Notice of the General Office of Hunan Provincial People’s Government on Printing and Distributing the "Fourteenth Five-Year Plan" for Healthy Hunan.

Xiang Zheng Ban Fa [2021] No.48

The people’s governments of cities, counties and cities, the provincial government departments and commissions, and the directly affiliated institutions:

　　"Healthy Hunan" 14 th Five-Year Plan "has been agreed by the provincial party committee and the provincial people’s government, and is hereby issued to you. Please earnestly organize and implement it according to the actual situation.

　　General Office of Hunan Provincial People’s Government

　　August 20, 2021

　　(This piece is made public voluntarily)

Healthy Hunan "14th Five-Year Plan" Construction Plan

　　In order to promote the construction of a healthy Hunan, serve the overall economic and social development of the province, and continuously meet the growing health needs of urban and rural residents, this plan is formulated according to the requirements of the Implementation Plan for Implementing the Outline of the Plan for Healthy China 2030 in Hunan Province and the Outline of the 14th Five-Year Plan for National Economic and Social Development in Hunan Province and the Long-term Objectives for the Year 2035.

　　I. Planning background

　　(1) The basis of the 13th Five-Year Plan.

　　1.Public health services have been continuously optimized, and the prevention and control of major diseases have achieved remarkable results.COVID-19 epidemic prevention and control achieved phased strategic results. The performance appraisal of basic public health service projects ranks among the top in the country. Legal infectious diseases such as AIDS and tuberculosis continue to maintain a low epidemic level, and malaria has achieved the goal of elimination. The vaccination rate of national immunization program for school-age children is stable at over 95%. The incidence of vaccine-targeted infectious diseases such as hepatitis B, epidemic cerebrospinal meningitis and Japanese encephalitis in children is at a historically low level. The premature mortality caused by cardiovascular and cerebrovascular diseases, cancer, chronic respiratory diseases and diabetes is decreasing year by year. All the 41 endemic counties (cities, districts and farms) have reached the standard of elimination or transmission interruption. The comprehensive score of management and treatment of severe mental disorders ranks second in the country. The comprehensive supervision mechanism of the medical and health industry has been initially established, and the monitoring points of food pollutants and harmful factors cover all administrative regions at or above the county level. Seven national health cities and 41 national health towns (counties) were established. The "Guiding Opinions on Strengthening Health Promotion and Education" was first issued in China, and the level of residents’ health literacy improved steadily.

　　2.The medical service system has become more perfect, and the task of health and poverty alleviation has been successfully completed.Actively promote the construction of national medical centers and national regional medical centers, and add 119 provincial key clinical specialties. County "Dimethyl" public hospitals, maternal and child health care institutions, general practitioners in township health centers, and village clinics have achieved full coverage. The graded diagnosis and treatment system has been continuously improved, and the hospitalization rate in the county has reached 90.92%. The comprehensive reform of public hospitals has been promoted in an all-round way, and the establishment of modern hospital management system has been accelerated. The proportion of public hospitals with secondary and above hospital regulations has reached 99.80%. The health poverty alleviation policy system and guarantee mechanism have been gradually improved, and the participation rate of poor people has reached 100%; Give full play to the comprehensive guarantee function of the triple system of basic medical insurance, serious illness insurance and medical assistance, and the actual reimbursement rate of hospitalization medical expenses for the three guarantees reached 74.80%; Carrying out "one-stop" settlement of health poverty alleviation has formed a "one-stop" settlement model with Hunan characteristics, and the proportion of comprehensive security reimbursement for poor people has reached 87.55%.

　　3.The level of medical security has been steadily improved, and breakthroughs have been made in the construction of drug supply security system.We will comprehensively coordinate basic medical insurance and maternity insurance at the municipal level, and the participation rate of urban and rural basic medical insurance will remain above 95%. We will generally coordinate general outpatient medical insurance for urban and rural residents, and establish a drug security mechanism for outpatients with hypertension and diabetes. Within the policy scope of primary medical and health institutions, the proportion of outpatient medical expenses paid within the annual maximum payment limit is 70%. The proportion of medical insurance payment for hospitalization expenses within the policy scope of urban workers and urban and rural residents reached 82.27% and 72.04% respectively. The maximum annual compensation for serious illness insurance for urban and rural residents is 300,000 yuan. We fully implemented the national centralized drug procurement policy, and took the lead in purchasing antibacterial drugs in China. The average decline of 154 drugs won the bid was 35%, and the total purchase amount decreased by 23.82%. The reform of medical insurance payment methods has been steadily advanced, and the pilot of disease diagnosis related group payment (DRG) has achieved remarkable results. Government-run primary medical and health institutions and administrative village clinics all implement the basic drug system. Improve the procurement mechanism of high-value medical consumables and cancel the addition of medical consumables in public hospitals. Strengthen the management of medical service items, announce and implement more than 100 new medical service price items, and include 4517 medical service price items. Continue to optimize the direct settlement process of hospitalization expenses for cross-provincial medical treatment in different places. There are 963 designated medical institutions for direct settlement of cross-provincial medical treatment in different places in the province, and the number of people effectively registered on the national platform reaches 896,000.

　　4.Strong health protection for key populations and accelerated transformation of family planning services.Maternal and child health care and family planning technical service resources were effectively integrated, and people’s livelihood services such as "two cancers" free examination for rural school-age and urban low-income women and free prenatal screening for pregnant women were effectively implemented. 143 new centers for critically ill pregnant women and 149 centers for critically ill newborns were built. Maternal mortality rate, infant mortality rate and mortality rate of children under 5 hit record lows, which were significantly lower than the national average. It was the first in the country to issue the "Measures for the Prevention and Control of Birth Defects in Hunan Province". With comprehensive measures, the incidence of birth defects continued to decline. The health service system for the elderly has been continuously improved, and the proportion of geriatrics departments in secondary and above general hospitals has reached 50.80%. The newly diagnosed occupational diseases decrease by about 5% every year on average, and the rescue mode of pneumoconiosis migrant workers is promoted throughout the country. We will steadily implement the the universal two-child policy, promote the development of care services for infants under 3 years old, and fully implement various reward and assistance systems and preferential policies for family planning. The reform of the Family Planning Association has been steadily promoted, and projects such as hospitalization care subsidies, health insurance and happiness project for special family planning have benefited more than 200,000 families with family planning difficulties every year.

　　5.The development of Chinese medicine has reached a new level, and the inheritance and innovation have been fruitful.The "Measures for Implementing the People’s Republic of China (PRC) Law on Traditional Chinese Medicine" was promulgated, and the Chinese medicine service system and capacity building, personnel training and scientific and technological innovation were comprehensively promoted. There is a municipal hospital of traditional Chinese medicine in every city and state, a county-level public hospital of traditional Chinese medicine in 84 counties and cities, and 224 provincial-level key specialties of traditional Chinese medicine. Departments of "preventing diseases" are generally set up in secondary and above Chinese medicine hospitals, and the number of community health service centers, township hospitals, community health service stations and village clinics that can provide traditional Chinese medicine services is 100%, 97.70%, 84.00%, respectively. Remarkable achievements have been made in the inheritance and innovation of traditional Chinese medicine. One national clinical research base of traditional Chinese medicine, three basic evidence-based capacity-building bases of traditional Chinese medicine, and 76 inheritance studios of famous and old Chinese medicine experts have been newly approved. Promote the protection and development of traditional Chinese medicine, and the planting area of traditional Chinese medicine has reached 4.3 million mu. The culture of traditional Chinese medicine continued to spread, and 3 national-level publicity and education bases of traditional Chinese medicine culture and 10 provincial-level popular science education bases were approved.

　　6.The cause of health and wellness has been promoted in a coordinated manner, and its development potential has been continuously enhanced.The total number of medical and health personnel basically meets the people’s demand for medical and health services, and the distribution of medical and health personnel in urban and rural areas and regions tends to be reasonable. Scientific and technological innovation has achieved fruitful results and won the second prize of National Scientific and Technological Progress in 2017, 2018 and 2020 respectively. The system of laws and regulations has been continuously improved, and the ability and level of administration, decision-making and handling affairs according to law have been improved as a whole. International exchanges and cooperation have been deepened, and foreign aid medical care and special medical assistance projects have been highly affirmed by the National Health and Wellness Commission and recipient countries. The provincial-level national health information platform has been basically built, and the electronic health card registration application has achieved full coverage, and the application has been continuously upgraded and expanded. Relying on Medical Insurance electronic certificate to Build a Public Service Platform of "Hunan Medical Insurance". Internet medical service prices and medical insurance payment policies have been continuously improved. The construction of "Internet+medical health" has achieved initial results, with 33 Internet hospitals built, and tertiary hospitals generally provide smart medical services.

　　(2) Development opportunities in the Tenth Five-Year Plan.

　　Major strategic decisions give new missions.The CPC Central Committee and the State Council issued the Outline of Healthy China 2030, which incorporated the construction of healthy China into the overall national development strategy. Introduced "the Central Committee of the Communist Party of China
The State Council’s Opinions on Deepening the Reform of the Medical Security System has systematically deployed the comprehensive deepening of the reform of the medical security system. The Fourth Plenary Session of the 19th CPC Central Committee proposed to improve the social security system covering the whole people, improve the sustainable basic medical insurance system for urban and rural areas, and improve the level of medical security. The Fifth Plenary Session of the 19th CPC Central Committee made a major strategic deployment of "accelerating the construction of a new development pattern with the domestic macro-cycle as the main body and the domestic and international dual-cycle promoting each other". It is urgent to protect people’s health, enhance people’s physique, save long-term potential energy for economic development and expand the potential of domestic demand by developing health undertakings. The 12th Plenary Session of the 11th Provincial Party Committee has included the improvement of people’s health level in the implementation of the "three highs and four innovations" strategy, and the important position of health work in the overall strategy of economic and social development has been further highlighted.

　　COVID-19 epidemic promotes new changes.The outbreak of the epidemic in COVID-19 shows the extreme importance of ensuring public health safety and safeguarding people’s health rights and interests. Party committees and governments at all levels have paid unprecedented attention to health and health work, and the health awareness of the whole people has been significantly enhanced, which will promote the profound transformation, reform and innovation of the concept and mode of health and health development.

　　Scientific and technological innovation cultivates new kinetic energy.A new round of scientific and technological revolution and digital transformation has been advanced in depth. Information technologies such as 5G, artificial intelligence, blockchain, big data and Internet of Things have developed rapidly. "New infrastructure" has accelerated the transformation of digital development, and major technologies such as genetic engineering and molecular diagnosis have accelerated the transformation and application, providing strong impetus and key support for the high-quality development of health care.

　　(3) Main challenges.

　　The influencing factors of people’s health are complex and diverse.Emerging infectious diseases such as COVID-19 are constantly appearing, which brings great challenges to disease prevention and control, health emergency management and medical treatment of epidemic situation. Multiple health needs such as "one old and one small" are concentrated in generate, and the pressure on health services is increasing. The living environment and lifestyle of residents have changed profoundly, and chronic diseases and their risk factors have become an important public health problem. AIDS, tuberculosis and other major infectious diseases seriously endanger people’s health, endemic diseases and occupational diseases can not be ignored, the food and drug safety situation is more severe, and environmental pollution such as air, water and soil and accidental injuries continue to damage health.

　　The bottleneck problem that restricts development is increasingly prominent.There are obvious shortcomings in the disease prevention and control system, health emergency management system and major epidemic prevention and control system and mechanism, the division of labor and cooperation mechanism between public health institutions and medical institutions is not perfect, and the combination of medicine and prevention is not close. The reform of medical and health system has entered the "deep water area", and the mechanism of "three medical linkages" has not been completely straightened out. It is still very difficult to reform the salary system in public hospitals, and the proportion of residents’ personal health expenditure in the total health expenditure has declined slowly. The quality and structural problems of medical resources are more prominent. The level of high-quality resources is not high, the total amount is insufficient, and the distribution is uneven. The basic medical and health institutions have a large gap in infrastructure construction and weak health service capacity, and the lack of resources and waste of resources coexist. The service system of traditional Chinese medicine needs to be improved. The birth population continued to decline, and the total growth trend weakened. The change of disease spectrum, the aging population and the contradiction between the limited financing ability of medical insurance and the increasing demand have brought severe challenges to the sustainable development of medical insurance.

　　Second, the overall requirements

　　(1) Guiding ideology.

　　Guided by the Supreme Leader’s Socialism with Chinese characteristics Thought in the New Era, we will thoroughly implement the spirit of the Party’s 19th National Congress, the 2nd, 3rd, 4th and 5th Plenary Sessions of the 19th National Congress and the important speeches made by the General Secretary of the Supreme Leader when he visited Hunan, adhere to the overall leadership of the Party, and constantly improve the ability and level of implementing new development concepts and building a new development pattern based on the new development stage. Adhere to the people first, life first, put health in the strategic position of giving priority to development, take high-quality development as the theme, take healthy Hunan construction as the main line, base on the present and take a long-term view, and continuously build a health and health governance system that is linked with economic and social development, adapted to people’s health needs and matched with modern scientific and technological progress, so as to provide health protection for implementing the strategy of "three highs and four innovations" and building a modern new Hunan.

　　(2) Basic principles.

　　Adhere to the people-oriented, health first.Integrate health into the whole process of public policy formulation and implementation, and reflect health priority, highlight health goals and ensure health needs in economic and social development. Establish and improve the system and mechanism for the whole society to jointly promote health, advocate the concept of "everyone is the first responsible person for their own health", and promote the formation of a government-led, multi-party participation, co-construction and sharing pattern.

　　Adhere to prevention and move forward.Promote the transformation from treating diseases as the center to people’s health as the center, strengthen the construction of public health system, promote the integration of medical care and prevention, and improve the division of labor and cooperation mechanism between public health and medical services. Starting from the universality, sociality and integrity of health influencing factors, we should treat both the symptoms and root causes and comprehensively implement policies to reduce social medical costs and reduce the disease burden of the masses.

　　Adhere to demand orientation, reform and innovation.Actively comply with the people’s diversified, differentiated and personalized health needs, continue to deepen the reform of the medical and health system, adhere to the linkage of medical care, medical insurance and medicine, promote the comprehensive pilot of provincial medical reform, give play to the strategic purchasing role of medical insurance funds, promote the high-quality coordinated development of the medical service system, and continuously release the reform dividend so that the fruits of reform and development can benefit the whole people.

　　Adhere to factor optimization, improve quality and increase efficiency.Optimize the allocation of resources, strengthen functional integration and division of labor and cooperation, and improve the level and quality of medical and health services. Give full play to the supporting role of talents and science and technology, promote the innovative development of medical and health care and information technology, and promote the transformation of health care from extensive development of scale expansion to intensive development of quality and efficiency improvement.

　　Adhere to balanced development and make overall plans.Strengthen the overall concept, pay attention to the ability and be more sustainable, adhere to the public welfare of basic medical and health services, promote the equalization of basic public services in the field of health, focus on solving the problem of insufficient imbalance in the development of health services, narrow the differences in basic health services and health protection levels between urban and rural areas, regions and populations, and promote health equity.

　　(3) development goals.

　　1.Goals during the "Tenth Five-Year Plan" period.By 2025, everyone will enjoy better quality health services and a higher level of health security, the health level of residents will continue to improve, the main health indicators will continue to improve, and the people’s sense of acquisition, happiness and security will be significantly enhanced.

　　——The Healthy Hunan Action was effectively implemented, and the work pattern of "great health and great health" was accelerated.The health promotion policy system is basically sound, the residents’ health literacy level has been steadily improved, the healthy lifestyle has been fully popularized, the mental health and mental health service system has been improved day by day, the rising trend of the incidence of major chronic diseases has been curbed, the hazards of infectious diseases, endemic diseases and occupational diseases have been effectively controlled, and the health needs of key groups such as "one old and one young" have been better met.

　　——The public health system was optimized and strengthened, and the ability to respond to public health emergencies was effectively enhanced.Building a strong public health system, the modernization level of the disease prevention and control system has been comprehensively improved, the health emergency management system has been responsive, intelligent and efficient, the grassroots "net bottom" has become more stable, the medical treatment capacity of major epidemics has been greatly enhanced, and public health security has been effectively guaranteed.

　　——The medical service system has been continuously improved, and the service capacity and level have been comprehensively improved.The allocation of medical resources is more reasonable and optimized, the grading diagnosis and treatment system is accelerated, the modern hospital management system is sound and perfect, the high-quality development of public hospitals has achieved remarkable results, the characteristics and advantages of Huxiang traditional Chinese medicine service system have been fully exerted, the medical service capacity in the county has been improved as a whole, and the transfer rate outside the province has continued to decline.

　　——The reform of the medical security system continued to deepen, and the medical supply security system was more perfect.A multi-level medical security system has been initially formed, the reform of medical insurance payment methods has been normalized, the multi-component payment method based on diseases (disease groups) has been fully implemented, the linkage mechanism of drug supply guarantee and purchase price has been standardized and improved, the modernization level of basic medical insurance fund management has been continuously strengthened, intelligent supervision has been comprehensively promoted, and the fairness and accessibility of medical insurance public services have been greatly improved.

　　——Governance efficiency has been significantly improved, and the career development model is mature and sustainable.The governance system of administration according to law in the field of health is becoming more and more perfect, the mechanism of talent training, introduction, use management and evaluation and incentive is constantly improving, the strength of scientific research and education continues to grow, information technology is deeply integrated with various businesses, the intelligent level of health services is significantly improved, and the competitiveness of health industry is further enhanced.

Main indicators of healthy Hunan construction in the 14 th Five-Year Plan

　　2.two〇Long-term goal for three to five years.By 2035, a healthy Hunan will be built with high quality, the comprehensive strength and development quality of health undertakings will rank among the first phalanx in the country, and a health and health governance system suitable for the basic realization of socialist modernization in Hunan Province will be established. The people’s physical and mental health quality will be comprehensively improved, the average life expectancy will reach 80 years, the main health indicators will reach the national first-class level, and health equity will be basically realized.

　　Third, implement the Healthy Hunan Action

　　(1) Intervention on health influencing factors.

　　1.Popularize a healthy lifestyle.Strengthen the standardized management of health science popularization, establish the expert database and resource database of health science popularization, and improve the release and dissemination mechanism of health science popularization knowledge. Strengthen the construction of health education positions, and promote medical institutions and medical personnel to implement health education and health promotion. Widely publicize and popularize health knowledge and skills, fully implement the national nutrition plan of Hunan Province, and continue to carry out the national healthy lifestyle action. Establish a health literacy and lifestyle monitoring system covering the whole province, and the level of residents’ health literacy reaches 25%. Promote the construction of national and provincial health promotion counties (cities, districts), and the number of completed counties (cities, districts) in the province will reach 35%. Solidly carry out tobacco control compliance work, and promote the construction of standardized smoking cessation clinics in general hospitals above the second level. In-depth development of smoke-free party and government organs, smoke-free medical and health institutions, smoke-free schools and smoke-free families.

