Notice of the Hangzhou Municipal People’s Government on printing and distributing the measures for the basic medical security in Hangzhou

 

Hang Zheng [2020] No.56

 

District and county (city) people’s governments, municipal government departments and directly affiliated units:

The measures for the basic medical security in Hangzhou are hereby printed and distributed to you, please follow them carefully.

Hangzhou Municipal People’s Government   

December 31, 2020   

 

Measures of Hangzhou Municipality on Basic Medical Security

 

Chapter I General Provisions

 

the first In order to further improve and perfect the basic medical security system in our city and safeguard the rights and interests of the insured, these measures are formulated according to the opinions and requirements of the Social Insurance Law of People’s Republic of China (PRC), the Regulations on Social Assistance in Zhejiang Province, and the national and provincial opinions and requirements on deepening the reform of the medical security system, combined with the actual situation in our city.

the second The basic medical security system adheres to the principles of universal coverage, overall planning of urban and rural areas, clear rights and responsibilities, fairness and moderation, multi-level sustainability, combination of fairness and efficiency, corresponding rights and obligations, and matching the level of security with the level of economic development.

Article Establish and improve a multi-level medical security system with basic medical insurance as the main body, serious illness insurance as the extension, medical assistance as the foundation, supplementary medical insurance, commercial health insurance and other common development. Specifically, it includes basic medical insurance for employees (hereinafter referred to as employee medical insurance), basic medical insurance for urban and rural residents (hereinafter referred to as urban and rural medical insurance), serious illness insurance and medical assistance system.

Article 4 These Measures shall apply to all employers and their employees, urban and rural residents, designated medical institutions for basic medical insurance, designated retail pharmacies (hereinafter referred to as designated medical institutions) and their regulatory agencies within the administrative area of Hangzhou.

Article 5 Hangzhou City [including Shangcheng District, Xiacheng District, Jianggan District, Gongshu District, Xihu District, Hangzhou High-tech Development Zone (Binjiang), Xiaoshan District, Yuhang District, Fuyang District, Lin ‘an District, Hangzhou Qiantang New District and Hangzhou West Lake Scenic Area], Tonglu County, Chun ‘an County and jiande city are respectively regarded as independent medical security management jurisdictions (hereinafter referred to as jurisdictions).

Article 6 People’s governments at all levels should incorporate medical security into the national economic and social development plan, implement laws, regulations, rules and policies on medical security, and provide organizational and financial support for medical security.

Article 7 The municipal medical security administrative department is in charge of the city’s basic medical security work. District and county (city) medical security administrative departments are responsible for the local basic medical security work, and medical security agencies at all levels (hereinafter referred to as medical insurance agencies) are responsible for the specific implementation.

Development and reform, economic and information, human resources and social security, agriculture and rural areas, health, civil affairs, finance, taxation, market supervision, education, auditing, public security, trade unions, disabled persons’ federations, veterans affairs, data resource management, statistics, women’s federations and other departments and units are responsible for medical security services and supervision and management within their respective functions and duties.

Article 8 In accordance with the principle of "policy, management, service, information and supervision", we will gradually implement the municipal overall planning of basic medical insurance. The city’s basic medical insurance fund shall be collected and accounted independently by each jurisdiction, and combined with the adjustment of management system, the city’s basic medical insurance fund shall be gradually realized.

Article 9 Each jurisdiction may, according to the local economic development level and the actual medical security, formulate regulations on medical treatment management in this jurisdiction in accordance with the requirements of county medical community construction and graded diagnosis and treatment.

Article 10 Establish and improve the social supervision organization of medical security, which is attended by representatives of government departments, insured persons, employers, trade unions and experts, analyze and master the operation of the medical security system, provide advice and suggestions on medical security work, and implement social supervision.


Chapter II Medical Insurance for Employees

 

Article 11 The following personnel within the administrative area of this Municipality shall participate in employee medical insurance within their respective jurisdictions:

(1) Employees of state organs, institutions, social organizations, various enterprises, private non-enterprises and individual industrial and commercial households (hereinafter referred to as employers) (including employers and employees, the same below);

(two) according to the relevant provisions of the one-time agreement to pay the basic medical insurance premium (hereinafter referred to as the co payment personnel);

(three) according to the provisions of these measures to enjoy the medical insurance retirement benefits of employees (hereinafter referred to as retirees);

(four) other personnel as prescribed by the state, province and city.

Article 12 Within the working age, the following urban and rural residents who are not employed by the employer can participate in the medical insurance for employees in this Municipality as flexible employees:

(a) the city’s household registration personnel can participate in the medical insurance for employees in the jurisdiction where the household registration belongs.

(2) Persons who are not registered in this Municipality, have terminated or terminated their labor relations with the employing unit, and the actual payment period of medical insurance for employees in this Municipality has accumulated for 10 years, and may participate in medical insurance for employees in their respective jurisdictions as required.

(three) other personnel as prescribed by the state, province and city.

Article 13 The employee medical insurance fee shall be paid by the employer and individual according to the following provisions:

(1) The employer takes the total wages of employees in the current month as the payment base (hereinafter referred to as the unit payment base), and pays the employee medical insurance (including maternity insurance) fee on a monthly basis, with the payment ratio of 9.9% (including the maternity insurance payment ratio of 0.4%).

When calculating the unit payment base, if the monthly salary of individual employees is higher than the average monthly salary of employees in all social units in Zhejiang Province last year (hereinafter referred to as the provincial flat salary), it shall be determined by 300% of the provincial flat salary last year; If it is less than 60%, it will be determined according to 60% of the provincial average wage in the previous year.

(2) On-the-job employees pay their medical insurance premiums at a rate of 2% based on their average monthly salary in the previous year, which is withheld and remitted by the employer on a monthly basis. If the average monthly salary of employees in the previous year is higher than the average wage in the previous year by 300%, the payment base shall be approved according to the average wage in the previous year; If it is less than 60%, the payment base shall be approved according to 60% of the provincial average wage in the previous year.

(three) in disabled soldiers, where the employees are retired for Grade 6 and above, individuals do not need to pay the employee medical insurance premium, and the employee medical insurance premium that the unit should pay is fully subsidized by the government.

(4) If an injured employee who is disabled at work and leaves the production post fails to terminate or terminate the labor relationship with the employer, the employer shall pay the employee’s medical insurance fee on a monthly basis based on the standard issued by his disability allowance until he receives the basic pension on a monthly basis; Workers with work-related injuries pay their medical insurance premiums at a rate of 2% based on their disability allowance, which is withheld and remitted by the employer on a monthly basis.

(five) 60% of the annual average wage of flexible employees is the payment base, and the employee medical insurance premium is paid monthly at the rate of 9.5%. Persons who hold the Certificate of Assistance and Support for Poor Persons, the Certificate of Minimum Living Security for Families, the Certificate of Minimum Living Security for Marginal Families, the Certificate of Basic Living Security for the Disabled or the People’s Republic of China (PRC) Disabled Persons’ Certificate of Grade II or above (hereinafter referred to as the holders) issued by the Civil Affairs and Disabled Persons’ Federation departments within the validity period shall be subsidized by the government for their employees’ medical insurance fees from the month when the medical insurance agency handles the registration formalities of relevant documents. Among them, those who hold the "Minimum Living Security Marginal Family Certificate" are subsidized by the government for half of the employee medical insurance premiums that individuals should pay, and other holders are fully subsidized by the government.

(six) during the period of receiving unemployment insurance benefits, the medical insurance premiums paid by the unemployed according to the payment standards of flexible employees shall be paid by the unemployment insurance fund.

(seven) the co-payment personnel shall pay the employee’s medical insurance fee in a lump sum when handling the co-payment procedures, and the specific standards shall be implemented in accordance with the relevant provisions of the municipal government.

During the period of re-employment, the employees’ medical insurance premiums shall be paid according to the standards of the employees.

According to the number of unemployed co-payers, the government subsidizes the employee medical insurance pooling fund according to the per capita standard of 2% of the provincial average wage in the previous year.

Article 14 Employers and individuals shall go through the formalities of insurance registration, alteration, cancellation and payment base declaration in a timely manner according to the regulations, and pay the medical insurance premiums of employees on time and in full.

Article 15 Persons who meet the conditions of insurance shall go through the formalities of insurance registration and payment declaration within 3 months after meeting the conditions, and enjoy the medical insurance benefits for employees from the next month after going through the formalities of insurance payment. Among them, the on-the-job employees shall be handled by the employer in a timely manner, and the employee medical insurance premium shall be paid as required.

The insured shall pay the employee’s medical insurance fee continuously until they enjoy the employee’s medical insurance retirement benefits. If the insured fails to pay the fee in the current month, the employee’s medical insurance benefits will be suspended from the next month. Unless otherwise specified, if retirees are suspended from medical insurance benefits for personal reasons, the medical expenses incurred during the suspension of medical insurance benefits will not be paid by the medical insurance fund.

Persons who receive unemployment insurance benefits shall enjoy medical insurance benefits for employees as required from the date of handling the medical insurance procedures for employees. The insured holder shall enjoy the relevant medical insurance benefits from the day when the medical insurance agency handles the registration formalities of relevant documents.

Article 16 Those who meet the conditions for participation in the insurance shall be deemed to have interrupted participation in the insurance if they fail to go through the procedures for participation in the insurance payment within the specified time period or continue to interrupt payment for 3 months or more. Interrupt the insured according to the following provisions:

(a) after the interruption of insurance for insurance procedures, should be continuous normal payment for 6 months, can enjoy medical insurance benefits for employees (hereinafter referred to as the waiting period). The medical expenses incurred during the interruption of insurance participation and the waiting period shall not be paid by the medical insurance fund.

