary to strengthen the publicity and education of garbage classification and the management of garbage delivery in the community, and at the same time, more humanized policies are needed; The Internet can be encouraged to play an active role. For example, "online appointments" can be encouraged to help services such as garbage, and specialization in division of labor can improve efficiency.

　　15 garbage sorting enters the countdown.

　　In addition to the above 10 places have joined the "friends circle" of garbage sorting, 15 places including Shenzhen, Nanchang, Changsha, Sanya, Haikou, Sansha, Danzhou, Tai ‘an, Nanjing, Tianjin, Hefei, Harbin, Hebei, Xi ‘an and Jiaozuo have entered the countdown.

　　The Regulations of Shenzhen Municipality on the Classification and Management of Domestic Waste came into effect on September 1st.

　　On July 4th, the Standing Committee of Guangdong Provincial People’s Congress officially approved the implementation of the Regulations on the Management of Domestic Waste Classification in Shenzhen, which will be officially implemented from September 1st. Innovation and optimization have been made in classification standards, delivery operations and so on. Domestic waste is divided into four categories: recyclable waste, kitchen waste, harmful waste waste and other waste, and a system of regular and fixed-point delivery is established. The "Regulations" also created a system of removing barrels from the floors of residential areas, and specifically stipulated that "household kitchen waste should be drained of oil and water", and disposable storage bags should be used to put it in. In addition, the "Regulations" will also promote Shenzhen’s "CD Day" on November 8 every year to "Waste Reduction Day" and advocate a simple and moderate, green and low-carbon lifestyle.

　　100% sorting of garbage in Nanchang before September.

　　On August 6th, Nanchang issued the Promotion Plan of Domestic Waste Classification in 2020, requiring that by September 2020, all districts, the built-up areas of Wanli Administration Bureau and the towns (streets) where counties are located must reach 100% coverage of domestic waste classification of public institutions, 100% coverage of household waste classification, 100% awareness rate of household waste classification, and 35% or more rigid indicators of garbage classification and recycling rate.

　　Garbage sorting in Changsha, Haikou, Sanya, Sansha and Danzhou will be implemented on October 1.

　　On August 5th, the Standing Committee of Changsha Municipal People’s Congress held a press conference, and officially notified that the Regulations on the Management of Domestic Waste in Changsha City was examined and approved by the 19th meeting of the Standing Committee of the 13th People’s Congress of Hunan Province on July 30th, and will come into force on October 1st, 2020. The "Regulations" clearly stipulate that those who do not put domestic garbage in accordance with the regulations shall be ordered by the competent department of environmental health to make corrections. If the circumstances are serious, the unit shall be fined between 50,000 yuan and 500,000 yuan, and the individual shall be fined between 50 yuan and 200 yuan.

　　On July 2nd, Hainan issued the Implementation Plan for Domestic Waste Classification. Haikou City, Sanya City, Sansha City and Danzhou City will fully implement the domestic waste classification according to the requirements of the Regulations from October 1st, 2020, and basically complete the domestic waste classification and treatment system by 2022.

　　Garbage sorting in Nanjing and Tai ‘an will be implemented on November 1st.

　　On the afternoon of July 31, at the fourth plenary meeting of the 17th meeting of the Standing Committee of the 13th National People’s Congress of Jiangsu Province, the Regulations on the Management of Domestic Waste in Nanjing submitted by the Standing Committee of Nanjing Municipal People’s Congress was unanimously adopted. The regulations will be officially implemented on November 1, and Nanjing will officially implement the "compulsory classification" of domestic waste. Domestic waste collection and transportation units will be classified into domestic waste mixed collection and mixed transportation, and the administrative department of urban management shall impose a fine of not less than 5,000 yuan but not more than 50,000 yuan.

　　On July 27, the Standing Committee of Tai ‘an Municipal People’s Congress held a press conference. The Regulations on the Classification and Management of Domestic Waste in Tai ‘an City was approved by the Standing Committee of Shandong Provincial People’s Congress and will be officially implemented on November 1, 2020. It stipulates that those who put in domestic waste as required shall be ordered to make corrections; If the circumstances are serious, the unit shall be fined between 50,000 yuan and 500,000 yuan, and the individual shall be fined between 100 yuan and 500 yuan.

　　Garbage sorting in Tianjin and Hefei will be implemented on December 1st.

　　On July 29th, the 21st meeting of the Standing Committee of the 17th National People’s Congress of Tianjin deliberated and passed the Regulations of Tianjin Municipality on Domestic Waste Management, which will come into force on December 1st, 2020. If the domestic waste is not classified and put into the corresponding collection containers, the urban management department shall order it to make corrections. Those who refuse to make corrections shall be fined between 50,000 yuan and 500,000 yuan for the unit and between 100 yuan and 500 yuan for the individual. If an individual who should be punished by the fine voluntarily participates in community service activities related to the classification of domestic waste, the urban management department may be given a lighter, mitigated or exempted punishment according to law.

　　On July 31st, at the 20th meeting of the Standing Committee of the 13th People’s Congress of Anhui Province, the Regulations on the Management of Domestic Waste Classification in Hefei passed the examination and approval. The Regulations shall come into force on December 1, 2020. The "Regulations" attach importance to the effective guidance on classification, require the recruitment of domestic waste classification instructors, implement the inspection of garbage bins on duty or patrol, guide and supervise the classified delivery of domestic waste, and stipulate the corresponding responsibilities of the responsible persons. In addition, encourage and support the scientific and technological innovation of domestic waste treatment, improve the intelligent level of domestic waste treatment, clearly establish a domestic waste classification management information system, and make it public on a regular basis.

　　Full coverage of urban domestic waste classification before the end of December in Harbin

　　On June 4th, Harbin held a meeting to promote the deployment of domestic waste classification. The meeting emphasized that by the end of December, the classified coverage rate of domestic waste in urban residential areas, public institutions and related units in the city will reach 100%, and the domestic waste classification treatment system will be basically completed.

　　Waste sorting in Hebei, Xi ‘an and Jiaozuo will be implemented in 2021.

　　On July 30th, the 18th meeting of the Standing Committee of the 13th National People’s Congress of Hebei Province deliberated and passed the regulations on the classified management of urban and rural domestic waste. This is a provincial local regulation directly and explicitly named "classified management" in the management of domestic waste. The regulations will be implemented on January 1, 2021.

　　On July 30th, the Regulations on the Classified Management of Domestic Waste in Xi ‘an was approved by the 19th meeting of the Standing Committee of the 13th National People’s Congress of Shaanxi Province and came into effect on January 1st, 2021. It is forbidden to process edible oil and other foods with waste edible oil from kitchen waste, to avoid excessive packaging of commodities, to prohibit or restrict the production, sale and use of disposable plastic products such as non-degradable plastic bags, and service operators are not allowed to provide disposable products on their own initiative. Failing to classify domestic garbage as required, the unit may be fined up to 500,000 yuan, and the individual may be fined up to 200 yuan.

　　On July 31st, the 19th meeting of the Standing Committee of the 13th National People’s Congress of Henan Province reviewed and approved the Regulations on the Classification Management of Domestic Waste in Jiaozuo City. The Regulations will come into force on January 1, 2021.

　　Trash can Zhongxin Jingwei Seimi Zhang photo

　　At the end of the year, 46 cities will collectively "hand in papers"

　　In April 2019, nine departments, including the Ministry of Housing and Urban-Rural Development, issued the Notice on Comprehensively Carrying out Domestic Waste Sorting in Cities at Prefecture Level and Above in China. The Notice requires that by 2020, 46 key cities will basically build domestic waste sorting and treatment systems.

　　It is reported that 46 cities include: Beijing, Tianjin, Shanghai, Chongqing, Shijiazhuang, Handan, Taiyuan, Hohhot, Shenyang, Dalian, Changchun, Harbin, Nanjing, Suzhou, Hangzhou, Ningbo, Hefei, Tongling, Fuzhou, Xiamen, Nanchang, Yichun, Zhengzhou, Jinan, Taian, Qingdao, Wuhan, Yichang, Changsha.

　　On August 7 this year, the National Development and Reform Commission, the Ministry of Housing and Urban-Rural Development and the Ministry of Ecology and Environment jointly issued the "Implementation Plan for Supplementing the Strong and Weak Items of Urban Domestic Waste Classification and Treatment Facilities" to comprehensively promote the construction of classified collection and transportation facilities for urban domestic waste. By 2023, the classified collection and transportation system of domestic waste will be fully established in 46 key cities specified in the Implementation Plan of Domestic Waste Classification System.

　　Institution: The potential market space for garbage sorting is nearly 100 billion.

　　Source: TF Securities Research Report

　　TF Securities believes that garbage sorting is accelerated, and the overall space is nearly 100 billion, which directly benefits the sanitation industry. According to the standards of 20 yuan/month for urban residents and 10 yuan/month for county residents, the overall market space for garbage sorting is over 80 billion. According to the requirements of the Ministry of Housing and Urban-Rural Development, 46 cities across the country will complete garbage sorting by 2020; By 2025, domestic waste sorting and treatment systems will be basically established in cities at prefecture level and above. There are about 100 million households in 46 cities. According to the calculation of 20 yuan/household/month, the market space to be released before 2020 is about 24.2 billion.

　　In addition, while accelerating the marketization of sanitation, garbage sorting also integrates more work content into sanitation orders, and the trend of large-scale industry orders is strengthened, providing a new growth pole for the traditional sanitation industry.

　　Soochow securities predicted that in 2025, the environmental sanitation service market in China will be 468.5 billion yuan, and the space of environmental sanitation marketization will increase by 134%: the advantages of standardization, mechanization and management will promote the concentration of shares, and standardization will drive the increase of large contracts. (Zhongxin Jingwei APP)

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

"Yunnan Medical and Health Service System Planning (2016-2020)" has been agreed by the provincial people’s government and is hereby issued to you, please implement it carefully.

General Office of Yunnan Provincial People’s Government

October 22, 2016

(This piece is publicly released)

Planning of Medical and Health Service System in Yunnan Province

(2016-2020)

In order to further optimize and rationally allocate medical and health resources, improve the quality and efficiency of medical and health services in our province, and provide better health protection for the demonstration area of national unity and progress, the vanguard of ecological civilization construction, and the construction of radiation centers facing South Asia and Southeast Asia, this plan is formulated according to the spirit of the Notice of the General Office of the State Council on Printing and Distributing the Outline of the National Medical and Health Service System Planning (2015-2020) (No.14 of the State Council [2015]) and the actual situation of our province.

