CCTV News:On September 7th, the Propaganda Department of the CPC Central Committee held a series of press conferences on the theme of "Ten Years in China", introducing the development achievements of health care since the 18th CPC National Congress and answering questions from reporters.

Li Bin, deputy director of the National Health and Wellness Committee, said that the health and wellness system has carried out the health poverty alleviation project in depth, fully guaranteed the basic medical care for the rural poor, and helped nearly 10 million families who returned to poverty due to illness to successfully get rid of poverty, making an important contribution to winning the battle against poverty.

The first is to completely eliminate the "blank spots" of rural medical and health institutions and personnel. Clarify the target standard of ensuring basic medical care, and solve the problem of lack of institutions and doctors at the grassroots level in some areas through the methods of "county governing rural use", "township hiring village use" and patrolling and stationing, and basically realize the rural people’s fair access to basic medical and health services.

Second, the service capacity of county hospitals in poverty-stricken areas has been improved by leaps and bounds. Taking strengthening the capacity building of county hospitals as the main direction, 1,007 urban tertiary hospitals will be organized to help 1,172 county-level hospitals in 832 poverty-stricken counties, so that there will be at least one public hospital in each poverty-stricken county and at least one secondary and above hospital in 98% poverty-stricken counties. The gap between urban and rural medical service capacity is narrowing.

The third is due to the precise policy of people due to illness. Organize and mobilize more than 800,000 grassroots medical staff across the country, comprehensively find out the illness situation of poor people, establish a national dynamic management system for health and poverty alleviation, implement classified treatment for poor patients, and promote the implementation of measures from person to person and accurate to disease. By the end of 2020, more than 20 million people had been treated.

Fourth, the prevention and control of key diseases in key areas has achieved historic results. Adhere to prevention first, carry out key actions to prevent and control major infectious diseases and endemic diseases, and effectively control major diseases such as AIDS, echinococcosis and endemic diseases that have long affected people’s health.

Chapter I General Principles

　　the first　In order to prevent and handle medical disputes, protect the legitimate rights and interests of both doctors and patients, and maintain medical order, these measures are formulated in accordance with relevant laws and regulations such as the Tort Liability Law of People’s Republic of China (PRC), the People’s Mediation Law of People’s Republic of China (PRC), and the Regulations on Handling Medical Accidents, combined with the actual situation of this province.

　　the second　These Measures shall apply to the prevention and treatment of medical disputes within the administrative area of this province.

　　The term "medical disputes" as mentioned in these Measures refers to the disputes caused by medical institutions and their medical staff’s medical, preventive and health care practices in the medical process.

　　Article　The prevention and treatment of medical disputes should adhere to the principles of prevention first, fairness and reasonableness, timely convenience and legal treatment.

　　Article 4　The people’s governments at or above the county level shall strengthen their leadership in the prevention and handling of medical disputes, urge relevant departments to perform their duties according to law, and coordinate and solve major problems in the prevention and handling of medical disputes.

　　The township people’s governments and sub-district offices where medical institutions are located and patients live shall cooperate with the people’s governments at or above the county level and relevant departments to handle medical disputes well.

　　Article 5　The health administrative department of the people’s government at or above the county level shall standardize the practice access of medical institutions, strengthen the supervision and management of medical institutions and their medical personnel, urge medical institutions to improve the quality of medical services, ensure medical safety, and do a good job in the prevention and handling of medical disputes.

　　The judicial administrative departments of the people’s governments at or above the county level shall perform their duties, strengthen the guidance on the people’s mediation of medical disputes, and promote the standardization of the people’s mediation of medical disputes.

　　The public security organs of the people’s governments at or above the county level shall maintain the public order of medical institutions, strengthen supervision and guidance on the internal public security work of medical institutions, and crack down on illegal and criminal acts that infringe on the personal safety of medical personnel and patients and disrupt the order of medical institutions according to law.

　　The competent price departments of the people’s governments at or above the county level shall strengthen the supervision and management of the price of medical services and standardize the price behavior of medical services.

　　Insurance supervision and management institutions shall strengthen the supervision and management of relevant insurance work.

　　The human resources and social security, finance and civil affairs departments of the people’s governments at or above the county level shall, within the scope of their respective duties, do a good job in the prevention and handling of medical disputes.

　　Article 6　The news media should abide by relevant laws, regulations, rules and professional ethics, fulfill their social responsibilities, and report medical disputes objectively and fairly.

　　Article 7　After the occurrence of medical disputes, both parties can choose the following ways to solve them:

　　(a) to resolve it through consultation, except as stipulated in the third paragraph of article twenty-ninth;

　　(2) Apply for mediation to the People’s Mediation Committee for Medical Disputes or the People’s Mediation Committee for Medical Disputes (hereinafter referred to as the Medical Mediation Committee);

　　(three) to apply to the administrative department of health for administrative treatment;

　　(four) to bring a lawsuit to the people’s court;

　　(five) other ways as prescribed by laws, regulations and rules.

　　Conditional prefecture-level listing can try out medical dispute arbitration.

　　Article 8　The Medical Commission is a professional people’s mediation organization established according to law.

　　The judicial administrative department of the people’s government at the prefecture level or above the city level shall guide the local establishment of a medical mediation committee, and the judicial administrative department of the people’s government at the county level shall guide the local establishment of a medical mediation committee according to actual needs, and be responsible for the people’s mediation of medical disputes within their respective administrative areas.

　　The judicial administrative department of the people’s government at or above the county level shall make statistics on the establishment of the medical adjustment committee within its administrative area, and timely announce the name, person in charge, address and telephone number of the medical adjustment committee to the society.

　　The people’s governments at or above the county level shall provide necessary support and guarantee for the funds, personnel and office space required for the people’s mediation of medical disputes.

　　Judicial administrative departments and health administrative departments at all levels should strengthen communication and cooperation and strengthen guidance on people’s mediation of medical disputes.

　　Conditional city, county, district people’s governments can take the form of government purchasing services for the establishment of medical adjustment committees and the people’s mediation of medical disputes.

　　Article 9　Encourage and support medical institutions to participate in medical liability insurance, and encourage patients to participate in medical accident insurance.

　　The administrative department of health shall guide medical institutions to participate in medical liability insurance.

　　Article 10　Encourage domestic and foreign citizens, legal persons and other organizations to donate property or set up medical risk funds according to law, and fund medical institutions in this province to carry out medical assistance and medical mediation committees to carry out medical dispute mediation.

　　Medical institutions or medical commissions that accept donations shall announce to the public once every six months the specific situation of accepting social donations and subsidies and accept social supervision.

　　

Chapter II Prevention of Medical Disputes

　　Article 11　The administrative department of health shall strengthen the supervision of medical institutions and medical staff’s practice access and practice behavior, promptly investigate and deal with illegal acts of medical institutions, take effective measures to improve the medical level and safeguard the legitimate rights and interests of both doctors and patients.

　　Article 12　The health administrative department of the people’s government at or above the county level shall exercise the following supervision and management duties:

　　(a) to be responsible for the examination and approval of the establishment, practice registration and verification of medical institutions;

　　(two) to inspect and guide the practice activities of medical institutions;

　　(three) responsible for organizing the evaluation of medical institutions;

　　(4) urging medical institutions to establish and improve relevant systems;

　　(five) to give administrative punishment for acts in violation of these measures.

　　Article 13　The practice of medical institutions shall abide by the relevant laws, regulations, rules and medical technical specifications, and carry out medical activities in accordance with the approved and registered medical subjects.

　　Medical institutions should strengthen the medical and health management laws, regulations, rules, norms of diagnosis and treatment, routine training and professional ethics education of medical services.

　　Medical institutions shall disclose medical service information in accordance with regulations, and publicize medical and health laws, regulations and rules to patients and their close relatives and the public through various channels.

　　Article 14　Medical institutions should establish and improve the medical quality monitoring and evaluation system, medical safety responsibility system, medical dispute handling system and internal accountability system.

　　Article 15　Medical institutions and their medical staff should explain and communicate with patients and their close relatives in medical activities.

　　Medical institutions should establish and improve the communication mechanism between doctors and patients, set up a unified complaint window and reception place, announce the complaint telephone number, announce the ways and procedures for solving medical disputes and the responsibilities, addresses and contact information of relevant institutions such as the Medical Adjustment Committee in a prominent position, and promptly answer and deal with relevant issues.

　　The administrative department of health shall, within 10 days from the date of receiving the complaint, make a written decision on whether to accept it or not and inform the complainant. If it decides to accept the case, it shall promptly organize an investigation and inform the complainant of the result; If it is not accepted, it shall notify the complainant in writing and explain the reasons.

　　Article 16　Medical personnel shall perform the following obligations to prevent the occurrence of medical disputes:

　　(a) abide by the health laws, regulations, rules and norms of diagnosis and treatment, and constantly improve the professional and technical level.

　　(two) abide by professional ethics, care, love and respect patients, and protect the privacy of patients.

　　(three) under the premise of avoiding adverse consequences to patients, it shall truthfully inform patients of their condition, medical measures, medical risks and medical expenses, and answer their consultations in time; If telling the patient truthfully may have adverse consequences, it shall inform his close relatives in time.