(two) because the employer fails to handle the insurance registration formalities for the employees in time, which causes the employees to interrupt the insurance, the medical expenses incurred by the employees during the interruption of the insurance and the waiting period shall not be paid by the medical insurance fund.

If the employer fails to pay the employee’s medical insurance fee in accordance with the regulations after handling the insurance registration formalities for the employees, and all employees are interrupted to pay the fee, the employer shall repay it in accordance with the regulations; The employer shall, from the month following the full payment of the medical insurance premiums owed to employees, resume the medical insurance benefits of its employees, and the medical expenses incurred during the payment period shall not be paid by the medical insurance fund.

Article 17 The insured person may apply for the payment of the medical insurance premium of the employees during the insured period, according to the payment standards corresponding to different identities during the insured period, which shall be handled in accordance with the following provisions:

(a) to repay as an employee of the unit, the payment base of this year’s overdue period is determined according to my current payment base at the time of handling the overdue, and the payment base of previous years’ overdue period is determined according to the last year’s flat salary at the time of handling the overdue, and the payment ratio is 9.9% for the unit and 2% for the individual, and the starting time of overdue shall not be earlier than the time when my unit is included in the employee’s medical insurance coverage.

(2) If the payment is made as a flexible employee, it shall be implemented according to the payment standard of flexible employees at the time of payment, and the starting time of payment shall not be earlier than the year of payment procedures.

(three) the payment period is recorded as the actual payment period.

(four) the medical expenses incurred during the overdue period shall not be paid by the medical insurance fund.

(five) the medical insurance agency shall transfer the relevant funds corresponding to the payment according to the regulations; Replenish personal account funds and deduct serious illness insurance premiums that should be paid by individuals according to regulations.

Article 18 The following circumstances can be calculated as the employee’s medical insurance payment period, but not repeated calculation:

(a) the actual payment period of employee medical insurance.

(two) employee medical insurance is regarded as the payment period. In addition to the fixed number of years that employees’ medical insurance premiums should be paid according to the regulations, the basic old-age insurance for employees is calculated as the fixed number of years for employees’ medical insurance.

(three) before December 31, 2002 in line with the relevant provisions of the state and province of continuous service.

(four) the payment period for college students to participate in the medical insurance for urban and rural residents in Hangzhou (college students’ medical insurance).

(five) other years in accordance with the relevant provisions of the state and province.

Article 19 The actual payment period of medical insurance for employees in this Municipality includes the following three parts, but it is not repeated:

(a) the payment period of basic medical insurance for seriously ill employees in urban enterprises in this city;

(two) the actual payment period of participating in employee medical insurance in each jurisdiction of this Municipality and Zhejiang Province;

(three) the actual payment period of medical insurance in the army.

Article 20 When the insured person continues to pay the insurance premium in this city until he receives the basic pension or statutory retirement age on a monthly basis in this city, and the actual payment period of employee medical insurance in this city is over 10 years (inclusive), and the accumulated payment period of employee medical insurance is over 20 years (inclusive), he should enjoy the treatment of employee medical insurance retirees in accordance with the regulations after the medical insurance agency in the jurisdiction where he is insured handles the confirmation procedures of medical insurance retirement qualifications.

The following insured persons who fail to meet the requirements of the above-mentioned payment period and meet the requirements of laws, regulations and policies can choose to pay monthly or pay back the employee’s medical insurance premium for a specified period of time in the jurisdiction where they are insured, and enjoy the treatment of employees’ medical insurance retirees after going through the formalities for confirming their medical insurance retirement qualifications:

(a) the city’s household registration, continuous insurance payment in this city to receive basic pension or legal retirement age in this city on a monthly basis;

(2) Persons who are not registered in this Municipality, but who are employed by employers in this Municipality and who have continuously paid insurance premiums to the statutory retirement age, and who receive basic pensions on a monthly basis in this Municipality;

(three) people who are not registered in this city, but who have been continuously insured and paid to the statutory retirement age as flexible employees in this city.

Select the insured person who pays the employee’s medical insurance fee on a monthly basis, and the payment standard and medical insurance treatment shall be implemented according to the flexible employment standard in the same period; The insured person who chooses to pay the medical insurance premium for employees at one time shall be paid at the base of the last year’s provincial salary at the time of payment, and the payment rate shall be 9.5%. The medical insurance premium paid at one time shall not be included in the personal account. After choosing to pay the employee’s medical insurance premium at one time, it shall not be changed to pay the employee’s medical insurance premium on a monthly basis.

The certified personnel shall pay the required number of years on a monthly basis, and the part to be paid shall be subsidized by the government according to the regulations.

Article 21 Those who are not registered in this city, are not employed by employers in this city, and do not meet the insurance conditions for flexible employees in this city. After reaching the statutory retirement age, they will not enjoy the medical insurance retirement benefits for employees in this city.

Article 22 The personal account of the insured shall be established by the medical insurance agency in each jurisdiction according to the local conditions, and shall be uniformly managed according to the following provisions:

(1) Individual accounts shall be carried forward in a unified manner at the end of the settlement year, and the balance funds of individual accounts shall bear interest once according to the benchmark interest rate of bank demand deposits implemented on the day of carrying forward, and the interest generated shall be included in the funds of individual accounts over the years.

(two) when the annual carry-over, according to the category of personnel, age and the amount of payment or remittance, etc., the funds of the personal account for the next year are preset.

(III) For the newly insured or inter-annual renewal personnel within the year, the funds in their personal accounts in the current year are preset in the month when they go through the formalities of participating in (renewing) insurance, and the funds actually included are transferred from the employee’s medical insurance fee on a monthly basis from the month when the payment belongs.

(four) the balance of personal accounts in the current year, after the annual carry-over into the calendar year.

(5) If the insured person’s pre-set amount of funds in the current year is inconsistent with the actual amount of funds allocated in the current year due to cross-age and personnel category changes, adjustment of payment or debit amount, reimbursement of employee medical insurance fees, etc., the difference between the actual amount of funds allocated in the current year and the pre-set amount of funds in the current year will be included in the personal account of the following year when the annual transfer is made; The difference between the actual amount of funds transferred in the current year and the preset amount of funds in the current year is deducted from the current year’s funds in the personal account of the following year when the annual carry-over is made.

Article 23 The personal account funds of the insured are included in the following provisions:

(a) the funds in the personal account of employees in the current year are composed of two parts:

1. Employee medical insurance premiums paid by individuals.

2. Set the proportion by age group, and allocate the funds from the employee medical insurance fee on a monthly basis. Among them, urban insured persons under 45 years old (inclusive) are included in 0.5% of their base pay, and those over 45 years old before retirement are included in 0.8% of their base pay.

(two) the funds in the personal account of flexible employees in the current year shall be set according to the age group and included in the employee medical insurance fee on a monthly basis. Among them, those under 45 years old in urban areas are included in 0.5% of my base pay, and those over 45 years old before retirement are included in 0.8% of my base pay.

(III) The co-payment personnel shall pay 50% of the employee’s medical insurance premium in one lump sum when they go through the co-payment procedures, and transfer the funds from the employee’s medical insurance premium to their personal accounts in months during the co-payment period. If they are re-employed and participate in employee medical insurance, they will be included in their personal accounts for the current year.

(four) the funds of the retirees’ personal accounts in the current year shall be set according to the age group, and shall be included in the employee medical insurance fee on a monthly basis. Among them, the urban insured, I last year’s basic pension is lower than the previous year’s provincial average wage as the base, and I last year’s basic pension is higher than the previous year’s provincial average wage as the base. The proportion of debiting under 70 years old (inclusive) is 5.8%, and the proportion of debiting over 70 years old is 6.8%.

The personal account transfer standards in other jurisdictions can be implemented according to the original provisions before the national and provincial regulations on the reform of employee medical insurance personal accounts are clarified.

Article 24 The funds in the personal account in that year were used to pay the following expenses incurred by the insured:

(1) Medical expenses for general outpatient clinics (including emergency, the same below) that meet the scope of medical insurance expenses in designated medical institutions;

(2) Drug expenses that meet the scope of medical insurance expenses purchased at designated retail pharmacies;

(3) Expenses such as serious illness insurance premiums that should be paid by individuals.

Article 25 Personal account funds over the years can be used to pay the following expenses incurred by the insured:

(a) due to the need for diagnosis and treatment of diseases in designated medical institutions should be borne by individuals at their own expense, self-care, self-paid medical expenses;

(two) the use of preventive immunization vaccine fees in addition to the national expanded immunization program;

(three) the contract service fee for community responsible doctors that should be borne by individuals;

(four) other projects stipulated by the state and the province.

Article 26 The principal and interest of the personal account of the insured are owned by the individual, and can be transferred, liquidated and inherited according to the following provisions:

(a) after the termination or dissolution of the labor relationship between the insured and the employer, if the insured is insured in other overall plans, the transfer of the actual balance of funds in the personal account may be handled according to the regulations; Those who are not registered in this city and are not insured in other overall plans can handle personal account liquidation according to regulations.

(II) After the insured person is transferred from other insured places to the city, the actual balance of the personal account of the original insured place can be transferred to the city according to the regulations, and all of them will be included in the personal account funds over the years.

(III) If the insured transfers or liquidates his personal account for reasons such as the transfer of medical insurance, the cancellation of household registration after going abroad, death, etc., he must first settle the relevant medical expenses, and then transfer or return the actual balance of funds in his personal account according to regulations. Among them, if the personal account is overdrawn in the current year, it will be offset by the personal account funds over the years, and if the personal account funds are insufficient over the years, I will make up for it. The overdraft part of the personal account of the deceased in the current year shall be offset by the funds of the personal account over the years, and if the funds of the personal account are insufficient over the years, it shall be written off in the employee medical insurance pooling fund.

(four) personal account balance funds did not handle the transfer or liquidation procedures, once again to participate in the city’s medical insurance, can continue to use according to the provisions.