　　2.Promote mental health and mental health.Actively carry out mental health promotion, do a good job in mental health knowledge and popular science of mental diseases, and increase the publicity of mental health popular science for the whole people. Improve the mental health and mental health service system, cultivate socialized mental health service institutions, and explore the establishment of common mental disorders prevention and treatment models. We will improve the comprehensive management mechanism of mental health, implement rescue for severe mental disorders, standardize services for patients with severe mental disorders, and keep the registered management rate of severe mental disorders above 95%. Improve the standards and management norms of community rehabilitation service system for mental disorders, and strengthen the protection of rehabilitation services for patients with mental disorders. Establish a psychological crisis intervention platform, and incorporate psychological crisis intervention and psychological assistance into various emergency plans and technical programs at all levels. Strengthen the construction of psychological crisis intervention team, deal with acute stress reaction in time, and prevent and reduce extreme behavior.

　　3.Strengthen the monitoring of food safety risks and environmental impact factors.Improve the management mechanism of local food safety standards and enterprise standards, improve the local food safety risk monitoring and evaluation and standard management system, and standardize the submission, collection, analysis and judgment of monitoring data. Strengthen food safety risk monitoring, improve the responsibility system, promote the integration of food-borne disease monitoring counties and villages, cover all food-borne disease medical institutions, and carry out continuous monitoring of key areas and key projects that are harmful to health, such as heavy metals and radiation. Comprehensively improve the ability of epidemiological investigation of food-borne diseases and traceability analysis of food safety accidents. Strengthen the food safety risk assessment mechanism and team building, and promote the application of risk assessment results. Strengthen the monitoring and evaluation of environmental health impacts such as atmosphere, water and soil, establish a representative monitoring network of residents’ ecological environment and health literacy, and strive to improve residents’ ecological environment and health literacy. Carry out in-depth research on the relationship between environmental pollution and diseases, health risk early warning and protective intervention, and actively prevent and control diseases related to environmental pollution. Improve the monitoring network of drinking water quality to ensure the safety of drinking water. Strengthen the monitoring of health hazards in public places, and actively prevent and control road traffic injuries and quality and safety accidents of consumer goods.

　　(2) Maintaining the health of key populations.

　　1.Promote the realization of a moderate fertility level.Organize and implement the three-child birth policy according to law and improve supporting policies and measures. Strengthen population monitoring, grasp the law of population development, strengthen the comprehensive management of sex ratio at birth, and optimize the population structure. Promote the construction and transformation of barrier-free facilities and maternal and child facilities in public places, accelerate the development of infant care services under 3 years old, and standardize the development of various forms of infant care services. Strengthen the health care work of infant care service institutions to ensure the physical and mental health of infants. We will continue to implement various reward and assistance systems and preferential policies for family planning, further improve the all-round assistance system for family planning special families, and safeguard the legitimate rights and interests of family planning families.

　　2.Ensure the health of women and children.Strengthen the standardized construction and management of maternal and child health service institutions, rationally increase the allocation of beds, and pay attention to the construction of the shortage of talents. Strict implementation of pregnancy risk screening and evaluation, high-risk project management, critical care, death case report and other systems, strengthen the construction of critical pregnant women and critical newborn care centers to ensure the safety of mothers and infants. Continue to implement the "Measures for the Prevention and Control of Birth Defects in Hunan Province" and strictly implement the three-level prevention measures for birth defects. The pre-pregnancy eugenics health examination rate, prenatal screening rate and neonatal genetic metabolic disease screening rate reached 80%, 80% and 98% respectively. Strengthen pre-marriage, pre-pregnancy, pregnancy, neonatal period and childhood health care, and popularize and apply the Handbook of Mother and Child Health Care. The systematic management rate of pregnant women, children under 3 years old and children under 7 years old are all 90%. Continue to implement public health services such as "two cancers" examination for rural school-age women and urban low-income women, prenatal screening for pregnant women, and prevention of mother-to-child transmission of AIDS, syphilis and hepatitis B. We will strengthen the construction of special specialties for maternal and child health care and reproductive medicine, and integrate maternal and child health care and reproductive health into the overall situation of maternal and child health services.

　　3.Care for teenagers’ physical and mental health.Improve the construction of existing primary and secondary health care institutions, and speed up the establishment of a system of primary and secondary health care institutions to contact primary and secondary schools. Implement health education and health promotion in schools, strengthen the publicity of knowledge on prevention and treatment of infectious diseases in schools, improve the early warning mechanism, and effectively prevent and treat legal infectious diseases such as tuberculosis and AIDS. Strengthen the prevention and control of myopia among children and adolescents, improve the working mechanism of comprehensive prevention and control of myopia among children and adolescents, and strive to reduce the myopia rate by more than 0.5 percentage points on average every year. Carry out monitoring and evaluation of students’ health hazards, and do a good job in the prevention and treatment of common diseases such as dental caries and obesity. Do a good job in food safety on campus, strengthen nutrition management and guidance for students, and ensure the food safety and nutrition health of students in school. Vigorously promote the cooperation between education departments and mental health medical institutions in the field of mental health, carry out early identification and intervention research on students’ common mental health problems and mental disorders, establish a psychological crisis intervention cooperation mechanism, strengthen two-way business communication, promote the sharing of service resources, open up a "green channel" for students’ psychological crisis referral, improve the social assistance mechanism integrating family, school and society, and promote the all-round development of students’ physical and mental health.

　　4.Strengthen occupational health protection.Strengthen the management of occupational hazards in key industries and promote enterprises to fulfill their legal responsibilities and obligations related to occupational disease prevention and control according to law. Improve the system of occupational disease hazard declaration, occupational disease report, occupational disease and its hazard factors monitoring, and the qualified rate of occupational disease hazard factors monitoring in workplaces of key industries reaches 85%. Implement management measures such as occupational health examination, occupational health trusteeship, occupational disease diagnosis and treatment and rehabilitation. Strengthen occupational health supervision and law enforcement, urge employers with serious occupational health hazards to perform the evaluation of occupational disease hazards, and the construction unit to perform the "three simultaneities" procedures for occupational disease protection facilities in construction projects. We will strengthen the protection of occupational disease treatment and implement special actions to expand the coverage of industrial injury insurance for key occupational diseases in key industries. Continue to carry out the attack on pneumoconiosis prevention and treatment, and provide assistance to migrant workers with pneumoconiosis who have no responsibility.

　　5.Promote the health of the elderly.Accelerate the improvement of the health service system for the elderly, and the standardized health management service rate for permanent residents aged 65 and above will reach 65%. Strengthen the construction of geriatrics, improve the rehabilitation medical service system, and encourage and support the development of geriatric hospitals, rehabilitation hospitals, nursing homes (centers, stations) and hospice care institutions by means of transformation and new construction of urban secondary hospitals. Carry out the construction of friendly medical institutions for the elderly. Promote the construction of a combination of medical care and nursing, support medical institutions to provide old-age care services, and directly register and record according to existing qualifications. Support old-age care institutions to bid for medical institutions. Improve the cooperation mechanism between pension institutions and medical and health institutions. Implement the project of improving the ability of combining medical care with nursing care in the community. Carry out a pilot demonstration of combining medical care with nursing care. Explore the establishment of a long-term care model for the disabled elderly from home, community to professional institutions, and promote the inclusion of qualified medical care and life care services into the scope of medical insurance fixed-point agreement management according to regulations. We will promote the pilot work of hospice care, create a "hospice care standard ward", and promote the development of hospice care services.

　　(3) Strengthen the prevention and control of major diseases.

　　1.Implement comprehensive prevention and treatment strategies for chronic diseases.Improve the monitoring and reporting mechanism and evaluation system of basic information related to the prevention and control of chronic diseases, and implement monitoring of the incidence, illness, death and risk factors of key chronic diseases. Strengthen the screening and early detection of chronic diseases, and gradually incorporate appropriate technologies for early diagnosis and treatment of major chronic diseases that meet the requirements into the routine diagnosis and treatment. We will improve the classified management of chronic diseases, and the service rate of standardized management of patients with hypertension and type 2 diabetes will reach 65%. Promote early cancer screening, early diagnosis and early treatment, establish a cancer big data platform, carry out opportunistic screening of high-risk cancer species such as oral cancer, nasopharyngeal cancer and lung cancer, and formulate and apply common cancer diagnosis and treatment norms and clinical pathways. We will continue to build a demonstration zone for comprehensive prevention and control of chronic diseases, and the coverage rate of the national demonstration zone for comprehensive prevention and control of chronic diseases in the province will reach 20%.

　　2.Actively prevent and control infectious diseases and endemic diseases.Strengthen the monitoring, judgment and early warning of infectious diseases, and effectively deal with key infectious diseases such as COVID-19, unexplained pneumonia, influenza, hand, foot and mouth disease, dengue fever and measles. Actively guard against imported acute infectious diseases and strengthen the source control of major animal-borne infectious diseases. Strictly implement the national immunization plan, strengthen the capacity building of vaccine supervision and management and vaccination units, establish and improve the working mechanism of vaccine supervision and management, standardize the management of vaccination services, and keep the vaccination rate of school-age children in villages and towns (streets) above 95%. Standardize and orderly carry out vaccination in Covid-19 and establish an immune barrier. Strengthen AIDS testing, antiviral treatment and follow-up management, strictly implement clinical blood nucleic acid testing and prevent mother-to-child transmission of AIDS. Continue to strengthen the construction of tuberculosis prevention and treatment service system, focusing on the control of tuberculosis infection sources and the intervention of infected people. Comprehensively implement comprehensive prevention and treatment measures for viral hepatitis. Continue to consolidate the results of malaria elimination. Do a good job in monitoring the epidemic situation in schistosomiasis endemic areas, continue to consolidate the achievements of blocking the standards, and steadily push forward the work of eliminating the standards. Strengthen the prevention and treatment of endemic diseases such as drinking water type and coal burning type fluorosis. Strengthen port quarantine, strictly prevent and control key infectious diseases at ports, and improve international travel health services.

　　(4) Improve the work promotion mechanism.

　　Promote party committees and governments at all levels to establish and improve the organizational system, policy system, responsibility system and working system of healthy Hunan action, build a cross-departmental and cross-regional overall coordination and linkage mechanism, strengthen the mobilization of social organizations, and build a working pattern of party and government leading, departmental coordination, social participation and national action. Improve the monitoring network covering provincial, municipal and county levels, scientifically formulate and dynamically improve the monitoring index system and evaluation and assessment mechanism. Relying on information technology and introducing third-party evaluation to improve the guidance, science and authority of monitoring and evaluation. Strengthen the application of results and promote the effective implementation of various tasks of Healthy Hunan Action.

　　Fourth, build a public health barrier

　　(1) Reform the disease prevention and control system.

　　Promote the reform of disease prevention and control system, based on more accurate and effective prevention,
Straighten out the mechanism and system, clarify the functional orientation, and build a disease prevention and control system with disease prevention and control institutions at all levels and various specialized disease prevention and control institutions as the backbone, medical institutions as the support, and grassroots medical and health institutions as the bottom of the network. Strengthen the standardization construction of disease prevention and control institutions, improve the core competence of epidemic analysis and early warning, epidemiological investigation and disposal, pathogen screening and identification, tracing and tracing, strengthen the responsibilities of business guidance, supervision and management, personnel training, scientific research and teaching, and improve the expansion of service projects. Strengthen the construction of disease prevention and control team, establish a talent training and use mechanism that is compatible with the modern disease prevention and control system, optimize the professional title structure, enrich the talent reserve, and improve the incentive and guarantee policy.

　　(2) Compacting the public health responsibilities of all parties.

　　Establish a long-term mechanism for joint prevention and control, group prevention and group control, strengthen the responsibilities of territories, departments, units and individuals, and establish a multi-party public health social governance system. Improve the working mechanism of grass-roots public health, clarify the public health management institutions in towns (streets), establish a collaborative linkage mechanism with disease prevention and control institutions, and implement grid prevention and control responsibilities. Strengthen the construction of fever clinics, intestinal clinics and infectious disease monitoring posts in primary medical and health institutions, and equip primary medical and health institutions with public health doctors through "county management and township use" to promote the rapid sinking and rational distribution of public health resources. Improve the infection prevention and control system and management system of medical institutions, and set up departments to manage public health work in public medical institutions. Establish and improve the cooperation mechanism between medical institutions and public health institutions, strictly implement the reporting responsibility of infectious diseases and public health emergencies, and incorporate public health service functions into the evaluation and assessment of medical institutions.

　　(3) Enhance the ability of early monitoring and early warning.

　　Coordinate the integration of public health information resources and establish a public health monitoring and early warning system in the province. Improve the early monitoring and early warning mechanism of infectious diseases and public health emergencies caused by them, especially unexplained diseases and abnormal health events, further lay out monitoring posts at ports, airports, railway stations, long-distance passenger stations, schools, old-age care institutions, pharmacies and other places, establish a disease and symptom monitoring network, and standardize the reporting and information release system. Establish a multi-point intelligent early warning mechanism, improve the ability of real-time analysis, centralized judgment and accurate tracking, and ensure early detection, early reporting, early isolation and early treatment of infectious diseases through multi-channel and multi-category monitoring and big data analysis.

　　(4) Improve the health emergency management system.

　　Improve the coordination, information sharing, emergency response and other mechanisms to deal with public health emergencies in the province, and establish a multi-disciplinary and multi-sectoral decision-making consulting expert database. Strengthen the construction of health emergency management systems at all levels, improve health emergency plans, and improve the public health emergency material security system. Actively create a national emergency medical rescue base, a health emergency training base for emergencies, and a comprehensive health emergency experimental area. Coordinate the construction and use of the national emergency medical rescue mobile disposal center and vehicle-mounted team, and strengthen the construction and management of emergency medical rescue system. Establish a public on-site first aid training system to improve the public’s on-site first aid knowledge and skills. Strengthen the construction of pre-hospital medical emergency system and improve the level of pre-hospital emergency service. Co-ordinate resources to form a rapid response mobilization mechanism, and have the technical reserve to complete the pathogen detection of the whole population in a short time when a local epidemic occurs. Strengthen online public opinion guidance and public opinion response capacity building, and properly respond to public opinion in public health emergencies.

　　(5) Improve the mechanism for the treatment of major epidemics.

　　Coordinate the layout of medical resources, and establish a graded, layered and decentralized treatment mechanism and a regional linkage and efficient collaborative treatment network. We will implement the project to improve the treatment capacity of major epidemics, speed up the construction of major epidemic treatment bases, build municipal major epidemic treatment centers, and strengthen the construction of fever clinics, isolation wards and pathogen detection laboratories in county-level hospitals. Further strengthen the construction of disciplines such as severe illness, respiration, anesthesia and infection in designated medical institutions, set up high-level medical rescue teams and expert libraries, set up expert groups such as nucleic acid detection and hospital infection prevention and control, and strengthen the whole process quality control of infectious disease discovery, reporting, isolation, diagnosis and treatment and protection. Improve the reserves of medical resources such as shelter hospitals and standardize the collection, transshipment and disposal of medical wastes.

　　(6) Enriching the connotation of the patriotic health campaign.

　　Improve the normalization mechanism of patriotic health work, and guarantee it in terms of department setting, functional adjustment, staffing, and funding investment. Innovate ways and means to improve the comprehensive management ability of social health. We will continue to improve urban and rural environmental sanitation, improve environmental sanitation infrastructure, and actively promote the "toilet revolution" in rural areas and the treatment of domestic garbage and sewage. Organize mass activities such as "weekend health day" and "national cleaning" to standardize and strengthen the prevention and control of disease vectors. Advocate a civilized, healthy and green lifestyle, and promote healthy living habits such as keeping social distance, using public spoons and chopsticks, and wearing masks scientifically. Promote the establishment of health cities, health towns (counties), health villages and civilized health units, and actively carry out the construction activities of health cities, health villages and towns and health "cell engineering".

　　V. Improving medical service capacity

　　(1) Expanding the supply of high-quality medical resources.

　　Optimize the allocation of resources and promote the expansion of high-quality medical resources and balanced regional layout. We will comprehensively promote the construction of national medical centers and regional medical centers, and build a number of high-level hospitals with outstanding diagnosis and treatment capabilities for difficult and critical diseases, high-end talents, strong scientific research strength, superb management level and obvious radiation effects. Guided by differentiated and misplaced development, strengthen the construction of provincial key colleges (disciplines). Implement the project of expanding and sinking provincial-level high-quality medical resources, and support cities (states) to build 1-2 municipal-level regional medical centers. Strengthen the overall connection with the integration of Changsha-Zhuzhou-Xiangtan and the construction of regional cooperation demonstration zones along the Hunan-Jiangxi border, support the multi-mode development of regional medical consortia and specialist alliances in Changsha-Zhuzhou-Xiangtan, and encourage qualified areas to build inter-provincial border medical service highlands. Give priority to supporting the construction of specialized medical institutions such as children, psychiatry, infectious diseases and rehabilitation nursing for the elderly. Support the key specialties of provincial general hospitals and high-level specialized hospitals to take the lead in setting up specialist alliances and telemedicine cooperation networks to expand the scope of radiation services of high-quality medical resources. Strengthen the backbone support of county-level hospitals and the role of urban-rural ties, implement the "5321 Project" of county-level hospitals, promote the construction of county-level key specialties and specialized disease centers, focus on strengthening the construction of weak specialties such as emergency, pediatrics, anesthesiology and critical medicine, and clinical specialties that are in short supply, and effectively undertake tasks such as diagnosis and treatment of common diseases and frequently-occurring diseases, emergency rescue and referral of difficult diseases in the county.

　　(2) Fill in the shortcomings of primary medical services.

　　Deepen the comprehensive medical reform at the grassroots level and continuously improve the conditions of primary medical and health institutions. In accordance with the goal of creating a "15-minute medical circle", we will improve the establishment of primary medical and health institutions and facilities, and strive to strengthen the capacity building of basic medical services such as emergency rescue, routine surgery, obstetrics and gynecology, and common and frequently-occurring diseases in pediatrics. Actively promote the construction of central township hospitals and community hospitals, and continue to complete the standardization construction of substandard township hospitals and community health service centers. We will implement basic public health service projects, gradually raise the per capita subsidy standard for basic public health services, and improve the quality and performance of services. We will improve the content and function of family doctors’ contract service, expand the scope of contract service, provide comprehensive and continuous services integrating public health, basic medical care and health management for urban and rural residents, and include basic medical services in the scope of medical insurance reimbursement. Improve and implement the introduction, training, retention and multi-channel subsidy mechanism of primary medical and health personnel, and equip each township health center and street community health service center with more than 4 general practitioners, and each family doctor team with 1 general practitioner.

　　(3) Accelerate the construction of a graded diagnosis and treatment system.