　　(four) the need for surgery, special examination, special treatment, experimental clinical treatment, it should be timely to explain the medical risks, alternative medical programs, etc., and obtain the patient’s written consent; If it is impossible or inappropriate to explain it to the patient, it shall explain it to the patient’s close relatives and obtain their written consent; If it is impossible to obtain the written consent of the patient or his close relatives due to emergency situations such as saving dying patients, the corresponding medical measures can be implemented immediately with the approval of the person in charge of the medical institution or the authorized person in charge.

　　Article 17　Medical institutions shall, in accordance with the requirements of the administrative department of health of the State Council, write and properly keep medical records.

　　Due to the rescue of critically ill patients, medical records cannot be written in time, and the relevant medical personnel shall make up the facts within 6 hours after the rescue, and make a note.

　　Medical records shall not be lost, concealed, forged or destroyed.

　　Article 18　Patients and their close relatives or their clients have the right to copy or duplicate outpatient (emergency) medical records, admission records, temperature sheets, doctor’s orders, laboratory sheets (inspection reports), medical imaging examination materials, special inspection consent, operation consent, operation and anesthesia records, pathological data, nursing records and other medical records as stipulated by the health administrative department of the State Council. The patient and his close relatives or his client shall be present when copying or reproducing.

　　When a medical dispute occurs, the discussion records of death cases, difficult cases, superior doctors’ rounds, consultation opinions and course records shall be sealed and unsealed in the presence of both doctors and patients. Sealed medical records can be copies and kept by medical institutions. Medical institutions can unseal the sealed medical records 6 months after the dispute is settled.

　　If patients and their close relatives or their clients copy or duplicate medical records, medical institutions shall provide copying or duplicating services, and affix proof marks on the copied or duplicated medical records.

　　At the request of patients, their close relatives or clients, medical institutions can copy or duplicate medical records for them, and can charge a fee for the work.

　　Article 19　If both parties fail to determine the cause of death or disagree with it, an autopsy shall be conducted within 48 hours after the death of the patient; If the conditions for cryopreservation of corpses are met, it can be extended to 7 days. Autopsy shall be agreed and signed by the close relatives of the deceased. If the deceased refuses to sign without justifiable reasons, the medical institution may invite the third-party personnel such as the medical adjustment committee, neighborhood committee or village committee, public security organ and health administrative department to sign and witness.

　　If the autopsy is refused or delayed for more than the specified time, which affects the determination of the cause of death, the party who refuses or delays shall bear the responsibility.

　　Both doctors and patients may invite forensic pathologists to participate in the autopsy, or they may appoint representatives to observe the autopsy process.

　　Article 20　If a patient dies in a medical institution, the body shall be moved to the mortuary within 2 hours and stored for no more than 24 hours. If there is no mortuary in the medical institution, the body shall be transferred to the funeral home within 2 hours.

　　If a patient dies in a medical institution, the medical institution shall notify the funeral home, and the funeral home shall promptly go to the medical institution to receive and transport the body in accordance with relevant regulations.

　　In violation of the provisions of the first paragraph of this article, the body that has not been disposed of within the time limit shall be disposed of by the medical institution in accordance with the provisions of the second paragraph of this article after being approved by the health administrative department where the medical institution is located and reported to the public security department at the same level for the record.

　　Bodies should be disposed of in accordance with national and provincial regulations. Involving medical disputes, the cost of keeping the body in the funeral home shall be borne by both doctors and patients according to the proportion of responsibility.

　　Article 21　Patients and their close relatives shall abide by the following provisions:

　　(a) respect for medical personnel;

　　(two) truthfully inform the medical staff about the illness and medical history related to the diagnosis and treatment activities, and cooperate with the medical staff to carry out the necessary examination, treatment and nursing;

　　(3) Paying medical expenses on time;

　　(four) to cooperate with the medical institutions according to the requirements of their referral or discharge arrangements;

　　(five) shall not be forced to ask medical institutions to make medical behavior beyond their treatment ability and scope of practice.

　　Article 22　Patients and their close relatives and other related parties shall not have the following acts:

　　(a) violence or threat of violence, blackmail medical institutions, or stir up trouble in medical institutions;

　　(2) Stealing, robbing, intentionally damaging or concealing public or private property, medical records, files and other important materials of medical institutions;

　　(3) Gathering people to make trouble, enclosing medical institutions, occupying or attacking offices and clinics of medical institutions;

　　(4) Burning paper money, setting up mourning halls, placing wreaths, stopping dead in violation of regulations, pulling banners, posting slogans or posters, distributing leaflets, making noise, spilling filth, etc. in medical institutions;

　　(five) robbing the body or refusing to transfer the body to the mortuary or funeral parlour;

　　(6) Insulting, threatening, intimidating, abusing and beating medical personnel, intentionally hurting medical personnel, and illegally restricting the personal freedom of medical institution staff and medical personnel;

　　(seven) illegally carrying inflammable and explosive dangerous goods and control devices into medical institutions;

　　(eight) other acts that disrupt the normal order of medical institutions and threaten the personal safety of medical personnel.

　　Article 23　A medical institution shall formulate an emergency response plan for medical disputes and report it to the health administrative department where it is registered and the local public security organ for the record.

　　

Chapter III Handling of Medical Disputes

　　

Section 1 General Provisions

　　Article 24　After the occurrence of medical disputes, health administrative departments at all levels and medical institutions shall report in a timely manner in accordance with the major medical dispute reporting system formulated by the health administrative department of the State Council, and shall not conceal, delay or make false reports.

　　Article 25　After the occurrence of medical disputes, medical institutions shall take the following measures to deal with them according to the actual situation of medical disputes:

　　(1) Informing patients or their close relatives of the methods and procedures for handling medical disputes; If the patient or his close relatives ask for a solution through consultation, they shall be informed to nominate no more than 5 representatives to participate in the consultation, and one main representative shall be determined.

　　(two) at the request of the patient, in the presence of both doctors and patients, in accordance with the provisions of Article 18 of these measures, seal and unseal the relevant medical records.

　　(3) If a patient dies in a medical institution, the corpse shall be disposed of in accordance with the provisions of Article 20 of these Measures.

　　(four) when necessary, organize expert discussion, and feedback the discussion opinions to patients or their close relatives.

　　(five) to cooperate with the administrative department of health, public security organs, medical commission and other departments and institutions to do a good job in the investigation.

　　(six) after the medical dispute is settled, the medical institution shall submit a written reply to the patient or his close relatives.

　　If it is necessary to start an emergency plan to deal with medical disputes, corresponding measures should be taken in accordance with the provisions of the plan to prevent the situation from expanding.

　　Article 26　After receiving the report of medical disputes, the administrative department of health shall order medical institutions to take effective measures immediately, and send people to the scene to guide and coordinate the handling work when necessary, so as to guide both doctors and patients to properly resolve medical disputes according to law.

　　Article 27　Medical institutions shall report to the local public security organ immediately if they find that patients or their close relatives and other related parties have the circumstances stipulated in Article 22 of these Measures and are ineffective after persuasion.

　　After receiving the alarm, the public security organ shall deal with it in accordance with the relevant provisions:

　　(a) immediately organize the police to rush to the scene, carry out education and guidance, identify themselves, and stop excessive behavior;

　　(two) in a timely manner to disrupt the normal medical order and other medical disputes in violation of social security management personnel away from the scene investigation, to maintain medical order;

　　(three) to deal with the illegal and criminal acts on the spot according to law;

　　(4) If a patient dies in a medical institution and his family members hinder the removal of the body to the mortuary or funeral home, the on-site police shall cooperate with the health, civil affairs and other departments and the funeral home to do a good job in the disposal of the body.

　　Article 28　After receiving the notice from the medical institution, the funeral home shall quickly arrange vehicles and personnel to arrive at the scene, go through the formalities of receiving the body in accordance with the regulations, and transfer the body to the funeral home. The competent civil administrative department shall urge it to perform its duties, and the health administrative department, public security organs and medical institutions shall cooperate with it to do relevant work.

　　

Section II Settlement Mechanism

　　Article 29　After a medical dispute occurs, both parties can resolve it through consultation. Both doctors and patients should listen carefully to each other’s opinions, verify relevant information and materials, seek truth from facts and resolve them through consultation.

　　If a medical institution needs compensation or compensation, both parties can reach a written agreement.

　　If the amount of compensation for medical disputes is more than 10,000 yuan, public medical institutions shall adopt the ways specified in the second to fifth and second paragraphs of the first paragraph of Article 7 of these Measures, and shall not negotiate with patients or their close relatives themselves.

　　Article 30　After the occurrence of a medical dispute, both the doctor and the patient may apply for mediation by the Medical Commission in accordance with the principle of proximity; The medical commission in the place where medical disputes occur can also take the initiative to mediate. If one of the doctors and patients explicitly refuses to mediate, mediation shall not be allowed.

　　The medical commission shall not charge any fees for mediating medical disputes.

　　Article 31　The Medical Commission should adhere to the principle of voluntariness and equality between doctors and patients in mediating medical disputes, and do not violate laws, regulations, rules and national policies; Respect the rights of both doctors and patients, and shall not prevent both doctors and patients from safeguarding their legitimate rights and interests through administrative, judicial and arbitration channels according to law because of mediation.

