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

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

General Office of Yunnan Provincial People’s Government

October 22, 2016

(This piece is publicly released)

Planning of Medical and Health Service System in Yunnan Province

(2016-2020)

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

Chapter 1 Planning Background

Section 1 Basic Status Quo

First, the current situation of medical and health resources

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

Second, the utilization of medical and health resources

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

Third, the level of health

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

Main problems in the second quarter

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

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

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

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

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

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

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

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

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

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

Section 3 Opportunities and Challenges

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

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

Chapter II General Requirements

The first section guiding ideology

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

Section 2 Basic Principles

First, demand-oriented, rational layout

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

Second, government-led, multi-input

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

Third, fairness and accessibility, improve efficiency

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

Fourth, people-oriented, innovative mechanism

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

Five, according to local conditions, overall coordination

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

Section III Overall Objectives

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

Chapter III Layout of Medical and Health Service System

Section 1 Framework of Medical and Health Service System

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

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

Section 2 Hospital Planning and Setting-up

First, public hospitals

(A) functional positioning

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

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

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

(2) Institutional setup

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

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

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

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

Second, the society runs hospitals

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

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

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

Section III Planning and Setting of Grassroots Medical and Health Institutions

First, the functional orientation

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

Second, the institutional setup

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

Section 4 Planning and Setting of Professional Public Health Institutions

First, the functional orientation

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

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

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

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

Second, the institutional setup

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

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

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

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

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

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

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

Section 5 Building a Regional Medical and Health Center

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

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

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

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

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

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

I. Combination of prevention and control

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

Second, pay equal attention to Chinese and western medicine

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

Third, up and down linkage

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

Fourth, the combination of medical care and nursing

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

V. Diversified development

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

Chapter IV Allocation of Medical and Health Resources

The first section configuration ideas

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

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

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

Section 2 Allocation of Bed Resources

I. Structural configuration

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

Second, the regional configuration

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

Third, the monomer scale

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

Section III Allocation of Health Human Resources

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

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

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

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

Second, the hospital staffing

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

Three, the basic medical and health institutions staffing

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

Fourth, the staffing of professional public health institutions

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

Section IV Information Resource Allocation

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

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

Section 5 Allocation of Other Resources

I. Configuration of large-scale equipment

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

Second, the technical configuration

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

Third, the allocation of funds

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

Chapter V Safeguard Measures

Section 1 Strengthening organizational leadership

First, strengthen leadership

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

Second, rationally divide the responsibilities of governments at all levels

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

Third, clarify the responsibilities of relevant departments

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

Section 2 Innovating System and Mechanism

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

Section III Intensifying the Adjustment of Resources

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

Section IV Strengthening the Training and Use of Talents

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

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

Section 5 Strengthening Supervision and Evaluation

First, standardize the planning process

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

Second, strict planning and implementation

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

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

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

Attachment: Division of Key Tasks of Provincial Departments

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

　　[Special medicine for auxiliary treatment of lung cancer]

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

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

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

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

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

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

　　[Gold Award-winning Diabetes Drugs]

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

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

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

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

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

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

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

　　[biopharmaceuticals become Cuban characteristics]

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

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

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

　　[Special medicine breeds medical tourism]

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Finding Nemo 2 and Grand Theft Auto 1

1905 movie network news In 2016, the North American film market experienced a wonderful year, with the total box office revenue reaching $11.4 billion, a record high. The box office record of $11.1 billion in 2015 is dead.

　

It is reported that the data comes from ComScore, a well-known American internet statistics company. The attendance data has not been calculated, but the company’s analysts believe that the attendance rate in 2016 will be the same as that in 2015. Without counting inflation, the realization of the box office record in 2016 benefited from high ticket prices. At the beginning of 2016, the ticket price of North American movies once reached a new high point, but the average ticket price for the whole year has yet to be calculated.

　

This record exceeded the expectations of the industry, especially the lack of "007" and two blockbuster series last year.

　

2016 was Disney’s strongest year, with its North American box office exceeding $3 billion, accounting for more than a quarter of the annual market share, and it was also the one with the least film distribution among the six major Hollywood companies.