　　Clarify the gradient function orientation of all kinds of medical institutions at all levels, scientifically establish the catalogue of classified diagnosis and treatment diseases and referral standards, establish a division of labor and cooperation mechanism between hospitals at different levels, hospitals and primary medical and health institutions, and continuous medical institutions, gradually realize the sharing of electronic health records and electronic medical records, and promote the mutual recognition of inspection results between medical institutions at different levels and categories. Reasonably control the single scale of public hospitals, and guide and standardize the development of "one hospital and multiple districts". Comprehensive use of administrative management, performance appraisal, medical insurance payment and cost control measures to guide tertiary public hospitals to increase the proportion of difficult diseases and critical diseases, and to divert patients with common diseases, frequently-occurring diseases and chronic diseases. We will speed up the implementation of the first consultation system in primary medical and health institutions, and primary medical and health institutions will gradually undertake general outpatient, rehabilitation and nursing services in public hospitals. We will continue to promote the graded diagnosis and treatment model of "county governance, township management and village visit" and build a new rural three-level medical service network with county as the leader, township hospitals as the hub and village clinics as the foundation. Effectively promote the construction of county-level compact medical associations and urban medical groups, explore the construction of compact regional medical associations between large public hospitals and municipal and county governments, and promote the sinking of high-quality medical resources. Support the centers for disease control and prevention to join the construction of medical associations and build an integrated medical and health prevention and treatment system. Encourage the social medical institutions and medical institutions to be included in the medical association. By 2025, we will strive to increase the rate of medical treatment in county and primary health care institutions to over 95% and 70% respectively, and keep the proportion of medical expenses in county above 80%."serious illness does not leave the county, minor illness does not leave the country."

　　(4) Improve the modern hospital management system.

　　Promote the high-quality development of public hospitals, realize the development mode of public hospitals from scale expansion to quality improvement and efficiency improvement, the operation mode from extensive management to refined management, and the resource allocation from focusing on material factors to paying more attention to talent and scientific and technological factors. Strengthen party building in public hospitals and implement the president responsibility system under the leadership of the party Committee. Establish and improve the management system of party building work in social hospitals, and standardize the affiliation of party organizations. Establish and improve the corporate governance structure of public hospitals, implement the autonomy of public hospitals, and build a working mechanism of unified leadership of party committees, division of labor and cooperation between party and government, and coordinated operation. Public hospitals have completed the formulation of articles of association, standardized the internal governance structure and power operation rules, and improved the efficiency of resource allocation and operational management benefits. We will solidly promote the building of a clean and honest party style and anti-corruption work, continue to rectify unhealthy practices in the field of medicine purchase and sale and medical services, and strengthen self-discipline and integrity building in the industry. Strengthen the construction of medical ethics system, and strengthen the medical humanistic quality and professional ethics education of medical staff. Deepen the reform of the salary system in public hospitals, reform and improve the methods of total salary verification, internal performance appraisal and salary distribution in public hospitals, reasonably determine the salary structure and level, and explore various modes such as annual salary system and agreed salary system. Comprehensively carry out the performance appraisal of public hospitals and maternal and child health care institutions, establish a provincial performance appraisal information system, and realize interconnection with the national performance appraisal information system. The assessment results will be regarded as an important basis for the development planning, major project approval, financial input, appropriation, total performance pay verification and medical insurance policy adjustment of public hospitals and maternal and child health care institutions.Strengthen the cost accounting of medical services in public hospitals, and set up the post of chief accountant in tertiary public hospitals. Support relevant hospitals to do a good job in the pilot work of high-quality development of national public hospitals.

　　(5) Promoting the innovation of medical service mode.

　　Consolidate the results of the action plan to improve medical services, deepen quality nursing services, and further improve the people’s experience of seeing a doctor. Carry out day services, increase the proportion of day operations, and encourage public hospitals to set up day wards and day clinics to provide day chemotherapy and other services. Promote the normalization and institutionalization of service models such as outpatient and inpatient multidisciplinary diagnosis and treatment and one-stop service. Accelerate medical technology innovation and appropriate technology promotion, and select five technological innovation projects for key support every year. Continue to promote chest pain, stroke, critical pregnant women, newborns and children, trauma
The construction of the "five centers" provides a green channel for medical treatment and integrated comprehensive treatment services. Strengthen the construction of blood safety system, continue to promote blood donation, and ensure the safety, sufficiency and effectiveness of clinical blood use.

　　(six) to strengthen the quality management of medical services.

　　Strengthen the construction of provincial and municipal medical quality control centers and establish a quality management and control system covering the whole medical process. Improve the medical quality and safety management system and norms, medical performance evaluation mechanism and dynamic monitoring and feedback mechanism of medical quality control. Strengthen the management of diagnosis and treatment behavior, establish data information bases such as diagnosis and treatment guidelines, technical specifications and clinical pathways, promote the quality management of clinical pathways and single diseases, promote reasonable medical examinations, and improve the standardized level of clinical application of medical consumables. Strengthen clinical rational drug use, strengthen monitoring and assessment, and control the use intensity of antibacterial drugs (DDDS) within the national requirements. Strengthen the construction of pharmacists and improve the relevant norms of clinical pharmaceutical services. Actively carry out the construction of "safe hospital", improve the long-term mechanism to resolve medical disputes, strengthen patient safety management, and build a harmonious doctor-patient relationship. Strictly crack down on illegal and criminal acts involving medical personnel, especially violent crimes that harm medical personnel, and protect the safety of medical personnel.

　　(7) Pay attention to the expansion of health poverty alleviation achievements.

　　Strictly implement the requirements of the "four noes", maintain the overall stability of the main policies of health and poverty alleviation, and consolidate the guaranteed achievements of basic medical care. Give priority to the development of rural health care, fill in the shortcomings of the health service system in poverty-stricken areas, and continuously realize the dynamic clearing of the "blank points" of rural medical and health institutions and personnel. Strengthen the capacity building of telemedicine, continue to promote the counterpart assistance of tertiary hospitals, and enhance the capacity of rural medical and health services. Optimize the service measures of disease classification and treatment to further control the harm of major diseases. We will continue to do a good job in signing up family doctors for the poverty-stricken population, focusing on the standardized management and health services for patients with four major chronic diseases: hypertension, diabetes, tuberculosis and severe mental disorders. Implement the "one-stop" information exchange and instant settlement of various medical security policies, and make overall plans to play the role of reducing the burden of the comprehensive security of the triple system of basic medical insurance, serious illness insurance and medical assistance.

　　Six, promote the revitalization and development of traditional Chinese medicine

　　(a) improve the management system and development policy of traditional Chinese medicine.

　　To create a national comprehensive reform demonstration zone of traditional Chinese medicine as the starting point, establish and improve the working system and management system of traditional Chinese medicine at all levels, develop think tanks, and improve the standard system and evaluation system of talents, technology and service of traditional Chinese medicine. Improve the medical insurance management and service price policy of traditional Chinese medicine, and formulate policies and measures to strengthen medical insurance and support the inheritance, innovation and development of traditional Chinese medicine. Explore the management policies of traditional Chinese medicine that conform to the development law of traditional Chinese medicine, improve the filing, examination and approval management and entrusted processing policies of traditional Chinese medicine preparations in medical institutions, support medical institutions to carry out the processing and processing of traditional Chinese medicine pieces, and adjust the use of traditional Chinese medicine preparations within the scope of medical associations. Establish an effective mechanism for science and technology, medical care, traditional Chinese medicine and other departments to recommend qualified new Chinese medicine to enter the rapid review and approval channel. Support the evidence-based research and re-evaluation of Chinese patent medicines after listing, and select and recommend Chinese patent medicines to enter the medical insurance and essential drugs list.

　　(two) improve the service system and service function of traditional Chinese medicine.

　　Further improve the Chinese medicine service system that integrates prevention and health care, disease treatment and rehabilitation. We will strengthen the construction of provincial, city and county hospitals of traditional Chinese medicine and various hospitals and specialties of traditional Chinese medicine, and build a number of national and provincial regional medical centers of traditional Chinese medicine and hospitals of traditional Chinese medicine. Each county (city) has a county-level hospital of traditional Chinese medicine with a second-class level organized by the government, and 35% of the county-level hospitals of traditional Chinese medicine have reached the level of a third-class hospital. Establish and improve the service system of integrated traditional Chinese and western medicine, build a high-level provincial hospital of integrated traditional Chinese and western medicine and several municipal hospitals of integrated traditional Chinese and western medicine, promote the establishment of Chinese medicine, integrated traditional Chinese and western medicine departments and Chinese pharmacy in general hospitals and specialized hospitals, innovate the service model of integrated traditional Chinese and western medicine diagnosis and treatment, and improve the cooperative medical service mechanism of integrated traditional Chinese and western medicine. Comprehensively improve the quality of Chinese medicine medical services, make key Chinese medicine specialties (special diseases) better and stronger, and promote all Chinese medicine hospitals to participate in the construction of medical associations. Strengthen the construction of Chinese medicine museums, promote the full coverage of Chinese medicine services at the grassroots level, and realize that all community health service centers and township hospitals have the ability to provide Chinese medicine services. 80% of village clinics can provide Chinese medicine services, and the amount of Chinese medicine services in grassroots medical and health institutions accounts for 30%. All municipal hospitals of traditional Chinese medicine have established training centers for appropriate technologies of traditional Chinese medicine, and county hospitals of traditional Chinese medicine have established bases for promoting appropriate technologies of traditional Chinese medicine. Vigorously expand the preventive treatment and rehabilitation services of traditional Chinese medicine.

　　(three) to strengthen the training of Chinese medicine talents and scientific and technological innovation.

　　Implement the "Shennong Talents" project of Chinese medicine. Deepen the comprehensive reform of Chinese medicine education, build a multi-level training platform for Chinese medicine inheritance and innovation talents, and implement special training programs for high-level talents, characteristic talents, grassroots talents, Chinese medicine teachers and "Western learning" major talents. Strengthen the construction of scientific research and innovation ability of Chinese medicine research institutes, universities and medical institutions, cultivate and create a number of national and provincial Chinese medicine inheritance and innovation centers, key laboratories, engineering research centers and technological innovation centers, and support the construction of academician workstations. Organize and carry out a number of key research projects on new methods, new prescriptions and new technologies for the prevention and treatment of major diseases in traditional Chinese medicine, and encourage the development of new drugs for traditional Chinese medicine preparations and classic prescriptions in medical institutions with unique clinical efficacy, large usage, safety and reliability. Strengthen the inheritance research of traditional Chinese medicine resources in Hunan, speed up the research and development of new Chinese medicine, new Chinese medicine equipment and new Chinese medicine equipment, improve the integrated innovation model of traditional Chinese medicine in Industry-University-Research, and form a number of innovative achievements with leading domestic, core competitiveness and international influence.

　　(four) to promote the development of Chinese medicine industry and the integration of formats.

　　Focus on supporting the development of Chinese medicine industry in provincial government investment funds. The establishment of Industry-University-Research medical and political joint research, the linkage development mechanism of the first, second and third industries. We will build industrial clusters with advantages and characteristics of Chinese herbal medicines, and build five industrial belts of Chinese herbal medicines, namely Wuling Mountain, Xuefeng Mountain, Nanling Mountain, Luoxiao Mountain and Dongting Lake, and build a number of genuine medicinal seed and seedling breeding bases, demonstration bases for ecological planting of bulk genuine medicinal materials, demonstration bases for ecological planting under forests and demonstration bases for primary and deep processing of Chinese herbal medicines. Cultivate Xianglian, Lily, Polygonatum odoratum, Flos Lonicerae, Polygonatum sibiricum, Poria, Fructus Aurantii, Eucommiae Cortex and other "Xiangjiuwei" brand Chinese herbal medicines. Guide Chinese medicine enterprises to set up "Ding Pharmaceutical Park" as the supply base of raw materials and medicinal materials in areas where medicinal materials are suitable. Support the establishment of a number of traditional Chinese medicine science and technology parks that focus on the cultivation (breeding) of medicinal materials, deep processing of traditional Chinese medicine series and big health products, and build a modern Chinese medicine industrial base with Liuyang Biomedical Park as the core and radiating the whole province. Promote the transformation and upgrading of modern Chinese herbal medicine circulation markets in Shaodong Lianqiao and Changsha Gao Qiao, and make a number of large pharmaceutical circulation enterprises bigger and stronger. Cultivate a number of new formats of Chinese medicine health care, and promote the integration of Chinese herbal medicines with rural tourism, ecological construction, and healthy old-age care.

　　(five) to promote the promotion of Chinese medicine culture and overseas communication.

　　Continue to promote the creative transformation and innovative development of Chinese medicine health culture. Construction of national and provincial TCM cultural publicity and education bases, and creation of a number of TCM cultural products. We will promote the establishment of a demonstration hospital for the construction of Chinese medicine culture, and carry out Chinese medicine popular science education activities such as "Chinese medicine health culture communication action", and the level of Chinese medicine health culture literacy of residents will be improved to 28.78%. Strengthen exchanges and cooperation with Guangdong-Hong Kong-Macao Greater Bay Area and Taiwan Province in traditional Chinese medicine. Expand the overseas communication channels of Chinese medicine culture and organize the implementation of the "group-style" overseas communication action of Chinese medicine. Support Chinese medicine institutions to actively carry out various forms of international cooperation, vigorously develop trade in Chinese medicine services, strive for a national export base for Chinese medicine services, and promote Huxiang Chinese medicine products to enter overseas markets.

　　Seven, deepen the reform of medical security system.

　　(1) Strengthening the medical security system.

　　Adhere to and improve the basic medical insurance system and policy system that covers the whole people and participates in accordance with the law. We will further improve and standardize residents’ serious illness insurance, large medical subsidies for employees, medical subsidies for civil servants and supplementary medical insurance for enterprises, and improve the level of protection for serious and serious diseases and diversified medical needs. Adhere to the principle of fairness in medical insurance, implement classified protection for employees and urban and rural residents, and link treatment with payment. Reform the personal accounts of employees’ basic medical insurance, and establish and improve the outpatient mutual aid guarantee mechanism. Formulate medical assistance measures in Hunan Province and improve the medical insurance and assistance system for major diseases. Improve the maternity insurance policy. Coordinate the development of commercial medical insurance and support commercial insurance institutions to develop inclusive supplementary medical insurance products. Continue to promote the long-term care insurance system pilot.

　　(2) Improve the treatment guarantee system.

　　Consolidate and improve the basic medical insurance benefits. Consolidate the results of universal enrollment registration, continue to strengthen the dynamic management and analysis of data, and comprehensively help the expansion of enrollment. Optimize the guarantee mechanism of outpatient medical expenses. Effectively link employee medical insurance with urban and rural residents’ medical insurance policies, especially the annual maximum payment limit of the overall fund and medical insurance for serious and serious diseases. Implement the list system of medical security benefits, implement a unified basic medical insurance drug list, medical service items and facilities, implement fair and moderate security, and correct the problems of excessive security and insufficient security. Actively implement the requirements of the strategy to deal with the aging population, and determine the level of maternity allowance and maternity medical expenses that are compatible with the level of social and economic development and affordable by the fund. Explore the multi-channel and step-by-step guarantee mechanism for the use of drugs for rare diseases, and continuously improve the drug protection for patients with rare diseases. Improve the unified and standardized medical assistance system and build a solid defense line for medical care. Promote the construction of a medical treatment cost guarantee mechanism for major epidemics, and realize the effective connection between public health services and medical service costs.

　　(3) Improve the financing operation mechanism. .

　　Balance the responsibilities of individuals, employers and the government in fund-raising and payment, and improve the reasonable responsibility sharing mechanism of fund-raising subjects. Combined with the actual situation of our province and the affordability of various fundraisers, we should reasonably determine the financing level and formulate multi-channel financing policies to deal with the medical burden of aging. Establish a basic medical insurance benchmark rate system, standardize the payment base policy, reasonably determine the rate, and implement dynamic adjustment. Implement the government’s insurance subsidy policy. We will fully implement the municipal-level overall planning system for basic medical insurance and maternity insurance, promote the coordination between the overall planning level of medical assistance and the overall planning level of basic medical insurance, improve the mutual aid and anti-risk ability of funds, and ensure the safer and more stable operation of the system. Explore and promote the vertical management of medical security departments below the municipal level, and promote provincial overall planning in a timely manner. Fully implement budget management, strengthen risk assessment and early warning, and strengthen budget implementation supervision. Promote the construction of medium and long-term actuarial capacity of medical insurance funds, improve the risk assessment and early warning mechanism of fund operation, and build a long-term mechanism for fund operation supervision.

　　(4) Optimize the medical insurance payment mechanism.

　　Improve the dynamic adjustment mechanism of medical insurance catalogue. Scientifically determine the scope of basic medical insurance payment, and include new diagnosis and treatment items that meet clinical needs, are safe and effective, and have appropriate expenses into medical insurance reimbursement. Standardize the management of the basic medical insurance agreement in the province, simplify and optimize the procedures for medical institutions to apply for medical insurance, professional evaluation, negotiation and negotiation, and include medical institutions that meet the conditions for medical insurance. Implement the Interim Measures for the Designated Management of Medical Security in Medical Institutions, effectively strengthen and standardize the designated management of medical security in medical institutions, and improve the assessment methods and exit mechanism for designated medical institutions to fulfill the agreement. Deepen the reform of medical insurance payment methods, improve the total budget method of medical insurance funds, improve the negotiation mechanism between medical insurance agencies and medical institutions, and scientifically formulate the total budget. We will carry out multiple and compound medical insurance payment methods based on diseases, and promote DRG, total budget of regional point method and DIP. Long-term hospitalization such as medical rehabilitation and chronic mental illness will be paid by bed day, and outpatient special chronic diseases will be paid by head. Explore payment methods that meet the characteristics of traditional Chinese medicine services, explore the implementation of total payment for close medical complexes, strengthen supervision and assessment, retain the balance, and share the reasonable cost overruns. Carry out the effectiveness evaluation of medical insurance payment, and promote designated medical institutions to provide reasonable and necessary basic medical services.

　　(V) Deepening the reform of price management.

　　Establish a market-oriented price formation mechanism for drugs and medical consumables to control the inflated prices of drugs and consumables. Improve the goal-oriented management mechanism of medical service price items, improve the establishment norms and access system, and speed up the review of new medical service price items. Combined with the characteristics of medical services, we will strengthen the classified management of medical service price items, increase the adjustment of medical service prices, and further reflect the value of technical services. Establish a scientific and reasonable dynamic adjustment mechanism of medical service price, clarify the starting conditions and constraints of price adjustment, continuously optimize the structure of medical expenses, and rationalize the price comparison relationship of medical services. Do a good job in price monitoring, evaluation, supervision and inspection to ensure the stable operation of the price mechanism. Actively and steadily carry out the pilot work of medical service price reform, and make overall plans to promote the compensation mechanism, graded diagnosis and treatment, medical fee control, medical insurance payment and other related reforms in public hospitals to form a comprehensive effect.

　　(6) Strengthen the supervision of medical insurance funds.

　　Establish a medical insurance fund supervision system and law enforcement system. Establish and improve the medical insurance intelligent monitoring system, establish a medical insurance big data system, and develop various medical insurance analysis algorithm models. We will improve the regular fund risk assessment system, establish a mandatory information disclosure system, and supervise designated medical institutions to disclose medical expenses, cost structure and other information to the public according to law. Implement the performance management of fund operation process and establish the performance evaluation system of medical insurance fund. Strengthen the supervision and management of medical services and medical expenses included in the scope of payment of the basic medical insurance fund. Continue to crack down on fraud and insurance fraud, increase the density and frequency of flight inspections, and establish a clue supervision and investigation feedback system.

　　(7) Improve public service capacity.

