Beijing announced that the proportion of drugs with bimonthly effectiveness in medical reform dropped by nearly 7%.

Since the implementation of the comprehensive reform of Beijing medicine separation on April 8, it has attracted much attention from all walks of life. On June 9, the Beijing Municipal Health Planning Commission held a symposium on medical reform. The health sector learned from the symposium that in the past two months, the total drugs in major hospitals in Beijing accounted for 36.6%, a decrease of 6.87 percentage points compared with the same period last year. Gao Xiaojun, spokesman of the Beijing Municipal Health Planning Commission, said that there was no general decline in the income of large hospitals after the start of medical reform in Beijing. "If the medical reform makes the hospital’s income drop, then it means that the reform policy design is a failure." Gao Xiaojun said.

The total number of outpatients in medical institutions in Beijing decreased.

The medical reform made it clear that public medical institutions in Beijing canceled drug addition (excluding Chinese medicine drinks), registration fees and medical treatment fees, and set up medical service fees, with the goal of getting rid of medicine to supplement medicine. From April 8 to June 2, Beijing monitored the progress of medical reform in 373 tertiary and secondary hospitals, some first-class hospitals and community health service institutions. It shows that in the past two months, the total number of outpatient and emergency services in monitoring units has exceeded 20 million, which is 8.46% lower than the same period of last year. The total number of outpatient and emergency services in tertiary hospitals has decreased by 12.58%, that in secondary hospitals has decreased by 4.54%, and that in primary hospitals and community health service institutions has increased by 7.6% compared with the same period of last year.

The data shows that the number of visits to secondary and tertiary hospitals in Beijing has decreased correspondingly, while the number of visits to primary hospitals and community health service institutions has increased. The relevant person in charge of the Beijing Municipal Health Planning Commission said that since the reform, the situation of graded diagnosis and treatment in Beijing has gradually emerged.

Compared with the same period of last year, the number of outpatients in monitoring medical institutions decreased by 7.58%. Among them, the number of visits by deputy chief physicians decreased by 9.3%, the number of visits by chief physicians decreased by 20.8%, and the number of visits by well-known experts decreased by 14.8%. This shows that the problem of difficulty in seeing experts generally tends to be alleviated.

In terms of the number of discharged patients, the total number of discharged patients in the monitoring unit was 510,000, a decrease of 0.24% compared with the same period of last year. This data has not changed much compared with the same period of last year. Gao Xiaojun believes that the number of discharged patients has not changed much, indicating that the medical reform has not affected the diagnosis and treatment of hospitalized patients.

Drug procurement is one of the important contents in this medical reform. By June 7th, the cumulative expenditure of Beijing Pharmaceutical Sunshine Procurement was 10.27 billion yuan, saving 842 million yuan and 8.2%.

After the medical reform, has the medical expenses been effectively controlled? According to the data provided by the relevant person in charge of the Beijing Municipal Health Planning Commission, medical expenses are generally stable. Compared with the same period of last year, the average drug cost of outpatient and emergency departments in monitoring units decreased by 6.38%. Since the reform, the average drug cost of outpatient and emergency departments has shown a gradual decrease trend.

The proportion of drugs decreased by nearly 7%, and the hospital income did not drop.

This medical reform canceled the drug addition, aiming at changing the income structure of medical institutions. The data shows that in the two months after the medical reform, the proportion of drugs in monitoring units was 36.6%, a decrease of 6.87 percentage points compared with the same period last year. The proportion of drugs in tertiary hospitals was 33.84%, a decrease of 7.31 percentage points compared with the same period of last year; The proportion of drugs in secondary hospitals was 40.07%, a decrease of 7.14 percentage points compared with the same period last year. The proportion of first-class and community drugs was 72.53%, which was 4.06 percentage points lower than the same period of last year. The proportion of discharged drugs in monitoring units was 26.29%, a decrease of 6.05 percentage points compared with the same period of last year.

At the symposium, individual hospitals mentioned that the total income of hospitals decreased by nearly 20% after the reform. Gao Xiaojun believes that the reform requires medical institutions to carry out refined management, thus improving their operational capabilities. "There is no general decline in the income of large hospitals in Beijing." Gao Xiaojun stressed.

Encourage large hospitals to independently set up comprehensive outpatient clinics for geriatric diseases.

At present, major hospitals in Beijing have shut down simple prescription clinics one after another, and some patients feel that it is inconvenient to seek medical treatment.