　

Produced by Disney and Pixar, and released by Disney, the North American box office reached 486.3 million US dollars, ranking first in the North American annual box office. If you count the box office receipts in 2016 (released in North America on December 18, 2015), six of the top ten box office charts in 2016 are Disney movies.

　

The other four Disney movies are: (408.2 million dollars, up to 2016.12.31), (408.1 million dollars), (364 million dollars) and (341 million dollars).

　　"Daming Fenghua", as the only outstanding costume drama "Blowout" at the end of the year, has lived up to expectations and caused a wide discussion. Around the "Daming’s First Family", many figures appeared in turn. Unexpectedly, the most striking thing was not Tang Wei, who premiered the TV series, but the role played by Wang Xueyin — — Ming Chengzu Zhu Di.

　　Due to the unavoidable complex historical evaluation of usurping the throne and seizing power, the battle of Jing Nan, Zhu Di was rarely shown positively in film and television dramas in the past, and Daming Fenghua pushed it to the foreground for the first time. Wang Xueyin’s interpretation shows the lonely king’s iron and blood thunder in front of people, his regret and helplessness behind people, his high degree of self-discipline and self-examination and his deep hatred for his loved ones. His eyebrows, figure and body are full of drama. It is hard to believe that he is a 73-year-old man, regardless of his artistic expression or the mental state of the whole person.

　　Recently, Wang Xueyin was interviewed by Beijing Youth Daily, revealing how Zhu Di, the first successful "out of the circle" in historical dramas, was born.

　　Atypical emperors and princes

　　The special feature of Daming Fenghua is that it focuses on describing the family interaction of Zhu family for generations and the complex emotional entanglements between characters, and shows the traditional royal family culture. No wonder some people say, "I can watch 100 more episodes of Lao Zhu family’s daily life." In particular, Wang Xueyin and Guanhua Liang, two old opera bones, played an atypical pair of emperors and princes: father Zhu Di was overbearing and powerful, and used means to punish his heart; Zhu Gaochi, the son, is loyal and generous in nature. He has worked hard but has no credit. He is passive to Nuo Nuo in front of his father, and when he returns to the Prince’s Mansion, he will suffer greatly … … Their opposite plays are very beautiful.

　　In Wang Xueyin’s eyes, this version of Zhu Di’s "addiction" is because the screenwriter endowed the character with unprecedented richness with precise lines, rather than the "cage-raising birds and harem things all day" in traditional imperial dramas. Wang Xueyin said that Zhu Di in "Ming Fenghua" is good-looking and good-looking, and there is no disguise in his merits and demerits. "He knows that he has made a big mistake and laments that it is ‘ A thief who has never been easy ’ However, the history books are required to be written realistically, and sinners are sinners; At the same time, he is also strict with himself, and he is brilliant. He is more confident than ever. "

　　Simple life likes complex performances.

　　The only thing that is more dramatic is that when Zhu Di was majestic, Wang Xueyin suppressed Guanhua Liang by thunder, and when he was short in his parents’ family, his appearance and manner were closer to his brothers. When I check my resume, Wang Xueyin is 73 years old and Guanhua Liang is 55 years old — — From the actual age, there is no problem for them to play father and son.

　　In terms of age, Wang Xueyin really doesn’t look like he’s over seventy. Asked how to maintain such a good physical condition, Wang Xueyin summed it up in two words — — Simple. "I’m a soldier, used to obey orders, let the left to the left, let the right to the right, never ask why. I never think about wearing clothes. I don’t have complicated interpersonal relationships, no one else thinks so much, and there is not so much distress. " Wang Xueyin said.

　　It’s so simple that I just like to perform it all my life, and the "complex" energy after meeting my beloved role is also admirable. Wang Xueyin revealed that he was not enthusiastic about costume drama. "Wearing that dress is fake, it is too far away from us, and the feelings are not touching.". At first, I agreed to look at the script of Daming Fenghua simply because I appreciated the talent of director and screenwriter Zhang Ting. "The first time I cooperated with Zhang Ting was" Entrepreneurial Times ".He was a screenwriter and his lines were particularly good. In one scene, the director said the words were too long, so delete them. I said that I can’t delete it. There are too few opportunities to meet such a good line. Please wait for me for 20 minutes. " The whole group stopped to cooperate, and finally Wang Xueyin made several lines in one go.