　　Establish a unified and standardized medical insurance public service and audit standard system, and actively explore the construction of a corporate governance system for medical insurance handling supervision. Vigorously promote the sinking of services and achieve full coverage of provinces, cities, counties, towns (streets) and villages (communities). Standardize and strengthen cooperation with commercial insurance institutions and social organizations, and improve the incentive and restraint mechanism. Explore the establishment of cross-regional medical insurance management cooperation mechanism, and fully realize the direct settlement of outpatient expenses in different places. Improve the management of "Internet+medical care" medical insurance service. Create a new model of smart medical insurance, promote the application of medical insurance in electronic certificate, and realize one-stop service, one-window processing and one-system settlement of medical insurance. Actively promote the transfer of basic medical insurance relationship and continue online processing, promote the use of medical electronic bills, and gradually realize online processing of manual medical expense reimbursement. Innovate the medical insurance settlement mode, use the "real name+financial payment function" of medical insurance electronic certificate to carry out outpatient settlement and bedside settlement, pilot credit medical treatment and non-inductive payment, and create a new process of comfortable medical treatment. Explore the establishment of cross-regional medical security management cooperation mechanism, promote the implementation of "inter-provincial general office" medical security services, and expand medical security exchanges and cooperation.

　　Eight, improve the medical supply guarantee mechanism.

　　(a) to promote the comprehensive pilot system of essential drugs.

　　We will improve the construction of the basic drug system, promote the inclusion of the use of basic drugs in the assessment of government-run medical institutions and medical personnel, and promote the implementation of the basic drug system in non-government-run medical institutions. Gradually increase the proportion of essential drugs, so as to lay a foundation for realizing that the number of essential drugs equipped in government-run primary medical and health institutions, secondary public hospitals and tertiary public hospitals is not less than 90%, 80% and 60% respectively in principle. Promote medical institutions at all levels to form a "1+X" drug use model dominated by the basic drug system, and optimize and standardize the drug use structure. Improve the performance evaluation scheme of the basic drug system, improve the performance evaluation system at the provincial, municipal and county levels, and link the performance evaluation results of counties (urban areas) with the subsidy funds of the basic drug system.

　　(two) to deepen the centralized procurement of pharmaceutical consumables.

　　Adhere to the integration of recruitment, quantity and price, promote the construction of a normalized mechanism for centralized procurement of medicines, and fully implement centralized procurement of medicines and medical consumables. Establish a provincial bidding and procurement platform based on medical insurance payment methods, integrating bidding, procurement, transaction, settlement and supervision, promote direct settlement between medical insurance funds and pharmaceutical enterprises, and improve the coordination mechanism between medical insurance payment standards and centralized procurement prices. We will improve the policy of retaining the balance of medical insurance funds for centralized procurement of medicines and promote the rational use of selected products. To carry out the monitoring and disclosure of pharmaceutical price information and industrial development index, and establish a credit evaluation system for pharmaceutical price and recruitment.

　　(3) Strengthening the supervision of key monitored drugs.

　　Actively promote the consistency evaluation of the quality and efficacy of generic drugs, and encourage medical institutions to give priority to the procurement and use of generic drugs that have passed the consistency evaluation and are affordable. Vigorously carry out various forms of supervision and inspection, standardize the order of drug purchase and sale, and strictly implement the "two-vote system" for drug purchase and sale. Establish a monitoring and early warning mechanism for abnormal changes in drug price supply and a drug cost investigation mechanism to regularly monitor changes in drug price and supply. Establish a full-coverage drug price information monitoring system, improve the clearing system of drug dishonest trading market, and implement cross-departmental joint punishment for enterprises and personnel with serious dishonesty. Strict supervision of pharmaceutical agents, the establishment of medical representative registration system, standardize the behavior of medical representatives.

　　(four) improve the shortage of drug supply guarantee mechanism.

　　We will improve the implementation of the linkage mechanism of consultation and consultation on medicines in short supply, formulate the provincial-level key monitoring list of clinically necessary and easy-to-shortage medicines and make regular and dynamic adjustments, and implement the direct reporting system of information on medicines in short supply in public medical and health institutions. Improve the monitoring and early warning system and selection mechanism for drugs in short supply, and realize the information sharing and dynamic monitoring and early warning of APIs and preparations in registration, production, procurement and price. We will improve the reserve mechanism for drugs in short supply, and strengthen the reserve guarantee supply for drugs in short supply with poor substitutability, insufficient production power of enterprises and unstable market supply. Strengthen the management of drug distribution enterprises, establish access and elimination systems, and improve the concentration of drug distribution. Strengthen the training, supervision and assessment of standardized diagnosis and treatment and rational drug use for doctors. Strengthen normalized market supervision, and increase penalties for monopoly cases involving shortage of drugs and APIs.

　　(5) Standardize the comprehensive evaluation of clinical application of drugs.

　　An expert committee for comprehensive evaluation of clinical application of drugs in Hunan Province was established, and unified and standardized evaluation processes and methods, quality control standards and procedures were formulated. Strengthen the construction of comprehensive evaluation mechanism for clinical application of drugs, focus on essential drugs, focus on anti-tumor drugs, cardiovascular drugs and pediatric drugs, and organize comprehensive evaluation of clinical application of drugs in categories and batches. Promote the evaluation results of clinical application of drugs as an important basis for the formulation of drug procurement catalogue, rational clinical use of drugs, provision of pharmaceutical services and control of unreasonable drug expenses in medical institutions, and realize information communication and sharing among departments.

　　(six) to strengthen the capacity building of drug safety supervision.

　　Establish and improve the drug safety responsibility system and long-term vaccine supervision mechanism, strengthen the main responsibility and territorial management responsibility of drug production and circulation safety enterprises, improve the emergency mechanism of major drug safety incidents, and ensure the safety and effectiveness of public drug use. Strengthen the construction of drug regulatory capacity and promote the modernization of drug regulatory system and regulatory capacity.

　　IX. Promoting the development of health industry

　　(1) Promote the healthy and standardized development of social medical services.

　　We will improve the policies and measures for innovative social medical institutions, treat them equally in terms of access to technology, equipment and personnel, fixed-point medical insurance, construction of key specialties and grade evaluation, and guide social medical institutions to take a differentiated development path to form a benign and orderly development pattern with complementary functions with public hospitals. Support the development of high-end medical services and promote the development of high-level social medical gathering. Encourage and support the society to run large-scale tertiary hospitals bigger and stronger, and support them to create provincial-level clinical key specialties with qualified advantages and characteristics. Encourage and support social forces to organize emerging and urgently needed health service industries such as elderly care and hospice care. Encourage the development of professional hospital management groups.

　　(two) the development of biomedical nutrition and health industry.

　　Vigorously develop biological drugs, new varieties of chemical drugs, high-quality Chinese medicines, high-performance medical devices, new auxiliary materials and pharmaceutical equipment, promote the industrialization of major drugs, and accelerate the transformation and upgrading of medical devices. Develop professional pharmaceutical parks, support the formation of industrial alliances or consortia, and introduce and cultivate biomedical industries and high-end medical technologies. Support medical institutions in the free trade zone to carry out research on stem cell clinical frontier medical technology projects. Optimize the admission process of innovative medical equipment products, encourage and support medical institutions to increase the clinical application of provincial medical equipment products, and strengthen the support of medical insurance system for the application of innovative products. Give full play to the leading role of the national "Central Region Regional Nutrition Innovation Platform" with Hunan as the main body, tap the high-quality resources of nutritious food, strengthen the transformation and application of scientific research results, promote the research and development of nutritious and healthy products, strengthen the popularization of nutrition science and personnel training, and create a highland for the production, learning, research and trade of nutritious food.

　　(3) Expand new formats and new fields of health services.

　　Actively promote the integration of health and pension, tourism, Internet, fitness and leisure. Develop Internet-based health services, cultivate a number of distinctive health management service industries, and promote the development of wearable devices, smart health electronic products and health care mobile application services. Cultivate health culture industry and sports medical rehabilitation industry, build health service industry cluster, and support the supporting development of small and medium-sized enterprises. Support the development of regional medical imaging diagnosis centers, medical inspection centers, pathological diagnosis centers and medical disinfection supply centers, and gradually open them to all medical institutions in accordance with a unified and standardized standard system. Support the development of third-party medical service evaluation, health management service evaluation, health market research and consulting services.

　　Ten, lay a solid foundation for career development

　　(1) Strengthen the construction of talent team.

　　1.Improve the training system of medical talents.Establish and improve a standardized and standardized medical personnel training system that organically connects college education, post-graduation education and continuing education. Deepen the cooperation between medical and education, establish a balance mechanism between supply and demand for medical personnel training and the demand for medical personnel in the health care industry, scientifically formulate the demand plan for medical personnel, and implement the "decision based on needs". Support relevant institutions of higher learning to build high-level public health colleges and establish national-level public health talent innovation practice bases. Improve the standardized training system for residents and the system of continuing medical education.

　　2.Strengthen the introduction and training of talents.Implement the action plan of Furong talents, implement the "225" project of high-level health talents, and build a group of influential leaders and teams in the field of health. Strengthen the training of general practitioners through standardized training for residents, training for assistant general practitioners, job transfer training, and free training for rural order-oriented medical students. Strengthen the training of professionals in urgent need of medical and health care. Promote tertiary medical institutions to increase the investment in medical education and training to more than 1% of their total annual business income every year. We will comprehensively promote the construction of medical insurance talents, improve the management and service mechanism, strengthen education supervision and management, implement full-time training for medical insurance cadres, and focus on cultivating talents in the fields of policy system, fund supervision, informationization, price management, law and actuarial science.

　　3.Promote the reform of the personnel system.Implement the autonomy of employing people in medical and health institutions, fully implement the employment system, and form a flexible employment mechanism that can enter and exit. Actively explore the modes of doctors’ free practice, individual doctors signing services with medical institutions or forming doctor groups. We will improve the promotion system and methods of professional titles, further decentralize the right to evaluate professional titles, increase the proportion of middle and senior professional titles in medical and health institutions and tilt to the grassroots. Innovate the talent evaluation mechanism, and don’t take papers, foreign languages, scientific research, etc. as the rigid requirements for the title evaluation of grassroots health talents. Improve the talent evaluation mechanism that meets the post characteristics of general practitioners. We will comprehensively guarantee reasonable treatment, implement the wage policy for primary medical staff, and establish and improve the subsidy payment mechanism for primary medical staff.

　　(2) Promote the collaborative innovation of science and health.

　　Relying on the Provincial Center for Disease Control and Prevention to build Hunan Academy of Preventive Medicine. Relying on institutions of higher learning, high-level medical and health institutions and scientific research institutions, we will actively promote the construction of major platforms such as national laboratories, national key laboratories, national clinical medical research centers and national engineering centers. Actively build a provincial health research platform and build a number of provincial clinical medical research centers, key laboratories and key disciplines. Do a good job in the hierarchical docking of biosafety risk prevention and control and governance system construction, and improve biosafety governance capabilities. Strengthen basic research in the field of life sciences, support public hospitals to jointly establish research and development institutions and transfer and transformation centers of scientific and technological achievements with key pharmaceutical enterprises and biomedical high-tech industrial parks, and do a good job in connecting basic research with clinical research. Focus on the key core technologies of health and health, select a number of key projects with development prospects, and accelerate the breakthrough of core technologies in key areas such as infectious disease prevention and control, clinical diagnosis and treatment, integration of medical care and prevention, medical equipment and biomedicine. Support a number of key enterprises to accelerate the research and development of core technologies and products. Improve the transformation mechanism of scientific and technological research achievements and form a number of innovative products with independent intellectual property rights. Create a purely domestic key technology platform with international influence, promote clinical research and clinical scientific and technological innovation, encourage the promotion of new technologies and projects, and support the development and application of high-end medical devices such as domestic high-performance magnetic resonance imaging systems and clinical surgical robots. To promote the construction of innovative hospitals, the investment in scientific research funds shall not be less than 1% of the total annual business income of the unit.

　　(3) improve the level of governance according to law.

　　Accelerate the construction of the rule of law in health and promote the modernization of the governance system and governance capacity on the track of the rule of law. Improve local laws and regulations in the field of health and build a scientific, standardized and effective system of laws and regulations. Continue to consolidate the legal review and fair competition review before the introduction of major administrative decisions. We will continue to deepen the "streamline administration, delegate power, strengthen regulation and improve services" reform in the field of health, fully implement the list system of government powers and responsibilities, and implement the list management of business license items related to enterprises. Accelerate the reform of the administrative examination and approval system, establish an inclusive, prudent and effective supervision mechanism, optimize the examination and approval process, improve work efficiency, and optimize the market-oriented and legalized international business environment. Continue to strengthen and improve administrative reconsideration and administrative litigation. Further promote and strengthen the legal construction of medical and health institutions and the "Eighth Five-Year Plan" legal popularization work, improve the legal popularization work mechanism, clarify the legal popularization work tasks, and innovate the publicity and education methods.

　　(4) Strengthen the comprehensive supervision of the industry.

　　Establish a comprehensive supervision, coordination and supervision mechanism of the medical and health industry led by the government and involving multiple departments, strengthen information sharing, promote multi-department joint law enforcement and comprehensive management, improve the early warning and tracking monitoring system, and strengthen the supervision of the whole industry. We will tighten the main responsibility of self-management in medical and health institutions, and improve management mechanisms such as practicing according to law, standardizing services, medical quality and safety, and building morals. Encourage and support social forces to participate in joint governance. We will improve the standardized administrative law enforcement mechanism and the publicity system of administrative law enforcement in the medical and health industry, establish a legal review system for major law enforcement decisions, implement a record system for the whole process of administrative law enforcement, and improve the system of linking administrative law enforcement with criminal justice. We will fully implement the "double random and open" spot check mechanism and increase the intensity of spot checks. Establish and improve the credit mechanism of the medical and health industry, promote the sharing of resources of integrity information throughout the industry, and establish and improve the joint punishment system according to law. Improve the information disclosure mechanism and regularly disclose relevant information. Improve the comprehensive supervision mechanism of grassroots medical and health care, and strengthen the comprehensive supervision and co-management functions and assessment of the medical and health industry in towns (streets). Establish a collaborative application mechanism of comprehensive regulatory results and make overall use of regulatory results.

　　(5) Promoting the application of information technology.

　　1.Strengthen the construction of information infrastructure system.Improve the provincial national health information platform, build the provincial medical security information platform, and strengthen interconnection and resource sharing. Gradually build a new generation of information network infrastructure with high-speed broadband, seamless coverage and intelligent adaptation covering all levels of medical and health institutions in the province, and accelerate the new health infrastructure. Break down information barriers, strengthen standardization, and unify information system code standards such as medical services, drug procurement, and medical insurance reimbursement. Strengthen information and network security protection, and implement the information security level protection system.

　　2.Promote "Internet"+Medical health "development.Coordinate the informatization construction of disease prevention and control, health emergency management, maternal and child health services and other business areas based on "internet plus". Accelerate the construction of Internet hospitals and build an online and offline integrated medical service model covering pre-diagnosis, during-diagnosis and post-diagnosis. Promote the innovation and development of smart hospitals, digital medical associations, medical associations and medical artificial intelligence. Vigorously develop telemedicine and promote the sinking of high-quality medical resources. Construction of regional inspection and inspection data sharing and exchange platform. Gradually unify all kinds of medical cards, build the electronic health card platform into a unified entrance for residents to enjoy the "internet plus" health service, realize the "one card" for cross-regional and cross-institutional medical treatment, and gradually realize the universality of electronic health cards and medical insurance cards.

　　3.Strengthen the application sharing of health care big data resources.Promote the construction of health care big data center in Hunan Province, strengthen the application of technologies such as 5G, blockchain, big data, artificial intelligence and cloud computing in "Internet+medical health", and deepen the application of health care big data in industry governance, clinical care, public health and medical research. Build the basic support system, basic application system, industrial support system and service management system of health care big data in Hunan Province, strengthen data standards, security and service management, and promote the application of auxiliary politics, benefiting doctors, benefiting the people and developing the industry.

　　(6) Deepening international cooperation and exchanges.

　　Actively participate in global health governance and build a human health community; Innovate the dispatch of foreign aid medical teams, promote the participation of medical teams in the management of recipient hospitals, and provide higher-level services for the medical and health development and people’s health in recipient countries. Strengthen the construction of cooperation mechanism between Xiangya Hospital of Central South University-Sierra Leone-China-Serbia Friendship Hospital and Hunan Provincial People’s Hospital-Zimbabwe Parreiren Yatawa Hospital, and continuously improve the comprehensive capacity of non-party hospitals. Promote the construction and development of China-Zimbabwe Chinese Medicine Acupuncture Center, and turn it into a demonstration window for foreign exchange and cooperation of Chinese medicine. Build a platform, strengthen the training of international medical and health technical personnel, and continuously improve the internationalization level of hospitals.

　　(7) Accelerate the reform of the Family Planning Association.

　　Actively promote the reform of family planning associations at all levels, improve the organizational network and service system, improve the service capacity and level, undertake the service functions transferred by the government in an orderly manner, and fully implement the six key tasks of family planning associations in the new period entrusted by the central government. Actively participate in rural revitalization, grassroots social governance, grassroots public health services, family health promotion actions, etc., strengthen publicity and advocacy, reproductive health consultation and guidance services for prenatal and postnatal care, carry out in-depth youth health education in colleges and middle schools, explore the promotion and supervision services for infants aged 0-3, and promote the action of prenatal and postnatal care. Continue to carry out the activities of creating "healthy and happy families", further promote the action of maternity care, help families with family planning difficulties, strengthen the construction of family planning associations for floating population, and promote the social integration of floating population.

　　XI. Policy Guarantee and Organization Implementation

　　(1) Strengthening the main responsibility of the government.

　　Governments at all levels should attach great importance to the construction of healthy Hunan, include it in the important agenda, economic and social development policies and plans, include major health indicators in the assessment content, and evaluate the completion of objectives and tasks by various departments. Actively coordinate the relevant departments to carry out their duties and tasks, form an overall joint force of close cooperation and joint management of multiple departments, and jointly promote the development of health and wellness. Improve the promotion mechanism of planning implementation and enhance the leading force, binding force and execution of planning.

　　(2) Improve the investment guarantee mechanism.

　　Further clarify the responsibility of government, society and individuals for health investment, and establish a fair, reasonable and sustainable sharing mechanism. Adhere to the government investment as the main body, and establish a scientific, stable, multi-level investment and growth mechanism that meets the needs of the development of health care and conforms to the regional economic strength. Increase financial input at all levels, strengthen project planning and reserve, and do a good job in the preliminary work of the project. Implement financial compensation policies for various medical and health institutions, and improve performance-based wage policies for professional public health institutions and grassroots medical and health institutions. Adjust and improve the structure of financial input. The government’s new investment focuses on supporting the construction of public health system, primary medical services and basic medical security, and inclines to the reform of public hospitals and the construction of talent teams. Broaden investment channels, attract social capital investment, and establish and improve a diversified investment mechanism.

　　(3) Intensify publicity and guidance.

　　Continue to carry out publicity on the theme of healthy Hunan construction, improve the publicity platform, and establish a publicity mechanism led by the government, with departments as the main focus and township streets as the main responsibility. Taking carrying forward the great anti-epidemic spirit as the main theme, we will widely publicize the effectiveness and importance of the development of health care, and make its policy of benefiting the people well known and deeply rooted in the hearts of the people. Strengthen the network public opinion guidance mechanism and the construction of public opinion monitoring platform, strengthen the analysis and judgment of public opinion monitoring, improve the online public opinion guidance ability, respond to social concerns in a timely and effective manner, and create a good atmosphere for mobilizing the whole society to support and participate in the construction of healthy Hunan.