　　Article 32　The people’s mediators of the Medical Commission should be fair, have good conduct, have medical and legal professional knowledge and mediation work experience, and be enthusiastic about people’s mediation work.

　　People’s mediators have the obligation to keep confidential the privacy of patients and medical personnel or the business secrets of medical institutions learned during mediation.

　　The judicial administrative department of the people’s government at or above the county level shall regularly conduct professional training for people’s mediators. Training shall not charge any fees.

　　Article 33　The Medical Commission shall establish an expert database composed of relevant medical, pharmaceutical, psychological, insurance and legal experts to provide technical advice for the investigation, evaluation and mediation of medical disputes.

　　Article 34　The application for mediation of medical disputes put forward by the parties shall be reviewed by the Medical Commission within 3 working days. Decided to accept, timely reply to the parties; If it is not accepted, it shall notify the parties in writing and explain the reasons.

　　After accepting the application for mediation, the Medical Commission shall inform both doctors and patients of their rights and obligations in mediation.

　　Article 35　An application for mediation of medical disputes under any of the following circumstances shall not be accepted by the Medical Commission; If it has been accepted, the mediation shall be terminated:

　　(1) A party brings a lawsuit to a people’s court;

　　(two) an application for administrative treatment put forward by one party has been accepted by the administrative department of health;

　　(three) a party refuses to mediate by the Medical Commission;

　　(four) the provisions of laws and regulations can only be handled by specialized agencies, or laws and regulations prohibit the use of people’s mediation.

　　If the mediation is terminated, it shall notify the parties in writing and explain the reasons.

　　Article 36　After accepting the application for mediation of medical disputes, the Medical Commission may appoint one or more people’s mediators for mediation, or the parties may choose one or more people’s mediators for mediation. When necessary, with the consent of the parties, deputies to the National People’s Congress, members of the Chinese People’s Political Consultative Conference or personnel from relevant social organizations may be invited to participate in mediation. If a party puts forward a reasonable withdrawal request to the people’s mediator, it shall be replaced after examination by the medical adjustment Committee.

　　If the Medical Commission or its guidance and management organ and its responsible person think that there are circumstances that should be avoided, they can directly make a decision to avoid; If the people’s mediators think that there are circumstances that should be avoided, they should withdraw from the medical adjustment Committee.

　　Article 37　After the Medical Commission accepts the application for mediation of medical disputes, the people’s mediators shall know the relevant facts and circumstances from both parties and relevant experts; When investigating and verifying medical disputes with relevant parties as needed, relevant units or individuals shall cooperate.

　　Article 38　If both doctors and patients apply for mediation by the Medical Commission and fail to reach an agreement on the amount of compensation of more than 100,000 yuan, they should jointly entrust an institution established in accordance with the relevant provisions of the state and the province to identify and clarify their responsibilities.

　　Article 39　The medical commission shall terminate the mediation within 30 days from the date of accepting the application for mediation.

　　If it is necessary to extend the mediation period due to special circumstances, the medical commission and the parties concerned may agree on the extended period; If a mediation agreement has not been reached within the agreed time limit, it shall be deemed that mediation has failed.

　　If mediation fails, it shall inform the parties in writing and explain the reasons.

　　Article 40　A mediation agreement shall be made for medical disputes resolved through mediation. The mediation agreement shall be signed, sealed or fingerprinted by both parties, and shall take effect after being signed by the mediator and stamped with the seal of the Medical Commission.

　　If both parties agree to judicial confirmation of the people’s mediation agreement, the Medical Commission shall assist the parties in judicial confirmation. If one party refuses to perform or fails to fully perform a valid mediation agreement after judicial confirmation, the other party may apply to the people’s court for compulsory execution.

　　Article 41　After a medical dispute occurs, the parties concerned may apply for administrative treatment to the health administrative department of the people’s government at or above the county level where the medical institution is located in accordance with the Regulations on Handling Medical Accidents.

　　If it is determined to be a medical accident, the health administrative department may, at the request of both doctors and patients, conduct medical accident compensation mediation. If the mediation is successful, a conciliation statement shall be made and both parties shall perform it; If mediation fails or one party fails to perform the agreement after reaching an agreement through mediation, the health administrative department will no longer mediate.

　　If the administrative department of health finds that medical institutions and their medical personnel have violated the law in the process of administrative treatment, it shall be punished or given administrative punishment according to law.

　　Article 42　Both parties should consciously fulfill the mediation agreement. If there is a dispute between the parties over the performance of the mediation agreement or the contents of the mediation agreement, they may bring a lawsuit to the people’s court.

　　Both doctors and patients can also bring a lawsuit directly to the people’s court on medical disputes.

　　

Chapter IV Medical Liability Insurance

　　Article 43　Public medical institutions participate in medical liability insurance in accordance with the relevant provisions of the state and the province.

　　Encourage non-public medical institutions to voluntarily participate in medical liability insurance.

　　Article 44　The underwriting institution of medical liability insurance shall follow the principle of capital preservation and meager profit, reasonably determine the insurance premium rate, and implement the rate floating system according to the compensation situation of medical disputes in different medical institutions over the years.

　　Article 45　The underwriting institution of medical liability insurance shall be determined by means of bidding.

　　Article 46　Medical institutions participating in medical liability insurance, the medical liability insurance premium expenditure, from the medical institutions operating expenses, in accordance with the provisions included in the medical cost. Medical institutions that are managed according to the two lines of income and expenditure shall be paid by the finance.

　　Medical institutions shall not increase the existing charging standards or increase the burden of patients in disguise because of participating in medical liability insurance.

　　Article 47　According to the insurance contract, the underwriting institution of medical liability insurance shall bear the liability for compensation arising from medical disputes.

　　After the occurrence of medical disputes, the underwriting institution of medical liability insurance shall participate in the handling of medical disputes in a timely manner in accordance with the insurance contract; If insurance claims need to be settled, medical institutions, patients or their close relatives shall cooperate and truthfully provide medical disputes to the underwriting institutions of medical liability insurance.

　　The underwriting institution of medical liability insurance shall, in accordance with the insurance contract, take the agreement of compensation or compensation amount within 10,000 yuan reached by both parties through self-negotiation according to law, the agreement reached through mediation by the Medical Commission, the administrative mediation agreement of the health administrative department, and the effective mediation book or judgment made by the people’s court as one of the bases for medical liability insurance claims, and pay compensation or compensation in time.

　　

Chapter V Legal Liability

　　Article 48　In any of the following circumstances, the health administrative department of the people’s government at or above the county level shall give a warning and order it to make corrections; If the circumstances are serious, the practice license of the medical institution shall be revoked according to law, and the directly responsible person in charge and other directly responsible personnel shall be punished according to law; If the case constitutes a crime, criminal responsibility shall be investigated according to law:

　　(a) in violation of the provisions of the thirteenth paragraph of these measures, the diagnosis and treatment activities are beyond the scope of approval and registration;

　　(two) in violation of the provisions of the second paragraph of article thirteenth of these measures, failing to carry out medical and health management laws, regulations, rules and norms of diagnosis and treatment, routine training and professional ethics education for medical services;

　　(three) in violation of the provisions of article fourteenth of these measures, the medical quality monitoring and evaluation system, medical safety responsibility system, medical dispute handling system and internal accountability system have not been established;

　　(four) in violation of the provisions of the seventeenth paragraph of these measures, not in accordance with the requirements of the administrative department of health of the State Council, writing and properly keeping medical records;

　　(five) in violation of the provisions of the second paragraph of article eighteenth of these measures, failing to seal and unseal the medical records in accordance with the provisions;

　　(six) in violation of the provisions of the third paragraph of article eighteenth of these measures, failing to provide medical records copying or copying services in accordance with the provisions, and affixing a certification mark on the copied or copied medical records;

　　(seven) in violation of the provisions of article twenty-third of these measures, the emergency plan for medical disputes has not been formulated, and it has been reported to the health administrative department and the local public security organ for the record;

　　(eight) in violation of the provisions of the third paragraph of article twenty-ninth, public medical institutions and patients or their close relatives negotiate to deal with medical disputes with a compensation amount of more than 10 thousand yuan.

　　Article 49　In any of the following circumstances, the health administrative department of the people’s government at or above the county level shall give a warning and order it to make corrections; If the circumstances are serious, which damages the patient’s health or causes the patient’s death, his practice certificate shall be revoked according to law; If the case constitutes a crime, criminal responsibility shall be investigated according to law:

　　(a) in violation of the provisions of the sixteenth paragraph of these measures, failing to comply with the health laws, regulations, rules and norms of diagnosis and treatment;

　　(two) in violation of the provisions of the sixteenth paragraph of these measures, the patient’s condition, medical measures, medical risks and medical expenses are not truthfully informed in accordance with the provisions;

　　(three) in violation of the provisions of the sixteenth paragraph of these measures, the patient or his close relatives have not obtained the consent of the operation, special examination, special treatment and experimental clinical treatment in accordance with the provisions;

　　(four) in violation of the provisions of the third paragraph of the seventeenth paragraph of these measures, the medical records are lost, concealed, forged or destroyed.

　　Article 50　Patients and their close relatives and other related parties who violate the provisions of Article 22 of these Measures shall be punished by the public security organs of the people’s governments at or above the county level according to law; If a crime is constituted, criminal responsibility shall be investigated according to law.