　　Details show the king’s difficulties

　　Seeing the script of "Daming Fenghua", Wang Xueyin’s prejudice against costume drama disappeared, and he did not hesitate to take on Zhu Di. "I have played all my life and know that it is too difficult to meet a good drama. I am glad that I met Yellow Land in my first play. At that time, I was young and didn’t understand it. I didn’t think it was a good script. I didn’t promise to shoot it and acted in a drama. Only later did I know its value. "

　　In Daming Fenghua, there are scenes such as Zhu Di’s fight against an iron fist, hesitation, reluctance, tears, and gathering his children and grandchildren to swear together that they can no longer be stained with their own blood, which is considered to be "whitewashed". In this regard, Wang Xueyin denied that these details did not whitewash Zhu Di, but moved the audience because they showed subtle and true feelings between men. "Zhu Di brought up his three sons alone and didn’t marry again. Put a lot of energy into them. As an emperor, there are inevitably many contradictions with children. How to discipline children and how to choose successors all require means and wisdom. This play does not blindly say that he is good, but shows the difficulties of a generation of kings from all aspects. " (Text/Reporter Yang Wenjie)

　　CCTV News:The data shows that the proportion of users who use mobile phones to watch videos exceeds 70%, and watching videos and live broadcasts on the move has become the urgent need of the majority of users. In order to meet the audience’s strong demand for watching live broadcasts on mobile phones, Glory has joined hands with China Telecom and CCTV Easy Orange to give away 90GB of telecom traffic free of charge to users who buy Glory’s 5C full netcom version since August.

　　Traffic is free to send live broadcasts.

　　According to the statistics released by CNNIC, 71.9% of users use mobile phones to watch videos, and the current hot live broadcast has intensified this trend. However, in most cases, WiFi signals are only available indoors. Although the speed of 4G network is fast, the huge traffic consumption has become the most troublesome problem for users.

　　In order to enable users to watch mobile video and live broadcast anytime and anywhere, Glory teamed up with China Telecom and CCTV Easy Orange to launch a special event: giving away 90GB of free traffic from China Telecom (*90GB of telecom traffic, which is directed traffic for CCTV Integrated application, only applicable to Glory Play 5C Full Netcom Edition). Users of China Telecom who purchase Glory 5C full netcom version can upgrade their mobile phone system to the latest version (B121 version or above), and open the built-in "CCTV Comprehensive" APP in their mobile phones to receive the traffic for free. The traffic will take effect on the same day, and they will be given for 6 months in a row, and 15G of local directional traffic will be given every month (subject to the operator’s notice).

　　In the "CCTV Comprehensive" APP built in Glory Play 5C Netcom Edition, the traffic consumed by users to watch programs will be deducted from the 90GB free traffic.

　　Glory and play 5C, enjoy it for a long time.

　　Glory Play 5C Full Netcom Edition is equipped with Kirin 650 chip with 16 nm 8-core, which is the first time to introduce the 16 nm process technology of the same generation as flagship models such as iPhone6s and Huawei Mate8 into the thousand yuan machine market. Compared with the 28 nm chip mobile phone on the market, Glory Play 5C performance is improved by 65%, and the power consumption of the whole machine is reduced by 40%. At the same time, it supports 4G+ technologies such as carrier aggregation and Cat.6, and the downlink speed can reach up to 300Mbps.

　　In this way, under the extremely fast 4G network, using the Glory 5C equipped with 16 nm 8-core to watch live video, the buffer is fast, the load is fast, the video is more refreshing, the heat is less, the power consumption is less, and the video can be played for a longer time, thus getting rid of the double pain that the progress bar can’t be dragged and the traffic can’t be hurt.

　　Watch the wonderful things anytime, anywhere.

　　CCTV mobile TV service was officially launched in December, 2006. It is committed to building the first cross-media interactive mobile TV station in China and providing the most authoritative, convenient and beautiful mobile video viewing service for mobile phone users in China. Information broadcast at home and abroad, the first time to take you to the news site; The hot events in the European Cup and the Olympic Games continue; CCTV famous columns, Spring Festival Gala, two sessions, military parade and other exclusive hot columns, witness the passionate moment of major events! Now all you need is a glory to play 5C full netcom version, which is exciting anytime and anywhere, and 90GB free traffic is waiting for you!