Chapter 1 Planning Background

Section 1 Basic Status Quo

First, the current situation of medical and health resources

With the great attention of governments at all levels, after years of development, our province has basically established a medical and health service system covering urban and rural areas, which consists of hospitals, primary medical and health institutions and professional public health institutions. Medical and health resources are increasing year by year. Compared with 2010, the number of medical and health institutions at all levels increased from 22,888 to 24,186 in 2015, the number of beds in medical and health institutions per thousand permanent residents increased from 3.41 to 5.01, the number of practicing (assistant) doctors increased from 1.38 to 1.68, the number of registered nurses increased from 1.07 to 1.97, and the number of professional public health personnel increased from 0.44.

Second, the utilization of medical and health resources

In 2015, compared with 2010, the total number of patients in medical institutions in the province increased from 176.1324 million to 228.3867 million, with an average annual growth rate of 5.93%. The number of inpatients increased from 4.836 million to 7.4485 million, with an average annual growth rate of 10.80%. In 2015, the number of patients in hospitals and primary health care institutions accounted for 38.60% and 57.63% respectively, of which public hospitals were the main ones, accounting for 83.06% of the total number of patients in hospitals. The utilization rate of hospital beds in medical institutions in the province was 76.23%, and the average hospitalization day was 8.18 days.

Third, the level of health

The average life expectancy of the province’s population is expected to increase from 69.5 years in 2010 to 73.6 years in 2015, and the maternal mortality rate will drop from 37.27/100,000 in 2010 to 23.63/100,000 in 2015. The infant mortality rate and the mortality rate of children under five will drop from 12.24‰ and 15.31‰ in 2010 to 8.7‰ and 15.31 ‰ respectively.

Main problems in the second quarter

First, the total amount of medical and health resources is insufficient and the quality is not high.

There is still a big gap between the quantity and quality of medical and health resources in our province and the health needs of people of all ethnic groups. At the end of 2015, the number of beds in medical and health institutions, the number of licensed (assistant) doctors, the number of registered nurses and the number of professional public health personnel per thousand permanent residents in the province were lower than the national average. Health human resources are particularly scarce. From 2010 to 2015, the average annual growth rate of practicing (assistant) doctors per thousand permanent residents was only 3.84%, which was much lower than the growth rate of the number of patients. The academic qualifications and professional titles of health technicians are generally low. In 2015, only 28.84% of health technicians had a bachelor’s degree or above, and the sub-high and above titles only accounted for 6.41% of health technicians. 27.4% of maternal and child health care institutions in the province are still unable to carry out hospital delivery.

Two, the uneven distribution of medical and health resources, unreasonable structure

The distribution of medical and health resources is uneven, and under-utilization and over-utilization of resources coexist. 93% provincial hospitals, 46% third-class first-class hospitals and 30% licensed (assistant) doctors and registered nurses are concentrated in Kunming. The development of different types of medical and health institutions is uneven. The characteristic advantages of traditional Chinese medicine (ethnic medicine) have not been fully exerted. In 2015, the number of specialized hospitals in the province only accounted for 19% of the total number of hospitals, and beds only accounted for 13% of the total number of hospital beds. The medical service capacity and medical service radiation capacity were not strong, and specialties such as pediatrics, mental health, rehabilitation, geriatrics, hospice care, maternal and child health care, and family planning were relatively lacking. There are still some problems in social hospitals, such as low level, obscure specialty features, weak talent base and low social recognition, which have not yet formed a pattern of mutual promotion and common development with public hospitals.

Three, the basic medical and health institutions have low management level and weak service ability.

The management level of township hospitals and village clinics is relatively low. The management of community health service institutions is backward and the service function is not perfect. There are some problems in primary medical and health institutions, such as "unable to go down, unable to stay, unable to use well" and low professional quality. It is difficult to improve the service level, and it is difficult for the service ability to undertake the basic functions of primary diagnosis and graded diagnosis and treatment. At the same time, the medical business of primary medical and health institutions has shrunk, and the proportion of beds in township hospitals and the number of people admitted to hospitals have declined.

Four, the development of health information construction lags behind, and the regional development is quite different.

The information infrastructure is poor, the investment in health informatization construction is insufficient, the standards are not uniform, the information utilization and personnel training are not in place. Medical and health institutions at all levels have different degrees of informatization construction, and information interconnection mechanism has not been established between institutions, and medical and health information services for the public are insufficient.

Five, the function orientation of public hospitals is unclear, and the division of labor and cooperation mechanism has not yet been established.

The functional orientation of public hospitals at all levels in the medical and health service system is unclear. The division of labor and cooperation mechanism between medical and health institutions has not yet been established, and the fragmentation of medical and health service system is more serious. The scale of some hospitals is too large, which reduces the management efficiency, increases the burden on patients, siphons off grassroots medical and health talents and patients, occupies the development space of grassroots medical and health institutions and social hospitals, and affects the improvement of the overall efficiency of the medical and health service system.

Section 3 Opportunities and Challenges

In the next five years, the construction of medical and health service system in our province will usher in many rare opportunities. The CPC Central Committee and the State Council attach great importance to the development of medical and health undertakings, give priority to people’s health, focus on popularizing healthy life, optimizing health services, improving health protection, building a healthy environment and developing health industries, accelerate the construction of a healthy China, and strive to ensure people’s health in an all-round and full-cycle manner. The provincial party committee and government regard the protection of people’s health as a major livelihood project, and vigorously promote the construction of healthy Yunnan, which provides a historic opportunity for our province to further improve the medical and health service system. Our province actively serves and integrates into the national "Belt and Road" construction, strives to become a radiation center for South Asia and Southeast Asia, and brings opportunities for medical and health undertakings to open up and develop for South Asia and Southeast Asia. The state has stepped up efforts to get rid of poverty and created policy opportunities for our province to speed up the development of medical and health undertakings. The rapid development and popularization of information technology has provided technical support for the innovation of medical and health service and management mode and the improvement of accessibility and convenience of medical and health services.

At the same time, after years of rapid development, the downward pressure on the economy of our province continues to increase, and the growth of public finance budget revenue is weak, so the development of medical and health undertakings must adapt to the new normal; The new urbanization construction and the optimization and adjustment of the spatial layout of the whole province put forward new requirements for the medical and health service system architecture and resource allocation; With the aging of the population, it is estimated that by 2020, the population of our province will reach 49.1 million, of which the elderly population will reach 6.5 million, accounting for 13%. Geriatrics, rehabilitation and other fields are under great pressure; The major adjustment of birth policy will aggravate the contradiction between supply and demand in pediatrics, maternal and child health care, reproductive health and other fields; The incidence of chronic non-communicable diseases is rising, major infectious diseases have not been completely controlled, and sudden new infectious diseases and imported infectious diseases pose potential threats to the province, especially the border areas; The improvement of the medical security system will further release the medical service needs of people of all ethnic groups; Deepening the reform of medical and health system in an all-round way, and establishing and implementing graded diagnosis and treatment system have set new goals for optimizing the layout and allocation of medical and health resources.

Chapter II General Requirements

The first section guiding ideology

Comprehensively implement the spirit of the 18th National Congress of the Communist Party of China, the 3rd, 4th and 5th Plenary Sessions of the 18th Central Committee and the National Conference on Health and Wellness, thoroughly implement the series of important speeches by the Supreme Leader General Secretary and inspect the spirit of important speeches in Yunnan, closely focus on the "four comprehensive" strategic layout and the decision-making arrangements of the CPC Central Committee, the State Council and the provincial party committee and government, adhere to the concept of innovation, coordination, green, openness and shared development, and implement the new policy of health and wellness work in the new period, with the aim of improving the health level of people of all ethnic groups in the province.

Section 2 Basic Principles

First, demand-oriented, rational layout

Guided by health needs and solving people’s major health problems, with adjusting the layout, upgrading the energy level, and strengthening the shortcomings as the main line, we will develop moderately and orderly and strengthen the weak links. Strengthen the management of the whole industry and localization, make unified planning and layout of medical and health resources with different subordinate relations and ownership forms within the administrative area, and scientifically and reasonably determine the number, scale and layout of various medical and health institutions at all levels.

Second, government-led, multi-input

Strengthen the government’s responsibility for the planning, financing and supervision of basic, grass-roots and basic medical and health resources, and safeguard the public welfare of public medical and health care. Give play to the role of market mechanism, strengthen policy guidance, mobilize the enthusiasm and creativity of social forces, encourage and support the society to run medical services, so as to meet the people’s multi-level and diversified medical and health service needs.

Third, fairness and accessibility, improve efficiency

Focusing on the goal of ensuring the fairness and accessibility of basic medical and health services and benefiting the masses, we will promote the equalization of basic medical and health services in ethnic minority areas and concentrated contiguous poverty-stricken areas. Pay attention to the scientific and coordinated allocation and use of medical and health resources, give full play to the advantages of information technology, build a scientific, reasonable and convenient medical and health service system, improve efficiency, reduce costs, and achieve the unity of fairness and efficiency.

Fourth, people-oriented, innovative mechanism

Reform the development mode of public hospitals, rationally regulate the scale of public hospital resources, and build a people-oriented integrated service model. Strengthen the construction of talent team, improve the service level of primary medical and health institutions, and enhance the service capacity of public health institutions.

Five, according to local conditions, overall coordination

Fully consider the level of economic and social development, the number of people served, the service radius, the traffic situation and the current situation of medical and health resources, and formulate allocation standards by classification. Coordinate the allocation of urban and rural and regional resources, coordinate the current and long-term, coordinate prevention, medical care and rehabilitation, focus on the grassroots, take reform and innovation as the driving force, give priority to prevention, and pay equal attention to Chinese medicine (ethnic medicine) and western medicine, give play to the overall function of the medical and health service system, and promote balanced development.

Section III Overall Objectives

Optimize the allocation of medical and health resources, build an integrated medical and health service system that is compatible with the national economic and social development level of our province, matches the health needs of people of all ethnic groups, has a complete system, a clear division of labor, complementary functions, close cooperation and convenient access, and realizes that everyone enjoys basic medical and health services. By 2020, the number of beds in medical and health institutions per thousand permanent residents in the province will be controlled at 6.0, the number of licensed (assistant) doctors will reach 2.5, the number of registered nurses will reach 3.14, the number of professional public health personnel will reach 0.83, and the number of general practitioners per 10,000 permanent residents will reach 2 (see Table 1 for details). According to the strategy of "controlling development, moderately developing and accelerating development", the allocation standards of medical and health resources in different States and cities will be formulated, and the gap in the allocation of medical and health resources among States and cities will be gradually narrowed, and a "15-minute health service circle in dam area" and a "30-minute health service circle in mountain area" will be built, with the rate of medical treatment in the county reaching 90%, which will comprehensively improve the fairness and accessibility of basic medical and health services in the province.

Chapter III Layout of Medical and Health Service System

Section 1 Framework of Medical and Health Service System

The medical and health service system mainly includes hospitals, grass-roots medical and health institutions and professional public health institutions.