　　(4) Overall planning implementation evaluation.

　　Establish a scientific monitoring and evaluation index system for the planning implementation process, and regularly supervise and inspect the planning implementation and evaluate the effectiveness. Set up a special evaluation working group, and the Provincial Health and Wellness Committee and the Provincial Medical Insurance Bureau are responsible for leading the organization to carry out annual monitoring, mid-term and final evaluation of the implementation of the plan, find out the problems existing in the implementation of the plan in time, and seriously study and solve the countermeasures. All relevant departments and units should strictly follow the division of responsibilities, implement the target responsibility system, formulate specific rules for the identification procedures, methods and standards of the assessment content, and be responsible for supervising the implementation to ensure that the planning objectives are realized as scheduled.

In the Internet age, the related trends between enterprises and consumers often attract extensive attention and discussion on the Internet. The topic of "Is the lawyer’s letter of Meituan fake?" has been widely discussed by major social platforms. With the fermentation of events and the emergence of many opinions, all kinds of discussions have become the focus of attention. Below, we will analyze it from many angles, trying to answer the question in everyone’s mind, is the letter from Meituan lawyer true?

Before we understand this incident, it is necessary for us to find out what a lawyer’s letter is. A lawyer’s letter is a formal legal document issued by a law firm or lawyer, which is usually used to express positions, claim rights or give warnings. In business operations and civil disputes, lawyer’s letter is a frequently used legal tool.

Whether a lawyer’s letter is true or not is a key point to determine its authority. If the lawyer’s letter is false, its legal effect will cease to exist, and it will only become a tool of intimidation. If the lawyer’s letter widely circulated in the name of Meituan is proved to be false, it is obvious that it will not only be affected by the crisis of trust, but also seriously affect the reputation of the company. So, is the lawyer’s letter from Meituan true? This is the core issue that we need to promote interpretation.

The origin of this incident is a so-called "Meituan lawyer’s letter" circulated on the Internet. Some people posted public screenshots, some people took the opportunity to make heated discussions, and even some users began to question the business strategy and attitude of the company. This led to "whether the letter from the lawyer of the US Mission is true or not" immediately boarded the hot search list.

In a short period of time, users from many different platforms analyzed the contents of the lawyer’s letter word by word, and put forward two core questions: Does this lawyer’s letter represent the official position of the US Mission? Is the legal basis behind the lawyer’s letter sufficient? In these doubts, whether the enterprise comes forward to clarify or not has become an important reference to judge the authenticity of this incident.

If we want to verify whether the lawyer’s letter of Meituan is true, the first task is to confirm the source of this lawyer’s letter. If the lawyer’s letter really comes directly from Meituan Company and is issued by a law firm authorized by Meituan, then its authenticity is beyond doubt. However, if this lawyer’s letter contains forged elements, then the person or organization that spreads such information is suspected of breaking the law.

Enterprises will issue statements through legal channels, including official websites and official Weibo, to trace the authenticity of lawyers’ letters. Whether the US delegation publicly confirms and responds may also become an important source of information to judge the truth of this incident.

The rationality and legal basis of the lawyer’s letter is also an important basis for answering "whether the lawyer’s letter of Meituan is true or not". Judging from the relevant screenshots published at present, this lawyer’s letter seems to be mainly related to some consumer or online comment disputes, especially the handling of the negative comments of the US Mission.

According to the analysis, a lawyer’s letter with doubtful authenticity may usually be deliberately expressed in vague terms to achieve the purpose of deterring users. If the lawyer’s letter has clear logic and sufficient reasons, and is accompanied by specific legal provisions, its authenticity will be relatively higher. "Whether the lawyer’s letter of Meituan is true or not" needs to be considered in combination with the careful screening of the content.

"Is it true or not?" is not only a simple legal question, but also a public opinion crisis because it involves public sentiment. Some netizens are skeptical and think that this may be a means of marketing; Another part of netizens pointed out that such lawyers’ letters were suspected of abuse, which virtually infringed on the legitimate rights and interests of users.

This divided voice exposes consumers’ expectations for the sincerity of corporate communication. Even if the lawyer’s letter of Meituan is finally proved to be true, enterprises need to further strengthen communication with consumers to avoid the situation from escalating.

The answer to the question "Is the lawyer’s letter of Meituan true?" may need to wait for the public certification of authoritative channels. During this period, events may still evolve in many directions.

If the lawyer’s letter is proved to be true, it is likely to be a legal means for the US Mission to protect its legitimate rights and interests, but whether the public agrees with its legal strategy will become the focus of discussion. If the lawyer’s letter is proved to be false, then Meituan may face more legal risks, not only need to take countermeasures, but also need to repair the trust rift with consumers.

What is the truth? Dealing with such disputes should be based on facts and take the law as the criterion to avoid hasty accusations and the spread of false information.

Taking the public opinion crisis caused by "Is the letter from the lawyer of Meituan true" as an example, we can observe that how to deal with it in the storm of corporate public opinion is very critical. If it is a corporate behavior, it is necessary to prove the legitimacy of the behavior. If it is not a corporate behavior, it needs to be quickly and publicly rumored. At present, in the information-developed network society, timely public relations response can greatly enhance the credibility of the organization.

For consumers and the public, it is also very important to treat such events rationally. Don’t trust unconfirmed information, learn official channels and formal media to get the truth.

Generally speaking, "Is the lawyer’s letter of Meituan true" has aroused widespread concern about corporate behavior norms and user protection laws. This incident reminds us that both enterprises and individuals should keep a clear understanding of online speech and behavior norms to avoid falling into legal risks.

The final answer may also require the official statement of the US Mission. But whatever the truth is, we all expect the incident to usher in a fair and just solution, and the trust between enterprises and consumers can be built more healthily.

　　Xinhua News Agency, Hefei, March 8th Title: From "Migrant Workers" to "Feng Haichao" — — Focus on the "Big City of Migrant Workers" in Fuyang during the Spring Festival.

　　Xinhua News Agency reporter Shui Jinchen and Dong Xue

　　After the Spring Festival, migrant workers once again set foot on the train to the city with big bags and small bags on their backs. However, Zhang Qingfang, who is over 50 years old, changed the "going out" that he has been insisting on for 18 years this year and chose to stay in his hometown.

　　Zhang Qingfang is not a "lone ranger". As a major labor export city, nearly one third of the 10.62 million people in Fuyang, Anhui Province go out to work all the year round. However, in recent years, this "tide of working" rising since the 1990s is quietly changing, and the newly-increased proportion of people returning to their hometowns for employment and entrepreneurship exceeds that of migrant workers, and the "Feng Haichao" trend is beginning to appear.

　　Bosses and mechanics return home in groups.

　　On the eighth day of the Lunar New Year, the sewing machine rattled in the workshop of Qi Xin Luggage Factory in Yingquan District, Fuyang City. Just after the Spring Festival, Han Shipeng and his wife, who live in Ninglaozhuang Town, returned to the factory.

　　I have been wandering for 19 years. In 1997, Han Shipeng, who graduated from junior high school, left his hometown and entered a luggage factory in Jiaxing, Zhejiang Province. Since then, he has been working in the luggage industry for more than ten years. He has also grown from a migrant worker who knows nothing to a skilled craftsman who can make plates. When he returned to his hometown in the Spring Festival of 2016, Han Shipeng was attracted by the Qi Xin luggage factory in Fuyang’s returning employment handbook. In August of that year, he returned to his hometown with his wife and entered this factory.

　　There are two considerations for returning home, one is income, and the other is family. Han Shipeng said that because he can make plates, he is a skilled mechanic. Now his monthly income is about 6,000 yuan, and the couple’s monthly income is not much different from that in Zhejiang.

　　At the same time, he pays more attention to "supporting the old and raising the young" at home. "More than a decade ago, we left our children with the elderly, and we couldn’t come back twice a year. Both the elderly and the children complained. Now I can go home to see my parents on weekends, and my children can go to school nearby. " Han Shipeng said, "I feel that I have found a long-lost but precious family relationship and responsibility."

　　Liu Shenghong, the boss of Qi Xin luggage factory where Han Shipeng works, was once a migrant worker. In 2009, as the "leading goose" in Fuyang City, Liu Shenghong returned to his hometown to set up a factory. At present, the factory has more than 300 employees, and the output value of the company reached more than 80 million yuan in 2017. Liu Shenghong said that in addition to the main factory, they have five processing plants in counties, towns and villages around Fuyang City, and workers can find jobs at home.

　　Let the returnees live and work in peace and contentment

　　In order to help migrant workers find jobs, from February to March this year, Fuyang city, county and township jointly planned to hold a number of job fairs. According to the relevant data of the Municipal Bureau of Human Resources and Social Security, there are currently 36,000 entrepreneurs returning to their hometowns in Fuyang City, and 620,000 migrant workers are employed in the county, an increase of about 400,000 compared with 2008.

　　“‘ A clever woman can’t cook without rice ’ If there is no enterprise, how can you return to your hometown for employment? " Li Haichuan, director of China Merchants Bureau of Fuyang City, said that the city has attracted investment and set up enterprises to increase employment. In the past three years, 2,653 investment projects have been completed, including 1,680 manufacturing projects, mainly including agricultural and sideline food processing, textiles and clothing, pharmaceutical manufacturing and recycling of waste resources and materials.

　　Not only that, Fuyang is currently building a "20-minute employment circle". Dong Xiaohong, deputy director of Fuyang Municipal Bureau of Human Resources and Social Security, said that by building industrial parks, migrant workers’ pioneering parks, employment poverty alleviation bases and poverty alleviation workshops, migrant workers can achieve employment within 20 minutes. At present, the city has provided 41,300 jobs and resettled 3,004 poor laborers. 639 poverty alleviation workshops were built or rebuilt, and 82 employment poverty alleviation stations were built, which led to the employment of more than 14,000 people.

　　Dong Xiaohong said that at present, middle-aged people who are returning to their hometowns are mainly married and established, and maintaining family ties is the main factor for returning home. How to make the "nest" live more comfortably after "returning to the nest"? The city has standardized the housing, the transfer of social security relations, and the education of children who move with them in the form of documents.

　　It is more important to protect the nest when nesting.

　　The development of cities and the competition between regions are, in the final analysis, the competition for talents. As a big city of human resources in central China, Fuyang will also work hard on the confidence of returnees in employment and investment, the optimal matching and cultivation of human resources, and the development of strong county-level characteristic industries.

　　The improvement of employment and investment environment has given entrepreneurs and migrant workers confidence to stay in their hometowns. Liu Shenghong said that the most important investment environment for entrepreneurs to invest. When I first came back, it was common to run to multiple departments for a license for several weeks. Nowadays, all departments implement centralized window handling and complete all procedures in one day.

　　Only by making the best use of people can we achieve the optimal matching of talent resources. Whether people make the best use of it and "optimal matching of resources" are more important. Liu Shenghong and other entrepreneurs who returned to their hometowns thought, "What are the specialties of migrant workers and whether there are jobs in their hometown enterprises? The matching of the two requires the government to build a platform to achieve accurate demand docking under the support of big data. "

　　Cultivate county-level characteristic industries, become stronger in characteristics, and attract talents in strength. Dong Xiaohong said that at present, all counties and districts in Fuyang have formulated industrial plans that conform to regional characteristics. For example, jieshou city is rich in lead and aluminum resources, and is building a demonstration county of circular economy. At the end of 2014, Nie Gang, a graduate of Tsinghua University, returned to his hometown and devoted himself to the research and development of new material foamed aluminum with recycled aluminum. "I hope that through my own development, I can bring the demonstration effect of upgrading to the traditional industries in my hometown." Nie Gang said, "More than three years ago, I started a business here with Tsinghua’s younger brother, and no one was available locally. Today, the company has gathered more than 20 college graduates from Anhui, including doctors and masters. "

　　Cctv newsAffected by cold air, the temperature in North China and Northeast China dropped significantly today and tomorrow, and Beijing-Tianjin-Hebei and other places were accompanied by rainfall. At the same time, rainfall in many places in the south of the Yangtze River continues, accompanied by strong convective weather. The Central Meteorological Observatory continued to issue a blue warning of strong convective weather at 10 am today (24th).

　　The Central Meteorological Observatory predicts that under the influence of cold air, the temperature in North China, Northeast China, Huanghuai, Jianghuai and other places will drop by 4 ~ 8℃ today and tomorrow, and the local temperature drop can reach more than 10℃. Most of the above areas will be accompanied by 4 ~ 5 winds, and local gusts can reach 6 ~ 7. Today (24th), there are many rainfall areas in China, with rainfall in both the south and the north. Among them, the rainfall in Beijing, Tianjin, Hebei and the central and eastern Shanxi can reach moderate to heavy rain, and the wind and rain are mixed, and the body feels cold. It is necessary to adjust the dress in time.

　　Continue to issue a blue warning for severe convective weather.

　　Today (24th), the main rainfall belt in the south is still located in the south of the Yangtze River, with scattered rainstorms in Hunan, Jiangxi, Zhejiang, Fujian and other places, accompanied by strong convective weather such as short-term heavy precipitation, thunderstorms or hail. The Central Meteorological Observatory continued to issue a blue warning of strong convective weather at 10 am. It is expected that from tomorrow (25th), the southern rainfall belt will fall back to South China.

　　The meteorological department reminded that in the next 10 days, rainfall in most parts of the central and eastern regions will be more than normal, while rainfall in the north will be weaker. Convective rainfall is dominant in Jiangnan and South China, which is sudden. People need to pay close attention to the latest local weather forecast and early warning information and pay attention to travel safety.

If we are going to choose a new energy vehicle, we should not only look at the standard cruising range performance of the target model, but also look at its actual cruising range, especially in the cold winter. Of course, due to the limitation of objective conditions, it is not realistic to test by yourself, so you may wish to pay attention to the newly-launched 2022 new energy winter test activity. This winter test covers 54 mainstream models in various price ranges below 100,000, 100,000-200,000, 200,000-300,000 and above 300,000, such as BYD Dolphin, Nezha S, Han EV, Ideal L9, etc., which is very worthy of reference for car consumers.

Since it is a winter test, the temperature at the test site should naturally be low enough. Therefore, this winter test site was selected in Yakeshi City and genhe city, Hulunbeier, Inner Mongolia, where the temperature has dropped to 20 degrees below zero. Testing new energy vehicles in such a low temperature environment can naturally reflect the actual endurance performance and charging technology of the models.

In the endurance test of this winter test, it is limited to the load combination of one driver and one passenger, and the driving mode tends to be daily. At the same time, the braking energy recovery will be carried out in the economic driving mode/the strongest gear, and 100 electric charges will be replenished in advance and the automatic air conditioning temperature setting at 24℃ will be completed.

In addition to the cruising range and charging performance, this test will also evaluate the performance, intelligent cockpit, assisted driving and spatial performance of the model, and present the product strength of the model to the audience in multiple dimensions.

In fact, this is not the first time that Chedi has conducted a winter test of new energy vehicles. At the end of 2012, a related test was also conducted. At that time, 41 mainstream new energy vehicles were evaluated, involving 20 items such as battery life, charging, elk test and climbing, so that consumers can intuitively understand the actual quality of the vehicles. This year’s winter test involves more models and deserves consumers’ attention and expectation.

Maoxian People’s Hospital held a ceremony to pay homage to the teacher, and the doctors in this hospital presented Qiang Hong to the "Master" of jianyang city People’s Hospital. Photo courtesy of jianyang city People’s Hospital


Deng Zhihui (first from right), an ophthalmologist in jianyang city People’s Hospital, instructs doctors in Dazhu County People’s Hospital. Photo courtesy of jianyang city People’s Hospital


Zhang Hongmin (neutral), a doctor from Suining First People’s Hospital, followed up patients with hypertension in Sancha Village, Tonghua Township, Li County. Photo courtesy of Suining First People’s Hospital


The counterpart support doctors of Sichuan Orthopedic Hospital examined the people in Songpan County. Photo courtesy of Provincial Orthopedic Hospital

　　focus

　　On February 2nd, a ceremony was held in Maoxian People’s Hospital, where 15 medical staff drank wine to five doctors who came to support jianyang city People’s Hospital. Five masters also presented professional books to the disciples, put on stethoscopes for them, and told them to constantly improve their ability to serve patients in their studies.

　　The ability construction of health talents is the key to cure diseases for the masses. On December 14th last year, the Provincial Health and Family Planning Commission innovatively implemented the "mentoring" project of medical and health counterpart support in poverty-stricken areas, aiming at transferring knowledge, helping institutions and bringing apprentices, and building a willing, capable and supportive local talent team for poverty-stricken areas, which is a new focus of health and poverty alleviation in our province.

　　Medical institutions at all levels acted quickly. At the beginning of the new year, 9 medical staff from the Provincial Orthopedic Hospital went to Xuanhan County and Songpan County, 10 experts from Panzhihua Central Hospital came to Muli County, and 50 medical staff from Neijiang City went to 19 medical institutions in 17 poverty-stricken counties … Teams came to the recipient medical institutions to help build health talents in poverty-stricken areas.

　　A

　　Teacher and apprentice

　　Create qualified local doctors

　　On January 8th, Zhang Hongmin, an orthopedic surgeon of Suining First People’s Hospital, came to Tonghua Township Health Center in Lixian County on the first day, and signed a "mentoring" agreement with the hospital, and also formulated the teaching and village doctor training plan for this year’s health center. "In addition to relieving the pain of local people, it is more important to train qualified local doctors so that they can be independent in the future."

　　On January 17th, Zhou Xuebing from Taoping Town came to Tonghua Township Health Center. The fourth toe of his left foot was red, swollen and painful for 4 days, and an abscess under the nail was formed in the affected area. Zhang Hongmin took Yu Fan, a disciple, to remove Zhou Xuebing’s toenails after local anesthesia, and instructed Yu Fan to dress the wound. "After many instructions from the teacher, I can now complete the nail removal operation myself." Yu Fan is very excited.

　　On January 12th, Ren Zhen (pseudonym) became the first local beneficiary of laparoscopic tubal ligation in Danba County People’s Hospital. She was operated by Kang Liping, the attending physician of Chengdu Sixth People’s Hospital who supported Danba County. Many local women of childbearing age choose tubal ligation for contraception, which causes great trauma and slow wound recovery. Kang Liping thought of using laparoscopic ligation, which not only reduces the pain of patients, shortens the hospitalization days, but also reduces the use of antibiotics. She learned that the hospital has laparoscopic surgical instruments, and the members of the department also have the basis to study laparoscopy, so she organized the doctors of the department to learn the relevant knowledge of laparoscopic surgery. Ren Zhen’s operation was very smooth, which also allowed local doctors to experience the operation process "zero distance". "I benefited a lot and gained a lot."

　　On March 6th, Tan Cuixia, Tang Hao and Luo Yang, members of the medical team of Chengdu First People’s Hospital in Leibo County, came to Wujiao Village and Temen Village for a free clinic, together with their apprentices. They diagnosed diseases, measured blood sugar, performed B-ultrasound for local people, and carried out traditional Chinese medicine diagnosis and treatment such as moxibustion and massage. Tan Cuixia guided his apprentice Shi Xiaomin to operate. After three days of free clinic, the disciples learned medical skills from the teacher.