　　Beijing Yi Orange Tianxia Technology Co., Ltd. is a wholly-owned subsidiary of CCTV, and the only authorized operator of CCTV’s mobile TV integrated broadcast control license and content service license; It is the only channel for CCTV’s massive and high-quality copyright content to be exported to mobile terminals. Approved by the State Administration of Radio, Film and Television, the call sign of CCTV mobile TV content service license is "CCTV mobile TV" and the call sign of integrated broadcast control license is "China mobile video".

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　　In 1995, China put forward the idea of "going out" in agriculture, and in 2007, the No.1 document of the Central Committee formally put forward the idea of "going out" in agriculture as a national strategy. In the past twenty years, China’s agricultural "going out" has experienced the development process of folk initiation and national strategy implementation, and has achieved good results, but also encountered some problems. To sum up, the main achievements are as follows: (1) the accelerated growth of foreign direct investment, the increasingly extensive and diversified investment areas, methods and industries, and the rapid accumulation of investment income and experience; The main problems are manifested in three levels. First, there is a lack of self-ability at the enterprise level, such as lack of international talents and lack of overseas management experience. Second, there are obstacles to the absence of national public services at the institutional policy level, such as mismatched domestic financing policies and incomplete implementation of investment agreements among some countries; Third, there are environmental risk challenges at the host country level. In order to develop China’s agriculture globally in the future, it is necessary to assess the situation, strategize, locate accurately, ensure the overall situation and plan systematically.

　　First, size up the situation, and deeply analyze the strategic situation of China’s agricultural development going global.

　　(A) The present stage is a period of great strategic opportunities for China’s agricultural development to go global.

　　Judging that the present stage is a period of great strategic opportunities for China’s agricultural development to go global, it is based on the following three facts: First, China’s national strength has been rapidly improved, and it already has the national strength to plan agricultural development on a global scale. Second, the world’s undeveloped agricultural resources are still abundant, and there is still huge room for China’s agricultural development to go global. It is timely for China’s agricultural development to go global by making use of the world’s agricultural development potential, filling the regional gaps and bridging the gap in the industrial chain. Third, the rapid growth of agricultural enterprises in China and the mature development of agricultural technology have created the profound internal strength for China’s agriculture to go global. It is timely for China’s agricultural development to go global, with export-oriented leading agricultural industrialization enterprises as the master and advanced and applicable agricultural technologies as the sharp weapon.

　　(B) The current world development trend is generally beneficial to the global development of China’s agriculture.

　　Judging the world development trend is generally beneficial for China’s agricultural development to go global, based on the comprehensive evaluation of the following challenges and opportunities: First, although there are still downside risks in world development and the prices of bulk agricultural products are in a depression, the global economy is in a post-crisis recovery period, the global monetary policy is generally loose, developing countries such as China and India strengthen economic reforms, and Asian, European and African countries actively respond to the "One Belt, One Road" initiative advocated by China. The recovery of the world economy is expected, the demand for agricultural products will be further expanded, and China’s agricultural development will move towards a global economic environment. Second, China’s agricultural "going out" has increasingly highlighted the concepts of "pro-,sincerity, benefit, tolerance" and "harmony", emphasized common development and mutual benefit, helped the agricultural development of the host country, won the hearts of the people and gained friendship, and the international environment for China’s agricultural development to go global has become more and more favorable. Third, although the risks of overseas agricultural operations are prominent, the overseas investment of Chinese agricultural enterprises to the world is growing steadily, with an average annual growth rate of more than 20%. The strategic tools to deal with various risks are gradually enriched, and the ability to identify, deal with and control risks is also significantly enhanced.

　　Second, strategize and reposition the strategic goal of China’s agricultural development going global.

　　At present, the global economic development is getting better for a long time, the international pattern is profoundly adjusted, the risks are identifiable, avoidable, preventable and controllable, and the international environment is generally favorable. Going global is a major choice for China’s agricultural development in the new period. We should strategize, accurately position, clearly define the goals and develop with the trend.