Hospitals are divided into public hospitals and social hospitals. Among them, public hospitals are divided into government-run hospitals (mainly divided into county-run hospitals, state-run hospitals, provincial-run hospitals and departmental hospitals according to their functional orientation) and other public hospitals (mainly including military hospitals, state-owned and collective enterprises and institutions, etc.). Below the county level are primary medical and health institutions, which are divided into two categories: public and social. Professional public health institutions are divided into government-run professional public health institutions and other professional public health institutions (mainly including professional public health institutions organized by state-owned and collective enterprises and institutions).

Section 2 Hospital Planning and Setting-up

First, public hospitals

(A) functional positioning

As the main body of the medical service system, public hospitals must adhere to the maintenance of public welfare, give full play to the backbone role in the provision of basic medical services, the diagnosis and treatment of critical and difficult diseases, undertake the tasks of personnel training, medical research and medical teaching in medical and health institutions, and undertake the tasks of public health services, emergency medical rescue, foreign aid, national defense and health mobilization, supporting agriculture, supporting the border and supporting the community specified by the law and the government. County-run hospitals are mainly responsible for the diagnosis and treatment of common and frequently-occurring diseases, emergency rescue and referral of difficult diseases, training and guiding staff of primary medical and health institutions, undertaking corresponding public health services and emergency medical rescue, etc. They are an important carrier for the government to provide basic medical and health services to residents in county-level areas.

State-run hospitals mainly provide comprehensive or specialized medical services representing the high level of the region to residents in state-level administrative areas, accept referrals from lower-level hospitals, and undertake personnel training and certain scientific research tasks as well as corresponding public health and emergency medical rescue tasks.

Provincial hospitals mainly provide diagnosis and treatment of critical and difficult diseases and specialized medical services to the states and cities within the provincial administrative region, accept referrals from lower-level hospitals, and undertake personnel training, medical research and corresponding public health and emergency medical rescue tasks.

(2) Institutional setup

Various types of public hospitals are set up scientifically in various regions according to local urbanization, population distribution, geographical transportation, disease spectrum and other factors, and the number and scale of public general hospitals are reasonably controlled. For specialized medical services with large demand, corresponding specialized hospitals are set up according to specific conditions.

According to the number of permanent residents in county-level administrative regions, in principle, each county-level administrative region is set up with one county-run general hospital and one county-run traditional Chinese medicine hospital (including traditional Chinese medicine, integrated traditional Chinese and western medicine and ethnic medicine, the same below). The county that lacks TCM resources and unconditionally sets up TCM hospitals should set up TCM or ethnic medicine rooms in county-run general hospitals, with the number of beds not less than 10%. National autonomous county-level administrative regions give priority to the establishment of national medical hospitals. County-run general hospitals must set up psychiatric departments and infectious diseases departments. Counties with a population of more than 500,000 can appropriately increase the number of public hospitals.

In the prefecture-level administrative regions, according to the number of permanent residents, the service radius is generally about 50 kilometers per 1 million-2 million population, and 1-2 prefecture-level general hospitals (including traditional Chinese medicine hospitals) are set up, which can be appropriately relaxed in sparsely populated areas. In accordance with the principle of "reasonable layout, clear positioning and prominent focus", all prefectures and cities should set up at least one general hospital run by prefectures and cities and one hospital of traditional Chinese medicine, and encourage other existing general hospitals to develop into specialized hospitals for children, obstetrics and gynecology, oncology, stomatology, rehabilitation, psychosis, infectious diseases, senile diseases and hospice care as needed. Cities that have not set up specialized psychiatric hospitals and infectious diseases hospitals must set up psychiatric departments and infectious diseases departments in general hospitals in cities.

In provincial administrative regions, according to the number of permanent residents, 1-2 provincial-run general hospitals are planned for every 10 million people, and provincial-run specialized hospitals for children, obstetrics and gynecology, oncology, cardiovascular disease, mental illness, infectious diseases, occupational diseases, stomatology, rehabilitation, etc. (including traditional Chinese medicine specialized hospitals) are planned according to needs. Through exchanges and cooperation, innovation and development, we will continuously improve the level of medical services and the strength of medical scientific research, and build provincial hospitals into medical highlands based in Yunnan and facing South Asia and Southeast Asia.

Second, the society runs hospitals

Running a hospital by the society is an indispensable part of the medical and health service system and an effective way to meet the people’s multi-level and diversified medical service needs. Social-run hospitals can provide basic medical services, high-end services or services in short supply such as rehabilitation and elderly care, and form an orderly competition and supplement with public hospitals.

By 2020, planning space will be reserved for social hospitals according to no less than 1.5 beds per 1,000 permanent residents, and the setting of diagnosis and treatment subjects and the configuration space of large medical equipment will be reserved simultaneously. Guide the development of social hospitals to a high level and scale, encourage social hospitals to upgrade infrastructure construction, and develop professional hospital management groups. Support the society to run hospitals with large medical equipment.

Improve supporting policies, and encourage and guide social capital to set up medical institutions on the premise of meeting the planned total amount and structure. Speed up the examination and approval procedures, and approve hospitals run by the society with corresponding qualifications in accordance with the regulations, simplify the examination and approval process and improve the examination and approval efficiency. Relax the requirements for service areas, and all areas that are not explicitly prohibited by laws and regulations can be opened to social capital. Give priority to supporting the establishment of non-profit medical institutions. Promote doctors to practice more, strengthen business cooperation between public hospitals and community-run hospitals, improve clinical level and academic status, support community-run hospitals to be included in the designated scope of medical insurance, improve planning layout and land security, optimize investment and financing guidance policies, improve fiscal and taxation price policies, and implement market-adjusted prices for medical services in community-run hospitals. Strengthen industry supervision to ensure medical quality and safety.

Section III Planning and Setting of Grassroots Medical and Health Institutions

First, the functional orientation

The main duties of primary medical and health institutions are to provide basic public health services such as prevention, health care, health education, family planning, diagnosis and treatment services for common diseases and frequently-occurring diseases, and rehabilitation and nursing services for some diseases, and to refer common diseases, frequently-occurring diseases and critical and difficult patients beyond their own service capacity to hospitals. Grass-roots medical and health institutions mainly include township hospitals, community health service centers (stations), village clinics, outpatient departments, infirmary (offices) and so on. Township hospitals and community health service centers are responsible for providing basic public health services, comprehensive services such as diagnosis, treatment, nursing and rehabilitation of common and frequently-occurring diseases, and entrusted by county-level health and family planning administrative departments to undertake public health management within their administrative areas, and are responsible for comprehensive management, technical guidance and training of rural doctors in village clinics and community health service stations. Township hospitals are divided into central township hospitals and general township hospitals. In addition to the service functions of general township hospitals, central township hospitals should also carry out common operations, focus on strengthening medical service capabilities and undertake technical guidance for general township hospitals in surrounding areas. Village clinics and community health service stations, under the unified management and guidance of township hospitals and community health service centers, undertake basic public health services for people in administrative villages and neighborhood committees, and carry out primary diagnosis, treatment and rehabilitation of common and frequently-occurring diseases. The basic medical and health institutions such as the infirmary and outpatient department (institute) within the unit are responsible for the basic public health and basic medical services of the unit or the functional community.Other out-patient departments, clinics and other grassroots medical and health institutions provide relevant medical and health services according to the health needs of residents. The government can subsidize the services it provides by purchasing services.

Second, the institutional setup

Township hospitals and community health service centers shall be set up according to the administrative divisions of townships and sub-district offices or a certain service population. By 2020, a township health center run by the government will be well established in each township, and a community health service center run by the government will be set up within the scope of each street office or according to the plan for every 30,000-100,000 residents. Comprehensively improve the service capacity and level of community health service centers and township hospitals. Considering urbanization, geographical location, population concentration and other factors, about one-third of township hospitals are selected to improve their service capacity and level, and central township hospitals are built. Reasonably determine the number and layout of village clinics and community health service stations, and reasonably set them according to the coverage of township hospitals and community health service centers, service radius, service population and other factors. In principle, each administrative village should set up a village clinic and each community should set up a community health service station. The establishment of individual clinics and other primary medical and health institutions is not limited by the planning and layout, and the management mode of market regulation is implemented.

Section 4 Planning and Setting of Professional Public Health Institutions

First, the functional orientation

Professional public health institutions are institutions that provide professional public health services (mainly including disease prevention and control, comprehensive supervision and law enforcement of health and family planning, health education, maternal and child health care, mental health, first aid, blood collection and supply, food safety risk monitoring and evaluation and standard management, family planning, birth defect prevention, etc.) within their administrative areas, and undertake corresponding management work. Professional public health institutions mainly include disease prevention and control institutions, health education institutions, health and family planning comprehensive supervision and law enforcement institutions, maternal and child health care family planning service institutions, mental health professional institutions, emergency centers (stations), blood stations, etc., which are organized by the government in principle.

The main duties of county-run professional public health institutions are: to undertake professional public health tasks, corresponding business management, information submission and other work within the administrative area, and to provide technical guidance, personnel training, supervision and assessment on public health work of medical and health institutions within the administrative area, and to complete the mandatory tasks assigned by superiors.

The main responsibilities of state-run professional public health institutions are: to undertake professional public health tasks and corresponding information management within the administrative area, and to carry out business guidance, personnel training, supervision and assessment for subordinate professional public health institutions, and to complete the mandatory tasks assigned by superiors.

The main responsibilities of provincial professional public health institutions are: undertaking professional public health tasks within the administrative area, carrying out regional business planning, scientific research and training, information management, technical support, business guidance, personnel training, supervision and assessment of subordinate professional public health institutions, and completing mandatory tasks assigned by superiors.

Second, the institutional setup

Professional public health institutions are set up reasonably according to the number of permanent residents, service scope, workload and other factors in the administrative area. Strengthen the integration of public health service resources in administrative areas and encourage the formation of comprehensive public health service centers; Strengthen the capacity building of disease prevention and control in border areas; Strengthen the capacity building of health education. According to administrative divisions and levels, there is only one similar professional public health institution in each administrative region at or above the county level in principle, and the government at or above the county level regulates the establishment of comprehensive supervision and law enforcement institutions for health and family planning according to their work responsibilities, which will undertake the task of comprehensive supervision and law enforcement for health and family planning.

Below the county level, community health service centers (stations), township hospitals (maternal and child health care and family planning service stations), village clinics and family planning service rooms undertake professional public health-related work. Integrate the maternal and child health care functions of township family planning technical service institutions and township hospitals. Village clinics and village family planning service rooms are reserved at the village level and shared.

In principle, there are one disease prevention and control, one comprehensive health and family planning supervision, and one maternal and child health care and family planning service institution within the county-level administrative region. At present, the specialized prevention and control institutions for leprosy and schistosomiasis are gradually integrated into the disease prevention and control center; There is an emergency center (station) and a blood bank attached to the county-run general hospital, and the location of the state government is not repeated.