In this regard, Liu Ying, deputy director of the Medical Administration Department of the Beijing Municipal Health Planning Commission, believes that government departments hope that the functional orientation of tertiary hospitals is to diagnose and treat difficult and severe diseases, rather than to deal with common diseases and frequently-occurring diseases. Only by strengthening the grass-roots units can patients truly appreciate the convenience of seeking medical treatment. "Large hospitals can independently set up comprehensive outpatient clinics for geriatrics according to the development of their own disciplines to provide services for patients." Liu Ying said.

"Doctors no longer work for pharmaceutical companies"

Beijing Obstetrics and Gynecology Hospital is the only third-class hospital specializing in obstetrics and gynecology in Beijing. As a hospital with a small amount of drugs, Beijing Obstetrics and Gynecology Hospital has benefited greatly from this round of medical reform. According to Chen Jing, secretary of the Party Committee of the hospital, the income of the hospital has been slightly improved by canceling the registration fee and medical treatment fee and setting up the medical service fee. Outpatient medical income increased by 9.68% from 54.14 million yuan in May 2016 to 59.38 million yuan in May 2017; In-patient medical income increased by 9.73% from 24.24 million yuan in May 2016 to 26.6 million yuan in May 2017.

It is worth mentioning that, while the income of Beijing Maternity Hospital has increased, the increase in the average outpatient expenses has slowed down, which is due to the fact that the hospital has promoted and reduced the burden on patients after canceling the drug addition.

This round of medical reform emphasizes that medical institutions should strengthen refined management. Following the "baton" of reform, Beijing Maternity Hospital adopted a new version of performance distribution scheme on June 1, improving internal performance appraisal and establishing a performance appraisal distribution mechanism suitable for medical reform.

Chen Jing said that the new performance appraisal index system includes four dimensions: work quality, work efficiency, cost control and annual special projects. "Doctors are no longer people who work for pharmaceutical companies, but earn money by trying to improve their services."

Highlights of other medical institutions

Beijing Aviation General Hospital

Two months after the implementation of the "Beijing Edition" medical reform, the drug sales of Beijing Aviation General Hospital decreased by 6.72% compared with the same period of last year, the prescription amount decreased by 14% compared with the same period of last year, the inspection income decreased by 13.25%, the total number of outpatient and emergency visits decreased by 16.31%, and the total hospital income decreased by 20%.

Third Hospital of Beijing Medical University

For two consecutive months, the number of outpatients in the Third Hospital of Beijing Medical University decreased by 10.86% year-on-year, and the number of outpatients in six departments kept increasing, while the number of outpatients in other departments decreased. Medical beauty, dermatology, cardiovascular medicine, endocrinology, Chinese medicine, general surgery, neurology and other departments have dropped significantly.

Nanmofang community health service center

Since the reform of separating medicine from medicine, the community and large hospitals have achieved unity in the variety of drugs that can be purchased. After purchasing sunshine, patients also enjoy the benefits brought by drug price reduction. For example, the use of "Gehuazhi" by patients decreased by 8.9%.

Green answer sheet | Fight the battle of clear water! Construct a new pattern of cross-basin and cross-regional coordinated water control, and continuously improve the national water ecology.

  CCTV News:In addition to the blue sky defense war, as another key battle of pollution prevention and control, the clear water defense war also started one after another during the "Thirteenth Five-Year Plan" period, and the national water environment continued to improve by continuing to carry out water pollution prevention and control in key river basins, starting the protection of drinking water sources, and controlling urban black and odorous water bodies.

  This "Yichang Baojie No.11" arrived at the stern of the "Hongrui No.2" transshipment ship according to the agreed time, and was ready to start receiving domestic sewage after connecting the water pipe.

  Yichang has 232 kilometers of the Yangtze River, accounting for nearly one tenth of the main channel of the Yangtze River. Every year, 60,000 sub-ships are waiting for parking or transshipment here, which is a high gathering place for receiving, transshipment and disposal of ship pollutants. Through this cooperative treatment system of ship pollutants, the whole process of ship pollutants handover, transshipment and disposal can be completed and monitored in real time. Ten specialized docks for ship pollutants can handle all ship wastes.

  The application of high-tech means has also helped China’s water ecological management to enter a new stage. In Baiyangdian, xiong’an new area, Hebei Province, a water laboratory with "integration of heaven and earth" ecological monitoring is conducting daily monitoring on the water quality in Baiyangdian District. UAV monitoring in the air, unmanned ship sampling in the water, and the sampling data are transmitted back to the first time through 5G signals. The water quality monitoring equipment on board can quickly analyze 14 water quality indexes such as chemical oxygen demand, ammonia nitrogen, total phosphorus and algae density.