(five) after the death of the insured, the actual balance of funds in his personal account shall be handled by his legal heir or legatee at the medical insurance agency in accordance with the regulations.

(six) the personal account of the insured over the years, according to the provisions of the state and the province to help my close relatives (limited to spouses, children and parents) to participate in the basic medical insurance in this province. The mutual aid funds in accounts between the jurisdictions of this Municipality shall be liquidated regularly.

Article 27 In any of the following circumstances, the funds transferred to the personal account shall be stopped:

(1) Failing to pay or stop paying employee medical insurance premiums according to regulations;

(two) retirees have been stopped from issuing basic pensions;

(3) The insured person suspends or terminates medical insurance benefits due to sentence, death and other reasons;

(four) other circumstances stipulated by the administrative department of medical security.

Article 28 In a settlement year, the hospitalization medical expenses incurred by the insured in accordance with the scope of medical insurance expenses shall be settled according to the following provisions:

(1) The individual shall bear the medical expenses of one hospitalization Qifubiaozhun. For those hospitalized twice or more, the Qifubiaozhun shall be calculated according to the standard of the highest-level medical institution, specifically: tertiary and corresponding medical institutions (hereinafter referred to as tertiary medical institutions) in 800 yuan, other medical institutions (including secondary and corresponding medical institutions, the same below) in 500 yuan and community health service institutions in 300 yuan.

(two) the maximum hospitalization medical expenses paid by the employee medical insurance fund (based on the date of discharge, hereinafter referred to as the maximum hospitalization) is 400 thousand yuan.

(3) The hospitalization medical expenses above the hospitalization Qifubiaozhun and below the maximum hospitalization amount shall be shared by the employee medical insurance pooling fund and individuals. The employee medical insurance fund shall be settled according to the excess progressive system, and the specific proportion is:

1 hospitalization Qifubiaozhun above to 40 thousand yuan (inclusive), medical expenses incurred in tertiary medical institutions, 82% of employees, 86% of retirees; Medical expenses incurred in other medical institutions account for 84% of employees and 88% of retirees; The medical expenses incurred in community health service institutions account for 88% of employees and 92% of retirees.

24,000 yuan to 400,000 yuan (inclusive), medical expenses incurred in tertiary medical institutions, 88% of employees and 92% of retirees; Medical expenses incurred in other medical institutions, 90% of employees and 94% of retirees; Medical expenses incurred in community health service institutions account for 92% of employees and 96% of retirees.

Article 29 In a settlement year, the general outpatient medical expenses incurred by the insured in accordance with the scope of medical insurance expenses shall be settled according to the following provisions:

(a) first paid by the personal account in the current year, and if the personal account is insufficient to pay in the current year, the individual shall bear the medical expenses of an outpatient qifubiaozhun. Among them, the incumbent is 1000 yuan and the retiree is 300 yuan.

(2) The outpatient Qifubiaozhun of the year when the insured retires shall be calculated separately according to the actual months before and after medical insurance retirement, and then consolidated and determined. When the outpatient Qifubiaozhun actually paid by the individual in the year exceeds the payable part, the excess part will be included in his personal account over the years according to the proportion of 80%.

(3) The medical expenses above the outpatient Qifubiaozhun shall be shared by the employee medical insurance pooling fund and individuals, and the proportion borne by the employee medical insurance pooling fund is: 76% of the medical expenses incurred in tertiary medical institutions, and 82% of the employees and retirees; Medical expenses incurred in other medical institutions, 80% of employees and 86% of retirees; Medical expenses incurred in community health service institutions account for 86% of employees and 92% of retirees.

(four) the insured person who chooses the general practitioner to sign up for service, and who seeks medical treatment in the outpatient service of the contracted community health service institution, the proportion of the overall fund commitment shall be increased by 3 percentage points on the basis of the provisions of item (three) of this article.

(5) If the insured makes the first diagnosis in the contracted community health service institution, or is referred to other medical institutions for further treatment by the contracted community health service institution, the outpatient Qifubiaozhun shall be reduced or exempted in 300 yuan.


Chapter III Medical Insurance for Urban and Rural Residents

 

Article 30 Medical insurance for urban and rural residents is divided into children’s medical insurance, college students’ medical insurance and other urban and rural residents’ medical insurance:

(1) Children’s medical insurance coverage: children under the age of 18 who are registered in this Municipality, or students who have reached the age of 18 but are still studying in primary and secondary schools in this Municipality; Students who are not registered in this city, study in primary and secondary schools in this city, and one of their parents has participated in the medical insurance for employees in this city; Pre-school children (hereinafter referred to as children) who are not registered in this city, live in this city, and one of their parents has participated in the medical insurance for employees in this city and have paid a total of 3 years.

(II) College students’ medical insurance coverage: full-time undergraduate students, full-time graduate students and full-time students in technical colleges who have received general higher education in various full-time ordinary colleges and universities (including private colleges and universities) and scientific research institutes within the administrative area of Hangzhou (hereinafter referred to as college students).

(III) Coverage of medical insurance for other urban and rural residents: persons registered in this city and over 18 years old who have not participated in the basic medical insurance in this city or other places (hereinafter referred to as other urban and rural residents).

In addition to college students, people who meet the above conditions can participate in medical insurance for urban and rural residents in their respective jurisdictions. Among them, the city’s household registration should be insured in the jurisdiction where the household registration belongs, and those who are not registered in this city should be insured in the jurisdiction where they live.

Persons who are centrally adopted by social welfare institutions, children’s welfare institutions and other public welfare institutions within the administrative area of this Municipality (hereinafter referred to as adopters) shall be insured in their respective jurisdictions according to the above provisions.

Unless otherwise stipulated by the state, province and city, foreign students and foreign preschool children are not included in the scope of insurance.

Article 31 The financing standard of medical insurance for urban and rural residents is:

(1) Children’s medical insurance. 900 yuan per person per year, of which individuals pay 300 yuan and the government subsidizes 600 yuan.

(2) Medical insurance for college students. 270 yuan per person per year, of which individuals pay 90 yuan, and the financial subsidies at the same level are 180 yuan.

(three) other urban and rural residents’ medical insurance is divided into the following three financing standards:

1. The first grade of medical insurance for other urban and rural residents: 2,100 yuan per person per year, of which individuals pay 700 yuan and the government subsidizes 1,400 yuan.

2. Second grade medical insurance for other urban and rural residents: 1,800 yuan per person per year, of which individuals pay 600 yuan and the government subsidizes 1,200 yuan.

3. Third grade medical insurance for other urban and rural residents: 1,650 yuan per person per year, of which individuals pay 550 yuan and the government subsidizes 1,100 yuan.

Among them, other urban and rural residents can choose one or two files to pay for insurance; Other urban and rural residents in Tonglu County, Chun ‘an County and jiande city can choose to participate in the insurance within the grades approved by the local government.

Article 32 The medical insurance fee for urban and rural residents is raised annually, which consists of two parts: individual payment and financial subsidy. The amount of individual payment and the standard of government subsidy are not lower than the national and provincial regulations. The medical insurance fee for urban and rural residents that should be paid by the holder of the Minimum Living Security Marginal Family Certificate is subsidized by the government by half; Other certified personnel, adopters and entitled groups who enjoy regular pension subsidies should pay medical insurance fees in full by the government.

College students with certificates (including foreign household registration) shall enjoy government subsidies according to the provisions of the preceding paragraph, and the required funds shall be arranged by the finance at the same level according to the affiliation of colleges and universities.

Article 33 Establish a financing mechanism and a dynamic adjustment mechanism of financing standards that are compatible with the level of economic and social development and the affordability of all parties. In principle, the financing standard of medical insurance for urban and rural residents is adjusted every three years with an increase of not less than 10%, and the government subsidy standard and the proportion of individual contributions of urban and rural residents to the total financing are gradually increased. Specific by the municipal medical security, finance and taxation departments according to the city’s economic and social development level and fund operation research and approved by the municipal government to determine.

Article 34 Persons who meet the insurance conditions shall go through the insurance payment procedures in accordance with the regulations within 3 months after meeting the insurance conditions, and enjoy the medical insurance benefits for urban and rural residents in the remaining months of the settlement year from the next month after paying the medical insurance premiums for urban and rural residents. Among them, newborns who pay insurance within 3 months from the date of birth can enjoy the medical insurance benefits for urban and rural residents in the remaining months of the settlement year from the date of birth, but not earlier than the time when they meet the conditions for insurance.

Article 35 The insured shall go through the payment procedures for the next year’s participation (continuation) in accordance with the regulations. The specific starting and ending time of the participation (renewal) warranty period shall be subject to the announcement of the medical insurance agency in each jurisdiction in the current year. Insured persons enjoy medical insurance benefits for urban and rural residents in the settlement year to which the payment belongs.

Failing to go through the payment procedures for participation (renewal) within the specified time, it shall be regarded as interruption of participation. After the interruption of insurance, upon my own application, I can go through the payment procedures for participating (continuing) insurance in the current year, and I can enjoy the medical insurance benefits for urban and rural residents in the remaining months of the current year only after paying for 6 months.

Article 36 Children’s medical insurance and other urban and rural residents’ medical insurance insured persons can choose to pay medical insurance fees by banks or other means entrusted by the tax authorities after going through the insurance procedures.

Article 37 If the relevant information of the insured person changes, it shall go through the information change and confirmation procedures at the medical insurance agency in the jurisdiction in time.

Article 38 If a college student goes through the formalities of suspension from school due to illness or other reasons, he can continue to enjoy the medical insurance benefits for college students in accordance with the regulations during the suspension period.

If a college student is cancelled by a college, he/she will stop enjoying the medical insurance benefits for college students from the date when the college handles the cancellation procedures, and the medical insurance premiums paid by the individual for urban and rural residents will not be returned.