One public health institution, including disease prevention and control, comprehensive supervision of health and family planning, maternal and child health care and family planning services, blood collection and supply, and one emergency center (station) are set up independently or relying on the state-run general hospital. Kunming will no longer set up emergency centers and blood centers repeatedly. All localities can integrate resources according to the actual situation. Within the provincial administrative region, one professional public health institution is set up, including disease prevention and control, health education, comprehensive supervision of health and family planning, maternal and child health care, scientific research of population and family planning, mental health, first aid, blood center and so on.

Within the scope of the province, the mental health service system and network will be established and improved on the basis of professional mental health institutions as the main body, psychiatric departments of general hospitals as the auxiliary, primary medical and health institutions and community rehabilitation institutions for mental illness.

Within the province, the prevention and control of infectious diseases in the province will be strengthened based on disease prevention and control institutions as the main body, infectious diseases specialist hospitals and general hospitals as the auxiliary, and primary medical and health institutions.

Within the scope of the province, with the provincial and municipal emergency centers as the leader, the county-run emergency center and the pre-hospital emergency network hospital jointly built a relatively complete emergency network. Strengthen the construction of emergency medical rescue bases in areas with frequent geological disasters, locations of large-scale petroleum refining and chemical projects, and areas along oil pipelines.

Section 5 Building a Regional Medical and Health Center

According to the development idea of "strengthening central Yunnan, invigorating the border areas, linking corridors, multi-point support and two-way opening", combined with the new urbanization construction plan, we will build six medical and health service areas in central Yunnan, western Yunnan, southeastern Yunnan, northwestern Yunnan, southwestern Yunnan and northeastern Yunnan. The medical and health service areas in central Yunnan include Kunming, Yuxi, Chuxiong and Qujing; The medical and health service areas in western Yunnan include Dali, Baoshan and Dehong; The medical and health service areas in southeastern Yunnan include Honghe and Wenshan; The medical and health service areas in northwest Yunnan include Lijiang, Diqing and Nujiang. The medical and health service areas in southwest Yunnan include Xishuangbanna, Pu ‘er and Lincang. The medical and health service area in northeast Yunnan includes Zhaotong. Coordinate high-quality medical and health resources in various regions, develop interactively, build regional medical and health centers, and improve the overall level of medical and health services in the province.

In the medical and health service area in central Yunnan, based on the construction of national and provincial clinical key specialties and clinical disciplines, relying on the provincial-run tertiary hospitals, we will introduce domestic high-quality medical and health resources to cooperate and build a provincial-level high-level medical and health center; Relying on Fuwai Cardiovascular Hospital, we will build a national cardiovascular disease diagnosis and treatment center and a provincial cardiovascular disease diagnosis and treatment training base for South Asia and Southeast Asia. Strive to build the provincial high-level medical and health center into a medical and health institution with beautiful environment, talented people, outstanding characteristics, excellent equipment, leading technology, rigorous academic research, innovation and advanced management, and provide efficient and high-quality diagnosis and treatment of critical and difficult diseases and specialized medical services for the whole province and neighboring countries, leading the improvement of the medical and health level of the whole province.

In the medical and health service areas of western Yunnan, southeastern Yunnan, northwestern Yunnan, southwestern Yunnan and northeastern Yunnan, regional medical and health centers in western Yunnan, southeastern Yunnan, northwestern Yunnan, southwestern Yunnan and northeastern Yunnan will be built through the construction of key clinical specialties and clinical disciplines jointly established by provincial and provincial cities, and relying on tertiary hospitals with strong technical capabilities and good service capabilities in the region to provide high-level medical and health services to the people in the region, and train and guide primary medical and health personnel in the region.

In the medical and health service areas of western Yunnan, northwest Yunnan, southwest Yunnan and central Yunnan, we will give full play to the traditional advantages of ethnic medicine, actively carry out ethnic medicine services and build ethnic medicine service centers such as Tibetan medicine, Dai medicine and Yi medicine, relying on existing ethnic hospitals such as Tibetan medicine hospitals, Dai medicine hospitals and Yi medicine hospitals.

Section 6 Division of Labor and Cooperation of Medical and Health Institutions

Establish and improve the division of labor and cooperation among public hospitals, professional public health institutions, grass-roots medical and health institutions and social hospitals, integrate the service functions of various medical and health institutions at all levels, and provide systematic, continuous and all-round medical and health services for the masses.

I. Combination of prevention and control

Professional public health institutions should strengthen guidance, training and assessment for public hospitals, primary medical and health institutions and social hospitals to carry out public health services, and establish cooperation mechanisms such as information sharing and interconnection. Clarify the responsibilities of professional public health institutions and medical institutions, and do a good job in the comprehensive prevention and treatment of chronic diseases such as hypertension, diabetes and cancer. General hospitals or specialized hospitals carry out diagnosis and treatment of key infectious diseases such as tuberculosis and AIDS, as well as patients with occupational diseases and mental diseases, and professional public health institutions are responsible for tracking and management. Provide women and children with life-cycle health care and clinical health services, and carry out comprehensive prevention and treatment of birth defects. Strengthen the coordination between maternal and child health care institutions and general hospitals, and focus on strengthening the referral and treatment of high-risk pregnant women and high-risk children. General hospitals and related specialized hospitals should rely on relevant departments and cooperate closely with professional public health institutions to undertake certain public health tasks within their administrative areas and provide operational guidance to primary medical and health institutions. Establish a compensation mechanism and a service purchase mechanism for medical institutions to undertake public health tasks. Strengthen the construction of public health service capacity of grassroots medical and health institutions to ensure that all public health tasks are in place.

Second, pay equal attention to Chinese and western medicine

Efforts will be made to promote the revitalization and development of Chinese medicine, adhere to the principle of paying equal attention to both Chinese and Western medicine, give full play to the unique advantages of Chinese medicine (ethnic medicine) in medical prevention and health care in our province, establish and improve the development mechanism of Chinese medicine (ethnic medicine), strengthen the team building of Chinese medicine (ethnic medicine), and improve the management system, inheritance and innovation system and service system of Chinese medicine (ethnic medicine). Use modern science and technology to strengthen the cooperation between Chinese and western medicine in disease prevention, clinical treatment and medical research, and promote the complementary and coordinated development of Chinese medicine (ethnic medicine) and western medicine. Increase the information support of traditional Chinese medicine (ethnic medicine) hospitals. In general hospitals, maternal and child health institutions and other non-Chinese medical and health institutions, Chinese medicine (ethnic medicine) departments are set up. Strengthen the construction of comprehensive service areas of traditional Chinese medicine (ethnic medicine) in township hospitals and community health service centers. Strengthen the development of ethnic medicine such as Tibetan medicine, Yi medicine and Dai medicine. Strive to realize the creative transformation and development of traditional Chinese medicine health preservation culture.

Third, up and down linkage

Establish and improve the graded diagnosis and treatment mode in line with the actual situation in our province, build a division of labor and cooperation mechanism between hospitals at different levels, hospitals and primary medical and health institutions, and continue medical institutions, improve the operation mechanism of networked urban and rural primary medical and health services, and gradually realize the diagnosis and treatment pattern of primary diagnosis, two-way referral, up-and-down linkage, and rapid and slow division. With the goal of forming a graded diagnosis and treatment order, we will actively explore scientific and effective medical associations and telemedicine and other graded diagnosis and treatment methods, and strive to improve the incentive mechanism of the reimbursement ratio of basic medical insurance for two-way graded diagnosis and treatment. Make full use of information technology to promote the disclosure of medical service information and the vertical flow of high-quality medical resources, and realize the information channel of sharing diagnosis and treatment information, developing telemedicine service and teaching and training between hospitals and primary medical and health institutions. Improve the service chain of treatment-rehabilitation-long-term care, develop and strengthen continuous medical institutions such as rehabilitation, elderly care, long-term care, chronic disease management, hospice care, establish a system of acute and slow treatment, and improve the utilization efficiency of medical resources in public hospitals.

Fourth, the combination of medical care and nursing

Combined with the unique advantages of natural conditions in our province, we will establish various types of combination models of medical care and nursing. Encourage all kinds of medical institutions to carry out pension services, support all kinds of pension institutions to load medical service functions, increase the number of resources to provide medical services for the elderly, and enhance the ability of general hospitals, traditional Chinese medicine hospitals, geriatric hospitals, rehabilitation hospitals, nursing homes, hospice care institutions and primary medical and health institutions to serve the elderly. From the aspects of common diseases, chronic diseases, rehabilitation nursing and health promotion, we will focus on strengthening the ability of primary medical and health institutions to provide diagnosis and treatment services for the elderly. Medical and health institutions have opened a green channel for the old-age care institutions to provide services such as medical rounds, health management, health consultation, appointment, emergency treatment, and Chinese medicine health care for the elderly, so as to ensure that the elderly can get timely and effective medical treatment. Conditional medical institutions set up in old-age care institutions can be used as post-rehabilitation nursing places for the elderly in hospitals (including traditional Chinese medicine hospitals). Encourage two or more general hospitals (including Chinese medicine hospitals) to carry out counterpart support and cooperation with old-age care institutions. We will integrate medical, rehabilitation, old-age care and nursing resources by building a medical and old-age care consortium, and provide the elderly with health and old-age care services that integrate hospitalization during treatment, rehabilitation care, stable life care and hospice care. Promote the extension of medical and health services to communities and families. Encourage social forces to set up institutions that combine medical care with nursing care.

V. Diversified development

Strengthen the coordinated development of social medical institutions and public medical and health institutions, and improve the overall efficiency of medical and health resources. Encourage social capital to invest in service areas that meet diverse needs. Encourage social capital to invest in establishing community health service institutions through various forms and channels. Encourage social forces to set up Chinese medicine specialized hospitals, rehabilitation hospitals, nursing homes (stations) and clinics for oral diseases, geriatric diseases and chronic diseases. Encourage social forces to give priority to the establishment of non-profit specialized hospitals of traditional Chinese medicine such as gynecology, pediatrics, orthopedics and anorectal diseases, and develop rehabilitation hospitals and nursing homes with Chinese medicine characteristics. There are no layout restrictions on the establishment planning of medical institutions and regional health development planning for Chinese medicine clinics and clinics that only provide traditional Chinese medicine services with social capital. Support qualified Chinese medicine professionals and technicians, especially famous old Chinese medicine practitioners to set up Chinese medicine clinics and clinics. Encourage pharmaceutical trading enterprises to hold traditional Chinese medicine clinic. Actively carry out more practice of doctors. Support social medical institutions to strengthen the construction of key disciplines, introduce and train talents, and enhance their academic status. Encourage and support social forces to participate in public health work, and strengthen technical guidance and supervision and management. Social forces should strengthen their own management, constantly strengthen their own capabilities, and work closely with professional public health institutions to ensure the smooth development of public health work.