　　First of all, we should establish the concept of "harmonious development", adhere to the motto of "pro-,sincerity, benefit and tolerance", and realize the win-win cooperation between China’s agriculture and the agricultural development of the host country. Secondly, we should clearly set the following goals: expand the development space of China’s agriculture, and enhance the global competitiveness, resource allocation, market control and international influence of China’s agriculture. Third, it is necessary to make clear the main body of China’s agricultural development going global, with large multinational agricultural enterprises dominated by China capital as the core body, small and medium-sized overseas investment agricultural enterprises actively participating in the global agricultural market as beneficial participants, relevant financial institutions, intermediaries and think tanks as the providers of core services, and government departments as the providers of key policies and public services. Finally, we should carry out the following ideas: consider and comprehensively apply the two international and domestic markets, two resources and two types of rules, actively implement the deployment of the "Belt and Road Initiative", accelerate the implementation of agricultural "going out", lay out the global agricultural industrial chain, build a number of key multinational agricultural enterprises, deeply integrate and control the key links and major value-added nodes of the global agricultural industrial chain, and build an efficient and sustainable global agricultural product supply and demand coordination network and a global allocation network of agricultural science and technology and resources.

　　Third, make sure of the overall situation and systematically plan the strategic countermeasures for China’s agricultural development to go global

　　(1) Strengthen strategic planning and support at the national level.

　　It is a strategic choice at the national level for agricultural development to go global. It is necessary to make strategic planning, strengthen state support, carry out long-term strategic planning and implementation, and continuously strengthen macro guidance and service capabilities for agriculture to go global. The strategic deployment of China’s agricultural development going global should obey and serve the overall situation of the country’s development, coordinate and promote each other with the country’s diplomatic strategy, foreign investment strategy and foreign aid strategy, and realize the national interests to the greatest extent. Strategic planning should pay attention to gradual progress and divide strategic development stages. At the present stage, we should focus on developing stable agricultural products trade and providing agricultural assistance to developing countries. In the medium term, we should focus on overseas agricultural investment and international agricultural cooperation. In the long term, we should aim at building large-scale multinational agricultural enterprises, building a global agricultural product supply and demand adjustment network and an agricultural science and technology and resource allocation network.

　　(B) to strengthen the cultivation of large multinational agricultural enterprises

　　Multinational agricultural enterprises are the key subjects to enhance the global competitiveness, resource allocation, market control and international influence of China’s agriculture. Encourage all kinds of enterprises to increase overseas agricultural investment; As soon as possible, select a group of multinational agricultural enterprises with a certain scale, good development foundation, experience and foundation in foreign agricultural investment and development, strong economic strength and sufficient reserves of talents, especially international management talents, to give key support; We will build a group of powerful international agricultural enterprises that can operate flexibly and develop for a long time in the international agricultural industrial chain and international agricultural products market, compete with the four international agricultural enterprises of ABCD on the same stage, and have the status of China.

　　(3) Deepening and expanding international cooperation in agriculture.

　　Actively implement the "Belt and Road Initiative" and strengthen agricultural trade and agricultural economic and trade cooperation between China and countries along the "Belt and Road"; Implement the development concept of "harmony", focus on strengthening agricultural assistance and cooperative development of agricultural resources in developing countries or regions, and strive to improve the self-sufficiency and export supply capacity of agricultural products in developing countries; Strengthen close trade and investment cooperation with developed countries with rich agricultural resources, actively participate in their comprehensive agricultural development and global supply chain construction, and increase the effective supply of global agricultural products through multiple channels.

　　(D) Layout of the global agricultural industrial chain

　　From the perspective of the layout of the whole industrial chain, we should make reasonable arrangements in agricultural scientific research, agricultural research and development, production, processing, logistics, warehousing and sales, and make long-term plans to form the control ability of the whole industrial chain. Can be distributed to agricultural production related fields, provide technical training and services for local producers, and exchange technology and services for products and markets; Extend to the field of agricultural products processing to realize the value-added of agricultural products; Extend to infrastructure construction and lay out the logistics system of agricultural products transportation. The government should actively support Chinese agricultural enterprises to lay out key nodes in the global agricultural industrial chain, and form a diversified win-win situation with resource development and cooperation in the whole agricultural industrial chain as the core. Guide and support agricultural enterprises to tilt towards capital and technology-intensive industries such as processing, logistics, warehousing and docks, as well as key areas with high technology content such as research and development, improve the level of agricultural foreign investment, and continuously optimize the investment structure.