  The latest release of the Ministry of Ecology and Environment shows that the water quality of key river basins such as the Yangtze River and the Yellow River in China is stable at present. In terms of pollution control, China is building a new pattern of cross-basin and cross-regional collaborative water control. The ecological environment management in the Yangtze River Economic Belt has established a coordinated protection system and mechanism. Recently, three provinces and one city in the Yangtze River Delta jointly launched nine major projects in the field of comprehensive management of Taihu Lake basin and water environment.

The cold air caused the temperature in the north to dive and ushered in the first snowfall in the second half of the year.

  BEIJING, Beijing, Oct. 10 (Xinhua)-The 9th is the first working day at the end of the Eleventh Golden Week. Beijing, Tianjin, Hebei and other places have experienced heavy rainfall, and Qinghai, Inner Mongolia and other places even ushered in the first snowfall this autumn. The cooling wind made it difficult for many office workers returning to work to adapt for a while, shouting "I want to wear long pants".

  According to the latest weather forecast, the temperature in Northeast China, North China, Shaanxi, Sichuan, Chongqing and other places will drop by 6-10℃ today and tomorrow, and the local temperature drop can reach 12℃. There is strong precipitation in the southeast of northwest China and North China, and moderate to heavy snow in parts of Ningxia and Gansu.

  On October 9, the temperature dropped sharply in many places in Inner Mongolia. On the streets of Hohhot, pedestrians riding electric cars put on "cotton-padded clothes" to travel. China News Service reporter Liu Wenhua photo

  Just entering October, I "want to wear long pants"

  — —Rainfall in many places in the north has cooled down, and the local temperature drop has exceeded 10℃

  In October, after enjoying the Golden Week holiday, office workers need to overcome not only the "holiday syndrome", but also the windy and cool weather. With the arrival of cold air, there has been a sharp cooling in many places in the north in recent days. On social platforms, many netizens shouted "to wear long pants" in their circle of friends.

  According to the report of the Central Meteorological Observatory on the evening of the 9th, due to the influence of cold air, at 14: 00 on the 9th, compared with 14: 00 on the previous day, the central and eastern Jilin, Liaoning, central Inner Mongolia, northern Hebei, western Shanxi, central and northern Shaanxi, Ningxia, central and southern Gansu and other places experienced a temperature drop of 6-8 C, and the local temperature drop reached 10-12 C.

  In addition, heavy rainfall, fog and other weather in many places have also added traffic pressure to the first working day after the Golden Week. Among them, Weibo Meteorological Beijing, the official of Beijing Meteorological Bureau, reported that the average precipitation in Beijing reached 29.8 mm from 4: 00 to 16: 00 on the 9th.

  According to media reports, on the morning of the 9 th, the rainy and foggy weather in Beijing continued, and several high-speed sections of Jingha, Beijing-Tianjin and Jingping were closed; Rain and fog also affected flights at the Capital Airport. As of 11: 00 on the 9th, more than 100 inbound and outbound flights were delayed and more than 50 flights were cancelled.

  Cold air comes with snow

  — — Many places welcomed the first snowfall in the second half of the year, and the temperature hit a new low in the second half of the year.

  In addition to strong winds and rainfall, snowfall occurred in some places in the north. According to a report from the Central Meteorological Observatory on the evening of the 9th, 1-7mm snowfall or sleet occurred in central Gansu, eastern Qinghai and central Inner Mongolia during the daytime on the 9th.

  According to media reports, due to the influence of cold air, Xining, Qinghai Province ushered in the first snowfall since autumn on the 9th. The daily minimum temperature dropped to 0.9℃, and the temperature hit a new low since the second half of this year. The meteorological department of Qinghai Province issued several yellow warnings for cold waves.

  The staff of Qinghai Meteorological Bureau told the media that the first snow in Xining this year was 20 days earlier than last year, and the low temperature weather will continue. It is understood that at present, Xining has not yet entered the heating season, but due to the obvious drop in temperature, citizens have put on winter cotton clothes and masks.

  Some areas in Inner Mongolia also ushered in the first working day after a long holiday in the wet and cold. According to media reports, the first snowfall occurred in many places in Inner Mongolia since the second half of the year, with obvious snowfall in Alxa League, Bayannaoer, Baotou, Wulanchabu and Hulunbeier. The snowfall time in central and western Inner Mongolia was the earliest in recent 10 years, and the maximum snow depth in Hulunbeier boketu has reached 13 cm.