　　Article 51　In the mediation of medical disputes, the people’s mediators of the Medical Commission seriously neglect their duties or violate the law and discipline, and shall be replaced by the employing unit and punished by the competent authorities; If a crime is constituted, criminal responsibility shall be investigated according to law.

　　Article 52　Health, judicial administration, public security, civil affairs and other departments of the people’s government at or above the county level and insurance supervision and management institutions and their staff, in violation of the provisions of these measures, have one of the following acts, and the directly responsible person in charge and other directly responsible personnel shall be punished according to law by the competent department or the supervisory organ; If the case constitutes a crime, criminal responsibility shall be investigated according to law:

　　(a) did not perform their duties in accordance with the provisions of these measures;

　　(two) dereliction of duty, abuse of power, corruption.

　　

Chapter VI Supplementary Provisions

　　Article 53　These Measures shall come into force as of June 1, 2013.

Attachment:

1. Measures for the prevention and treatment of medical disputes in Guangdong Province. pdf

2. Measures for the prevention and treatment of medical disputes in Guangdong Province. docx

At 7 o’clock on the evening of June 29th, Jin Bo, deputy editor-in-chief of Tianya Community who participated in the "Free Lunch" public welfare program, suddenly fainted at Hujialou platform of Beijing Metro Line 6, and then lost consciousness. In the meantime, many passengers participated in the rescue, but in the end Jin Bo passed away. After the incident, Jin Bo’s family and friends expressed their hope to see the complete surveillance video at the time of the incident and understand the time and details of each node of the incident. After Jin Bo’s sudden death in the subway station, netizens also paid attention to the first aid ability and first aid system in public places. Some experts pointed out that the first aid system in public places such as subways needs to be improved.

site

Take the subway home and die suddenly on the platform of Line 6.

According to the family of Jin Bo, deputy editor-in-chief of Tianya Community, on June 29th, Jin Bo got off work at 6: 00 p.m., took Metro Line 10 and transferred to Line 6, and set off from Wudaokou’s company to the thatched cottage’s home. If there is nothing to delay, Jin Bo will usually get home around 7: 30.

At 6: 47 that night, his wife Deng Yan received a phone call from Jin Bo. "He talked about shaoyaoju, and he will be home in half an hour so that I can cook."

But at 7: 14 in the evening, Deng Yan received a call from Jinbo’s number again, but there was a strange and urgent voice telling Deng Yan that Jinbo fainted and lost consciousness on the platform of Hujialou subway.

According to eyewitness Ms. Xu, at 7 o’clock that night on the platform of Metro Line 6, she saw Jin Bo fall to the ground, surrounded by crowds of onlookers, and some people began to give artificial respiration to Jin Bo spontaneously.

In the live video recorded by Ms. Xu, two women were giving artificial respiration to Jin Bo in purple short-sleeved shirt and denim shorts, and then a foreign woman who claimed to be an emergency doctor pressed Jin Bo’s chest. At the same time, in the video, there are subway staff to guide the crowd, reminding passers-by not to watch and not to disturb the first aid process. Others said that the family of the man who fainted to the ground had been notified by phone, and his family was rushing to the scene.

At about 7: 50 pm, Jin Bo’s friend Mr. Wu arrived at the Hujialou subway station where the accident happened. Mr. Wu described that when he arrived, several women who were rescued were still there, and 999 emergency personnel were doing cardiopulmonary resuscitation, but Jin Bo seemed to have no response at that time. "I said to send it to Chaoyang Hospital quickly. The emergency personnel carried Jin Bo on the stretcher and sent it to the ambulance at the subway station to drive to the hospital."

The distance on the map shows that the distance from Hujialou subway station to Chaoyang Hospital is no more than 2 kilometers. According to Mr. Wu’s description, after more than 10 minutes, he arrived at the hospital with the ambulance. But unfortunately, Jin Bo finally died unfortunately.

departed saint

I often stayed up late to have a pair of twin daughters.

Deng Yan clearly remembers that when sending Jin Bo into the intensive care room, the time stopped at 8: 09.

Deng Yan is thin and capable. From the night of 29th to 30th, she didn’t sleep a wink almost all night. "When I close my eyes, all I can think of is him lying there."

Friends who arrived overnight after the incident arranged Deng Yan in a hotel nearest to the hospital, and other friends, relatives and colleagues came one after another.

If nothing happens, Deng Yan will attend a meeting in Beijing on the 30th, and the two children will follow Jin Bo to the office. This was a rare gathering after the husband and wife separated from each other. My wife works in Hangzhou with her twin daughters Xiaoyi (a pseudonym) and Xiao Si (a pseudonym), and Jin Bo is in Beijing, but every month the family always takes time to get together, "Let the children see their father." But this time together, finally ended in sadness.

Most of the time, Deng Yan was very calm and repeatedly told people around him: "I’m fine, I won’t let my child’s sky fall." Only in the face of relatives who came from their hometown in Jiangsu, at a certain moment, Deng Yan would burst into tears: "Xiaoyi and Xiao Si asked me if I wanted my father. What should I do?"

Jin Bo, a 34-year-old, was the deputy editor-in-chief of Tianya Community before his death. His screen name on Tianya Forum was "Ivan" and he was a well-known media person. With the news that Jin Bo died of a sudden illness in the subway, some netizens on Tianya Forum began to recall him spontaneously.

"Simple and honest, peaceful" is the most praised by colleagues and friends around Jin Bo. When friends are busy, Jin Bo can always help. Jin Bo is full of passion and has many ideas about his work. "He always said that there are many cattle people in the end of the world, and there must be a platform to bring them together." Deng Yan, his wife, recalled.

However, working in an Internet company, the stress at work and daily staying up late are almost normal. Jin Bo’s colleague recalled that before leaving work on the day of the incident, Jin Bo was still talking with him about social hot issues and the revision plan of Tianya Daily. "Always remind him not to stay up late at night. He agreed and promised to come back to Hangzhou with us. If he had gone back a few months earlier, would it have been all right …" In the hotel, Jin Bo’s relatives asked their friends around him.

After living in two places for many years, Jin Bo and his wife have been a little tired. Before the incident, Jin Bo proposed to transfer to the Shanghai branch to see the children in Hangzhou on weekends. For this reason, the couple have already started looking for a house in Shanghai. But now, all plans are stuck in the unexpected moment on June 29.

view

Expert: The first aid system in public places such as subway needs to be improved.

According to the hospital, the family members were informed that Jin Bo was a sudden death and had no vital signs when he was sent to the hospital, but the specific cause of sudden death needed autopsy to determine. But now, Deng Yan and his family have more questions, and they hope to answer them by watching the surveillance video of the incident.

"When did Jinbo’s fainting happen? When did passengers start to be rescued? When did the emergency personnel arrive? When did they go to the hospital? What did the subway staff do during this period?" The family entrusted a lawyer to raise the above questions.

Not only did Jin Bo die after a sudden illness at the subway station, but another media reported that at about 6: 20 pm on June 30, a man at Jintai Road Station of Metro Line 6 suddenly fainted. After being rescued by emergency personnel, the fainted man regained consciousness. The occurrence of similar incidents in succession has also triggered netizens’ concern and heated discussion on the first aid system. Some netizens pointed out that the subway station is a public place with a dense flow of people. Should it be equipped with some necessary first aid equipment? In addition, some netizens said that the staff of the subway station should also be able to participate in first aid.

Yu Ying, a well-known medical person and CEO of the US-China Yihe Comprehensive Outpatient Center, said that the sudden death of Jin Bo in the subway station reflected the lack of the subway’s own first aid system, and the first aid system in public places such as the subway needs to be improved.

According to Yu Ying, 4-5 minutes after the incident is the best first aid time for patients with cardiac arrest outside the hospital. "There are three links to be done. The first is to call 120 and other emergency calls in time. The second is to carry out high-quality cardiopulmonary resuscitation without interruption. The third is to use automated external defibrillator (AED) for first aid."

Combined with the video of passers-by participating in first aid on the Internet, Yu Ying analyzed that after Jin Bo fell to the ground, some passers-by did carry out cardiopulmonary resuscitation, but they did not insist on cardiopulmonary resuscitation based on chest compression. At the same time, the subway has fixed staff. As public service personnel, they should improve the training of first aid knowledge and conduct exercises every three months to deal with emergencies.

respond

Subway employees: most subway stations are equipped with stretchers with first-aid kits and other facilities.

The reporter of Beiqing Daily learned from the subway staff that, generally speaking, if a passenger is conscious, he will communicate with the passenger and ask if he needs treatment. If the sick passenger is in serious condition, he will call the emergency number immediately, and then stay with the passenger and wait for the emergency personnel to arrive.

At the same time, a station head of Beijing subway combed the general situation of subway staff training. "At present, half of the station attendants have received formal first-aid training and obtained first-aid certificates. The so-called station attendant is the grassroots employee of the subway. In addition to the station attendant, there are subway workers such as the comprehensive controller, and these people do not have first aid certificates. However, security guards and other personnel in the subway have basically not received formal first aid training. According to preliminary statistics, people with first aid certificates account for about 30% to 40% of subway employees. "

In addition, Yu Ying emphasized that in some countries with good public infrastructure measures, automated external defibrillator (AED) will be equipped in public places for emergency treatment of cardiac arrest. "But at present, the subway station has not been equipped with corresponding equipment."