Chapter IV Allocation of Medical and Health Resources

The first section configuration ideas

In view of the overall shortage of medical and health resources and the extreme shortage of health human resources in our province, we should control the growth rate of beds, improve service efficiency, speed up the construction of practicing (assistant) doctors, professional public health personnel and general practitioners, and rationally allocate registered nurses in accordance with the development idea of overall coordination.

In view of the uneven distribution of medical and health resources, according to the social and economic development, geographical traffic conditions, current situation of medical and health resources and the needs of regional medical and health center construction, 16 provinces and cities in the province are divided into: Kunming, the control development area; Moderately developed areas: Yuxi, Chuxiong, Honghe, Xishuangbanna and Dehong; Areas for accelerated development: Qujing, Baoshan, Zhaotong, Lijiang, Pu ‘er, lincang, Wenshan, Dali, Nujiang and Diqing.

According to the strategy of "controlling development, moderately developing and accelerating development", the allocation standard of medical and health resources in different regions is formulated, which requires controlling the development regions to promote structural adjustment, strengthen connotation construction, control the growth rate of all kinds of resources, guide the society to do fine medical work, encourage state-run hospitals and county-run hospitals to explore new service models, and gradually compress beds; Encourage moderately developed areas to improve efficiency, revitalize stocks, and rationally allocate and utilize various medical and health resources; Support to accelerate the development of areas to increase the construction of service supply capacity, and gradually narrow the gap in medical and health service capacity between various regions. Appropriate tilt will be given to the allocation of various resources in eight border States and cities, including Honghe Prefecture, Xishuangbanna Prefecture, Baoshan City, Pu ‘er City, lincang, Wenshan Prefecture, Dehong Prefecture and Nujiang Prefecture, so as to strengthen the medical and health services and disease prevention and control capabilities in border areas and provide health protection for the construction of a radiation center for South Asia and Southeast Asia.

Section 2 Allocation of Bed Resources

I. Structural configuration

By 2020, the total number of beds in medical and health institutions in the province will be controlled at about 295,000, the number of beds in medical and health institutions per 1,000 permanent residents will be controlled at 6.0, and the number of beds in public hospitals will be controlled at 3.25, including 1.94 hospitals run by counties, 0.88 hospitals run by cities and 0.33 hospitals run by provinces. There are 0.10 other public hospitals, 1.5 social hospitals and 1.25 primary medical and health institutions organized by state-owned and collective enterprises and institutions. The number of beds in Chinese medicine hospitals can be configured according to 0.55 beds per thousand permanent residents. Public specialized hospitals can be set up according to the proportion of 15% beds in public hospitals. If the number of beds in public hospitals per thousand permanent residents exceeds 3.25, in principle, the scale of public hospitals will no longer be expanded, and areas with conditions will be encouraged to optimize and adjust the excessive stock resources of public hospitals. The government has increased investment in areas and fields where medical and health service resources are short and social capital investment is insufficient to meet the basic medical and health service needs of the people. According to the basic tasks and functions undertaken, reasonably determine the size of beds in primary medical and health institutions, focusing on improving the quality of beds, improving the efficiency of use, and focusing on strengthening the combination of medical care, nursing and rehabilitation beds.

Second, the regional configuration

Considering the social economy, geographical location, service population, existing bed resources, bed utilization and other factors of each state and city, the bed allocation standards of each state and city are formulated according to the strategy of "controlling development, moderately developing and accelerating development" (see Table 3 for details).

Third, the monomer scale

Strictly control the bed size of public hospitals (single practice point). The number of beds in county-run comprehensive hospitals is generally about 500, and the number of beds in counties with a population of more than 500,000 can be appropriately increased. In principle, the number of beds in counties with a population of more than 1 million does not exceed 1,000; The number of beds in state-run general hospitals is generally about 800, and cities with a population of more than 3 million can be appropriately increased, in principle, not more than 1200; The number of beds in provincial and above general hospitals is generally about 1000, and in principle it is not more than 1500. General hospitals with more than 1,500 beds before 2015 shall not add any more beds. The size of beds in specialized hospitals is reasonably set according to actual needs.

Section III Allocation of Health Human Resources

The allocation of health human resources is adapted to the people’s health service demand, institutional function orientation and bed allocation. The distribution of medical and health talents in urban and rural areas and regions tends to be reasonable, and all kinds of talent teams develop in a coordinated manner. Strengthen the standardized training of general practitioners and residents, improve the coordination mechanism of medical education, and gradually establish and improve the general practitioner system. Promote the rational flow of medical personnel, optimize their allocation in the flow and give full play to their functions. Strengthen the construction of special capacity of public health personnel.

First, the configuration of licensed (assistant) doctors and registered nurses

Considering the social economy, geographical location, service population, existing human resources, medical and health service demand and other factors of each state and city, according to the strategy of "controlling development, moderately developing and accelerating development", the allocation standards of licensed (assistant) doctors and registered nurses in each state and city are formulated.

By 2020, the number of licensed (assistant) doctors and registered nurses per thousand permanent residents in the province will reach 2.5 and 3.14 respectively, with a total of about 123,000 and 154,000 respectively (see Table 4 for the allocation guidelines). States and cities can make appropriate adjustments according to the changes of population, economic development level and medical service needs and demands in the region.

Second, the hospital staffing

Hospital staff should focus on the allocation of licensed (assistant) doctors and registered nurses, and allocate the number of licensed (assistant) doctors and registered nurses on the basis of residents’ health service demand and doctors’ standard workload, combined with factors such as serving population, economic situation and natural conditions. The doctor-nurse ratio is 1: 1.25, and the bed-nurse ratio of state-run and above hospitals is not less than 1: 0.6. Medical and health institutions undertaking clinical teaching, teaching practice, supporting grassroots units, foreign aid medical care, emergency rescue, medical research and other tasks may appropriately increase staffing. Hospitals that do not meet the standard of bed-to-nurse ratio are not allowed to expand the size of beds in principle.

Three, the basic medical and health institutions staffing

By 2020, the number of primary health workers per thousand permanent residents will reach more than 3.5; The number of rural doctors per thousand service population is not less than 1, and the number of administrative villages with scattered residence can be appropriately increased; Every village clinic has at least one village doctor practicing. Village clinics equipped with more than two village doctors should have one female village doctor, and at least one village doctor who can attend the Western Conference. There are 2 general practitioners per 10,000 permanent residents, and each township health center has 2 general practitioners. The general practitioner system has been initially established, and a unified and standardized general practitioner training model and a service model of "first diagnosis at the grassroots level" have basically been formed. General practitioners and urban and rural residents have basically established a relatively stable contract service relationship, which basically meets the basic medical and health service needs of the people.

Fourth, the staffing of professional public health institutions

By 2020, the number of public health personnel per thousand permanent residents will reach 0.83, and all kinds of public health personnel at all levels will meet the needs of work. In principle, the staff of the Center for Disease Control and Prevention shall be approved according to the proportion of resident population of 1.75/ 10,000, and the number of infectious diseases in high-incidence areas and remote areas may be appropriately increased. Among them, the proportion of professional and technical personnel in the total establishment shall not be less than 85%, and the proportion of health technical personnel shall not be less than 70%. Maternal and child health care and family planning institutions should be reasonably staffed according to the local service population, social needs, traffic conditions, regional health and family planning development plans and the functions and tasks undertaken. The proportion of health technicians in maternal and child health care and family planning service institutions shall not be less than 80% of the total number. Professional mental health institutions shall allocate public health personnel according to the population in the region and the mental health prevention and control tasks undertaken. Blood collection and supply institutions shall allocate health technical personnel according to the annual business volume of blood collection and supply. Emergency centers, health and family planning comprehensive supervision and law enforcement agencies should be staffed according to the service population and annual business volume.

Section IV Information Resource Allocation

To guide the construction of population health informatization in the whole province with the national health insurance informatization project, and effectively improve the application level of population health informatization business; With information benefiting the people as the goal and business and management requirements as the guidance, a practical, shared and safe population health information service network will be built in an all-round way. Accelerate the construction of population health information platforms at the provincial, city and county levels, integrate and improve six business application systems, including public health, family planning, medical services, medical security, drug management and comprehensive management, and connect three databases, namely, population information, electronic medical records and electronic health records of residents, build a big data center for population health in the whole province, and popularize the application of residents’ health cards. Study and formulate the standard system of population health information in our province and implement the safety guarantee system.

By 2020, an interconnected population health information service system in the whole province will be initially established, so as to realize the integration of all-in-one coverage of health and family planning, all-in-one health card for residents and government social resources, and establish a national health security information service mechanism with full population coverage, whole life process, equal emphasis on Chinese and Western medicine, and all-weather work; Strengthen the application of medical and health big data analysis based on residents’ electronic health records throughout their life cycle; Promote health and family planning business collaboration, information sharing and scientific decision-making.

Section 5 Allocation of Other Resources

I. Configuration of large-scale equipment

According to the functional orientation, medical technology level, subject development and people’s health needs, strengthen the allocation planning of large medical equipment. Adhere to resource sharing and ladder configuration, guide medical institutions to rationally allocate appropriate equipment, gradually improve the allocation level of domestic medical equipment, and reduce medical costs. Strictly control the unconventional and debt-borrowing equipment of public hospitals. Moderately relax the allocation conditions of social medical institutions, do not take the level of social medical institutions and the size of beds as the necessary preconditions for determining the allocation of large-scale equipment, focus on assessing the qualifications and technical service capabilities of institutional personnel, and reserve a certain allocation quota for large-scale equipment of social medical institutions. In order to control the unreasonable increase of medical expenses caused by large-scale medical equipment and ensure the safety of large-scale medical equipment, medical insurance reimbursement support and price charging license support are not allowed for large-scale medical equipment that has not been allowed. Support the development of professional medical inspection institutions and imaging institutions, and gradually establish a mechanism for sharing, sharing and co-management of large medical equipment. Encourage the establishment of regional medical imaging centers in central Yunnan, southeastern Yunnan, southwestern Yunnan and other areas with conditions, promote the establishment of a service model of "inspection by primary medical and health institutions and hospital diagnosis", and improve the service capacity of primary medical imaging inspection and inspection. According to the unified and standardized standard system, the inspection of medical institutions above the second level is open to all medical institutions, and the promotion is conditional.In the area to carry out centralized inspection and mutual recognition of inspection results. Large-scale medical equipment shall be classified and managed according to the items, and the specific configuration plan shall be formulated separately. Strictly implement the relevant provisions on the purchase and use of second-hand large-scale medical equipment by medical institutions. It is strictly forbidden to use the models that have been eliminated by the state.