Article 39 In a settlement year, the hospitalization medical expenses incurred by the insured in accordance with the scope of medical insurance expenses shall be settled according to the following provisions:

(1) The individual shall bear the medical expenses of one hospitalization Qifubiaozhun. For those hospitalized twice or more, the Qifubiaozhun shall be calculated according to the standard of the highest medical institution, specifically: 800 yuan, a tertiary medical institution, 500 yuan, other medical institutions, and 300 yuan, a community health service institution.

(two) the maximum hospitalization limit for urban and rural residents’ medical insurance paid by the overall fund is 300 thousand yuan.

(three) the medical expenses above the hospitalization Qifubiaozhun and below the maximum hospitalization amount shall be shared by the overall fund and the individual. The proportion of the overall fund is 70% for tertiary medical institutions, 75% for other medical institutions and 80% for community health service institutions.

Article 40 In a settlement year, the general outpatient medical expenses incurred by the insured in accordance with the scope of medical insurance expenses shall be settled according to the following provisions:

(a) the individual shall bear the outpatient Qifubiaozhun in 300 yuan.

(two) outpatient Qifubiaozhun above part of the medical expenses, shared by the overall fund and individuals, of which the overall fund to bear the proportion of:

1. Children’s medical insurance, college students’ medical insurance and other urban and rural residents’ medical insurance: 40% for tertiary medical institutions, 60% for other medical institutions and 70% for community health service institutions.

2. Other urban and rural residents’ second-class medical insurance participants: 30% in tertiary medical institutions, 50% in other medical institutions and 60% in community health service institutions.

3. Other urban and rural residents with third-grade medical insurance: 30% in tertiary medical institutions, 40% in other medical institutions and 60% in community health service institutions.

(3) When the children’s medical insurance and other urban and rural residents’ medical insurance insured who choose to be contracted by general practitioners seek medical treatment in the outpatient department of the community health service institution that they signed, the proportion of the overall fund commitment will be increased by 3 percentage points on the basis of the provisions in Item (2) of this article.

Insured children and other urban and rural residents in the contracted community health service institutions for the first time, or by the contracted community health service institutions referred to other medical institutions to continue treatment, outpatient medical insurance Qifubiaozhun relief in 300 yuan.

(4) The proportion of outpatient reimbursement and Qifubiaozhun for the insured college students who voluntarily choose to seek medical treatment in the outpatient department of the medical institution in the school designated by medical insurance shall be implemented with reference to the provisions of Item (3) of this article.


Chapter IV Serious illness insurance

 

Article 41 All personnel who participate in the medical insurance for employees and urban and rural residents in this Municipality shall also participate in the serious illness insurance and pay the serious illness insurance premium. The serious illness insurance premium consists of individual payment, medical insurance fee transfer and government subsidy, which is used to establish a serious illness insurance fund.

The annual fund-raising standard for the employee medical insurance insured’s serious illness insurance is 100 yuan, in which the individual pays 48 yuan, and the employee medical insurance fee is transferred to 52 yuan, and the part that the individual should pay is withheld from his personal account in the current year; The insured person who chooses to pay a one-time payment should also pay the serious illness insurance premium. The annual financing standard of medical insurance for urban and rural residents is 90 yuan, in which individuals pay 40 yuan, and the government subsidizes 50 yuan each year, and the part that individuals should pay is transferred from the medical insurance premiums paid by them. The annual fund-raising standard for college students’ medical insurance participants’ serious illness insurance is 20 yuan, which is transferred from the medical insurance premiums paid by them for urban and rural residents.

Serious illness insurance premiums are raised on an annual basis, and the financing standards remain unchanged in the same settlement year. Medical security and finance departments can adjust the financing standards in a timely manner according to the operation of the serious illness insurance fund according to the prescribed procedures.

Article 42 The following medical expenses incurred by the insured that meet the scope of payment of serious illness insurance (hereinafter referred to as the compliance expenses of serious illness insurance) shall be shared by the serious illness insurance fund and individuals:

(1) Medical expenses for hospitalization and outpatient service of specified diseases that are above the maximum hospitalization limit and meet the scope of medical insurance expenses;

(two) below the maximum amount of hospitalization, hospitalization borne by individuals according to the proportion and out-patient medical expenses (including Qifubiaozhun);

(three) the cost of special drugs for serious illness insurance in Zhejiang Province;

(four) the expenses of rare disease drugs borne by individuals after enjoying the protection treatment of rare disease drugs in Zhejiang Province;

(five) other medical expenses stipulated by the state and the province.

Article 43 The drug security for rare diseases shall be coordinated at the provincial level, and the required funds shall be transferred from the serious illness insurance fund to the Zhejiang Province drug security fund for rare diseases. Insured persons are required to enjoy the unified treatment of rare diseases in the province.

Article 44 The starting and ending time of the insured’s serious illness insurance benefits is the same as that of the basic medical insurance benefits. In a settlement year, the major illness insurance compliance expenses incurred by the insured shall be settled according to the following provisions:

(1) The individual shall bear a minimum payment standard, specifically: 7,500 yuan for certified personnel, 13,000 yuan for retirees and 25,000 yuan for other insured personnel.

(two) the maximum payment limit of the serious illness insurance fund is 600 thousand yuan.

(3) The expenses above Qifubiaozhun and below the maximum payment limit shall be settled according to the excess progressive system, and the proportion borne by the serious illness insurance fund shall be:

1. Holders: 80% of the minimum payment standard is above 100,000 yuan (inclusive), 85% is between 100,000 yuan and 200,000 yuan (inclusive), 90% is between 200,000 yuan and 400,000 yuan (inclusive), and 95% is above 400,000 yuan.

2. Non-certified personnel:

Employees participating in medical insurance: the minimum payment is 75% above 100,000 yuan (inclusive), 80% between 100,000 yuan and 200,000 yuan (inclusive), 85% between 200,000 yuan and 400,000 yuan (inclusive), and 90% above 400,000 yuan.

Urban and rural residents’ medical insurance participants: 70% of the minimum payment standard is above 100,000 yuan (inclusive), 75% is between 100,000 yuan and 200,000 yuan (inclusive), and 80% is above 200,000 yuan.

Article 45 According to the actual medical security work in this city, the serious illness insurance can be managed by the medical insurance agency, or entrusted by a qualified third-party professional organization.


Chapter V Medical Assistance

 

Article 46 Medical assistance funds shall be arranged by the government of the jurisdiction according to regulations. Among them, the municipal financial arrangements for medical assistance funds, urban [limited to Shangcheng District, Xiacheng District, Jianggan District, Gongshu District, Xihu District, Hangzhou High-tech Development Zone (Binjiang), Fuyang District, Hangzhou Qiantang New District, Hangzhou West Lake Scenic Area] should be borne by the financial part, by the municipal finance and district finance in accordance with the actual expenditure of medical assistance funds, each bear 50%, and the part borne by each district in the current year will be settled through the urban financial system; Xiaoshan District, Yuhang District and Lin ‘an District shall undertake it by themselves according to the current financial system.

Article 47 The object of medical assistance is the certified personnel who participate in the medical insurance for employees or urban and rural residents in this Municipality, and other people with special difficulties as stipulated by the people’s governments at or above the county level.

Article 48 The sources of funds for medical assistance include:

(a) the government arranges a certain amount of funds every year;

(2) Funds raised through social donations and other forms;

(3) Interest income.

Article 49 Within a settlement year, the medical expenses incurred by the medical assistance object in the designated medical institutions that meet the scope of medical insurance expenses, after deducting the basic medical insurance, serious illness insurance and other Medicaid, are included in the scope of medical assistance, and assistance is provided according to the following standards:

(a) the holder of the "certificate of assistance and support for poor people", and his personal medical expenses for general outpatient service, hospitalization and prescribed disease outpatient service shall be fully rescued.

(two) the minimum living guarantee family card, the basic living guarantee card for the disabled and the second-level and above People’s Republic of China (PRC) Disabled Card holders, whose personal commitment to hospitalization and outpatient medical expenses for prescribed diseases is 70%; General outpatient medical assistance 50%, the maximum is not more than 3000 yuan.

(three) the holder of the "minimum living security marginal family card", whose personal commitment to hospitalization and outpatient medical assistance for prescribed diseases 60%.

Article 50 Medical assistance methods:

(1) Immediate assistance. The medical expenses incurred by the relief object when seeking medical treatment and purchasing medicines in the designated medical institutions with direct online settlement are in line with the provisions of these measures, and can directly enjoy medical assistance when the medical expenses are settled.

(2) assistance after the event. If the medical expenses that meet the standards of assistance are not provided with immediate assistance, the medical insurance agency shall provide medical assistance when applying for reimbursement.

Article 51 Medical assistance funds included in the financial accounts management, separate accounting, earmarking. Medical insurance agencies at all levels are specifically responsible for the audit and payment of medical assistance funds.

Article 52 The information of certified personnel shall be provided by the civil affairs department and the Disabled Persons’ Federation department, and the data shall be timely and accurately shared with the medical insurance agency through the information platform, and the certified personnel shall enjoy medical assistance from the date when the medical insurance agency handles the registration formalities of relevant documents.

Article 53 Established by the municipal administrative department of medical security led, civil affairs, finance, health, trade unions and other departments to participate in the joint meeting system of medical assistance in the city, to study and solve the special situation and major issues in the medical assistance work in the city, the office is located in the municipal administrative department of medical security. All districts and counties (cities) can establish corresponding medical assistance mechanisms.

For those who have been given medical assistance or other kinds of assistance, there are still serious difficulties in seeking medical treatment, or those who have suffered from serious chronic diseases or major diseases and have encountered other sudden difficulties in seeking medical treatment, they can apply by individuals, and the medical insurance agency will review and report, and then give some assistance after the joint meeting of medical assistance has agreed to study.