In this regard, the subway staff said that there are also some basic first-aid facilities available in the subway station. As early as the end of 2013, the Beijing Red Cross Society had equipped 520 first-aid kits for all subway stations. In 2014, the basic configuration of the first aid kit was completed. At present, all subway stations basically have first aid kits. The first-aid kit contains band-AIDS, disinfectant, bandages, mouth-to-mouth respirator and other items, which are mainly used to deal with trauma. In addition, most subway stations are equipped with stretchers to help the injured in emergencies.

However, the staff also said that the defibrillation facilities suggested by first-aid experts are not available in the Beijing subway station for the time being.

Text/reporter Zhang Ya Liu Wei

Photo courtesy/Mr. Zhang

　　The year of the horse has arrived, and everything is renewed. Since the birth of human beings, there has been an inseparable connection with horses. As the closest partner of human beings, there are countless movies with "horse" as the role. The Spring Festival of the Year of the Horse is about to be celebrated, and the protagonist of the horse can’t be missing from TV and mobile phones. Let’s cut short the gossip here. We recommend several films related to horses in detail on "Horse", so that readers can get touched again through the power of the films.

　　Little horse king

　　There are countless movies about horses, but there are not many movies featuring horses. The Little Horse King is a story about struggle, struggle, freedom and responsibility from the perspective of a horse.

　　The story is set in the vast western part of the United States. It tells the story of the wild horse king Spirit and his ethnic group living a quiet life. When Spirit first saw human beings, he was arrested and trained as a war horse. But just as the English title (Spirit) is literally translated as faith, Xiao Ma Wang’s faith is freedom. After being captured again and again, he fought again and again, fighting for the freedom and home he loved.

　　Pentium age

　　This is a story about a loser. The three people in the story are all frustrated in life at the beginning. This is also a story about persistence, and the protagonists are struggling in the low period of their lives. The story is set in the Great Depression in the United States. A bicycle repairman made money by importing cars. Later, he bought a small horse and trained with a former boxing champion and an actor to win the race.

　　Pentium Age is a typical inspirational movie with the main theme, and the story is adapted from a true story. The actor who played the rider was the actor of Spider-Man, who was hot at that time, and also appeared in the topic film The Great Gatsby last year. The whole movie is positive, just like the feeling of the horse in the movie, "unruly and unwilling to give in."

　　the horse whisperer

　　This film, which focuses on horses, is adapted from The Horse Whisperer, a novel of the same name by British novelist Evans. At the beginning of the movie, it is a magnificent horse running back and forth. The story describes that a 14-year-old girl was injured by falling off a horse, so her mother sent her daughter and the horse to a ranch in Montana, so that the horse trainer Tom could treat the injured person and the horse at the same time. And this woman also found love under the call of nature.

　　Man is a social animal and needs communication and cooperation to survive. But there is always an unbreakable gap between people, and communication is so difficult. "The Horse Whisperer" in the film is actually the embodiment of people’s longing for "the speaker".

　　War horse

　　Spielberg finally completed the last piece of his epic war trilogy in 2012. From Schindler’s List to Saving Private Ryan to War Horse, as always, humanistic care is reflected through the cruelty of war.

　　This time, he took a warm route and magical style. The film is set during World War I, and tells an epic legend about loyalty, courage and strength through the deep friendship between a war horse and a boy. This kind of human and animal theme is difficult to shoot and go deep into, but Lao Si did it. (Li Yinghua) (Editor/Intern Yao Yujiao)

One day last week, when I first arrived at the automobile specialized shop, I saw two masters disassembling the tire of a Buick Angkewei. Before I could speak, the master asked me, do you know how to check the recall information? I replied, I don’t know how to check, after all, my car has not experienced it.

The master told me that this Angkewei was repaired because of the recall. I will teach you how to inquire whether the car needs to be recalled. It is a good thing for you to share this process and provide valuable information to the majority of car owners. Thus, this article was born.

Let’s start with the basic information of this Buick Angkewei, the 2017 two-wheel drive luxury model. The production date is January 2017, which is more than six years ago. At present, there is nothing wrong with the vehicle. In the original words of the owner, this car is a little high in fuel consumption, and everything else is ok.

According to the master, the recalled brake oil pipes are the ones. As shown in the figure below, the production dates of four new brake oil pipes are relatively new.

So, how do we know that our car needs to be recalled? The master said that under normal circumstances, it is not necessary for our car owners to find it themselves. A manufacturer or a staff member of the 4S shop will inform the car owners, introduce the recall information of the vehicle in detail and make an appointment to go to the store for maintenance.

If the number of vehicle recalls is large, the owner will receive the information later. If the owner wants to know whether the car needs to be recalled earlier, there are two convenient ways: First, the owner directly calls the 4S shop, and the 4S shop will help the owner to inquire according to the vehicle VIN code; The other is that the owner of the vehicle searches online by himself, which is also very convenient.

How can the owner inquire about it online? The master said, search the car recall website directly, and the page after login is as shown in the figure below. Enter the 17-digit VIN code of the vehicle at this position.

Take this Buick Angkewei as an example. When I enter the VIN code, the following messages appear. As shown in the red box, the vehicle is being recalled, and there are two recall messages.

It should be noted here that if our vehicle is not recalled, a pop-up prompt will appear and no results will be found.

Let’s continue to look at the query results of this Angkewei. First, click on the recall in 2018, and we can see very specific recall information, such as the specific recalled models and production time.

We continue to look at the recall information in 2018, that is, there is a problem with the bushing of the lower control arm of the vehicle, which is prone to "ankle" of the vehicle due to the bushing falling off, that is, the half axle will be pulled out, and the maintenance measure is to replace it with an integrated bushing structure.

Since the recall in 2018 has been completed, we can only find the photos of the former owner replacing the bushing from the Internet. As shown in the following figure, this cast iron bushing weighs two kilograms.

I saw the installed bushing on this Angkewei, as shown by the arrow in the figure below. The improved lower control arm bushing has been recalled.

The installation of this bushing greatly enhances the risk that the bushing of the lower control arm will fall off. It can be said that since the bushing of the lower control arm was installed, there has basically been no "ankle sprain".

After reading the recall information in 2018, we can click on the recall information this time. We can see that a total of 649,357 vehicles need to be recalled this time, and the recall time is from December 31, 2020 to December 30, 2023.

In other words, it has been more than two years since the release of the recall information and now the owner has entered the store, and it is overdue for more than one month! If the owner contacted the store for replacement as soon as he learned the recall information, he would not have used the car for two years with hidden dangers!

To put it simply, there is a risk of leakage of brake fluid from the brake oil pipe, which may affect the braking performance. The maintenance measures are: replace the improved brake hose free of charge.

However, we can also see that after February 11, 2018, the manufacturer improved the brake tubing of the new vehicle, and it was not until November 27, 2020 that the recall information was announced, which was more than two years.

At the same time, we can see the complaints, including 6 defect reports and complaints, and 179 warranty or claim cases. It may be because of this information that the manufacturer found the problem and started the recall. After all, the brake problem is definitely a big problem and is closely related to driving safety.

Let’s take a look at the defect description and maintenance measures: replace the improved brake hose for free.

Look at this Angkewei under maintenance. Its four brake hoses are not in trouble for the time being, but there are design defects, which has a certain probability. As shown in the picture below, this is the old brake hose removed by the master.

As shown in the figure below, the new and old brake hoses are compared.

As shown in the figure below, this is another brake hose and its installation position.

When the brake hose is replaced, brake oil will definitely flow out, so after replacing four brake hoses, the master adds brake oil to the brake oil pot in the engine compartment.

After that, lift the car, exhaust the air from the four brake cylinders, and finally flush the place where the brake oil flows with water. Because brake oil is very corrosive, but it is easily soluble in water, the best way to clean up the traces of brake oil is to wash it with water.

On the whole, if our car owners want to check whether their cars have been recalled, they should first write down the VIN code of their cars, which is located at the lower part of the main driver’s external windshield or open the co-pilot door to look at the nameplate on the B-pillar, and then check it on the car recall website.

One thing to note is that car owners should never think that their cars can’t be recalled if they haven’t been maintained in a 4S shop for a long time, and they can still have the right to be recalled for maintenance if they don’t.

You know, the recall of a car is caused by the design or material problems of the vehicle itself when it leaves the factory, which belongs to the quality problems of the vehicle itself and has little to do with whether it is maintained in a 4S shop.

　　Recently, a medical device field published a document from the media saying that a 3A hospital in Guizhou issued a notice to stop using some medical consumables. This has caused a lot of discussion among netizens and medical staff. Some netizens worry that stopping using medical consumables may affect the treatment effect.

　　Beijing Youth Daily confirmed from a third-class hospital in Guizhou that a similar notice was issued, but it did not stop using drugs necessary for clinical use. The Guizhou Health Planning Commission recently responded to the reporter of Beiqing Daily that the relevant regulations were issued to control the unreasonable growth of medical expenses. Controlling the unreasonable growth of medical expenses does not mean not accepting patients, prescribing drugs or treating diseases.

　　The top three hospitals were accused of stopping using various consumables.