Second, the technical configuration

According to the demand of medical and health services, the functional orientation of medical and health institutions, disease spectrum, difficult and critical diseases, etc., the medical and health technology is rationally allocated. The establishment of medical technology clinical application evaluation management system, the clinical application of medical technology for the record management. Focusing on common diseases and health problems, we will strengthen the research and development, popularization and application of appropriate medical technologies, and strengthen the popularization and application of traditional Chinese medicine (ethnic medicine) technology. Build 50 provincial clinical key disciplines and 20 Chinese medicine key disciplines, form superior disciplines with Yunnan characteristics, and promote the overall level of disease diagnosis and treatment and the comprehensive competitiveness of hospitals. We will implement 300 provincial-level key clinical specialty construction projects and 200 provincial-level key clinical specialty cultivation projects, and build a number of key clinical specialty groups with radiation and demonstration functions to solve the problems of diagnosis and treatment of difficult, critical and specialized diseases for the masses. Strive to build 1-3 national regional medical diagnosis and treatment centers by 2020, and 40 specialties will meet the national standards of key clinical specialties, and the ability to treat difficult and critical diseases will be significantly improved. Strengthen the system construction of county-level medical institutions and the capacity building with talents and technology as the core, realize the rule of law, standardization, refinement and informatization of hospital management, and achieve the basic requirements of the state for comprehensive medical services. Each township health center and community health service center should build at least one clinical key department to achieve the goal of "common diseases do not leave the countryside and serious diseases basically do not leave the county". Strengthen the allocation of pre-hospital emergency transport equipment and the construction of pre-hospital emergency capacity in ethnic minority areas and remote areas.

Third, the allocation of funds

Strengthen the government’s investment responsibility for basic, grass-roots and basic medical and health resources, safeguard the public welfare of public medical and health services, and effectively ensure the funds for public health services and primary health services. The newly increased medical and health investment should focus on public health, primary health care, traditional Chinese medicine (ethnic medicine) and other key areas. Reform the way of financial subsidies and establish a mechanism linking financial subsidies with performance appraisal results. Provincial, state and municipal finance will give preferential support to areas and regional medical and health centers where medical and health services are lagging behind, and increase support for health services in poverty-stricken areas.

Chapter V Safeguard Measures

Section 1 Strengthening organizational leadership

First, strengthen leadership

The planning of medical and health service system is an important means for the government to carry out macro-control on health undertakings. It is necessary to strengthen the leadership of regional health planning, put regional health planning on the important agenda, include it in the government’s work objectives and assessment objectives, and establish an accountability system. Governments at all levels should make overall consideration of the development needs of medical and health institutions in the overall land use planning and urban and rural planning, rationally arrange land supply, and give priority to ensuring the land for non-profit medical institutions.

Second, rationally divide the responsibilities of governments at all levels

The people’s governments of prefectures and cities are responsible for studying and compiling the regional health planning and the establishment planning of medical institutions, and organizing their implementation. It is necessary to focus on the planning of hospitals and professional public health institutions at the prefecture level and below, refine the bed allocation standards to counties, and make overall plans for the establishment of various medical and health institutions at all levels in the city according to the principle of territoriality. The county-level government shall be responsible for the establishment of county-run hospitals, professional public health institutions and primary medical and health institutions in the region in accordance with the requirements of the regional health planning and medical institution establishment planning of the city where it is located.

Third, clarify the responsibilities of relevant departments

Departments of health and family planning, development and reform, finance, urban and rural planning, human resources and social security, institutional establishment and Chinese medicine management should conscientiously perform their duties and promote regional health planning in a coordinated manner. In terms of health and family planning, formulate regional health planning and medical institution setting planning and make dynamic adjustments in a timely manner; In terms of development and reform, we will carry out capital construction management for new reconstruction and expansion projects according to the plan, and actively strive for central construction funds in accordance with capital construction procedures; In terms of price, promote the reform of medical service price; In terms of finance, it is necessary to implement relevant funds in accordance with the government’s health investment policy, and pay attention to the principle of paying equal attention to both Chinese and western medicine; In terms of urban and rural planning and management, construction land should be approved in accordance with the urban and rural planning approved according to law; In terms of institutional establishment, it is necessary to coordinate the establishment of public medical and health institutions according to relevant regulations and standards; In terms of social security, we should speed up the reform of medical insurance payment system; Other relevant departments should carry out their duties and do a good job in relevant work.

Section 2 Innovating System and Mechanism

Deepen the reform of medical and health system and create favorable conditions for the implementation of medical and health service system planning. The main content of this plan is the allocation of medical and health resources. The overall deployment of deepening medical reform during the "Thirteenth Five-Year Plan" period will be arranged by the medical and health system reform plan. In the process of implementation, it is necessary to make a good connection with relevant plans. It is necessary to establish and improve the government’s health input mechanism and clarify the leading position of the government in providing public health and basic medical services. Effectively implement the investment policy for public and social non-profit medical and health institutions. Reasonably divide the responsibility of governments at all levels for medical and health investment. Deepen the comprehensive reform of primary medical and health institutions, improve the operational mechanism of networked urban and rural primary medical and health services, and improve service quality and efficiency; Accelerate the reform of public hospitals, establish a reasonable compensation mechanism, a scientific performance evaluation mechanism and a personnel compensation system that adapts to the characteristics of the industry, and promote the separation of management and administration, politics and medicine. Scientifically establish a dynamic adjustment system for performance pay in professional public health institutions, and allow grassroots public health institutions to extract a certain proportion from the balance of income and expenditure as an incentive performance pay increment, which will be included in the overall management of performance pay. Accelerate the development of serious illness insurance and commercial health insurance for urban and rural residents, and establish and improve a multi-level medical security system with basic medical insurance as the main body. Reform the medical insurance payment method and establish a more reasonable medical insurance payment mechanism. Strengthen the supervision of the whole medical and health industry. We will implement various forms of medical practice insurance such as medical liability insurance and medical accident insurance, and accelerate the development of third-party mediation mechanisms such as people’s mediation of medical disputes.Improve the medical dispute handling mechanism.

Section III Intensifying the Adjustment of Resources

According to the principle of "strictly planning increment and scientifically adjusting stock", the number and layout of public hospitals in the region are reasonably determined, and various measures are taken to promote the layout and structural optimization of public hospitals. Reasonably control the bed size, construction standards and large-scale equipment configuration of public hospitals, and prohibit borrowing for construction and equipment. For weak areas such as new urban areas, suburbs and satellite urban areas, the government should build public medical and health institutions in a planned and step-by-step manner to meet the basic medical and health needs of the people. Focus on strengthening the construction of service capacity in weak areas such as traditional Chinese medicine, pediatrics, obstetrics and gynecology, maternal and child health care, family planning, mental health, infectious diseases, elderly care, oral cavity and rehabilitation. Give priority to supporting the development of concentrated contiguous destitute areas, populous counties and areas lacking medical resources, and guide the flow of urban high-quality medical and health resources to grassroots and rural areas. Priority should be given to strengthening the service capacity of county-run hospitals and improving the medical capacity and level in the county. By 2020, 90% of county-run hospitals and county-run Chinese medicine hospitals will meet the basic standards for comprehensive capacity building of county hospitals and county Chinese medicine hospitals respectively, and the rate of medical treatment in the county will increase to 90%. Support the standardization of village clinics, township hospitals and community health service institutions, and build a "15-minute health service circle in dam area" and a "30-minute health service circle in mountain area". We will increase support for the development of medical and health service system and the targeted training of talents in ethnic minority areas, border areas and concentrated contiguous destitute areas. Newly built residential areas and communities shall ensure basic medical and health facilities in accordance with relevant regulations. In areas with surplus resources of public hospitals, it is necessary to optimize the structure and layout and proceed from reality.According to the needs, some public hospitals will be actively and steadily transformed into rehabilitation, elderly care and other continuing medical institutions or community health service institutions. For public hospitals that exceed the scale standard, comprehensive measures should be taken to gradually compress beds.

Section IV Strengthening the Training and Use of Talents

Carry out the basic talent training plan, strengthen the coordinated development of medical education, establish a supply-demand balance mechanism between medical talent training and talent demand in health and family planning industry, accelerate the construction of a clinical medical talent training system with "5+3" as the main body and "3+2" as the supplement, continue to carry out the free training of rural order-oriented medical students, and explore the "5+3+X" specialist training model. We will fully implement standardized training for residents and assistant general practitioners, and carry out pilot projects for standardized training system for specialists. Further promote continuing medical education. By 2020, a standardized and standardized clinical medical personnel training system with Yunnan characteristics will be basically established, which is organically connected with college education, post-graduation education and continuing education.

Carry out the training plan for 10,000 doctors and speed up the construction of practicing (assistant) doctors. Strengthen the construction of grassroots medical and health teams focusing on general practitioners, improve the on-the-job training system, and encourage rural doctors to participate in academic education. Strengthen the training of nursing, pediatrics, psychiatry and other urgently needed professionals. Taking the training project of "Yunling famous doctor", high-level talents and "provincial famous Chinese medicine practitioners" as the starting point, the selection and training of "Yunling famous doctor" and high-level talents will be carried out in a planned way in the whole province every year, and the introduction plan of high-level talents will be carried out to promote and lead the development of high-level talents in various fields of health and family planning, such as public health, medical care and health management, and to expand the ranks of high-level talents and improve their level. Improve the policy environment for the development of medical and health talents, and improve the systems and mechanisms for the evaluation, selection, mobility, incentive and guarantee of medical and health talents. Strengthen the government’s policy guidance on the flow of medical and health talents, formulate and implement the policy of "keeping people at the grassroots level", promote the flow of medical and health talents to the grassroots level, study and implement the special post plan for general practitioners and county-run hospitals in grassroots medical and health institutions, create good career development conditions, and encourage and attract medical personnel to work at the grassroots level. Improve the employment mechanism of public institutions with the employment system and post management system as the main content, improve the post setting management, ensure that the professional and technical posts are not less than 80% in principle, and implement open recruitment and competitive recruitment for posts. Improve the scientific and socialized evaluation mechanism based on job responsibilities, oriented by morality, ability and performance, and in line with the characteristics of health talents.Improve the evaluation system of professional and technical titles of health and family planning personnel, and promote the growth and development of talents and rational flow. We will deepen the reform of the income distribution system, establish an assessment and incentive mechanism centered on service quality, service quantity and satisfaction of clients, based on job responsibilities and performance, adhere to the principle of getting more for more work and excellent performance, and give priority to key positions, business backbones and medical and health personnel with outstanding achievements. Establish an investment mechanism for the construction of health talent team with government investment as the main input, supplemented by employers and social assistance, give priority to ensuring investment in talent development, and provide necessary financial guarantee for the development of medical and health talents. Innovating the organization of public hospitalsSystem management, reasonably check the total establishment of public hospitals, and make dynamic adjustments, gradually implement the establishment and filing system, and explore various forms of employment mechanisms and government procurement services.