Chapter VI Maternity Insurance

 

Article 54 In accordance with the relevant provisions of the state and province, maternity insurance and employee medical insurance are combined. The employees of the employing units within the administrative area of Hangzhou shall participate in maternity insurance at the same time when participating in employee medical insurance.

Article 55 Maternity insurance benefits include:

(1) Maternity allowance;

(2) Maternity medical expenses;

(three) family planning operation allowance;

(four) family planning medical expenses.

Article 56 Workers who enjoy maternity allowance and family planning operation allowance shall meet the following conditions at the same time:

(a) in line with the provisions of national, provincial and municipal conditions of birth or the implementation of family planning surgery;

(II) When an employee is undergoing a fertility or family planning operation, the employer has gone through the insurance registration formalities in this Municipality in accordance with the regulations, and paid the premium continuously (excluding the overdue payment) for 12 months.

Article 57 If a female worker meets the requirements of childbirth or family planning operation, the maternity medical expenses and family planning medical expenses shall be settled according to the provisions of employee medical insurance.

In accordance with the provisions of the state to participate in the basic medical insurance for unemployed spouses, flexible employees and urban and rural residents insured, their compliance with the provisions of the maternity medical expenses and family planning medical expenses into the basic medical insurance fund payment.

Article 58 The formula for calculating and distributing maternity allowance or family planning operation allowance for female employees is: accrued allowance = average monthly salary of employees of the employer in the previous year at the time of maternity or family planning operation ÷30× accrued days.

The average monthly salary of the employees of the employing unit in the previous year shall be determined by the medical insurance agency according to the total annual average monthly salary of the insured employees of the employing unit in December of last year divided by the corresponding number. The average monthly salary of employees in the newly established employer in the previous year was calculated by the medical insurance agency according to the average monthly salary of employees insured by the employer.

Article 59 The accrued days of maternity allowance and family planning operation allowance shall be implemented according to the following provisions:

(1) Maternity allowance:

In accordance with the provisions of the "Regulations on Population and Family Planning in Zhejiang Province", the maternity allowance is paid according to 128 days of maternity leave (including 30 days of incentive leave); In case of dystocia, maternity leave will be increased by 15 days; In case of multiple births, the maternity leave will be increased by 15 days for each additional baby.

Female employees who have miscarried after less than 4 months of pregnancy are entitled to maternity leave for 15 days; If you have a miscarriage after 4 months of pregnancy, you will enjoy maternity leave for 42 days.

(two) family planning operation allowance:

1. Placement of IUD is counted as 2 days;

2. Take the IUD for 1 day;

3. vasectomy is counted as 7 days;

4. Simple tubal ligation is counted as 21 days;

5. Postpartum tubal ligation is counted as 14 days.

Article 60 Maternity allowance and family planning operation allowance shall be applied to the medical insurance agency in the area by the employer before the end of the following year after delivery or operation. After the audit, the medical insurance agency will allocate it to the employer where the employee is located, and the employer will issue it to the employee in accordance with the relevant provisions of the Measures for Labor Protection of Female Employees in Zhejiang Province and the maternity insurance treatment items and standards stipulated in these Measures.


Chapter VII Management of Medical Settlement

 

Article 61 The unified implementation of the national and provincial basic medical insurance, industrial injury insurance and maternity insurance drug list, provincial basic medical insurance medical services, serious illness insurance special drug list and other relevant provisions of the state and province.

The municipal medical insurance agency is responsible for the maintenance and management of the catalogue according to the regulations. The designated medical institutions shall, according to the requirements of medical insurance agencies, do a good job in maintaining and updating the drug list, medical service items and disease names of their own units in a timely manner.

Article 62 Insured persons shall apply for medical insurance vouchers according to national, provincial and municipal regulations (including electronic certificate, the same below), and seek medical treatment and purchase medicines in designated medical institutions under their jurisdiction with valid medical vouchers. Designated medical institutions should be calibrated according to regulations, and truthfully record the diagnosis and treatment and drug distribution.

Article 63 Designated medical institutions should choose safe, effective and reasonably priced drugs for the insured, and master the dosage according to the condition and the following prescription management principles: the dosage of acute diseases should not exceed 3 days; Generally, the dosage of chronic diseases does not exceed 15 days; Diseases included in the outpatient management of diseases and chronic diseases stipulated by our city, as well as other long-term chronic diseases and hospitalized patients who need to take therapeutic drugs when they leave the hospital, do not exceed 1 month’s dosage.

Encourage the insured to see a doctor in primary medical institutions. According to the needs of the management of chronic diseases of the insured, the contracted doctors can appropriately relax the time limit for dispensing prescriptions for chronic diseases of the insured under the premise of ensuring safe medication, and can extend the dosage of medical insurance for chronic diseases to 12 weeks at most.

Article 64 Unless otherwise stipulated in the jurisdiction, the settlement of medical expenses shall be carried out in accordance with the following provisions:

(1) If the insured needs to use Class B drugs in the list of basic medical insurance drugs and Class B items in the list of medical service items due to illness, a certain proportion of expenses shall be borne by the individual first, and then included in the scope of medical insurance expenses. The specific proportion of individual commitment shall be implemented according to the provisions of the administrative department of medical security in Zhejiang Province.

(II) When it is really necessary for the insured to use drugs and medical services with a prescribed course of treatment and variety and quantity due to illness, the relevant expenses can be included in the scope of medical insurance expenses only after going through the filing formalities in the designated medical institutions for medical treatment or the medical insurance agencies under their jurisdiction.

(three) if the insured person really needs to be diagnosed and treated in the designated medical institutions outside the jurisdiction, the insured person shall go through the relevant filing procedures according to the provisions of the jurisdiction. The medical expenses incurred by self-treatment without filing shall be borne by the individual at first, and then settled according to the regulations of the jurisdiction.

(4) If the medical expenses incurred by the insured in the designated retail pharmacies in this Municipality or in the ambulance due to emergency and rescue meet the scope of medical insurance expenses, they shall be settled according to the proportion of the general outpatient service of other medical institutions.

(5) Insured persons can purchase medicines from the designated medical insurance retail pharmacies with the external prescriptions issued by medical practitioners in designated medical institutions and filed in the information system. The designated retail pharmacies should check the information of prescription filing, adjust medicines and settle expenses according to regulations.

(six) the settlement of hospitalization medical expenses of the insured person adopts the discharge settlement system, and the medical insurance benefits can be implemented according to the provisions of insurance coverage when the medical expenses are settled, and the medical expenses incurred during the interruption of treatment are not included in the scope of medical insurance expenses. Insured persons who have been hospitalized for one year (365 days) shall be settled once.

During the hospitalization of the insured, the general outpatient expenses shall not be reimbursed. If it is really necessary for outpatient treatment in other local designated medical institutions due to illness, it shall be subject to the consent of the local inpatient medical institution before going to other designated medical institutions for treatment. The medical expenses that meet the scope of medical insurance expenses shall be borne by the individual at first, and then included in the original hospitalization medical expenses according to the regulations.

(seven) the insured shall not be forced to ask for hospitalization or refuse to leave the hospital. Do not meet the hospitalization conditions and forced hospitalization, the medical expenses incurred are not included in the scope of medical insurance expenditure; Those who meet the discharge conditions and refuse to leave the hospital will stop accounting after issuing the discharge notice in the relevant designated medical institutions, and the medical expenses incurred will not be included in the scope of medical insurance expenses.

(eight) the holder can see a doctor in the relevant Huimin hospital, and enjoy the medical fee reduction and exemption treatment according to the relevant provisions.

(9) If the insured fails to settle the medical expenses in the designated medical institutions according to the provisions of medical insurance due to reasons other than his own, and it conforms to the relevant policies of medical and health services, he can go to the designated medical institutions with the original cost settlement to go through the procedures for re-settlement of medical expenses according to the provisions, and all designated medical institutions should support and cooperate according to the relevant provisions.

(ten) if the insured has abnormal medical treatment, during the investigation and handling, the medical insurance agency may limit the scope and quantity of the designated medical institutions for medical treatment settlement, or change the medical insurance settlement method.

Article 65 In the designated medical institutions directly connected to the network (including designated medical institutions for medical treatment in different provinces and provinces), the medical expenses and drug purchase fees paid by the insured individuals shall be settled by the insured directly with the designated medical institutions according to the regulations; The medical expenses that should be paid by the medical insurance fund shall be settled by the designated medical institutions and medical insurance agencies according to the regulations.

The medical expenses that should be paid by the medical insurance fund in the designated medical institutions that are not directly connected to the network, or the medical expenses that cannot be settled in the designated medical institutions that are directly connected to the network due to emergency and medical insurance network failure, shall be paid in full by the insured before the end of the next settlement year to the medical insurance agency in the jurisdiction according to the regulations.

If the insured is treated in an emergency in a non-designated medical institution, after the treatment, the medical expenses shall be settled by the medical insurance agency in the jurisdiction with the emergency certificate. Medical expenses incurred by non-emergency treatment in non-designated medical institutions at the place of medical treatment shall not be paid by the medical insurance fund.

Article 66 Insured persons suffering from chronic diseases who need to carry drugs for continuous treatment during going abroad (border) shall go through the filing formalities according to regulations. Designated medical institutions can determine the dosage according to the time limit for going abroad (border), but it shall not exceed 6 months at most. During the period of going abroad, the settlement of medical expenses of the insured person shall be suspended.

If the personnel going abroad (border) return to Hangzhou in advance during the filing period, they should go through the cancellation procedures for filing abroad (border) in time. After going abroad (territory) personnel return to China, the expenses of temporary diseases that occurred before going abroad (territory) for filing and cancellation procedures are paid in full by individuals, and the expenses that meet the scope of medical insurance expenses are settled according to regulations after 10% of the expenses are taken care of by individuals.