　　B

　　Treat an emergency

　　The patients here need us.

　　From the city to the poverty-stricken areas, the counterpart support team members are thinking about how to leave their medical experience, pass on their skills to their apprentices, and improve the level of the aided medical institutions as soon as possible.

　　This year’s Spring Festival, the Fifth People’s Hospital of Chengdu supported the captain of the medical team of sertar county Hospital to stay in sertar county Hospital with team member Yao Zuoyi. "This kind of Spring Festival is more memorable."

　　On New Year’s Eve, after rounds, they prepare a reunion dinner with the local doctors on duty and jump in the pot farm with the local people. While greeting each other, a patient with a broken metacarpal bone was taken to the hospital, and Yao Zuoyi immediately examined and treated the patient. During the Spring Festival, they treated several emergency patients, such as acute pancreatitis and full-scale burns, and felt more and more that there were limited medical conditions and a lack of doctors, and there were still many things to be done. What the two doctors said most in video communication with their families was, "The patients here need us."

　　On the morning of March 16th, Hu Zhipu and two local apprentices made rounds in the maternity ward of Derong County Maternal and Child Health Family Planning Service Center, and explained the reasons for the patient’s treatment plan to the apprentices. As the attending physician of Qingyang District Maternal and Child Health Family Planning Service Center in Chengdu, Hu Zhipu has been in Derong County for more than a year, and only goes home on major festivals. "I think of this as another home." Hu Zhipu also contacted the caring team in Chengdu to raise common medicines and clothes for the poor people in Tibetan areas. On the weekend, she and the medical team visited the village to carry out free clinics. "Although the clothes we sent are not the latest and our technology is not the best, we must send love." Once, she suffered from acute attack of cholecystitis caused by stone incarceration. At that time, there were many patients in the hospital who needed emergency surgery. She unplugged the infusion needle and joined the medical team.

　　C

　　teach

　　Innovate the new path of talent training in poverty-stricken areas

　　"The’ mentoring’ project will innovate the training method of health talents in poverty-stricken areas and will supplement the existing talent training plan." Relevant persons of the Provincial Health and Family Planning Commission said that this assistance action has established a stable pairing relationship, and implemented mentoring, remote diagnosis and treatment guidance, and remote teaching, so as to strive that by 2020, local medical and health personnel in poverty-stricken areas can meet the medical and health service needs of local people.

　　"What the masses are most worried about is the medical skills of doctors. The’ mentoring’ project will play a good role in promoting talents through measures such as mentoring." The relevant person in charge of the Health and Family Planning Bureau of Enyang District, Bazhong City said.

　　The "mentoring" project, which "disseminates" knowledge and skills, adopts clinical training, process teaching and special training to improve the four professional qualities of local talents at county and township levels in a relatively short period of time, such as academic qualifications, professional titles, practicing capital and job skills. "Helping" means helping institutions and disciplines, and adopting the methods of sinking the technical team, sinking the discipline team and sinking the management team, etc., so as to promote the state and county level institutions and central health centers to reach the standard and grade, and the disciplines are developed. "Bringing" means bringing individuals and teams, and adopting the methods of mentoring, remote diagnosis and treatment, quality review, etc., so that the help objects can grow into talents as soon as possible.

　　In order to stop going through the motions, the Provincial Health and Family Planning Commission has set a clear goal for the "mentoring" project. Every year, 350 general practitioners will be transferred to jobs and 7,000 qualified village doctors will be trained. By 2020, the goal of "one township, one general practitioner" and "one village, one doctor" will be realized. In principle, there should be at least one belt and three for medical institutions, at least one belt and two for women and children’s institutions, at least one belt and two for disease control and supervision institutions, and at least one belt and two for central health centers to ensure the coverage of major departments (majors) and personnel within three years; Focus on cultivating the ability of diagnosis and treatment of common diseases and frequently-occurring diseases, identification and referral of acute and critical diseases, and monitoring and disposal of infectious diseases. (Reporter Shi Xiaohong, Xu Hong)

　　

Notice of Guangzhou Municipal Bureau of Finance on Printing and Distributing Guiding Opinions of Guangzhou Municipal Government Procurement Documents Sui Cai Gui Zi [2019] No.2 Notice of Guangzhou Municipal Bureau of Finance on Printing and Distributing Guiding Opinions of Guangzhou Municipal Government Procurement Documents: All municipal units, district finance bureaus, Guangzhou Public Resource Trading Center and various government procurement agencies: In order to further standardize the preparation of government procurement documents, improve the efficiency in the use of financial funds, safeguard the national and social public interests and protect the legitimate rights and interests of government procurement parties, combined with the actual situation of our city, our bureau has formulated the Guangzhou Municipal Government. It is issued to you, please follow it. If you encounter any problems in the implementation, please feedback to our bureau (Government Procurement Supervision Office) in time. Guangzhou Municipal Finance Bureau March 14, 2019 Guangzhou Municipal Government Procurement Document Compilation Guidance In order to further standardize the preparation of government procurement documents, improve the efficiency of the use of financial funds, safeguard the public interests of the state and society, and protect the legitimate rights and interests of government procurement parties, According to the laws and regulations such as People’s Republic of China (PRC) Government Procurement Law, Regulations for the Implementation of People’s Republic of China (PRC) Government Procurement Law, Measures for the Administration of Tendering and Bidding of Government Procurement Goods and Services, Measures for the Administration of Non-tendering Methods of Government Procurement, Measures for the Administration of Government Procurement Information Announcement and Measures for the Query and Complaint of Government Procurement, this guidance is formulated in combination with the actual situation of our city: 1. General requirements for compiling procurement documents (1) Procurement documents are in accordance with the approved annual government procurement budget items.The content should be legal, standardized and complete, and the expression should be clear, accurate and unambiguous. The purchaser shall not raise the standard for luxury procurement without authorization. (two) the procurement documents should accurately define the attributes and categories of procurement items, and the selection of evaluation experts should match the procurement items. (three) the procurement documents must be clear and detailed about the procurement requirements, the contents and requirements of the quotation, the bid evaluation and transaction standards, and the acceptance criteria. (four) the government to provide public services to the public procurement projects, should solicit the opinions of the public on the procurement needs, if necessary, should solicit the opinions of relevant suppliers and experts on the procurement needs. For procurement projects with a procurement budget of more than 10 million yuan and complicated technology, the purchaser shall organize experts or entrust professional institutions to demonstrate the procurement requirements. The experts are professionals from non-systems and units, and the publicity time shall not be less than 3 days. (5) The procurement documents shall list the procurement budget amount (maximum price), but no minimum price shall be set. (6) Where a bidder is required to submit a bid bond for a procurement project, the bid bond shall not exceed 2% of the budgeted amount of the procurement project; Where there is a performance bond, the amount shall not exceed 10% of the total contract price; If there is a quality deposit, the amount shall not exceed 5% of the total contract price, and the period shall not exceed the quality guarantee period. If the performance bond has been set for the procurement project, the quality bond shall not be set at the same time. (seven) the reorganization of procurement projects, in principle, shall not improve the qualifications or other evaluation criteria.Second, scientifically and reasonably determine the procurement demand (1) The procurement demand shall meet the technical, service and safety requirements stipulated by laws and regulations and government procurement policies. The purchaser shall conduct market research on the market technology or service level, supply and price of the subject matter of procurement, scientifically and reasonably determine the procurement demand according to the investigation and asset allocation standards, and calculate the price. Procurement requirements should be complete and clear. Its contents include: the functions or objectives to be achieved by the procurement target, and the requirements to be met in order to implement the government procurement policy; Relevant national standards, industry standards, local standards or other standards and specifications to be implemented; Quality, safety, technical specifications and physical characteristics to be met; The number of procurement targets, the time and place of delivery or implementation of procurement projects; Acceptance criteria of the subject matter, other technologies and services, etc.; And the service standards, deadlines, efficiency and other requirements to be met. (2) The procurement demand shall not be expressed in ambiguous language such as "well-known", "first-line", "same grade", "domestic brand" and "international brand". (3) For procurement projects using the comprehensive scoring method, the technical and service requirements in the procurement documents shall not be directed at specific suppliers or specific products, and at least three suppliers shall pass the qualification examination or compliance examination.If different bidders offering the same brand products participate in the bidding under the same contract, it shall be counted as a bidding supplier. (four) the site survey shall not be regarded as a substantive requirement in the procurement requirements. (5) The purchaser shall not require to change the evaluation results by testing the samples or inspecting the suppliers after the evaluation, nor shall he put forward any unreasonable requirements such as passing the trial as a condition for signing the contract. Iii. Main contents of procurement documents (1) Unless otherwise stipulated by laws and regulations, procurement documents shall generally include five parts: "Instructions for preparing and submitting procurement response documents, project technical specifications and service requirements, evaluation methods and standards, general and special terms of procurement contracts, and relevant formats to be submitted". 1. The specific qualification conditions of suppliers, the main configuration of the project or the technical requirements shall be put forward by the purchaser, and the procurement agency may be entrusted to propose amendments to the legality and rationality of the procurement documents, or experts may be entrusted to demonstrate or publicly consult the opinions of suppliers. If it is illegal or tendentious, the purchaser shall correct it. 2. The conditions set in the procurement documents should be related to the technical management characteristics and actual needs of the project itself, and the after-sales service should be related to the procurement project and should not exceed the service scope of the procurement project.3. The scale conditions such as the registered capital, total assets, operating income, employees, profits and tax payment of the supplier, as well as specific matters related to the supplier’s equity structure, operating years, financial indicators, business scope of the business license, and contract performance with a specific amount shall not be regarded as qualification conditions or substantive requirements. 4. Relevant qualification licenses, certification certificates or awards that restrict the scale of enterprises in the application conditions shall not be regarded as qualification conditions or substantive requirements, except as otherwise provided by laws, regulations and rules. 5. Barriers to market access shall not be set or disguised by requiring suppliers to set up branches or other conditions that limit the ownership, organization and location of suppliers, except as otherwise provided by laws, regulations and rules. 6. Bidders shall not be treated differently or discriminately by taking the authorization, commitment, certificate and endorsement of manufacturers other than imported goods as qualification requirements. 7. The compulsory qualifications, qualifications and certification scope of non-state related functional institutions shall not be used as qualification conditions. The license, identification, qualification, qualification, certification, catalogue, etc. that has been explicitly cancelled in the State Council or is not compulsory by the state administrative organs shall not be regarded as qualification conditions or substantive requirements. 8. The procurement documents shall require the purchaser or procurement agency to inquire about the supplier’s credit records. According to the website "Credit China" at the time of review (www.creditchina.gov.cn), China government procurement network (www.ccgp.gov.cn) inquired about the subject’s credit record information, and refused to participate in government procurement activities according to law for subjects who were included in serious dishonesty in areas such as untrustworthy executors, taxation, government procurement, environmental protection and intellectual property rights. If the query results do not show that there is a record of dishonesty, it is deemed that no bad credit record was found during the review. (3) The clauses requiring the supplier to make substantive response in the compliance review shall be clearly indicated with eye-catching signs such as "★" before the clauses; Anything that is not marked is regarded as an immaterial response clause. Those marked with "★" must fully meet the indicators, and should be listed in the List of Substantive Responses in a centralized and unified way. Suppliers should respond one by one, and the judges should check and confirm them one by one. Non-substantive technical requirements and commercial terms may stipulate the maximum range and maximum number of allowable negative deviations, as well as the methods and scoring standards for adjusting these deviations. (IV) Evaluation factors and standards 1. The setting of evaluation factors should be related to the quality of goods and services provided by bidders, which can include bid quotation, technical or service level, performance ability, after-sales service, etc. The qualifications of suppliers shall not be listed as a scoring factor. The evaluation factors shall be specified in the tender documents, and the requirements for suppliers’ performance and related staffing shall be adapted to the procurement requirements. Taking performance or related staffing requirements as a scoring factor,A list of similar projects completed in recent years should be compiled, and the number of years and amount should be clearly refined; Prepare a list of management and technical personnel, and the specific personnel should be quantified and detailed. 2. The evaluation factors should be detailed and quantified. Generally speaking, it is not appropriate to use expressions such as "excellent", "good", "medium" and "general" which have no clear judgment criteria and are easy to cause ambiguity, and correspond to the corresponding business, technical (service) conditions and procurement requirements. Where there are intervals for business, technical (service) conditions and procurement demand indicators, the evaluation factors shall be quantified to the corresponding intervals, and different scores corresponding to each interval shall be set. 3. Technical indicators should be common and universal, and can be set according to national mandatory standards, and no specific patent, trademark, name, design, product or manufacturer can be specified or disguised. 4. Do not discriminate or discriminate against potential suppliers with unreasonable special authorization terms. If it is really necessary to set up special authorization such as manufacturers or distributors, the reasons shall be explained in detail in the procurement documents, and the score setting shall not exceed 5% of the total comprehensive score, and shall not be set as a qualification condition. 5. The performance and awards of a specific administrative region or a specific industry shall not be used as bonus points, and the scale conditions such as the registered capital, total assets, business scope, operating income, employees, profits and tax payment of bidders shall not be used as evaluation factors, unless otherwise stipulated by laws and regulations.6. In principle, the price score should be set for projects that adopt the comprehensive scoring method. The price of the project that implements the national unified pricing standard and adopts fixed price procurement is not listed as the evaluation factor. If the price cannot be determined in similar projects such as agreement supply, the price score may not be set. If the comprehensive evaluation method is adopted, the price score shall be calculated by the low price priority method, and the highest and lowest quotations shall not be removed in the bid evaluation process. The proportion of the price score of goods items to the total score shall not be less than 30%; The price score of service items shall not be less than 10% of the total score. If the government information system purchases goods, the price score shall account for 30% of the total score; For purchasing services, the price score shall account for 10% of the total score. 7. For the project with comprehensive scoring method, the commercial score shall not be higher than the technical score, the project experience score shall not exceed 25% of the total commercial score, and the score of on-site demonstration (including providing samples) shall not exceed 15% of the total score, and the qualifications unrelated to the project shall not be used as scoring factors. The factors of business evaluation generally include the personnel qualification, operation status, credit standing, performance and performance ability of the supplier. Technical review factors generally include the response to the tender documents, project implementation capacity, quality control, safeguard measures, project implementation plan or delivery effectiveness, scientificity and rigor. 8. For non-single product procurement projects, the purchaser shall reasonably determine the core products according to the technical composition of the procurement project, product price proportion and other factors.And specify it in the tender documents. The number of core products shall not exceed 3 in principle. (5) Generally, purchasers and procurement agencies shall not require suppliers to provide samples. If the purchaser really needs the supplier to provide samples, it shall clearly stipulate the standards and requirements for sample making, whether it is necessary to submit relevant test reports with the samples, the evaluation methods and evaluation standards of the samples in the tender documents. If it is necessary to submit the test report with the sample, it shall also specify the requirements and test contents of the testing organization. The tender documents shall state that the samples provided by the winning bidder will be kept and sealed in accordance with the regulations, and will be used as a reference for performance acceptance. (six) the purchaser or procurement agency shall, according to the implementation requirements of the procurement project, specify in the procurement documents whether to accept the consortium bid. If it is not specified, the consortium bid shall not be rejected. If a consortium bids, it must provide a consortium agreement signed by all parties. A consortium composed of units of the same major shall determine the qualification level according to the units with the same lower qualification level. Suppliers who have participated in the consortium may no longer be the bidders of the same procurement project alone, nor may they form another consortium with others to participate in the bidding of the same procurement project. (seven) after the start of the evaluation activities, all the contents stipulated in the procurement documents shall not be modified, adjusted and supplemented without authorization, especially the evaluation methods, evaluation procedures, bid-winning criteria and substantive terms. Competitive negotiation documents and quotations must be made public to all suppliers, and internal bidding or bidding only to the evaluation Committee is not allowed.According to the negotiation situation, the negotiating team can modify and improve the procurement requirements and negotiation points in turn, and the negotiation should be conducted in the order of commercial and technical conditions first and then price. If the negotiating team does not make substantial changes to the negotiation documents to increase new demands, the latter round of quotation shall not be higher than or equal to the previous round of quotation. (8) The procurement response is invalid under any of the following circumstances: 1. The supplier does not meet the conditions stipulated in Article 22 of the People’s Republic of China (PRC) Government Procurement Law; 2. The procurement response document is not stamped or signed as required by the procurement document; 3. The supplier does not meet the qualification conditions; 4. The procurement response documents provide false materials; 5. The procurement response document does not fully meet the substantive terms or indicators marked with "★" in the procurement document; 6. The supplier’s quotation is uncertain or exceeds the procurement budget (maximum price) listed in the procurement documents; 7. The supplier of the consortium failed to submit the agreement signed by all parties; 8. The supplier fails to pay the bid bond as required in the procurement documents; 9. During the evaluation, the supplier failed to submit the clarification, explanation, correction or change the substantive content of the procurement response document signed by the authorized representative as required by the bid evaluation committee; 10. Suppliers exert influence on purchasers, procurement agencies, bid evaluation committees and their staff, which hinders fairness and justice;11 laws, regulations, rules and regulations belong to other circumstances in which the response is invalid. When the purchaser or procurement agency conducts qualification examination and the review committee conducts compliance examination, it shall inform the supplier and explain the reasons if it finds that the supplier has substantially failed to respond to the procurement documents. (9) Where procurement is conducted by means of bidding, the purchaser may make necessary clarifications or amendments to the issued bidding documents, pre-qualification documents and invitation to bid, but shall not change the procurement target and qualification conditions. If it is really necessary to change the procurement target and qualification conditions, the tender announcement shall be re-issued. (ten) the number of winning bidders (clinchers) is recommended strictly according to the number specified in the procurement documents. If the quotation of the second successful bidder (clinch a deal) is more than 20% higher than that of the first successful bidder (clinch a deal), only one successful bidder (clinch a deal) is recommended. The first successful bidder (clinch a deal) candidate shall not give up the qualification of winning a bid (clinch a deal) at will without justifiable reasons. If the candidate who wins the bid (clinches a deal) abandons the qualification of winning the bid (clinches a deal), the purchaser can sort the list of candidates who win the bid (clinches a deal) recommended by the review report, determine the next candidate as the winning bidder (clinches a deal), or re-launch government procurement activities. Iv. procurement documents should reflect policy functions (1) government procurement purchases domestic goods, projects and services in principle. If the purchaser really needs to purchase imported products, it needs to be reported to the financial department at the same level for examination and approval. After approval, it needs to indicate in the procurement information announcement and procurement documents that "with the consent of the government procurement management department,Purchasing domestic products or imported products that are not restricted by national laws, regulations and policies. " The technical requirements of procurement documents shall not exclude domestic product suppliers, and the final procurement of domestic products or imported products shall be evaluated by the judges. (two) the implementation of the procurement of energy-saving products, environmental protection products, should be based on the list of items and certification issued by the relevant state departments to implement government priority procurement and compulsory procurement. For energy-saving products that are subject to compulsory procurement, energy-saving requirements should be regarded as substantive response indicators, and no longer enjoy preferential evaluation. (3) Except for the items specially purchased for small and medium-sized enterprises, small and medium-sized enterprises and prison enterprises shall be clearly given corresponding price deduction or evaluation bonus points in the procurement documents. When purchasing services, government agencies and institutions can give priority to purchasing services from vocational training institutions for the disabled or centralized employment institutions for the mentally disabled. V. Procurement Contract The procurement contract is an indispensable part of the procurement document. The terms of the contract shall clearly stipulate the rights and obligations of the buyer and the seller, and shall correspond to the procurement documents and bidding (response) documents one by one to ensure the implementation of the contract. VI. Release of Government Procurement Information (1) The announcement of government procurement information shall be legal, true, fully open and consistent in content. The government procurement system of the online service hall of the Guangdong Provincial Department of Finance and the Guangzhou Municipal Government procurement platform are the designated information publishing platforms in Guangzhou.The announcement of government procurement information shall be released to the public through the above platforms respectively. (2) Inviting tenders and other prequalification announcements, and the time for submitting prequalification application documents shall not be less than 5 working days from the date of announcement; The time for submitting the prequalification application documents for the prequalification announcement of government and social capital cooperation projects shall not be less than 15 working days from the date of announcement. The procurement process shall be carried out in strict accordance with the statutory time nodes, and shall not be advanced or postponed at will. (three) the project subject to public bidding shall not be less than 20 days from the date when the tender documents are issued to the deadline when the bidders submit their tender documents; For competitive negotiation projects, it shall not be less than 3 working days from the date when competitive negotiation documents are issued to the deadline when suppliers submit their first response documents; For the inquiry project, it shall not be less than 5 working days (excluding online bidding) from the date when the inquiry document is issued to the deadline when the supplier submits the response document; For competitive negotiation projects, it shall not be less than 10 days from the date when competitive negotiation documents are issued to the deadline when suppliers submit their first response documents. The procurement process shall be carried out in strict accordance with the statutory time nodes, and shall not be advanced or postponed at will. (four) the tender documents and competitive consultation documents shall be provided for no less than 5 working days from the date of information announcement. Except the tender documents and competitive negotiation documents, the procurement documents shall be provided for a period from the date of information announcement to the day before the deadline for suppliers to submit response documents. (5)If the purchaser or procurement agency makes necessary clarification or modification on the issued bidding documents, prequalification documents, competitive negotiation documents and competitive negotiation documents in which suppliers are invited to participate by announcement, it shall issue a correction announcement in the original announcement media and notify all potential suppliers who have obtained the procurement documents. If the clarification or modification may affect the preparation of bidding documents, prequalification application documents and response documents, a correction notice shall be issued at least 15 days before the deadline for bidding, at least 3 days before the deadline for submitting prequalification application documents, or 3 working days before the deadline for submitting the first response documents, and all potential suppliers who have obtained the procurement documents shall be notified; If it is less than the above time, the deadline for submitting bid documents, prequalification application documents and response documents shall be postponed. VII. Guidelines for the Relief of Supplier’s Rights (1) The procurement documents shall specify the ways of supplier’s inquiry, the way of receiving the inquiry letter, the contact department, contact telephone number and mailing address, etc. Procurement documents should indicate that the financial department at the same level accepts complaints according to the budget level of the purchaser. (2) The purchaser and the government procurement agency should pay attention to handling the reports and accusations against illegal acts in the preparation of procurement documents, do a good job in explanation and coordination, and guide suppliers to report to the auditing, supervision or financial departments at the same level of the purchaser according to law. VIII. Supervision and Inspection (1)Buyers and government procurement agencies in this Municipality shall prepare procurement documents and handle procurement matters in accordance with the requirements of the Guiding Opinions on the Preparation of Guangzhou Municipal Government Procurement Documents. (two) the government procurement supervision department may, according to the needs, inspect the procurement documents prepared and used by the purchaser and the government procurement agency from time to time, and make the inspection public or informed. (three) by the units and individuals to report, accuse, complain and the inspection of the government procurement supervision department, it is found that the purchaser and the government procurement agency have not prepared the procurement documents according to the regulations, and shall be ordered to make corrections; Refuses to correct, by the government procurement supervision and management departments in accordance with the law; If the procurement documents violate the law and cause losses, the parties concerned shall bear legal responsibilities. IX. Supplementary Provisions This opinion shall come into force as of the date of issuance and shall be valid for 5 years. Disclosure method: voluntary disclosure