Section 5 Strengthening Supervision and Evaluation

First, standardize the planning process

States and cities in the preparation of medical and health resources allocation standards and regional health planning, according to the health needs of the masses, to set a reasonable allocation of various medical and health resources. Do a good job in connecting with this plan, local economic and social development planning, urban and rural planning, overall land use planning, etc., reasonably control the standard of total resources and the single scale of public hospitals, and make appropriate adjustments to the proportion of beds in different levels and types of institutions according to actual needs on the basis of strengthening the grassroots. The drafting of regional health planning in each state and city shall be approved by the provincial health and family planning administrative department and then submitted to the people’s government of Honshu for approval to ensure the suitability, feasibility and authority of the planning. The cycle of regional health planning is generally 5 years.

Second, strict planning and implementation

Timely release information such as institutional setup and planning layout adjustment, and encourage qualified areas to determine the host or operation subject by means of bidding. Incorporating planning as a prerequisite for the establishment of construction projects. All new medical and health resources, especially the establishment, reconstruction and expansion of public hospitals, the expansion of hospital beds and the purchase of large-scale medical equipment, must be strictly managed in accordance with the requirements and procedures of regional health planning, regardless of the funding channels. Establish a grading filing and publicity system for the size of beds in public hospitals. In public hospitals with more than 1,500 beds, the increase in beds must be reported to the National Health and Family Planning Commission for the record (Chinese medicine hospitals should also be reported to state administration of traditional chinese medicine for the record); In public hospitals with more than 1,000 beds, the increase of beds shall be reported to the Provincial Health and Family Planning Commission for the record. For public hospitals that seriously exceed the prescribed number of beds, carry out project construction without approval, expand the construction scale and improve the construction standards without authorization, informed criticism should be carried out, and the allocation of large medical equipment, grade evaluation and financial arrangements should be suspended.

Third, establish a supervision and evaluation mechanism for the implementation of the plan

The people’s governments of prefectures and cities should strengthen the supervision and evaluation of planning implementation, establish a supervision and evaluation mechanism of regional health planning and resource allocation, set up a special evaluation working group, organize the evaluation of the implementation progress and effect of regional health planning, find out the problems existing in the implementation in time, and study and solve countermeasures. In the process of evaluation, public appraisal and fair competition should be carried out, and legal, economic and administrative means should be used to standardize, manage and ensure the effective implementation of regional health planning.

Attachment: Division of Key Tasks of Provincial Departments

　　Cuba’s citizens are well known for free medical care, and the medical institutions in this Caribbean island country have also developed some new special medicine treatments, which have enabled many patients to find here from Wan Li, not far from all over the world. Treating intractable diseases has become another feature of Cuban medical care.

　　[Special medicine for auxiliary treatment of lung cancer]

　　CIMAvax-EGF, an adjuvant drug for lung cancer, is a unique drug developed by Cuban Center for Molecular Immunology and registered in 2008. It can strengthen the human immune system and give chemotherapy time to respond, thus improving the treatment effect of lung cancer.

　　Eduardo Osito, deputy director of the Cuban Center for Molecular Immunology, said that the research and development of CIMAvax-EGF exhausted the efforts of the first generation of scientists in the center. It is mainly composed of epidermal growth factor (EGF) and another protein P64K. Cuban medical personnel realize that EGF molecules play a very important role in the process of tumor evolution. "CIMAvax-EGF does not directly kill cells, but it can make them hungry by preventing EGF from attaching to the cell’s self-sensor," Osito said. "This correlation is the key to prevent cell growth and proliferation."

　　Unlike many other cancer therapies that have serious side effects, patients who use CIMAvax-EGF have a good tolerance to drugs. According to Osito, 30% of patients treated with this drug have significantly improved their quality of life.

　　In view of the current treatment situation of the drug, scientists believe that it is likely to have potential curative effect on cancer cells such as head and neck cancer and colon cancer that depend on EGF growth.

　　Cuba’s national medical system used this special medicine for the first time in 2012, and thousands of patients have benefited so far. At present, four countries use this medicine.

　　In January this year, Roseveare Park Cancer Institute cooperated with Cuba, and the drug began clinical trials in the United States, and it is planned to be approved by the US Food and Drug Administration (FDA) for use in the American market.

　　[Gold Award-winning Diabetes Drugs]

　　Heberprot-P is a new special medicine introduced by Cuba in 2006 for treating diabetic foot ulcers. Its appearance has saved a large number of patients from amputation.

　　The medicine is a unique product developed by Jorge Bellanga, a Cuban scientist, and the team of the Center for Genetic Engineering and Biotechnology. It contains the active pharmaceutical ingredient of epidermal growth factor (EGF) and works by direct infiltration or injection into the injured area.

　　Dr. Manuel Raisez, a member of the research team of the Center, said: "With each injection, amino acids and protein compounds can differentiate cells, and healthy and energetic tissues begin to be injected into the ulcer site. After an average of about three months, the wound is completely healed."

　　In 2007, Cuba built a clinic specializing in treating diabetic foot ulcers, but the demand far exceeded expectations. The Cuban Ministry of Health decided to start a national treatment project, and there are 458 specialized clinics at present.

　　Laissez said: "This makes our current diabetes amputation rate in the world the lowest, only 3.8%." He said that there are nearly 1 million diabetic patients in Cuba, and there are about 35,000 cases of diabetic foot ulcers every year. In 2016, only 480 cases were actually amputated.

　　Laissez and scientists from the Center have given lectures on the drug and its use in more than 20 countries, including Russia, Kuwait, Algeria, Argentina, Ecuador and Venezuela. At present, Heberprot-P has been registered in 23 countries and has been effectively used in 10 countries.

　　The implementation of this project in Cuba has been internationally recognized. It was launched to the international market 10 years ago and won the gold medal of intellectual property rights awarded by the World Health Organization.

　　[biopharmaceuticals become Cuban characteristics]

　　The research and development of new special drugs reflects the achievements of Cuba in developing medical biotechnology industry for many years. Dengue fever in the early 1980s prompted Cuba to develop Interferon；, which can stop potential viruses. In 1990, the hepatitis B recombination vaccines was developed, which almost eliminated hepatitis B in Cuba. A single dose vaccine called Heberpenta can protect against diphtheria, tetanus, whooping cough, hepatitis B and influenza B.

　　Other famous drugs developed in Cuba include Pentavalente for treating virus infection, Estreptokinasa for treating heart disease, PPG for treating cholesterol disease, Nimotuzumab for treating head and neck cancer, Eritropoyetina Human Recombinants for chronic anemia and granulocyte colony stimulating factor (g-csf) in leukemia patients.

　　Cuba has also developed many botanical drugs. The Natural Medicine Center under the National Scientific Research Center of Cuba uses palm tree fruit extract to make drugs for treating benign prostatic hypertrophy; Extracted from local wild plants in Cuba and made into drugs for autoimmune diseases; Abexol；, an antioxidant drug with anti-aging effect made from purified beeswax extract; Calcium supplement Suplecal；; Prevenox； for treating osteoporosis; PPG for controlling cholesterol level made from sugarcane extract, etc.

　　[Special medicine breeds medical tourism]

　　In the 1990s, in order to reverse the huge impact on Cuba’s economy after the disintegration of the Soviet Union, the Cuban government made great efforts to develop the tourism industry in order to obtain the foreign exchange badly needed by the country. With Cuba’s opening up to foreign tourists, tourists found that Cuba had a high success rate in treating many diseases, some of which were even better than their own countries, and medical tourism came into being.

　　Established in 1987, Cuban Medical Service Agency (SMC) mainly provides medical services for foreigners. Dr. Ianna Alvarez, director of the agency’s sales department, told reporters that SMC has signed agreements or established strategic partnerships with about 41 countries, that is to say, SMC has cooperative relations with some institutions, medical insurance companies, service export units or clinics that transport patients to Cuba for treatment.

　　Patients who come to Cuba for treatment through SMC come from all over the world, including Canada, Europe, the United States, Central America and South America. The needs of patients in Cuba are different. Many Canadian patients come to Cuba for cosmetic or plastic surgery, such as lumbar replacement, hip replacement, knee prosthesis and other treatments. Such operations need to wait for a long time in many countries; Central and South American patients come to receive nervous system treatment; Europeans mainly come to perform various eye operations and treat psoriasis, lung cancer or foot ulcers with drugs developed by Cuba …

　　Because patients come to Cuba for treatment through different channels, SMC does not have complete data, but one thing is certain, that is, the demand of international patients is increasing every year, so Cuban health authorities begin to open new foreign-related institutions and facilities in large hospitals.

　　According to Alvarez, China and Cuba have established cooperation in medical services. She said: "Because China and Cuba are far apart, it is difficult to launch a comprehensive plan for Chinese to be treated in Cuba. However, once patients have accurate information about treatment, I believe they will have high satisfaction. "

　　Alvarez said that Cuban medical services will send professionals to China to promote health care projects in the future, so that more Chinese can understand and benefit from Cuban medical services. (Ma Guihua) (special feature of Xinhua News Agency)

　　CCTV News:According to the website of the National Development and Reform Commission, today, the National Development and Reform Commission released the August Analysis Report of 12358 Price Supervision Platform, and exposed eight typical cases of price violations.　

　　1. The case of illegal collection of cruise fees in Yangxin Xiandao Lake Scenic Area, Huangshi City, Hubei Province

　　A citizen of Huangshi City reported that when he was traveling in the scenic spot of Xiandao Lake in Yangxin, he found that there was a problem of overcharging the cruise ship fees in the scenic spot and asked to investigate and deal with it. After investigation, the problem reflected by the whistleblower is true. The cruise fee in this scenic spot is not charged according to the 40 yuan/person-time (original price of 25 yuan/person-time) standard as stipulated in the Reply of Huangshi Price Bureau on Ticket Price and Cruise (Boat) Ticket Price of Xiandao Lake Eco-tourism Scenic Spot in Yangxin County (No.76 [2013]). Yangxin County Price Supervision and Inspection Bureau ordered the scenic spot to immediately correct price violations and imposed an administrative penalty of 50,000 yuan.

　　II. Case of illegal collection of appraisal fees by Shengtang Judicial Appraisal Institute in Chaoyang District, Beijing

　　A citizen of Beijing reported that when he conducted the inheritance appraisal in Shengtang Appraisal Institute, there was illegal charging behavior in the institute and he asked to investigate and deal with it. After investigation, the problem reflected by the whistleblower is true. On the basis of the charging standard of the Administrative Measures for Judicial Appraisal Charges by Beijing Shengtang Judicial Appraisal Institute, 50% of the part of the target amount exceeding 100,000 yuan to 500,000 yuan will be charged, and the overcharge will total 1,187 yuan. The Development and Reform Commission of Chaoyang District of Beijing inspected the past charging records of the firm and found that this kind of illegal charging behavior was widespread in the firm. According to Article 39 of the Price Law of People’s Republic of China (PRC), Article 9 (1) and Article 16 (2) of the Provisions on Administrative Punishment for Price Violations, the unit was ordered to immediately correct the price violations and confiscate the illegal income of 113,000 yuan. An administrative penalty of a fine of 113,000 yuan.