Article 67 Establish a record system for permanent residence in other places. The settlement of medical treatment for insured persons living in other places shall be implemented in accordance with the following provisions:

(a) the insured who has lived in the field for more than 3 months shall go through the formalities for filing the permanent residence in the field according to the regulations. Among them, flexible employees who are not registered in this city, employers of individual industrial and commercial households and their employees, children and children will not go through the formalities for filing permanent residence in other places.

(II) The medical expenses incurred by the insured in the designated medical institutions in the long-term residence after going through the filing procedures for long-term residence in other places can be directly settled through the provincial and inter-provincial medical treatment platforms. If it is really impossible to settle directly, the medical insurance agency in the jurisdiction shall settle in accordance with the regulations after being paid in full by the individual.

(three) the insured who has gone through the formalities of filing for permanent residence in other places shall not cancel the filing formalities until 3 months after the filing takes effect. After the entry into force of the filing procedures for permanent residence of the insured, if the insured temporarily returns to the jurisdiction and needs general outpatient service or medicine purchase due to illness, he shall go through the formalities for temporary medical treatment and medicine purchase in the jurisdiction. If the formalities are not completed in time, the temporary disease expenses that meet the scope of medical insurance expenses shall be implemented in accordance with the relevant provisions of Article 69 of these Measures for the insured who temporarily leaves the permanent residence for medical reimbursement.

Article 68 Insured persons suffering from difficult diseases can not be diagnosed after examination by the city’s tertiary and corresponding designated medical institutions, or there are no treatment conditions after diagnosis, and the designated medical institutions can put forward suggestions for diagnosis and treatment, and after filing according to regulations, they will go to the corresponding designated medical institutions outside the province for medical treatment and settle accounts according to regulations. Among them, the insured persons who live in the field for a long time should be referred by the local three-level designated medical institutions before they can be transferred to the designated medical institutions outside the province or municipality directly under the Central Government where they live for medical treatment and settled according to the regulations.

If the insured person swipes the card for settlement in the designated medical institution for medical treatment in different places across the province where the record is filed, it shall be settled according to the relevant provisions of the state, and if it fails to be settled by credit card, it shall be paid in full by the individual to the medical insurance agency in the jurisdiction according to the provisions. In other designated medical institutions for the record, the medical expenses that meet the scope of medical insurance expenses shall be settled by the individual after taking care of 10%.

Article 69 Unless otherwise stipulated in the jurisdiction, the medical settlement during the temporary outing of the insured shall be implemented in accordance with the following provisions:

(a) the medical expenses incurred in the designated medical institutions in the province that meet the scope of medical insurance expenses shall, in principle, be treated in the designated medical institutions in different places in the province with my medical certificate and settled according to the regulations; The medical expenses that cannot be directly settled shall be paid in full by the individual to the medical insurance agency in the jurisdiction for reimbursement, and the expenses that meet the scope of medical insurance expenses shall be settled by the individual after taking care of themselves for 10% first.

The medical expenses incurred by the insured persons who live in other places temporarily leave their permanent residence and seek medical treatment in designated medical institutions in other parts of the province where their permanent residence is located shall be paid in full by the individual to the medical insurance agency for reimbursement, and the expenses that meet the scope of medical insurance expenses shall be settled by the individual after taking care of themselves for 10% first.

(II) During the temporary absence of the insured, the medical expenses incurred in the medical treatment in the designated medical institutions outside the province shall be paid in full by the individual to the medical insurance agency for reimbursement, and the expenses that meet the scope of medical insurance expenses shall be settled by the individual after taking care of himself for 20% first.

The medical expenses incurred by the insured persons who live in other places temporarily leave their permanent residence and go to designated medical institutions in other provinces and municipalities directly under the Central Government shall be paid in full by the individual and applied to the medical insurance agency for reimbursement. The expenses that meet the scope of medical insurance expenses shall be settled by the individual after taking care of themselves for 20%.

(III) College students can seek medical treatment in designated medical institutions in their relevant places of residence and practice during the winter and summer vacations, when they drop out of school due to illness, or during the internship period in accordance with the regulations of colleges and universities. The medical expenses incurred can be directly settled in local designated medical institutions by virtue of their medical treatment vouchers, or they can be paid in full by individuals to medical insurance agencies in accordance with the regulations.

Article 70 The prescribed diseases refer to various malignant tumors, systemic lupus erythematosus, hemophilia, aplastic anemia, childhood autism, schizophrenia, affective psychosis, AIDS and multidrug-resistant tuberculosis. Dialysis treatment of chronic renal failure and anti-rejection treatment after organ transplantation are included in the management scope of prescribed diseases. The scope of the prescribed diseases can be adjusted by the municipal medical security administrative department according to the actual situation, and promulgated and implemented after being approved by the municipal government. The medical security department should strengthen the supervision and management of prescribed diseases, and the specific measures shall be formulated separately.

The provisions of the insured medical treatment settlement according to the following provisions:

(a) patients with AIDS and MDR-TB are centrally accepted by the health departments in each jurisdiction, unified to the medical insurance agencies in the jurisdiction for filing procedures, and designated medical care is implemented.

(two) the insured with other prescribed diseases can handle the filing formalities according to the provisions with the relevant materials issued by the designated medical institutions at or above the second level in this Municipality. Among them, those who suffer from diseases such as schizophrenia, affective psychosis and childhood autism must hold relevant medical certificates issued by corresponding specialists in corresponding specialized hospitals or tertiary medical institutions.

(three) the establishment of outpatient medical security mechanism. The insured can enjoy the relevant treatment only after going through the prescribed disease filing procedures. In a settlement year, the outpatient medical expenses for the specified diseases of the insured shall be settled according to the hospitalization medical expenses, but there is no hospitalization Qifubiaozhun.

Article 71 Except as otherwise provided by the national, provincial and municipal medical insurance policies, the medical expenses incurred by the insured due to the following circumstances are not included in the payment scope of the medical insurance fund:

(a) outside the list of basic medical insurance drugs, the scope of medical services and the list of special drugs for serious illness insurance stipulated by the state and province;

(2) seeking medical treatment abroad;

(3) It shall be borne by a third party;

(four) shall be paid from the industrial injury insurance fund;

(five) should be borne by public health;

(six) other violations of the provisions of the basic medical security policy.

The medical expenses that should be borne by the third person according to law, but the third person fails to pay or cannot determine the third person, shall be paid in advance by the medical insurance fund. After paying in advance, the medical insurance agency has the right to recover from the third party.

Article 72 Insured persons who participate in basic medical insurance and commercial insurance at the same time shall settle accounts in advance according to the provisions of basic medical insurance. If commercial insurance is paid first, the paid medical expenses will be deducted at the time of medical insurance settlement.


Chapter VIII Public Management Services

 

Article 73 Persons who meet the conditions of insurance can only participate in one kind of basic medical insurance in the same period, but different types of insurance can be converted according to regulations, and the medical insurance premiums paid before the conversion will not be liquidated.

Insurance conversion refers to the insured changing the insurance coverage of employees’ medical insurance or urban and rural residents’ medical insurance for personal reasons, which shall be handled in accordance with the following provisions:

(a) other urban and rural residents during the medical insurance period, to participate in employee medical insurance as a flexible employee, continue to enjoy the medical insurance benefits of other urban and rural residents within 6 months of the normal payment of employee medical insurance, and enjoy the medical insurance benefits of employees after 6 months.

(two) to participate in the medical insurance for employees as flexible employees, and to participate in other urban and rural residents’ medical insurance, the insured month will continue to enjoy the medical insurance benefits for employees, and the next month will enjoy the medical insurance benefits for other urban and rural residents. If you want to participate in employee medical insurance again within 3 months, you can pay the employee medical insurance fee during this period, and enjoy the employee medical insurance benefits from the month after the payment.

(3) If the insured person changes insurance coverage after the original insurance coverage has been suspended for 3 months (inclusive), it shall be deemed that the insurance coverage has been interrupted, and the insured person shall enjoy the medical insurance treatment corresponding to the new insurance coverage after the new insurance coverage has been paid normally for 6 months.

After the natural termination of medical insurance benefits for urban and rural residents, those who continue to participate in employee medical insurance will still enjoy the medical insurance benefits for urban and rural residents who were originally insured in the same month and enjoy the medical insurance benefits for employees from the next month. After the natural termination of medical insurance benefits for urban and rural residents, those who continue to participate in medical insurance for urban and rural residents will enjoy the medical insurance benefits for newly insured urban and rural residents from the month of enrollment.

Article 74 The insured person who switches insurance types shall bear the outpatient Qifubiaozhun amount in a settlement year, which shall be determined according to the outpatient Qifubiaozhun corresponding to the medical insurance benefits he enjoys. If the amount of outpatient Qifubiaozhun that has been undertaken exceeds the converted insurance standard, it will not be liquidated.

Article 75 Insured persons who switch insurance types shall, when settling expenses in designated medical institutions, co-ordinate the fund allocation channels according to the provisions of the corresponding insurance types when enjoying treatment.

Article 76 If the insured person flows across the overall plan for employment, the transfer and connection procedures may be handled in accordance with the following provisions:

(1) A person who meets one of the following conditions may, when participating in employee medical insurance in this city, apply to the medical insurance agency in the jurisdiction for the transfer of medical insurance relationship, and transfer the payment period of employee medical insurance in the original insured place to the corresponding jurisdiction according to regulations:

1. Household registration personnel in this Municipality;

2. Non-local registered personnel, male under 50 years old and female under 40 years old;

3. Non-local household registration personnel have participated in the actual payment period of employee medical insurance in this city for a total of 10 years;

4. Personnel who are normally transferred with the approval of the organization department at or above the county level;

5 other personnel who meet the requirements of the state, province and city.