　　Recently, a self-media report in the field of medical devices said that two top-three hospitals in Guizhou issued a notice to stop using medical consumables in a large area. "You don’t need to use the consumables with the same function, as long as the price is the lowest, you should make them domestically and don’t import them."

　　According to the article, a 3A hospital in Guizhou recently issued a notice saying that in accordance with the requirements of the provincial government and the Provincial Health Planning Commission for the control of public hospitals, it will take "stopping some medical consumables in departments such as orthopedics, intervention, neurosurgery, operating room, ophthalmology, cardiology and other departments" in the future; Stop the use of all hemostatic and anti-adhesion materials, staplers, cutters, patches and biological patches, medical glue, punctures, disposable negative pressure drainage devices, etc. Except for some special departments, stop using all other sutures except silk thread; Suspend the warehousing procedures for high-value consumables and other measures.

　　It was also mentioned in the notice that if the above-mentioned products stopped using have been delivered to the clinic, the supplier will take back the goods by itself. If the goods are not recovered, the hospital will not pay.

　　According to the article, another third-class hospital in Guizhou has also released a plan to control the excessive growth of medical expenses, which clearly puts forward specific measures to reduce the use of consumables.

　　The contents of the plan include: "From now on, in principle, the approval of high-value consumables will not be increased. Strictly control all kinds of consumables used in surgery that are not directly related to the curative effect of surgery, and all kinds of wound irrigation solution, anti-adhesion irrigation solution, anti-adhesion consumables, hemostatic sponge, hemostatic gauze and hemostatic powder used in surgery or operation will be stopped before the end of this year, and the inventory of merchants will be gradually digested or returned to merchants next year. "

　　The hospital said that stopping using consumables will not affect treatment.

　　The reporter of Beiqing Daily learned from the Affiliated Hospital of Guizhou Medical University that the hospital had previously issued a plan to stop using some consumables, but it was different from the situation of online transmission.

　　Director Yang, the propaganda department of the hospital, said that the reason why some medical consumables were stopped was in response to the relevant notice issued by the Guizhou Provincial Health Planning Commission to control the unreasonable increase of medical expenses.

　　Director Yang made it clear that stopping using these consumables will not affect the implementation of clinical surgery.

　　The reporter of Beiqing Daily noticed that in addition to the affiliated hospital of Guizhou Medical University, the official website of Guizhou Provincial People’s Hospital also published the "Policy Interpretation on Controlling Unreasonable Growth of Medical Expenses in Public Hospitals" related to the discontinuation of some consumables.

　　It is clearly mentioned in the Interpretation that the main measures to control the unreasonable increase of medical expenses include reducing the inflated price of medical consumables. "For drugs with large clinical dosage, high purchase amount and produced by many enterprises, centralized bidding and procurement shall be implemented in accordance with the regulations, and the price shall be exchanged for the price, so as to effectively reduce the purchase price of drugs. Encourage the use of domestic high-value medical consumables with high quality, low price and high cost performance under the premise of ensuring quality. "

　　Netizens questioned that the local medical insurance fund bottomed out.

　　After the news that some medical consumables were stopped in Guizhou province came out, it quickly caused controversy on the Internet. Some people think that this phenomenon confirms that the local medical insurance fund has a deficit.

　　"The medical insurance fund has bottomed out." Tang Xu, a netizen from Zhihu, commented: Under the background of cost control, "some optional operations can be omitted, the hospitalization expenses will be reduced, and the reimbursement amount will be reduced. For the surgery that must be done, doctors and patients will not care about consumables, and they will buy them themselves. "

　　Many people are worried that the discontinuation of high-value medical consumables will lead to a decline in the level of surgery and affect the recovery of patients. "For example, for colon cancer, if you don’t use an intestinal stapler, the doctor will sew with silk thread one by one, and the operation time will be doubled. Even if you can do minimally invasive laparoscopy, you have to open the abdomen, and the probability of intestinal fistula will increase. Subcutaneous induration will easily occur after the wound grows."

　　Stopping using other sutures besides silk thread has also worried many people. In the future, some operations that affect the appearance must also choose to remove stitches. "It is not as convenient as the absorption line, but it is ugly."

　　However, some insiders pointed out that many stopped consumables, such as hemostatic sponge and hemostatic powder, are not necessary in surgery. Generally, hemostasis can be achieved by dressing after suture. Only after cotton balls and other means can not stop bleeding successfully, will a hemostatic sponge with pharmaceutical ingredients be needed.

　　The insider revealed that doctors’ kickbacks are high for high-value consumables such as staplers. Therefore, he believes that Guizhou Province introduced this regulation to control medical expenses and curb medical kickbacks.

　　The medical insurance fund has not "failed to meet its expenses"

　　Recently, the Guizhou Provincial Health Planning Commission replied to the reporter of Beiqing Daily in writing about the suspension of some medical consumables in several hospitals, saying that on October 19th this year, the Guizhou Provincial Health Planning Commission issued the Emergency Notice on Controlling Unreasonable and Excessive Growth of Medical Expenses, which clarified the targets and requirements for controlling medical expenses.

　　According to the introduction of Guizhou Provincial Health Planning Commission, the state requires that the average growth rate of medical expenses in each province should be controlled within 10% in 2017. However, since the beginning of this year, the medical expenses in Guizhou Province have increased rapidly, which has greatly exceeded the national fee control target and exceeded the growth rate of the residents’ consumption index in the province, and has shown an unreasonable growth trend.

　　The purpose of this Notice is to reduce the burden of medical treatment for the masses, "standardize the medical staff’s diagnosis and treatment behavior, and promote the return of public hospitals to public welfare and benign operation and development, so as to promote the growth of medical expenses and economic and social development, the operation of medical insurance funds and the affordability of the masses, and effectively safeguard the health rights and interests of the people.

　　The Guizhou Provincial Health Planning Commission said that there are 21 main monitoring indicators to control the unreasonable growth of medical expenses. In the future, it will be passed that it is strictly forbidden to set income-generating indicators for medical personnel, and the personal income of medical personnel shall not be linked to the business income of medicines, consumables and large medical equipment inspection and treatment in hospitals; Reduce the inflated price of medical consumables, and encourage the use of domestic high-value medical consumables with high quality, low price and high cost performance on the premise of ensuring quality, and strive to control the growth rate of medical expenses in public hospitals in the province below 10% by the end of 2017.

　　In response to netizens’ questioning that stopping medical consumables will affect the treatment effect, the Guizhou Provincial Health Planning Commission explained that controlling the unreasonable increase in medical expenses does not mean not accepting patients, prescribing drugs or treating diseases. Instead, "on the one hand, advocate public hospitals to standardize treatment and reduce unnecessary medical expenses for patients; On the other hand, guide patients to seek medical treatment scientifically, give full play to the role of medical institutions at all levels, and promote the establishment of a graded diagnosis and treatment system. "

　　In addition, regarding the speculation that "medical insurance bottomed out" mentioned by netizens, the person in charge of the Propaganda Department of the Guizhou Provincial Health Planning Commission told the media yesterday that the medical insurance fund in Guizhou Province is running smoothly at present, and there is no situation that "the income cannot meet the expenditure".

　　Text/reporter Kong Lingqi

　　　 Movie network news(Text/Chang Weitu/Yang Nan) On March 16th, the film "Summer Love God Horse" (formerly known as "Summer Love") held a new film release conference in the picturesque Sanya, Hainan. Director Qian Guowei, producer Paco Wong Pak Go and Tang Wenkang appeared with starring Fang Lishen, Aogou, Xiao Fei, Viann, Liu Yuqi and Jiang Ruolin, as well as many Young model in bikinis, and the sexy index soared. The director said that the film focuses on sunshine, beach, beauty, youth and love, and vowed to make it the most eye-catching film in China.

Fang Lishen became an "otaku" and chased the "goddess". Viann Aogou and Jiang Ruolin played the most prominent roles.

　　　 "Summer Love God Horse" is about three otaku — — Fang Lishen, Aoquan and Xiao Fei met their own goddesses in Hainan Island, and they went on a bumpy road of love. Director Qian Guowei said that the film’s biggest feature is that "the method of chasing girls is very modern" and it is full of jokes. Fang Lishen plays Viann’s assistant in the film. Fang Lishen spoke highly of Viann’s intelligence and natural acting skills at the press conference. Viann, wearing a white see-through suit, can vaguely see the red bikini. Viann said that this is a conservative appearance, and it is also to let people not pay too much attention to her sexiness, but pay more attention to her acting skills.

　　　 Aogou, Jiang Ruolin and Yang Ziyao staged a dramatic love triangle. As a member of the lollipop group, Aogou is usually handsome and cool on the stage, but in the film it is completely a sloppy otaku image. Jiang Ruolin, on the other hand, changed her former innocence and beauty into a "butch’s assistant". Her dress, words and actions are in sharp contrast with other beautiful women in the film, but she has become the highlight of the drama. At the press conference, Jiang Ruolin also revealed that when filming, he and Aogou can communicate in Taiwanese, and they soon became close. When filming an argument scene, he also beat Aogou’s arm to bleed. Jiang Ruolin also laughed and said that he hoped Aogou’s fans would forgive him. Although it’s an "otaku" versus a "man-woman", director Qian Guowei also revealed that the film will definitely make a stunning appearance for the fans.