Cctv newsOn August 20th, News Network and other columns reported that China’s high-level opening to the outside world was progressing steadily and international economic and trade cooperation was fruitful.

Shanghai Lingang New Area has initially formed an institutional open system.

Lingang New Area of China Pilot Free Trade Zone celebrated its fifth anniversary on August 20th. In the past five years, Lingang New Area has adhered to the international economic and trade rules on elevation standards,The institutional opening system of "five freedoms and one convenience" was initially established.

On August 20th, 44 key projects in Lingang New Area started. In the past five years, the investment in fixed assets of the whole society in Lingang New Area has grown at an average annual rate of over 30%.

In the past five years, Lingang New Area has adhered to the core of system innovation, and accelerated its bold exploration in the areas of investment freedom, trade freedom, capital freedom, transportation freedom, personnel employment freedom and fast information communication. Up to now, there have been 138 cases of breakthrough institutional innovation in Lingang New Area, of which 70 are the first in China. The regional GDP grew at an average annual rate of 19.8%, the actual amount of foreign direct investment increased at an average annual rate of 45.3%, and the import and export volume increased at an average annual rate of 37.5%. The reform and innovation tasks specified in the Master Plan of Lingang New Area of China (Shanghai) Pilot Free Trade Zone have been basically completed, and more than 330 policies have been issued.

Ministry of Commerce of China: The trade volume between China and Africa reached US$ 282.1 billion in 2023.

The 2024 China-Africa Cooperation Forum Summit will be held in Beijing from September 4th to 6th. At the press conference of the State Council Information Office on August 20th, the relevant person in charge introduced that in recent years, the scale of China-Africa trade has hit record highs. In 2023, the trade volume between China and Africa reached US$ 282.1 billion, an increase of nearly 11% compared with that in 2021, setting a new historical peak for the second consecutive year.

According to the relevant person in charge, as the first three-year plan of China-Africa Cooperation Vision 2035, China and Africa have jointly implemented the "Nine Projects" since 2021. At present, all the aid and development cooperation projects to Africa under the "Nine Projects" have been implemented, and China-Africa investment cooperation has grown steadily.

Tang Wenhong, Assistant Minister of Commerce of China, said that by the end of 2023, China’s stock of direct investment in Africa exceeded 40 billion US dollars, making it one of the most important sources of foreign investment in Africa. In the past three years, enterprises in China have created more than 1.1 million local jobs, and made important contributions to increasing local tax revenue and earning foreign exchange through export.

According to the relevant person in charge, financial institutions and enterprises in China adhere to market principles and international rules to carry out investment and financing cooperation with Africa, fully respect the wishes of African countries and consider their actual needs. China has never attached any political conditions, so it is widely welcomed by Africa.

Shen Xiang, director of the west asia and africa Department of the Ministry of Commerce of China, said that the China government has always adhered to the true concept of sincerity and the correct concept of justice and interests to carry out cooperation with Africa, and actively helped Africa alleviate the debt repayment pressure through multilateral and bilateral channels. Under the multilateral framework of the G-20 Debt Relief Initiative, China has actively participated in the handling of individual debts of Zambia and other countries, and played an active role in the Debt Committee, which has facilitated countries to reach debt relief plans.

Xu Dandan, a CCTV reporter from the General Station, said that the relevant person in charge of the Ministry of Commerce of China introduced that China has maintained its position as Africa’s largest trading partner for 15 consecutive years, and a number of infrastructure and manufacturing projects have achieved results one by one. China also sent more than 500 agricultural experts to Africa and trained nearly 9,000 agricultural talents, which strongly supported the process of agricultural modernization in Africa. It is expected that this summit will better realize China-Africa development linkage and achievement sharing.

General Administration of Customs: In the first seven months of this year, the scale of China-Vietnam foreign trade increased by over 20%.

The General Administration of Customs recently announced that in the first seven months of this year, China imported and exported 1.03 trillion yuan to Vietnam, a year-on-year increase of 24.1%. Among them, exports were 647.8 billion yuan, up by 25.5%; Imports reached 382.9 billion yuan, up by 21.7%.

"Chongqing-Shenzhen-Hong Kong Map Scheduled Train" was successfully launched.

On the morning of August 20th, the first "Chongqing-Shenzhen-Hong Kong Map Scheduled Train" was successfully launched.

The first scheduled train of Chongqing-Shenzhen-Hong Kong is loaded with auto parts, electronic products and other goods. It will arrive in Yantian Port Area of Shenzhen within 2 days, then transfer to Kwai Tsing Port Area of Hong Kong, put on an international liner and send it to Europe, Japan and Southeast Asia.

The opening and operation of "Chongqing-Shenzhen-Hong Kong Map Scheduled Train" has added another new channel for the goods in Chengdu-Chongqing area to go to sea, and the economic circle of the twin cities in Chengdu-Chongqing area has a new connection with Guangdong-Hong Kong-Macao Greater Bay Area.

　　What impact will the "301" list put forward by the United States twice have? It is worth further analysis from the data. The full text is about 6600 words.

　　Michael Kinsley, a columnist in Washington Post, once imagined the following scenario when introducing the game theory of Thomas Schelling, a great game theory scholar and Nobel laureate in economics:

　　"You are standing on the edge of a cliff, with chains around your ankles, and your opponent is locked at the other end of the chain. As long as your opponent gives up, you will be released and win a big prize. Here’s the thing: your only means is to threaten to push him off the cliff — — But that means you’ll be shattered, too. So, how can you persuade your opponent to give in? "

　　Schelling’s answer is: "You start dancing and get closer and closer to the edge of the cliff. In this way, you don’t need to convince your opponent that you are crazy — — Take him and yourself out of the abyss. All you need to do is convince your opponent that you are more willing to take the risk of falling off the cliff out of control than he is. If you can do this, you will win. "

　　Schelling’s thoughts have influenced a generation’s understanding of the Cold War between the United States and the Soviet Union. Fortunately, or unfortunately, after the end of the Cold War and the development of globalization for nearly 30 years, we may have to turn back to the old paper pile to find the wisdom of our predecessors.

　　The reality is that after at least two rounds of negotiations and a "consensus" were reached between China and the United States, President Trump once again opened the trigger insurance for the Sino-US trade war. On May 29th, Trump announced that he would continue to seek to impose punitive tariffs on China’s imports. On June 15th, another boot that the market has been waiting for fell, and the Office of the US Trade Representative published a list of goods worth about $50 billion for China. Compared with the preliminary list published on April 6, the new list has undergone two changes: First, 818 of the 1,333 8-digit HS-coded commodities listed in the preliminary list have been retained. As the first batch of commodities in the final list, they have already faced 25% additional tariffs from the US Customs on July 6, and this batch of commodities is worth about $34 billion. Second, a second batch of goods has been added to the final list, including 284 goods worth about $16 billion, which will be taxed after the hearing procedure.

　　The President of the United States, who is well versed in "the art of trading", did not give the market a breathing space. On July 10th, the President announced that he planned to impose a 10% tariff on a new batch of China goods worth $200 billion, and held a hearing in late August. Another boot hangs high, waiting to land … …

　　Almost at the same time, the Trump administration also announced a tax on steel and aluminum products exported to the United States by the European Union, Canada and Mexico. Trump’s capricious and all-round "fighting style" has left his opponents (and perhaps some of his ministers) at a loss. This repeated change (let’s call it "Trump uncertainty") may reflect his firm belief in fulfilling his promise to voters, or perhaps the game between the two forces of hawks and doves in his cabinet. We don’t know. But one thing is certain: the Trump administration’s eyes have always been fixed on containing the future potential of China’s economic development. "Made in China 2025", which was issued by the State Council in 2015 and the China version of "Industry 4.0" plan, finally became a household name with the Sino-US trade dispute in 2018.

　　Then, what kind of impact will the "301" list put forward by the United States twice have? It is worth further analysis from the data.

　　Analysis of tax list

　　First of all, considering the "232" list of steel and aluminum products in March, the "301" list of $50 billion imported goods in June, and the "301" list of $200 billion added in July, at present, the scope of US taxation on goods from China is close to 50% of all its imports. We use the import data published by the US Bureau of Statistics in 2017, so the actual amount involved is slightly different from the target amount announced by the US government. Interestingly, the list in July involved goods worth nearly $200 billion, covering 6,031 goods with HS8-digit codes, while the remaining goods that have not yet entered any list, worth nearly $260 billion, accounting for more than half of the US imports from China, only contained 3,313 goods with HS8-digit codes. In other words, there are real "big guys" who are not involved in the "trade war". Judging from the share of these goods in the total imports of similar goods in the United States (column [6] of Table 1), it can also be clearly seen that with the spread of the "trade war", China goods listed in the tax list in July accounted for 23.2% of the total imports of similar goods in the United States, far exceeding the two lists in June (7.7% and 14.7% respectively), while these goods that have not been listed account for 38% of the imports of similar goods in the United States. It can be said,Strategists who want to know what is the "pain point" of the United States and what is the real competitiveness of China manufacturing may wish to study these products that are not on the list.

　　Note: Data are from the United States Bureau of Statistics; 6— There are 51 items, 11 items and 1,030 products in the three lists in July, and the value of US imports from China in 2017 is zero. One product, aluminum products, is listed on the "232" list of steel and aluminum and the "301" list in July.

　　From the bar chart in Figure 1, we can see the distribution of different listed goods in different industries more intuitively. According to the definition of customs, we divide all commodities into 22 categories, from animal and plant products to works of art and unclassified products. According to the value of the "301" list in June, figure 1 is obtained from the highest to the bottom. Obviously, on the list in June, mechanical and electrical products, optical, medical devices, transportation equipment and other industrial intermediates and parts are the most concerned objects. By July, on the list of 200 billion yuan, electromechanical still topped the list. The proportion of miscellaneous products, especially some direct consumer goods (such as games, furniture, chairs, lamps and lighting devices, etc.) has increased significantly. More importantly, the product areas covered by the July list have also increased significantly. Among the 22 industry categories, the June list only involves 8 industries, while the July list has not been spared except for weapons and ammunition and unclassified goods. At present, products that have not been listed on the tax list are mainly concentrated in industries such as electromechanical, textile, miscellaneous products, shoes and hats.

　　Note: The above 8-digit commodities of HS do not include 330 commodities (except 76169951) worth $2.8 billion in the list of steel and aluminum 232. The list taxes steel products by 25% and aluminum products by 10%.

　　Data source: The author collates the data from the United States Bureau of Statistics.

　　So to what extent will the taxation of these goods affect the domestic economy of the United States? A simple judgment method is: If there are many competitors for a commodity and the market share of China exporters is low, then the tax on the product may have little impact, because the buyer can easily find a substitute. Therefore, in Figure 2 to Figure 4, we classify the products listed in June, July and not listed in the list according to the industry categories defined by China Customs, and calculate the proportion of the value of US imports from China in the total imports of the same category, so as to reflect the dependence of the United States on China’s exports. It can be seen that among the eight categories of goods affected by the list in June, base metal products account for the highest import share, but only 28.2%. Followed by ceramic glass products and electromechanical products (17.2% and 16% respectively). By contrast, for the July list, China is the main source of imports for the United States in a considerable variety of products. Shoes and hats exported from China account for 73.8% of the total import value of such products in the United States, and the import shares of miscellaneous products and fur products are as high as 65.6% and 60.4%.

　　Data source: The author collates the data from the United States Bureau of Statistics.

　　Data source: The author collates the data from the United States Bureau of Statistics.

　　In this $260 billion commodity that is not listed in any list, China accounts for an even larger proportion. For example, vegetation products account for 75%, the remaining mechanical and electrical equipment accounts for 73%, and shoes and hats account for 72%. There are eight major categories of products, and the import proportion of China in the United States exceeds 50%.

　　Data source: The author collates the data from the United States Bureau of Statistics.

　　The use of goods exported from China to the United States is also very important. According to the BEC classification standard of the United Nations Statistics Department, we classify commodities into four categories according to their final use: consumer goods, capital goods, intermediate products and other four categories. Using the value data of goods imported by the United States from China in 2017, Figure 5 compares the total import value of goods listed in June, listed in July and not listed in each category. In June, the products targeted by the two lists were mainly capital goods and intermediate goods (accounting for 94.4% and 97.6% respectively). The import value of capital goods in List 1 was comparable to that of intermediate goods, both of which were more than 15 billion US dollars, while the value of intermediate goods in List 2 was twice that of capital goods, accounting for 65.2% of the total import value of List 2. The July list covers all categories, among which the value of intermediate products is as high as 94.7 billion US dollars, accounting for the highest proportion (48.1%); Capital goods ranked second, with a total import value of US$ 57.5 billion, accounting for 29.2% of the total import value in the list. What is important is that the share of consumer goods in each list has increased significantly. In June, the consumer goods involved in the two lists were worth $163 million and $339 million respectively, accounting for only 0.5% and 2.4% of the total value of their respective lists; In July, consumer goods accounted for 22.7% of the list. In 2017, the import value totaled 44.8 billion US dollars, which was more than 89 times the sum of the value of consumer goods in the two lists in June. The goods not nominated in the list mainly belong to capital goods and consumer goods, worth $120.7 billion and $98.3 billion respectively.It accounts for 46.6% and 37.9% of the import value of goods not on the list. Another $34 billion of intermediate products have not been affected by the tax list. It can be said that with the intensification of the "trade war", American consumers will inevitably be directly affected by rising prices. The manufacturing enterprises in the United States will inevitably face the pressure of rising parts costs, leading to a decline in competitiveness, which may further reduce American exports.

　　Further, in Table 2, we list the top 10 products (HS4-digit codes) imported by the United States from China in 2017, and count the amount of these 10 products affected by each list and the number of HS8-digit products respectively. Obviously, these 10 products that the United States needs most from China are not the key targets of the US tax list. These products were basically spared in the two lists in June, while the value of products taxed by the list in July for the first-ranked wireless communication equipment (such as mobile phones) was $23.6 billion, accounting for 32.9% of the total imports of such products. Automatic data processing equipment (computers) and spare parts products ranked second and third are the few products in the top 10 categories that are taxed by the June list, but they only account for 2.9% and 1.4% of the imports of their respective HS4 products. However, the list in July increased the tax value of these two kinds of products, and the import proportion of taxed products rose to 15.6% and 98.6%. Interestingly, all computer parts and components were included in the tax list, but did it lead exporters to further transfer processing and assembly to China and export finished computers? In addition, imported furniture ranked sixth and auto parts, lighting devices and suitcases and handbags ranked eighth to tenth were all wiped out in the July list.

　　Furthermore, from the point of view of HS8-digit products, Table 3 summarizes the distribution of market share of listed products in the United States. According to the import data of the United States in 2017, we calculated the share of HS8 products imported by the United States from China to similar products imported by the United States from the world. It is not difficult to find that the market share of China commodities targeted by the steel and aluminum 232 list and the two lists in June is mainly concentrated in 0-mdash; 25% and 25%— In the 50% range. In July, however, the list gradually shifted its target to commodities with larger market share, and the scope and intensity of the spread were significantly increased. The market share is at 50%— 75% and 75%— For goods within the range of 100%, the cumulative import amount taxed by the July list is 40.8% and 24.5% of the total amount of the July list respectively. Among the commodities that have not been affected by the list, the market share of commodities worth $163.3 billion exceeds 75%, accounting for 63% of the total value without tariffs.