(two) the original insured employee medical insurance payment period can be calculated in accordance with the provisions of the cumulative transfer procedures to the month, but not with the actual payment period of employee medical insurance in this city.

(three) if the insured person flows across the city for employment, the city’s medical insurance should be suspended, and the employee’s medical insurance payment period should be transferred according to the regulations. Among them, if the insured fails to pay the employee’s medical insurance fee before the transfer of the medical insurance relationship, the transfer formalities can be handled only after the payment is made.

(four) the medical insurance relationship will not be transferred to those who have enjoyed the retirement benefits of medical insurance for employees.

Article 77 In accordance with the provisions of the transfer of medical insurance for urban and rural residents in other places who are transferred to the city to participate in employee medical insurance, they must continue to pay for 6 months before they can enjoy the medical insurance benefits for employees, and enjoy the medical insurance benefits for other urban and rural residents in the highest grade within their jurisdiction during the waiting period.

Article 78 Insured persons who have not gone through the medical insurance transfer and connection procedures, or have gone through the medical insurance transfer and connection procedures, but have not participated in the medical insurance for employees in other overall plans for 12 months before joining the insurance in this city, shall enjoy the medical insurance benefits for employees after they have paid the fees continuously for 6 months in this city.

Article 79 Non-local household registration personnel who are not employed by employers in this Municipality and do not meet the conditions for the participation of flexible employees should go through the formalities for transferring the medical insurance relationship in time.

Article 80 If the medical insurance relationship is transferred from outside the city, the outpatient and inpatient Qifubiaozhun and medical expenses paid in the original insured place will not be calculated cumulatively.

Before the actual medical insurance municipal co-ordination, if the insured area is converted within the city, the outpatient and inpatient Qifubiaozhun and medical expenses paid in the original insured area will not be calculated cumulatively.

Article 81  Medical insurance agencies should establish and improve the corresponding business, finance, safety and risk management systems, and pay medical insurance benefits in full and on time.

Article 82 Medical insurance agencies can set up branches and service outlets within their jurisdiction according to the needs of their work, and provide efficient and convenient medical security public management services for employers and insured persons in accordance with the requirements of "running at most once" reform and government digital transformation; In accordance with the relevant provisions of medical insurance business file management, establish medical insurance files for employers and insured persons, completely and accurately record the personal information, payment and treatment enjoyment of insured persons and other medical insurance data, and properly keep the original vouchers for registration and declaration and accounting vouchers for payment and settlement.

Article 83 Employers and insured persons can handle medical security services through the information platform provided by the medical security department, inquire and check the records of their participation in insurance and medical security benefits, or require medical insurance agencies to provide medical security policy consultation and other related services.

Article 84 Medical insurance agencies for business handling, statistics, investigation and other needs, require relevant units and individuals to provide relevant medical insurance information, the relevant units and individuals shall provide timely and truthfully.

Medical insurance agencies and their staff shall keep the information of employers and individuals confidential according to law, and the information of employers’ business secrets, personal rights and interests, informants and complainants shall not be disclosed to others illegally.

Article 85 The medical insurance agency shall regularly announce to the public the operation of the medical insurance system and the income, expenditure and balance of the medical insurance fund.


Chapter IX Management of Medical Services

 

Article 86 The medical security department shall determine the scale and layout of designated medical institutions according to the operation of the medical insurance system and the balance of fund income and expenditure, combined with factors such as the allocation of regional medical and health resources and the medical needs of the insured, and the specific measures shall be formulated separately.

Article 87 Designated medical institutions implement agreement management. Eligible medical institutions apply voluntarily, and after the examination and evaluation by the medical security department and the signing of an agreement with the medical insurance agency, they provide medical services for the insured according to the principle of "treatment due to illness, reasonable examination, rational drug use and reasonable treatment", and implement the medical insurance payment policy, price policy and centralized procurement policy in accordance with the regulations.

Article 88 Unify the text of medical insurance agreement and the management operation process of medical insurance agreement in designated medical institutions in the city, and realize standardized and standardized management. Medical insurance agencies and designated medical institutions shall perform their respective rights and responsibilities according to the contents of the agreement. Any party who violates the service agreement shall bear the liability for breach of contract and deal with it according to the agreement.

Designated medical institutions suspected of violating the rules, during the investigation and handling, the medical insurance agency may suspend its settlement function or suspend the allocation of medical expenses.

Article 89 Medical security departments at all levels should do a good job in organizing the formulation and implementation of payment standards and charging policies for drugs, medical consumables and medical services in accordance with the prescribed authority, and establish a dynamic adjustment mechanism for medical service prices and a monitoring and information release system for medical service prices.

Article 90 Each jurisdiction should follow the principle of "fixed income and expenditure, balance income and expenditure, and have a slight balance", improve and perfect the multiple compound payment methods that combine DRGs point method, bed-based payment, head-to-head payment and project-based payment under the total budget management, effectively strengthen the management of medical expense settlement, and improve and improve the cost assessment and evaluation mechanism of designated medical institutions. The assessment results should be linked to the medical quality and performance of the agreement.

Article 91 Medical service practitioners in designated medical institutions shall provide scientific, standardized and reasonable medical services according to the needs of patients’ illness, strictly fulfill the contents of service agreements and abide by relevant regulations.

Article 92 Medical insurance agencies may set up medical insurance expert advisory committees, which are responsible for participating in professional consultation on difficult medical insurance issues and fixed-point evaluation of medical institutions. The working funds of the medical insurance expert advisory Committee are included in the budget of the medical security department.


Chapter X Fund Supervision and Management

Article 93 The sources of medical insurance fund include contributions from employers and individuals, government subsidies, deposit interest of the fund, donations from citizens, legal persons and other organizations and other income.

Article 94 Employees’ medical insurance premiums, urban and rural residents’ medical insurance premiums and serious illness insurance premiums shall be collected by the tax authorities, and the information on fee collection shall be provided to the medical security department and the financial department on a regular basis. Township people’s governments, sub-district offices and institutions of higher learning in Hangzhou should actively assist in the collection of medical insurance fees, and human resources and social security departments should cooperate with the unemployed to pay medical insurance fees according to regulations.

Article 95 The medical insurance fund shall be subject to budget management, incorporated into the financial special account, managed by two lines of revenue and expenditure, and earmarked for special purposes. No organization or individual may misappropriate, and the government shall give subsidies according to the operation of the medical insurance fund, specifically in accordance with the following provisions:

(a) when there is a deficit in the employee medical insurance fund in each jurisdiction, it shall be paid by the balance of the employee medical insurance fund in each jurisdiction over the years, and the insufficient part shall be shared by the financial and municipal employee medical insurance risk adjustment funds in each jurisdiction. Among them, the part of Hangzhou urban area [limited to Shangcheng District, Xiacheng District, Jianggan District, Gongshu District, Xihu District, Hangzhou High-tech Development Zone (Binjiang), Hangzhou Qiantang New District and Hangzhou West Lake Scenic Area] that should be borne by the finance shall be borne by the municipal finance and the district finance, 50% respectively; Xiaoshan District, Yuhang District, Fuyang District and Lin ‘an District shall bear their own responsibilities according to the current financial system.

(two) the area of urban and rural residents’ medical insurance fund (excluding college students’ medical insurance fund) deficit, first by the area of urban and rural residents’ medical insurance fund balance payment over the years, the insufficient part shall be borne by the jurisdiction of the financial. Among them, the part of Hangzhou urban area [limited to Shangcheng District, Xiacheng District, Jianggan District, Gongshu District, Xihu District, Hangzhou High-tech Development Zone (Binjiang), Hangzhou Qiantang New District and Hangzhou West Lake Scenic Area] that should be borne by the finance shall be borne by the municipal finance and the district finance respectively in proportion to the number of insured persons; Xiaoshan District, Yuhang District, Fuyang District and Lin ‘an District shall bear their own responsibilities according to the current financial system.

When there is a deficit in college students’ medical insurance fund, it shall be paid by the balance of college students’ medical insurance fund over the years, and the insufficient part shall be borne by the finance at the same level of colleges and universities according to the proportion of the number of participants in each college.

(three) when there is a deficit in the serious illness insurance fund, it shall be paid by the balance of the serious illness insurance fund in each jurisdiction over the years, and the insufficient part shall be borne by the finance of each jurisdiction.

Medical insurance agencies at all levels should do a good job in accounting and financial statistical analysis of medical insurance funds, establish corresponding financial management systems, and implement separate accounting for various medical insurance funds for special purposes.

Article 96 The municipal administrative department of medical security, the financial department and the auditing organ shall, in accordance with their respective duties, supervise, inspect and audit the income and expenditure, management and investment operation of the medical insurance fund. The bank interest of the medical insurance fund shall be calculated in accordance with the relevant provisions of the state.

Article 97 The establishment of municipal medical insurance risk adjustment system, the specific measures shall be formulated separately.

Article 98 The administrative department of medical security should formulate and improve the relevant regulations on the supervision of medical insurance funds, and standardize the supervision authority, procedures and punishment standards.

Establish a medical security credit system, and implement joint incentives for trustworthiness and joint punishment for dishonesty.

Article 99 The administrative department of medical security should establish a normal mechanism of supervision and inspection, and implement real-time dynamic intelligent supervision of big data. Gradually establish a medical insurance fund performance evaluation system, improve the evaluation mechanism of medical services, and implement performance management throughout the fund operation.

Article 100 Medical security departments at all levels shall, in conjunction with health, market supervision, public security and other departments, implement cross-departmental collaborative supervision and strengthen supervision, inspection and assessment of designated medical institutions. Actively introduce third-party supervision forces, strengthen social supervision, improve the reward system for fraudulent insurance reporting, and maintain the safe operation of medical insurance funds.