  Zhang Fanghua, chief forecaster of the Central Meteorological Observatory, said that the cold air process affected a wide range and lasted for a long time, with a large cooling range, long precipitation duration and large accumulated precipitation in the northern region.

  Zhang Fanghua suggested that the cold air process not only brought about obvious cooling, but also accompanied by a wide range of precipitation weather, and the body temperature will be very low, and the temperature in most areas in the next 10 days will be lower than that in the same period of the year. At present, most areas have not been centrally heated, and the public needs to take cold-proof and warm-keeping measures.

  National gale cooling forecast map (from 20: 00 on October 9 to 20: 00 on October 11). Image source: Central Meteorological Observatory official website

  Cold air will continue to go south.

  — — The cumulative cooling range in Wuhan and Chongqing can reach 15℃

  As the saying goes, an autumn rain is cold, and ten autumn rains put on cotton. In the next few days, the cooling weather will continue.

  According to the official website news of the Central Meteorological Observatory, it is estimated that there will be a temperature drop of 6-10℃ in the central and eastern parts of Northeast China, most of North China, southwestern Shaanxi, northeastern Sichuan, Chongqing, Huanghuai, Jianghan, Jianghuai and northern Jiangnan from 20: 00 on the 9th to 20: 00 on the 11th, and the local temperature drop can reach 12℃. There are 4-6 winds in most of these areas.

  For example, under the influence of rain and cold air, the temperature in Beijing will continue to drop. According to media reports, the highest temperature in Beijing during the day on the 10th was only 11℃, and the lowest temperature in the morning on the 11th will drop to 7℃, both of which will hit new lows since the second half of this year.

  In addition, the cold air continues to go south. According to media reports, Hubei will usher in a "roller coaster" decline in temperature from the 10th, and the highest temperature in northwest Hubei will be the first to drop to 18-21 C; On the 11th, the temperature will drop further, and the highest temperature in Wuhan will drop to 16℃, and the cumulative cooling rate can reach 15℃.

  According to local media reports in Chongqing, a cooling and rainy weather process began in Chongqing on the evening of the 9 th, which lasted until the 12 th, and the daily average temperature will drop by 6-9 C. From the perspective of the whole city, the highest temperature will drop from 33℃ to 18℃, and the cooling rate will be as high as 15℃.

  In addition, it is expected that there will be heavy rain and local heavy rain in parts of Sichuan, Shaanxi, North China, Liaoning and Jilin from 20: 00 on the 9 th to 20: 00 on the 10 th; In Inner Mongolia, Hebei, Shaanxi, Ningxia, Gansu, Qinghai and other places, rain will turn to sleet or snowfall. Among them, there are moderate to heavy snow in parts of southern Ningxia and central Gansu, and there are heavy snow in mountainous areas.

  It is understood that on October 12, the cold air force will weaken and the cooling will end. At that time, only Jiangnan and northern South China will have a temperature drop of 2 C to 4 C.

Football Today: Cypress Sun God vs Kawasaki striker Adelaide United vs Melbourne City

The Japanese Football League is about to start, and the cypress sun gods will face the Kawasaki striker. The cypress sun gods have performed well in the past games, but their ability at home is relatively weak. At the same time, Kawasaki striker team has performed strongly recently, winning eight consecutive games.

However, the team has recently participated in the AFC Champions League, and continuous away games and one-week doubles may have a certain physical impact on the players. Therefore, there is a certain gap between the strength and current situation of the cypress sun god team and the Kawasaki striker team, but the Kawasaki striker team is facing some challenges. Personally, I think Kawasaki Strikers are more likely to win.

The other game is Adelaide United against Melbourne City. Adelaide United has performed very well recently, ranking third last season and beating its opponent 3-0 in the first round of this season. Their offensive state is stable, and they have scored 6 goals in the last three games.

However, some players of Adelaide United are unable to play, which may have a certain impact on the strength of the team. Melbourne City had some ups and downs last season, but finally won the championship. They brought in some powerful players in the offseason and scored five goals in the last three games.

However, Melbourne City didn’t start the season well, losing 1-2 in the first game. At the same time, they also face the problem that some players can’t play. On the whole, the strength of Adelaide United and Melbourne City team should not be underestimated.

Adelaide United is in a stable state, but it should be noted that they lack some important players. Melbourne City team showed great strength last season, but the start of this season was not smooth. Considering these factors, I personally think Melbourne City is more likely to win.

In these two games, we can see the contest between two strong teams. Whatever the outcome, these games will bring us a wonderful football feast. What do you think of these two games? Which team do you think is more likely to win? Please share your thoughts with us in the comments.

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