　　　 Another love line in the film is Xiao Fei and Liu Yuqi. Liu Yuqi, a model, has the reputation of "the first online beauty in China". She wore a rainbow leopard bikini at the press conference and laughed that it was the first time she wore it so rarely in front of the camera, which seemed awkward and unnatural. Xiao Fei always puts on funny expressions, claiming to be "unscrupulous" in pursuit of the "goddess" Liu Yuqi, which is also a funny and romantic love story.

Bikini Young model made a stunning appearance in the swimming pool to murder film.

　　　 The film is known as "the most eye-catching movie in China", and of course many beautiful women make their debut. In the film, there are more than a dozen Young model’s big figure graces the film, and at the press conference, Young model also appeared in various bikinis, with breast enhancement, slim waist and slender legs, making the press conference a bikini swimsuit show. Young model also jumped into the swimming pool, got wet, and even murdered countless films. According to reports, there will be more than 20 bikini beauties running on the beach in the film, which will make all the male staff on the shooting scene fascinated.

　　　 Producer Tang Wenkang said confidently that there are not as many beautiful women in any film in China at present. Swimsuit beauty, coupled with touching love, will make the audience feel fresh and eye-catching. However, he also stressed that "Summer Love God Horse" pursues a kind of "healthy and eye-catching", youthful and energetic, sexy but not pornographic.

　　　 In addition to the starring role at the conference, the film will also have guest stars such as Ceng Zhiwei, Ekin Cheng, Xu Zhian, Su Yongkang, Dicky Cheung and Miriam Yeung. After the filming of Sanya, it will also be filmed in Hong Kong, Macao and Shenzhen.

More wonderful pictures on the next page

often work overtime

Stay up late at night to brush the drama.

Heart "hitched"?

When I come to my senses, I feel lucky and scared.

The heart suddenly stopped beating.

What the hell is going on?

What happened to the sudden "thump" of the heart?

The beating of a normal heart is regular, and the interval between heartbeats is basically equal. If the heart suddenly "thumped", it may be because the heart contracted ahead of time before the interval, making the heart beat prematurely.

Premature beat is a common clinical symptom, which has a wide range of diseases. Both normal people and patients with heart disease can have premature beats, and the incidence of premature beats increases with age.

Why do you have premature beats?

The human heart is a powerful muscle pump. It has left and right sides inside, and each side has two atrioventricular cavities.

The upper part is called atrium, and the lower part is called ventricle. The atrium can store blood, and the ventricle is responsible for pumping blood out of the heart.

In the upper right corner of our right atrium, there is a great man named "sinoatrial node", which can send out normal heartbeat signals and transmit them to all myocardium. He is a general commander!

But it’s hard to do this job, because there are always some "troublemakers" in the heart who want to usurp power and seize position, and their appearance will make the heartbeat signal abnormal, that is, premature beats.

If the abnormal signal originates from the atrium, we call it "atrial premature beat" (referred to as atrial premature beat), and if it originates from the ventricle, it is called "ventricular premature beat" (referred to as ventricular premature beat). If it is located at the junction, it is atrioventricular junctional premature beat.

Is premature beat a disease or a symptom? Is it life-threatening?

Premature beat is a disease, the symptom is that the heart suddenly "hitches". Most premature beats are benign, and the greatest harm to patients is psychological, which affects the quality of life.

Premature beat refers to the heart beat caused by premature impulse from ectopic pacemaker, which is the most common arrhythmia. Most premature beats are benign, although they will upset patients, but not fatal.

The incidence of malignant premature beats is very low. So don’t panic all day because of premature beats, there is no need to panic too much. It is suggested that patients should have an electrocardiogram, and doctors should judge the nature of premature beats. At present, it cannot be cured with drugs, but it can be controlled. Severe cases can be cured by catheter ablation.

How to stabilize the "jumping" heart?

Life and rest, eating habits, exercise intensity, etc., may affect the heartbeat, and daily adjustments can be made from these aspects.

01

Change the unhealthy lifestyle

Develop a regular routine, and try not to stay up late unless necessary; Quit smoking and drinking, drink less strong tea, especially before going to bed; Regularly defecate and keep defecation unobstructed.

Don’t be greedy for cold, don’t blow directly into the air conditioner, take a cold bath, or drink iced drinks.

02

Stay optimistic.

Mental stress, excessive psychological pressure, etc. may cause abnormal heartbeat, so we should actively adjust negative emotions to avoid excessive excitement or sadness.

If the heart rate is too high due to nervousness and emotional excitement, you can gradually restore calm by listening to music and meditation.

03

Strengthen exercise

Regular exercise, with appropriate exercise intensity, will exercise the cardiopulmonary function. The scientific exercise frequency is 3~5 times a week, 20~60 minutes each time, excluding warm-up and finishing exercise after the end. Recommended walking, swimming, Tai Ji Chuan and other projects.

Generally speaking, it is appropriate that the heart rate during exercise is about 20 times faster than that at rest. The internationally accepted formula is:

Exercise heart rate = 170-age

For frail and older people, exercise heart rate = (170-age) ×0.9.

04

Control weight

Obesity will increase the burden on the heart, and obese people should maintain a suitable weight through physical exercise and diet adjustment.

Body mass index [BMI= the square of weight (kg)/height (m)] is an important method to evaluate the degree of obesity. In China, it is generally considered that BMI≥24 is overweight and BMI≥28 is obese.

05

Reasonable diet

Develop a good habit of chewing slowly, and don’t be too hungry and full; Increase the intake of fresh fruits, vegetables and fish, eat less irritating food, reduce salt and oil and eat less fast food.

pay attention to

If relatives and friends around you suddenly get sick because of abnormal heartbeat, you should master some treatment methods:

Tachycardia: let him rest immediately, cough hard, lean back as far as possible or bend forward, which can stimulate vagus nerve and terminate some tachycardia; Tapping the precordial area several times is helpful to help the heart to cardioversion;

Bradycardia: you can take one piece of atropine and call the emergency number at the same time.

Original title: "Did your heart suddenly" thump "? The incentive behind it is not simple. "

Read the original text

Original Risep New Weekly

The movie Countdown tells the story of a musical composer struggling to pursue his dream.

While some "saliva songs" without musicality and nutrition encroach on the audience’s ears, many independent musicians’ carefully prepared albums have no interest, no publicity channels, no audience and no income.

The music library of brainwashing divine comedy in Chinese music scene has been updated again. After "You love me, I love you, and it’s sweet in Mi Xue Ice City" last year, a new generation of online divine comedy "You’re getting married" opened its own era.

With 840 million single plays, 1W+ Yuncun single comments and dozens of popular adaptation versions, the singer Cao Wanjiang enjoyed superstar treatment with this song, and the popularity remained high in Tik Tok. Various adaptations with its lyrics "You are getting married, the groom is not me" as the female parent supported half of the short video BGM.

The video received 500,000 likes. /Tik Tok screenshot

On the Internet, some people put his name together with Pang Mailang, a former internet celebrity, and called him "Pang Mailang’s enemy".

Indeed, we can see some familiar shadows in Cao Wanjiang. Born in the grass roots, dressed simply, speaks nonstandard Mandarin, and has no skills. It is all emotional singing techniques, which is what they have in common. In the Internet age, they all went from obscurity to the spotlight because of a widely spread divine comedy, and were examined by netizens.

"The loss of Cao Wanjiang in the Chinese music scene is like the loss of a bicycle by a fish." This is the ridicule of netizens. This nonsense and absurd online buzzword frequently appeared under his comments and gradually became one of his personal labels.

Regarding his popularity, some people say that "this is a counterattack of grassroots culture to the mass stage", while others say that "this is the product of the network ugliness culture". Under all kinds of labels, controversy and enthusiasm coexist.

Netizen’s comment: If you are willing to spend an hour getting to know him, then you will waste an hour.

With a lyric, it became popular in Tik Tok.

There is a law in rice circles called "little red depends on holding, and big red depends on life".

The paradox of the Internet age is that some people can’t win the popularity even if they are strong, while some people can win the popularity in Tik Tok only by one lyric.

Cao Wanjiang’s popularity is largely attributed to a group of netizens who are keen on playing with stalks. They have become the most important part of this viral communication incident. The overwhelming spoof video has made the popularity of "Cao Wanjiang" increase exponentially. In this sense, Cao Wanjiang seems to have been selected by netizens.

Cao Song Conqueror, the person selected by netizens, John Wan’s contribution to the Chinese music scene is an unremarkable but widely used lyric, which is almost ubiquitous.

Friendly reminder, don’t turn on this song before going to bed. /network picture

It appeared in the famous scene in Empresses in the Palace-

The dream linkage between Zhen Xue and Cao Xue. /Empresses in the Palace Episode 55

Also appeared in the front line of entertainment gossip news—

When Big S remarried, the immoral literature was found in Wang Xiaofei comment area. /Weibo screenshot

Even homophonic terriers are not immune—

It is obvious that the single repetition of words can not satisfy the interest of netizens, and the adaptation derived from lyrics provides a steady stream of new materials.

Relying on the talents of netizens, Cao Wanjiang officially entered the Chinese music scene and cooperated with Jay Chou, JJ Lin, Bruno Mars and other superstars. The song of Blue and White Porcelain with the lyrics of You’re Getting Married became a new song "Green Wedding Porcelain", "Flower Sea" became "Marriage Sea" and "Say Good Happiness" became "Say Good Marriage" without touching porcelain.