　　Taxation and "Optimal Tariff": A Theoretical Explanation

　　From these analyses, we can know that if the scope of taxation in the United States is extended to its July list, or even further extended to products that are not listed, it will inevitably hit those products that China imports in the United States, including a large number of consumer goods and a wide range of industrial intermediates. This will not only hit China’s export enterprises, but also hurt the welfare of American consumers. In this sense, tariffs are essentially "taxes levied on domestic consumers" (Dartmouth College economist Douglas Irwin).

　　What is worrying is that "Trump uncertainty" will bring great troubles to the efficient global value chain, and force entrepreneurs to consider political factors while considering the global production layout. Even if we don’t consider the effects that will take some time to show, in the short term, tariffs will immediately increase the cost of exporters. These extra costs will force exporters in China to lower the export price and partially "share" the price increase faced by consumers (in the case of prevailing intermediate trade, consumers here are often producers in downstream industries). The part that cannot be fully shared will be "transmitted" to consumers, forming the after-tax import price.

　　Obviously, the stronger the downstream buyers (consumers), the more they can force the upstream sellers (exporters) to make concessions and lower some export prices. Consumers like you and me can’t change the market price by buying more or less. In economic terms, we are faced with infinite supply "elasticity", or the supply curve is horizontal. But big buyers are different. For example, a big supermarket like Wal-Mart can completely influence the price through the purchase volume. At this time, the supply curve is inclined upward. It is also true to further expand the analysis to the national perspective. Small countries can’t influence the world price, but they are the recipients of the price, while big countries are faced with an upward supply curve and can influence the world price. Obviously, the United States is a real big country and the largest market in the world. Therefore, it can press exporters to lower prices by imposing import tariffs. In the theory of international trade, the ratio of export price to import price is called "terms of trade", which can be improved by imposing tariffs to force the import price to decrease.

　　Therefore, for a big country, increasing tariffs will certainly lead to the loss of consumer welfare — — Because the after-tax price faced by consumers is still rising, from the welfare point of view, the improvement of terms of trade means that there is such a positive "optimal" tariff, which maximizes the net income of big countries. This may be one reason why Trump dares to wave the "tariff" stick. Specific to each product, its "optimal" tariff rate depends on the supply elasticity of the commodity (exporter). For goods with less elasticity of supply, the response to tariffs is more intense, the proportion of export price decline is more, and the optimal tariff is bigger. Therefore, international economists have abstracted a very simple formula to determine the optimal tariffs of different commodities in the case of big countries, namely: tariff rate = 1/export supply elasticity.

　　Further analysis of tariffs

　　Based on this, we summarize the original tariff level of each listed commodity in Table 4. Generally speaking, American import tariffs remain at a fairly low level. The tariff of most imported goods is less than 5%, while the tariff of quite a few goods is zero. For example, in June, 375 of the commodities involved in List 1 had no import duties, accounting for 60.9% of the list value. This proportion is 48.6% in June list 2 and 54.2% in July list. In the two lists in June, only five goods with the original tariff of HS8 were higher than 10%, and the sum of import values was less than $05 million, while in the list in July, there were 329 goods with the original tariff higher than 10% and the total import value was $3.228 billion.

　　Data source: According to the data compiled by the US Bureau of Statistics, some commodity tariff data are missing.

　　Figure 6 compares the import tariffs of the United States with those of China. We weighted the import tariffs of China and the United States according to the import value according to 22 categories of industries, and got Figure 2. Each point in the graph represents the import tariffs of the United States (horizontal axis) and China (vertical axis). Most of the points are above the 45-degree line, which shows that the tariff structure between China and the United States does have the situation that the US tariff is lower and the Chinese tariff is higher. This goes without saying, but considering the current tariff structure of the United States, it began in 1934 that President Roosevelt took the initiative to lower tariffs and sought other countries to lower trade barriers in order to promote American exports. As the country that has benefited the most from international trade, the United States led the signing of the General Agreement on Tariffs and Trade (GATT, the predecessor of WTO), which advocated free trade. China, on the other hand, only started the negotiations on joining the WTO in the mid-1990s, and reduced the import tariff from an average of 43% in 1992 to around 9.8% in 2007. In addition, in Figure 6, we have not considered the import of processing trade that is common in China, which accounts for about 13% of China’s imports from the United States, and it is exempted from customs duties or refunded in the import process.

　　Figure 6 Comparison of Weighted Import Tariff (MFN) between China and the United States

　　Source: WITS (2016), compiled by Qin Ruobing.

　　According to the optimal tariff theory, we re-estimate the optimal tariff of American goods imported from China by using the elastic estimation data provided by Anson Soderbery, an economist at Purdue University. HS8-bit commodities with missing elasticity data are replaced by the average elasticity of the commodities at HS6, HS4 and HS2. Table 5 summarizes the relationship and proportion of the actual original tariff, new tariff and optimal tariff of each imported commodity. Obviously, after the tariffs were added to the three lists, the new tariffs of most commodities exceeded the optimal tariffs. In June, 71% and 48% of goods were listed in the list 1 and July, respectively, and their original tariffs were lower than the highest tariffs. After adding 25% and 10% tariffs respectively, the proportion dropped to 43% and 26%. Among the commodities targeted in Listing 2 in June, 57% of the commodities have their original import tariffs exceeding the optimal tariffs. After the tariff of 25% is added, the proportion of goods exceeding the optimal tariff will be as high as 75%.

　　Data source: The author estimates according to the elastic data provided by Soderbery (2018JIE). Some commodity tariff data are missing.

　　Game dilemma of optimal tariff

　　Since there is such an "optimal" tariff for a big country, the improvement of terms of trade brought by tariff collection offsets or even exceeds the loss of consumer welfare, why do economists actively advocate tariff reduction? This is because in this world, not only a big country, even a small country, often has the ability to influence world prices in certain industries or commodities, not to mention domestic political considerations and national sentiments, and it will not allow a country to impose tariffs on the other side without taking any countermeasures. Imagine, if there are only two countries in the world, and they all give each other a tariff attack on a specific industry according to the theory of optimal tariff, both sides have improved their terms of trade in the industry that raised import tariffs, and suffered losses in the export industry. In most cases, the result is that both sides are in a dilemma: both sides get benefits by increasing tariffs to attack their opponents, but if both sides take measures to reduce tariffs, both sides can benefit; However, the difficulty is that neither side can or will unilaterally declare a truce — — Because it means greater losses. In this way, the two countries have fallen into the common "prisoner’s dilemma" in game theory. In this game, each side acts according to the optimal strategy under given conditions, but the final outcome is "lose-lose".

　　If every country in the world acts unilaterally according to the optimal tariff strategy, or retaliates against the tax payers, then we will go back to the Great Depression in the 1930s, due to the introduction of Smoot — The Smoot-Hawley Tariff Act pushed the average import tariff of the United States from 40% to nearly 60%. In just two years, the import and export of the United States fell by 40% at the same time. The world trading system has suffered a major blow.

　　Is there a solution to jump out of the "prisoner’s dilemma" of building trade barriers? History has long given us the answer. In the process of European reconstruction after World War II, Americans led the signing of the General Agreement on Tariffs and Trade (GATT) in 1948, and through an external agreement, they forced the signatory countries to reduce or exempt tariffs from each other, thus jumping out of the "prisoner’s dilemma". GATT, as well as the World Trade Organization (WTO), which replaces GATT, stipulates that when a country reduces or exempts tariffs on one GATT member, it must also undertake the same duty of reducing or exempting tariffs on all other GATT members. This is the most important principle of "Most Favoured Nation" in GATT. This principle also protects many small countries that do not have the negotiating ability to share the welfare improvement brought about by trade liberalization to the greatest extent.

　　Ironically, today, with the development of globalization far exceeding the 1950s, the main founders and promoters of the international multilateral economic and trade system are working to challenge or even destroy this system, instead of improving and perfecting it. Carla Hills, an American trade representative in the 1990s, once said, "Without WTO, the world would have only the law of the jungle". I hope that the leaders of China and the United States, and even the world, will have enough courage and wisdom to lead us away from that scene.

Catalogue

　　The first part of the 2024 annual departmental budget.

　　I. Description of departments

　　Second, the income budget.

　　III. Explanation of Expenditure Budget

　　Four, the financial allocation of "three public" funds budget.

　　V. Other explanations

　　VI. Explanation of Nouns

　　The second part of the 2024 annual departmental budget report

　　I. Summary of Income and Expenditure

　　II. Summary of income

　　III. Summary of Expenditure

　　Fourth, the project expenditure table

　　Five, the government procurement budget list

　　VI. Summary of Financial Appropriations and Income and Expenditure

　　Seven, the general public budget expenditure table.

　　Eight, the general public budget financial allocation basic expenditure table

　　Nine, the government fund budget expenditure table.

　　Ten, the state-owned capital operating budget financial allocation expenditure table

　　Eleven, financial allocation "three public" expenditure table

　　Twelve, the government purchase service budget financial allocation list

　　XIII. Performance Target Table of Project Expenditure

　　Fourteen, the overall expenditure performance target table

The first part of the department budget in 2024.

　　I. Description of departments

　　(a) the nature and responsibilities of the department, etc.

　　According to the Notice of China Seismological Bureau on Printing and Distributing the Provisions of Beijing Seismological Bureau on Function Allocation, Internal Structure, Establishment of Affiliated Institutions and Staffing (Zhong Zhen Ren Fa [2020] No.17), Beijing Seismological Bureau implements the dual leadership of China Seismological Bureau and Beijing Municipal People’s Government, with China Seismological Bureau as the main management system, which is the main hall (bureau) level and performs the management functions of earthquake prevention and disaster reduction within its administrative area according to law.

　　Main responsibilities of the department:

　　Responsible for drafting policies, regulations, rules and standards for earthquake prevention and disaster reduction in Beijing, and organizing their implementation. Organize the preparation and implementation of Beijing earthquake prevention and disaster reduction plan, and promote the establishment and improvement of the financial management system and corresponding funding channels of the dual plan for earthquake prevention and disaster reduction; Take the lead in compiling the special plan for coordinated development of earthquake prevention and disaster reduction in Beijing, Tianjin and Hebei. Responsible for the establishment of earthquake disaster risk prevention system, earthquake monitoring and forecasting early warning system, earthquake science and technology innovation system and social governance system for earthquake prevention and disaster reduction. Responsible for the establishment of earthquake prevention and disaster reduction information system, the establishment of earthquake monitoring and early warning, disaster reporting and risk reporting system, the establishment of earthquake disaster risk information sharing mechanism, unified release of earthquake, disaster and earthquake disaster risk information according to law. Responsible for the planning and implementation of Beijing earthquake monitoring station network, jointly with relevant departments to carry out earthquake disaster risk investigation, assessment and prevention, jointly with relevant departments to organize earthquake disaster investigation and loss assessment, and participate in the formulation of post-earthquake recovery and reconstruction planning. Perform the duties of supervision and management of earthquake prevention and disaster reduction within their respective administrative areas according to law, guide the work of earthquake prevention and disaster reduction in districts and counties, carry out administrative law enforcement work related to earthquake prevention and disaster reduction according to law, and undertake administrative reconsideration and administrative litigation for earthquakes. Responsible for the quality and technical supervision and management of the earthquake industry within their respective administrative areas, responsible for the publicity, implementation, implementation and supervision of earthquake standards, and the management of earthquake metrology. Organize public services for earthquake prevention and disaster reduction, be responsible for scientific and technological research and popularization and application of achievements in earthquake prevention and disaster reduction, and be responsible for publicity and training of popular science in earthquake prevention and disaster reduction. To undertake other tasks assigned by the Seismological Bureau of China and the municipal government.

　　(II) Institutional setup

　　There are seven institutions in the Seismological Bureau of Beijing, namely, office, monitoring, forecasting and science and technology department (emergency service department), earthquake disaster prevention department (public service department), planning and finance department, personnel and education department (office of retired cadres), party committee and discipline inspection room.

　　There are seven institutions under the Beijing Seismological Bureau, namely Beijing Seismological Station, Beijing Earthquake Disaster Risk Prevention Center, Beijing Seismological Bureau Information Center (Emergency Service Center), Beijing Seismological Bureau Finance and State-owned Assets Management Center (Logistics Service Center), Beijing Earthquake Prevention and Disaster Mitigation Center, Beijing Beijing Beijing-Tianjin-Hebei Earthquake Prediction Research Center and Changping Earthquake Monitoring Center Station of Beijing Seismological Bureau.

　　(3) staffing and actual situation

　　Beijing Seismological Bureau has 45 civil servants according to the administrative staff, and there are actually 43. There are 175 people in the career establishment and 160 people actually; There are 117 retirees, including 0 retirees and 117 retirees.

　　Second, the income budget.

　　The revenue budget for 2024 is 118,983,300 yuan, an increase of 50,920,600 yuan or 74.81% compared with the budget of 68,062,700 yuan at the beginning of 2023. The main reason is the addition of Beijing earthquake risk exploration project, which is a key project in Beijing’s key special plan, Beijing’s Emergency Management Development Plan during the Tenth Five-Year Plan and Beijing’s Earthquake Prevention and Disaster Reduction Plan during the Tenth Five-Year Plan, and is listed as a key task in Beijing’s 14th Five-Year Plan for National Economic and Social Development and the Outline of Long-term Objectives for the Year 2035.

　　(1) The revenue from financial allocation this year is 117,603,600 yuan.

　　1. The income from general public budget allocation is 117,603,600 yuan.

　　2. The budgetary allocation income of government funds is 0,000 yuan.

　　3. State-owned capital operating budget appropriation income is 0 million yuan.

　　(II) The income from other funds this year is 339,000 yuan.

　　4. The financial account management fund income is 0 million yuan.

　　5. The business income is 0,000 yuan.

　　6. The superior subsidy income is 0,000 yuan.

　　7. The income paid by the affiliated unit is 0,000 yuan.

　　8. The operating income of public institutions is 0,000 yuan.

　　9. Other income is 339,000 yuan.

　　(3) The balance carried forward from the previous year was 1,040,700 yuan.

　　10. The balance carried forward from the previous year was 1,040,700 yuan.

Figure 1: Revenue Budget

　　III. Explanation of Expenditure Budget

　　The expenditure budget in 2024 was 118.9833 million yuan, an increase of 50.9206 million yuan or 74.81% compared with the budget of 68.0627 million yuan at the beginning of 2023. The main reason is the addition of Beijing earthquake risk exploration project, which is a key project in Beijing’s key special plan, Beijing’s Emergency Management Development Plan during the Tenth Five-Year Plan and Beijing’s Earthquake Prevention and Disaster Reduction Plan during the Tenth Five-Year Plan, and is listed as a key task in Beijing’s 14th Five-Year Plan for National Economic and Social Development and the Outline of Long-term Objectives for the Year 2035.

　　(1) Basic expenditure. The basic expenditure budget is 59,564,000 yuan, accounting for 50.06% of the total expenditure budget, an increase of 6,715,700 yuan or 12.71% compared with the budget of 52,848,300 yuan at the beginning of 2023.

　　(2) Project expenditure. The project expenditure budget is 59,419,300 yuan, an increase of 44,204,900 yuan or 290.55% compared with the budget of 15,214,400 yuan at the beginning of 2023. Among them:

　　1. The operating expenditure of public institutions is 0,000 yuan.

　　2. Pay the expenditure of 0,000 yuan to the superior.

　　3. Subsidy expenditure for affiliated units is 0,000 yuan.

Figure 2: Basic Expenditure and Project Expenditure

　　(3) The balance of funds carried forward at the end of the year is 0,000 yuan.

　　Four, the financial allocation of "three public" funds budget.

　　(A) the scope of the "three public" funds

　　Beijing Seismological Bureau’s expenses for going abroad (abroad), official reception, official vehicle purchase and operation and maintenance are the expenses at the same level.

　　(two) the financial allocation of "three public" funds budget.

　　In 2024, the budget for the financial allocation of "three publics" was 246,200 yuan, which was the same as the budget for the financial allocation of "three publics" in 2023. Among them:

　　1. Expenses for going abroad on business. The budget in 2024 is several hundred thousand yuan, which is the same as that in early 2023.

　　2. Official reception fee. The budget in 2024 is 30,000 yuan, which is the same as the budget at the beginning of 2023.

　　3 official car purchase and operation and maintenance fees. The budget for 2024 is 216,200 yuan, including: the official car purchase fee is several hundred thousand yuan, which is the same as the budget of several hundred thousand yuan at the beginning of 2023. The budget for the operation and maintenance of official vehicles in 2024 is 216,200 yuan, including 100,000 yuan for fuel, 56,700 yuan for maintenance, 35,000 yuan for insurance and 24,500 yuan for other expenses. The budget of official vehicle operation and maintenance fee in 2024 is the same as the budget of 216,200 yuan at the beginning of 2023.

　　V. Other explanations

　　(a) the government procurement budget

　　In 2024, the total government procurement budget of Beijing Seismological Bureau was 50,297,400 yuan, including 35,970,000 yuan for goods, 0,000 yuan for projects and 14,327,400 yuan for services.

　　(two) the government purchase service budget.

　　In 2024, the total budget for government purchasing services of Beijing Seismological Bureau was RMB 0,000.

　　(3) An explanation of the operating expenses of the organ

　　My unit is not within the statistical scope of the operating expenses of the organs.

　　(four) the project expenditure performance targets.

　　In 2024, Beijing Seismological Bureau reported 15 budget items with performance targets, accounting for 100% of the 15 budget items of this year. The project expenditure budget for reporting performance targets is 58.3786 million yuan, accounting for 100% of the project expenditure budget of this department this year.

　　(five) the key administrative fees.

　　This department has no key administrative fees in 2024.

　　(six) the financial allocation of state-owned capital operating budget.

　　This department has no budget for financial allocation of state-owned capital operating budget in 2024.

　　(seven) the occupation of state-owned assets.

　　By the end of 2023, Beijing Seismological Bureau had 7 vehicles, totaling 1,859,200 yuan; 4 sets of equipment with a unit value of more than 500,000 yuan, totaling 4,977,600 yuan. In the budget arrangement for 2024, 0 sets (sets) of equipment with a unit value of more than 500,000 yuan were purchased, totaling 0,000 yuan.

　　VI. Explanation of Nouns

　　Basic expenditure: refers to personnel expenditure and public expenditure incurred to ensure the normal operation of institutions and complete daily tasks.

　　Project expenditure: refers to the expenditure incurred to complete a specific administrative task or career development goal in addition to the basic expenditure.

　　The budget of "three public funds": refers to the budget of going abroad (abroad), official reception, official car purchase and operation and maintenance expenses arranged by the financial allocation in the departmental budget of the current year.

　　Government procurement: The use of fiscal funds by state organs, institutions and organizations at all levels to purchase goods, projects and services within the legally formulated centralized procurement catalogue or above the procurement quota standard is an effective measure to standardize the management of fiscal expenditure and strengthen budget constraints.

The second part of the 2024 annual departmental budget report