　　3. The case of illegal collection of school uniform fees by Hadadao Primary School in Baotou City, Inner Mongolia Autonomous Region

　　A citizen of Baotou reported that his children were charged 300 yuan school uniform fees when they were studying at Hadadao Primary School, and asked to be investigated. After investigation, the problem reflected by the whistleblower was true. The school charged more than 1,200 students uniform fees, each set of 300 yuan. According to the Regulations of Inner Mongolia Autonomous Region on the Management of Service Charges and Agency Charges for Primary and Secondary Schools (for Trial Implementation) (No.2577 [2012]), each set of primary school students’ summer clothes should not exceed 80 yuan (the cotton content in their tops should not be less than 40%), and each set of spring and autumn clothes should not exceed 105 yuan (the reflective school uniforms should not exceed 115 yuan). Baotou City Price Supervision and Inspection Bureau ordered the school to coordinate with the school uniform business unit, and unconditionally refunded all those parents who thought that the school uniforms they had ordered were too high and overburdened, and imposed an administrative penalty of 50,000 yuan.

　　Four, Nanyang City Public Security Bureau, Henan Province, the traffic police detachment Wandong driver test service center illegally charged insurance premiums.

　　A citizen of tanghe county, Nanyang City reported that when he participated in the mock test in Wandong Driver Test Service Center, the traffic police detachment of Nanyang Public Security Bureau, he forcibly charged the insurance premium 20 yuan to the students and demanded investigation. After investigation, the problem reflected by the informant is true, and the center does have price violations that force the collection of insurance premiums. This behavior violated the relevant provisions of the Notice on Further Standardizing the Charge Standards of Public Security Traffic Management in our Province (Yufa Reform Charge [2008] No.2416), and Nanyang Price Management Office has ordered the unit to stop charging illegally and impose an administrative penalty of 20,000 yuan.

　　Five, Shiyan City, Hubei Province, Yunxi County Jiahe Town Center Health Center illegal charges.

　　A citizen of Yunxi County, Shiyan City reported that the Jiahe Town Central Health Center in this county had arbitrary charges when providing ambulance service, and demanded to investigate and deal with them. After investigation, the problem reflected by the whistleblower was true. In 2016, the hospital illegally charged 28 patients with 3,820 yuan of refueling fee, car wash fee and high-speed fee. In addition, during the inspection, it was also found that there were illegal acts such as repeatedly charging materials fees and waste disposal fees for medical services, and increasing bed fees in disguise. According to the relevant provisions of the Notice of Shiyan Municipal Price Bureau and Health Bureau on Implementing Opinions on Regulating and Adjusting the Price of Medical Services (No.33 [2006] of Ten Price Fees), the Yunxi County Price Bureau ordered the hospital to immediately correct the illegal price behavior and impose an administrative penalty of confiscating 24,000 yuan of illegal income.

　　Six, Yingshang County, Anhui Province Saijian Waterworks illegal charges.

　　A citizen of Yingshang County, Fuyang City reported that the water supply company in Jiangtai Village, Saijian Hui Township of the county charged the local villagers high water charges and tap water household fees, demanding investigation. After investigation, the problem reflected by the whistleblower is true. From February 2, 2015 to May 12, 2016, the factory charged 558 water users a water supply service fee of 39,360 yuan according to the annual 60 yuan standard of each household; The installation fee for 68 water users is 19,200 yuan, and the total fee for two items is 58,560 yuan. The relevant acts violated the relevant provisions of the Notice of Anhui Provincial Price Bureau on Printing and Distributing the Provisions on the Management of Rural Tap Water Price (Wan Jia Shang [2011] No.66), and Yingshang County Price Bureau ordered the factory to immediately correct the illegal price behavior, and imposed an administrative penalty of confiscation of illegal income of 58,500 yuan and a fine of 58,500 yuan.

　　Seven, Yingkou Prison in Liaoning Province, illegal collection of admission certificate fees.

　　A citizen of Yingkou City, Liaoning Province reported that after he passed the civil service examination and was hired by Yingkou Prison in 2010, he was charged the 200 yuan academic degree certification fee by the organization department of the prison, and he did not provide relevant proof of the fee, asking for investigation. After investigation, the problem reflected by the whistleblower is true, and the related charging behavior belongs to illegal fee search. Since this behavior occurred before 2010, it has been six years since. According to Article 29 of the Administrative Punishment Law of the People’s Republic of China, "If the illegal act is not discovered within two years, no administrative punishment will be given", no administrative punishment should be imposed on the unit. After the Liaoning Provincial Price Bureau preached the policy and communicated with the unit, the unit voluntarily refunded the academic certification fee totaling 29,000 yuan.

　　Eight, Jiangxi Yucai Technical College illegally charged vocational skills appraisal fees.

　　A citizen of Ganzhou City, Jiangxi Province reported that when he was studying in Jiangxi Yucai Technical College, he was required to pay the professional skill appraisal fee of 550 yuan, otherwise he would not get the graduation certificate. After investigation, the problem reflected by the whistleblower was true. In June 2016, the school informed the class of 2013 to pay the fees related to vocational skill appraisal, 550 yuan. According to the Notice of Jiangxi Provincial Department of Human Resources and Social Security on Doing a Good Job in Evaluating the Running Quality of Technical Colleges in Jiangxi Province (No.375 [2013] of Gan Renshe Zi) and the Reply of Jiangxi Provincial Development and Reform Commission and the Department of Finance on Standardizing and Adjusting the Charge Standard of Vocational Skills Appraisal in Jiangxi Province (No.2344 [2012] of Gan Fa Gai Charge Zi), this charge is beyond the standard. The Jiangxi Provincial Price Supervision and Inspection Bureau ordered the school to immediately correct the price violations and refund all the illegal overcharges totaling 76,000 yuan.

Fuzhou Strait International Convention and Exhibition Center, the main venue of the 2nd Digital China Construction Summit.

　　Cctv news(Reporter Zhang Xiaolin, Wang Xiaoying and Li Wenliang) From May 6 to 8, the second Digital China Construction Summit will be held in Fuzhou, Fujian Province.

　　Digital China Construction Summit is a platform for publishing China’s informatization development policies, displaying the achievements of e-government and digital economy development, exchanging theoretical experience and practice of digital China construction, and gathering global forces to promote the construction of digital China. The theme of this summit is "Cultivating new kinetic energy with informatization, promoting new development with new kinetic energy, and creating new glory with new development".

　　Compared with the first summit in 2018, the new positioning has injected international elements into this summit and added a lot of highlights to this summit.

　　Aspect 1: Big coffee drives insight into the new trend of industry development

　　This summit will hold the opening ceremony, main forum, sub-forum, achievement exhibition, report release, innovation competition and closing ceremony.

　　At present, this summit has collected and sorted out a total of 498 digital economy docking projects with a total investment of 407.5 billion yuan. Ma Huateng, Chairman of Tencent’s Board of Directors, and Li Yanhong, Chairman of Baidu, have confirmed their attendance at the summit. At the same time, more than 40 academicians of the two academies, as well as guests from leading enterprises of digital economy such as Huawei, Baidu, Ali, Tencent, Inspur and Iflytek, will attend the conference, and will give wonderful speeches in the main forum and related sub-forums. The number of guests attending the conference is expected to increase by 50% compared with the first summit.

　　Aspect 2: The collision of views in 16 sub-forums is more exciting

　　Compared with the first session, not only the number of guests has increased, but also the number of sub-forums this year has doubled from 8 to 16.

　　In addition to e-government, big data, smart society, digital economy, digital Fujian, digital Haisi, Internet of Things, the sub-forum has also added digital ecology, satellite applications, industrial Internet, network technology, digital health and other contents, with more detailed themes, greatly increased focus and more intense point of view collision.

　　It is noteworthy that the organizing committee of this summit will invite some international organizations, multinational companies, foreign-funded enterprises in China and think tank representatives to participate, and will also invite government officials from countries along the Belt and Road to participate in the summit activities, share their views and exchange mutual learning.

　　Aspect 3: Pay attention to the policy release and grab the "red envelope" of the ministries.

　　Policy release will continue during this year’s summit. The Central Network Information Office, the Ministry of Agriculture and Rural Affairs, the National Health Commission, the National Space Administration and other ministries and commissions will focus on releasing policies on industry informatization and digital economy development in their respective fields, and launch a number of policy "red envelopes".

　　In the main forum, the responsible comrades of the National Internet Information Office will release the Report on the Construction and Development of Digital China (2018). At the closing ceremony, relevant national ministries and commissions will also release relevant policies and reports.

　　Aspect 4: See the exhibition and experience the new technology.

　　As a platform for releasing China’s information development policies and displaying the achievements of e-government and digital economy, what new technologies will be exhibited at the Digital China Construction Achievements Exhibition? Everyone is curious.

　　It is reported that this summit has added a sub-forum on industrial applications, and the exhibition area has increased from 40,000 square meters to about 60,000 square meters. The exhibitors basically cover all provinces, municipalities and relevant state ministries and commissions, as well as many top 100 Internet companies and top 100 electronic information companies. The development achievements of digital China and digital economy in recent years will be fully displayed, and the first exhibition rate of new technologies and new products will exceed half.

　　There are five major venues in this exhibition, and the themes are comprehensive+digital Fujian, guest province+digital government, digital economy (digital industrialization), digital economy (digital industry)+achievement release and smart society+digital life+achievement release.

　　The organizer will also launch a number of smart application scenarios in the venue, such as full-scene face payment, smart restaurants, credit blocks, driverless cars, and unmanned vehicles, and realize the full coverage of the 5G signal main venue, bringing a batch of 5G and intelligent new experiences to the guests. In addition, an "online summit" was launched to create a "year-round exhibition and never ending" summit.

　　Aspect 5: Take the entrepreneurial platform to see who is competing with the front.

　　The finals of the Digital China Innovation Competition will be held during the summit.

　　According to the organizer, the 2019 Digital China Innovation Competition aims at outstanding data scientists at home and abroad, and sets three kinds of algorithm problems: big data, artificial intelligence and industrial internet, so as to explore innovative technology applications and business models, stimulate the innovation vitality of professionals, and build a new platform for Industry-University-Research cooperation in high-tech industries.　

　　The 2019 Digital China Innovation Competition Finals will publicly defend and review the outstanding works of 18 teams that have advanced in the regional finals, and select excellent teams of data scientists and solutions to promote the in-depth integration of the new generation of information technology and traditional industries, help solve the pain points and difficulties in the development of digital economy, and help the construction of digital China.