　　(Author: Institute of Agricultural Economics and Development, Chinese Academy of Agricultural Sciences)

　　Residents take photos and smell the fragrance among the rose flowers. Reporter Wang Liting photo

　　Longsha Gem, Juliet, Royal Rouge, Eve Wine Cellar … … In front of an open courtyard in Huilong Garden Community, Houhu Street, Jiang ‘an District, 320 kinds of Chinese roses compete for beauty. On the morning of the 13th, residents shuttled among the rose flowers to take photos and smell the fragrance, as if they were in a small rose garden. In the richness and profusion of flowers, the neighborhood relationship in the community is also more harmonious.

　　She is like collecting stamps.

　　Collect 320 kinds of Chinese roses

　　The reporter walked into the rose garden along the stone road, and the mixed flowers came to my face. Vines, shrubs and miniature roses came into view, with flowers and fragrance.

　　"I am 47 years old. After my daughter went to college in 2020, I began to grow Chinese roses." Chen Ting introduced, "There are not only many varieties of roses, but also a long flowering period, which is very suitable for flower arrangement, so I began to plant roses."

　　"I tried to plant 20 pots at first, and the results were very good, which gave me confidence." Chen Ting told reporters that she often watches flowers growing videos online, learns how to grow Chinese roses, and becomes more and more skilled in flower growing technology. Every time the nursery grows new roses, she always buys a few. "This feeling is like collecting stamps, more and more. Later, I couldn’t stop, and before I know it, there were 320 varieties."

　　Only one plant is left for each variety, and the rest are given to friends. This is Chen Ting’s principle of raising Chinese rose flowers. "I like to try new varieties and want to see the difference between new varieties and classic varieties." Chen Ting said that due to the limited space, the remaining roses were carefully screened.

　　"It is hot in Leng Xia in winter and short in spring. European and European varieties such as juice balcony, parade and Miranda are very suitable for planting here." Chen Ting introduced that different varieties of Chinese rose have different requirements for light and temperature, and they have to buy them for trial planting to know whether they are suitable for Wuhan’s climate. In daily observation, she has summed up the rose varieties that perform better and have good skin and good nutrition under the climatic conditions in Wuhan. "I often share my planting experience and experience with flower friends, hoping to make them take fewer detours in the process of planting roses."

　　Watering, fertilizing, spraying, pruning, cleaning yellow leaves and pulling branches, Chen Ting works in the garden for at least 6 hours every day. After a long period of work, Chen Ting’s arms were covered with scratches of different lengths. "There are many thorns in the rose, and it is common for the arm to be scratched." With a photosensitive skin disease, she often relapses dermatitis, but she is still enthusiastic about raising flowers.

　　Residents and properties

　　Help manage the "Rose Garden"

　　"When the flowers are in full bloom, she will invite us to enjoy the flowers and often cut them for us." Resident Zhang Ping said that with this garden, neighbors often walk around, enjoy flowers, walk and take photos, and the neighborhood relationship is more harmonious. "We will also bring friends to enjoy the flowers, and residents in the nearby community will come to punch in."

　　During the flower viewing, Chen Ting will explain the varieties and characteristics of flowers. "She is a flower grower in our community, and we often turn to her when we are confused in the process of growing flowers ‘ Learn from the scriptures ’ 。” Resident Zhou Cuiping told reporters that flower friends usually go to the flower and bird market to choose flowers and see flowers.

　　"I have only moved to the community for two years. I have met many neighbors through raising flowers and made many flower friends." Chen Ting recalled that at the end of 2021, Tan Heqing, the master gardener of the property, and the community flower friends spontaneously came to help prune the Chinese rose in winter. "The task of pruning and clearing the garden originally took two weeks, but it was all completed in two days."

　　Chen Ting named the garden "Ian’s Rose Garden", symbolizing beauty and happiness. "I feel very comfortable enjoying flowers, drinking tea and chatting with flower friends in the garden on weekdays."