Netizen: "Jay Chou can be the original singer or the plaintiff." /Tik Tok screenshot

Another characteristic of online spoof culture is to satirize and exaggerate the object, so netizens touch the porcelain singer himself after touching the songs.

The classic "touching porcelain literature" includes: Jay Chou/Jacky Cheung’s present achievements can only be called "Little Cao Wanjiang".

However, this "touching porcelain action" seems to be somewhat stale after Cao Wanjiang himself joined. The netizen found that his personal profile page said, "In 2021, he debuted in Wenzhou, Zhejiang Province with the song" You are getting married ",and was called the three kings of China together with Andy Lau and Jay Chou, among which Cao Wanjiang was the first of the three."

This move caused a lot of abuse. /Tik Tok screenshot

Neil Pozmann mentioned in "Entertainment to Death": "Here, all public discourses are increasingly appearing in the form of entertainment and become a cultural spirit."

Obviously, the online carnival in the pan-entertainment era has not come to an end. Just last week, Cao Wanjiang appeared in the captain’s concert tour as a guest. The scene was cheered and the response was enthusiastic. From a small town in Guizhou, he stepped onto a bigger stage and was illuminated by more magnesium lights.

Nutritious songs are popular,

Seriously writing songs, but no one listens?

How long does it take for a song to be born?

The documentary "The Secret of Music" directed by Liang Huan once gave an answer.

From the conception of lyrics to recording, mixing and mastering, the whole production process of the single "If Maybe" took two months, during which he invited ten heavyweight musicians to participate in the production of the song and polished it carefully. In their view, music is the art of sound, and the choice of guitar timbre and the position where each chord falls are all particular, because this will affect the temperament of the whole song.

Top-notch music production team, expensive equipment and more than 200,000 production expenses are the stories behind the song "If Maybe".

Yu Zeng, a music producer, has worked with singers such as Eason Chan and Zhou Xun. /The Secret of Music

Compared with the speed at which a professional producer can produce a song in two months, Cao Wanjiang is really talented in music. It has only been more than 20 days since March, and he has released seven original singles with varied styles, including electronic music, rock and rap. Although he failed to continue the super-high popularity of "You’re getting married", the amount of praise and playback is still quite amazing.

In the MV of Fish and Bicycle, he sat on the roadside with rape flowers and sang with a supportive pillow. His lyrics were simple, full of emotion and no skills.

Cao Wanjiang’s entry into the Chinese music scene is another masterpiece. /Tik Tok screenshot

Compared with the two, it is inevitable to remind people of a word-"bad money drives out good money". While some "saliva songs" without musicality and nutrition occupy the audience’s ears, many albums carefully prepared by independent musicians are ignored.

There is no publicity channel, no audience and no income, which is the status quo of most independent musicians. Losing money to make music is the normal state of the industry. According to the 2019 China Musicians Report, 47% musicians earn less than 2,000 yuan a month, while 26% musicians earn between 2,000 and 4,000 yuan a month. This figure obviously cannot support expensive equipment and recording studio rental fees. Therefore, many musicians with dreams often lose money to make music, and arrange performances while working to earn money to support the band.

Liu Yiwei once interviewed a band in Chengdu on the show. They admitted that they couldn’t make a band without money, hoping to earn some money to improve the equipment. When Liu Yiwei asked about the input-output ratio of making music, their answer was "Don’t lose too much".

The status quo of independent musicians. /Variety "Can I make you a meal? 》

"Good songs don’t go out, but local songs spread thousands of miles."

Under such a music ecology, "Chinese music pill" has become the mantra of many music fans. They ridicule the current situation of the music industry, miss the era when the superstar commanded the music traffic, and are also looking for the answer-who made "Cao Wanjiang" popular?

An ugly review?

In the documentary "The Secret of Music", there is a saying: "Music is not competitive, and music is only good and bad, with or without heart."

Then the question is, is Cao Wanjiang’s song good or not?

A piece of nonsense literature by netizens tells the truth: "His songs are good to listen to, if not ugly."

The evaluation of some netizens. /Netease Cloud "You are getting married" song review

This is an involution of appreciating ugliness. While the same beauty causes aesthetic fatigue to the audience, another involution is taking place. In the noisy Internet environment, a lot of information from unknown sources is flooding our eyes, and only those information that is exaggerated, shocking and curious enough can capture our attention for the first time.

"As an aesthetic object, ugliness is more profound than beauty." Ten melodious songs may not impress the audience as much as a harsh song, and they are more "recognizable".

Every element in Cao Wanjiang’s songs is quite different from the music in our cognition, such as the singing method of pretending to be out of tune, the original ecological MV picture and the earthy lyrics. Every time we press the play button, it will bring a direct shock to the soul, and this emotional stimulation not only deepens the audience’s sensory cognition, but also brings psychological pleasure to some extent.

Some scholars believe that in the entertainment new media events, "appreciating ugliness" brings people pleasure far above aesthetics and curiosity.

Liao Wen defined "appreciating ugliness" in "Psychological Evolution from the Perspective of Appreciating Ugliness"-

Appreciating ugliness is a subtle psychological behavior. People often have a special psychology called "emotional contradiction" with mixed feelings for ugly things, which will produce a sense of pleasure. Aesthetic subjects will have feelings of surprise, fear or disgust for the process of "appreciating ugliness", and they will be vented, purified and cultivated from the psychological behavior process of "appreciating ugliness".

A few years ago, Brother giao participated in a famous rap program. /"China New Rap"

From contempt to following the trend, Cao Wanjiang was not the first person to be pushed into the spotlight in the era of pan-entertainment. His popularity inevitably reminds people of the familiar faces on the Internet: Brother giao, who plays an important role in the local video industry, Teacher Guo who has been banned, and high-quality human men with oily heads … They once created a wave of entertainment, gradually faded out of the audience’s field of vision, and finally became the epitome of the past online carnival.

How long will Cao Wanjiang be popular?

In "Hello Saturday" broadcast last week, Silence Wang brought Cao Wanjiang’s famous song "You’re getting married" to the stage of variety show, which was another hit. On Tik Tok, the video has gained 830,000 likes.

This divine comedy ushered in a new round of exposure. /Tik Tok @ Hunan Satellite TV screenshot

We don’t know how long Cao Wanjiang will be popular, but it is foreseeable that the Internet will recreate one Cao Wanjiang after another.

The Secret of Music documentary, Liang Huan, 2015-12-14.

2019 China Musician Report, Professor Zhang Fengyan from School of Music and recording arts, Communication University of China, 2019-11.

New Media Events: Mechanism, Function and Legal Regulation, Sun Yongxing, July 2013.

Author | Risep

Proofreading | wee hours

Welcome to share with friends.

Reprinting without permission is prohibited.

Original title: "Cao Wanjiang exploded, and the ugliness was also rolled up."

Read the original text

Text | AUTO core ball

Author | Lei Man

Another king fried product is coming in the world.

I advised you before that M7 was too ugly and M9 was too expensive.

Such as asking M8, this is not coming?

Just now, the truth of M8 real car was exposed.

I took a closer look, and this is the most beautiful boundary in my heart.

From the side face value, it is much stronger than M7.

It’s also better than my boss’s 600,000, and the rushing M9 is much younger.

Crucially, M8 now uses the same original platform as M9.

It’s definitely not M7′ s oriental scenery.

Now Cyrus has confirmed that M8 uses the Rubik’s Cube platform.

Don’t underestimate this Rubik’s cube platform, it can build plug-in hybrid cars, extended-range cars and pure trams.

With this platform, you can get a new car just like going to jiaozi.

M9 is built on the Turing platform upgraded on the Rubik’s Cube platform.

And as you can see from spy photos,

M8 and M9 use the same headlights and taillights.

I made some inquiries, and it is very likely that M8 will be listed in December this year.

It was also the year when M9 went on the market, and it was the time to launch a new car.

If you ask me, the price of M8 will definitely be between M7 and M9.

You must agree with this,

That is, the range of 340,000 to 440,000. The configuration is actually very easy to guess.

The M8 low match will be in line with the M7 top match,

The M8 high match is the same as the M9 low match.

On the whole, the length of M8 will reach about 5 meters, with triple screen.

Adopting the extended range+pure electric dual power mode,

The extended-range version will be equipped with a 1.5T engine and a dual-motor 330kw power combination.

Intelligent driving, equipped with lidar, equipped with Huawei ADS3.0 advanced intelligent driving,

In terms of mechanical quality, the low gear will be equipped with a variable suspension, which can adjust the hardness.

The high gear may be equipped with air suspension, which can adjust the height.

As for laser projection and zero-gravity seats, it is estimated that they will also be optional.

Seeing this, those who are ready to buy M9 can wait,

After all, the configuration is not bad and the face value is good. The key is to save about 100,000 yuan.

If we really have these configurations, my boss spent 600,000 yuan on the M9 top in March.

It is estimated that he will have to break through the defense. The configuration and price of M8 will save him at least 200,000 yuan.

Should we wait for the party to be blessed?

Buy a car. Listen to me. Don’t be a sucker.

* The pictures in this article are all from the Internet.

Focus on smart cars to help key decisions.