　　Flowers bloom in the garden all the year round. Chen Ting’s enthusiasm also gained a lot of warmth by sending cut flowers every day and cutting branches in winter. The warm greeting when we meet, the flower friends who accompany us to chat when we take care of the garden, and the homemade sauerkraut presented by the neighborhood & HELIP; … Every little bit of daily life promotes the feelings between neighbors a little bit.

　　"The beauty of the garden needs to be discovered and appreciated by everyone." Chen Ting said that in the future, she intends to continue to introduce new varieties and improve the scenery of the garden, so that neighbors who also love life can have a more comfortable and beautiful viewing experience.

　　Reporter Wang Liting Correspondent Yu Wei Gu Wenjia

During the Spring Festival this year, there were two war films in the film market, which triggered a movie-watching craze. The Battle at Lake Changjin’s sequel "Watergate Bridge of Changjin Lake" is based on large and medium materials, showing the "panorama" of the war; Sniper sees the big picture in a small way, which is more like a local "close-up" of the battle. The same theme of war, choosing the same schedule for release, all showed good box office appeal and word-of-mouth influence, breaking the previous market pattern of leading comedy films in the Spring Festival.

　　The theme of war has always been an important theme in film creation. In the film history of China, there have been many creative upsurge of war theme, and a number of well-known works have been born. However, for some time, domestic war films have fallen into a creative bottleneck. Some of them are full of bullets and gunfire, but they make people sleepy. There are also obvious traces of preaching, lacking the power to penetrate the hearts of the people and being "left out" by the market. From the "big" of The Battle at Lake Changjin series to the "small" of Sniper, what kind of transformation has taken place in domestic war films?

　　War movies are getting better and better, which is inseparable from the improvement of the film industry in China. The level of film industry is reflected in the typed creation, scientific and systematic production management and the application of new technologies. The creative experience of The Battle at Lake Changjin series shows that the same type of film can follow certain creative rules from script to production according to certain creative standards, and constantly replicate successful experiences to ensure sustainable production. The combination of technology and art is also an important standard of film industrialization. The Battle at Lake Changjin series created a breathtaking audio-visual experience for the audience with the help of high technology, and more than 90% of post-production and special effects technology were completed in China. At present, under the impact of online media, movies need to move towards a higher level of production, and movie audiences hope to get a completely different experience from other audio-visual platforms in the cinema. These changes urgently require filmmakers to lead the development of the industry with scientific and technological innovation. With the further improvement of film technology research and development capabilities, the unique charm of the big screen will further bloom.

　　War movies are getting better and better, which is inseparable from the improvement of China’s storytelling ability. Nowadays, war movies pay more and more attention to telling short stories in the big scene. It can not only "get both the big and the small", but also "see the small and view the big", which not only has a panoramic expression of the war process, but also vividly depicts the ordinary soldier. From this point of view, although there is no grand scene in Sniper, its characterization is deeply rooted in people’s hearts. In particular, the use of dialects, with mild comedy to describe the tragic core, so that one by one amiable and respectable image of China soldiers leap onto the screen. The cultural attribute of the film determines that it must bear the national spiritual and cultural value. Therefore, film creation should not only pursue the shock of the scene, but also the shock of the soul. When the technical means that directors can use are more and more advanced, they should also settle down and think about what kind of art form to use to recall the bonfire years and pay tribute to the "most lovely person".

　　Domestic films should not only base themselves on the domestic market, but also open their international horizons. What is worthy of recognition is that at present, while the domestic war films are promoting the main theme, the theme is no longer single, and the relationship between war and peace, war and people is deeply considered. Film art is a universal language and one of the best carriers to spread the story of China. China’s films still need to expand the breadth and depth of themes, strengthen international exchanges and cooperation, find the code of human empathy, and let the story of China really go to the world.

　　The Battle at Lake Changjin series and Sniper show us that war themes have a broad creative space. By February 9, 2022, the total box office (including pre-sale) of national cinema films exceeded 10 billion yuan, which shows the consumption potential of the film market. It is expected that China films will grow in the process of transformation, and achieve a double harvest of social and economic benefits with more acclaimed and well-received art works.