Article 101 Medical insurance agencies should implement effective supervision and implement the responsibility of agreement management, cost monitoring, audit and audit by building an intelligent medical insurance supervision platform and establishing system measures such as daily inspections, special inspections, key spot checks, online inspections, and entrusted third-party audit inspections.

Article 102 Medical insurance violations of employers, designated medical institutions, medical insurance agencies and their staff, insured persons and other personnel shall be handled in accordance with the Social Insurance Law of People’s Republic of China (PRC), Measures for Handling Violations of Basic Medical Security in Hangzhou and other relevant laws and regulations.


Chapter XI Supplementary Provisions

Article 103 The medical insurance funds mentioned in these Measures include employee medical insurance (including maternity insurance) funds, urban and rural residents’ medical insurance funds, serious illness insurance funds and medical assistance funds.

Article 104 The expense settlement year of employee medical insurance and urban and rural residents’ medical insurance is from January 1st to December 31st every year, and the expense settlement year of college students’ medical insurance is from September 1st to August 31st of the following year. The settlement year of the insured’s serious illness insurance and medical assistance is the same as the basic medical insurance types they participate in.

Article 105 Except as otherwise provided, foreigners who have obtained relevant employment certificates or foreigners’ residence certificates, permanent residence certificates, innovation and entrepreneurship visas and other entry and exit certificates in accordance with the law and are legally employed in this Municipality shall participate in employee medical insurance in accordance with these measures and enjoy the medical insurance benefits for employees.

Those who live in China but are not employed can participate in the basic medical insurance with reference to the provisions of the city’s household registration personnel with the "Permanent Residence Permit for Foreigners" issued by the public security department of this Municipality, and those who hold the "Permanent Residence Permit for Foreigners" issued by the public security department of this Municipality can participate in the basic medical insurance with reference to the provisions of the non-local household registration personnel.

Hong Kong, Macao and Taiwan compatriots who are legally employed in this Municipality or hold residence permits issued by the public security departments for Hong Kong, Macao and Taiwan residents shall refer to the provisions of the preceding two paragraphs.

Article 106 Old workers who participated in revolutionary work before the establishment of People’s Republic of China (PRC), retired six-level and above disabled soldiers, municipal and above high-level talents, municipal and above model workers, and those who enjoy medical treatment for model workers with reference, enjoy medical care on the basis of enjoying basic medical insurance benefits, and specific measures shall be formulated separately.

Article 107 The term "self-funded expenses" as mentioned in these Measures refers to medical expenses that do not meet the scope of medical insurance expenses; Self-care expenses refer to the scope of medical insurance expenses, but before settlement according to medical insurance regulations, a certain proportion of medical expenses must be borne by the insured; Out-of-pocket expenses refer to medical expenses (including Qifubiaozhun) that are in line with the scope of medical insurance expenses and should be borne by individuals in proportion according to regulations.

Article 108 If the original invoice for medical expenses has been used as the reimbursement voucher of the relevant department or unit, the relevant department or unit may issue the original voucher split sheet and affix the special financial seal, and then settle the account according to the relevant provisions.

Article 109 The relevant data such as the collection base of medical insurance fees for flexible employees in the next year shall be published by the municipal medical security administrative department and the municipal tax department before the end of each year.

Article 110 After the medical insurance benefits of the insured are started, the paid medical insurance fees will not be returned.

Article 111 The employer may establish supplementary medical insurance for employees to improve the level of medical security for employees, and the required funds shall be charged according to the relevant provisions of the state.

Article 112 Medical expenses caused by major public epidemics or large-scale natural disasters, as well as medical expenses exemption policies for specific groups and specific diseases, shall be implemented in accordance with relevant national and provincial regulations.

Article 113 Unless otherwise specified in these Measures, if government subsidy funds are involved, Shangcheng District, Xiacheng District, Jianggan District, Gongshu District, Xihu District, Hangzhou High-tech Development Zone (Binjiang), Hangzhou Qiantang New District and Hangzhou West Lake Scenic Area shall be borne by the municipal and district finance at a ratio of 1:1; Xiaoshan District, Yuhang District, Fuyang District, Lin ‘an District, Tonglu County, Chun ‘an County and jiande city shall be borne by each district and county (city) under the existing financial system. If the urban financial system is adjusted, the sharing ratio will be adjusted according to the new regulations.

Article 114 These Measures shall come into force as of January 1, 2021, and the municipal medical security administrative department shall take the lead in organizing the implementation. Before the implementation of municipal overall planning of medical insurance, Tonglu County, Chun ‘an County and jiande city and other three jurisdictions can implement the financing standards and treatment policies of basic medical insurance as stipulated in these Measures step by step according to the local economic and social development level and the actual operation of medical insurance funds. Unless otherwise stipulated by the state or province, such provisions shall prevail. Previously issued the Notice of Hangzhou Municipal People’s Government on Printing and Distributing the Measures for Basic Medical Security in Hangzhou (Hangzhou Zheng [2017] No.64), the Notice of the General Office of Hangzhou Municipal People’s Government on Printing and Distributing the Measures for Maternity Insurance in Hangzhou (Hangzhou Zhengban [2011] No.22) and the Notice of the General Office of Hangzhou Municipal People’s Government on Printing and Distributing the Detailed Rules for the Implementation of the Measures for Basic Medical Security in Hangzhou (Hangzhou Zhengban [2017] No.6)

Living transplantation hotbed of murder movie "desperate heartbeat" is scary and high-risk


Realistic heart


Tony Leung Ka Fai operated in the operating room.


Be with the heart

    Living organ transplantation is a modern medical method that has developed rapidly in recent decades. Through living organ transplantation, countless critically ill patients have been cured and reborn. However, at the same time, this door still needs continuous improvement of medical technology, and there are also many mysteries that are still difficult to explain clearly. And many ugly and even vicious criminal cases that followed.

    In Europe, America, even Japan and South Korea, it is not uncommon to make a fuss about living organ transplantation and create a scary atmosphere. However, in mainland China, it is exclusive to tell cases related to living organ transplantation. A Beating Heart tells the story of a mysterious murder caused by a heart transplant operation.

    Around the heart transplant surgery in the film, the director successfully threw out a concept — — Heart memory, which roughly means that patients undergoing heart transplantation are likely to accept or even completely inherit the memory of the heart donor. The whole film "Desperate Heartbeat" is basically around the knowledge point of "heart memory" to make a fuss, and launched a thrilling and suspenseful story.

    Regarding the phenomenon of "heart memory", there have always been similar cases among many examples of heart transplant operations around the world, but due to the insufficient development of science and technology at present, a reasonable explanation has never been given to this phenomenon. Therefore, for this phenomenon, the general view of the medical community is not to deny its existence, but not to make redundant explanations.

    In the film "Desperate Heartbeat", Lin Xilei, who underwent a heart transplant, felt as if she had become another woman because of her "heart memory" — — Jiangbei Yan. Tony Leung Ka Fai, who performed a heart transplant for her, seems to have something else to hide. All the characters in the film seem to have ulterior motives. Around the heart of Lin Xilei, a life-and-death struggle is staged in horror. What is the truth behind the scenes? Only in late June, after the film is released in major theaters all over the country, wait for the audience to go to the theaters in person and find out!

Concentrate the strength of the whole hospital to support the emergency and ensure the treatment of critical patients.

CCTV News:In Chongqing, with the optimization and adjustment of epidemic prevention and control policies, the number of emergency department patients in the First Affiliated Hospital of Chongqing Medical University surged, especially the number of emergency medical patients increased by 4-5 times, most of whom were infected by Covid-19. In the past two days, the reporter from the reception desk came to the emergency department of the hospital and recorded the work of medical staff.

As soon as the reporter arrived at the hospital, a 120 ambulance was ready to leave. The doctor Deng Ying told us that they were going to the nursing home to pick up a critically ill patient. When they came to the nursing home, Deng Ying and the nurse learned that the old man had not eaten for several days and had symptoms such as difficulty breathing.

After carrying the old man to the ambulance, the nurse on board quickly inserted oxygen into the old man and connected the monitoring equipment. Ten minutes later, the ambulance rushed back to the hospital from the nursing home, but there was no bed in the emergency room. What was even more worrying was that the family members could not be contacted.

Although the family members could not be contacted, the first aid could not wait. Several medical staff quickly added a bed for the elderly and made various emergency treatments.

With the cooperation of several medical staff, Deng Ying finished the examination for the elderly. According to the examination results, they gave the elderly corresponding treatment and plan. Soon, the problems such as poor breathing of the elderly were alleviated. Deng Ying said that recently, due to the shortage of emergency personnel, she was transferred from obstetrics and gynecology to support. At present, there are 22 doctors in the emergency department, many of whom are transferred from other departments like Deng Ying. Most of them have been infected with Covid-19. Faced with the emergency volume of more than 400 people at the peak, they are a little tired, but they still try their best to treat every patient.

At the moment, the medical staff in the emergency department are rescuing a 19-year-old boy. Because of renal insufficiency and other diseases, the boy developed respiratory failure after being infected with Covid-19, and he is in urgent need of ventilator support.

After the coordination of the dean, a bed was finally found in the respiratory intensive care unit, but the department’s non-invasive ventilator had been used up and had to be transferred from the geriatrics department. The patient was successfully transferred to the respiratory intensive care unit. Five hours later, the reporter came to the intensive care unit again and found that all the indicators of the patient’s body tended to be stable.

According to the hospital, at present, the beds in various departments, especially the emergency department, have been overloaded. How to ensure that patients can be treated in time and that critically ill patients can live in the intensive care unit in the later stage?

Zhou Fachun, Director of Department of Critical Care Medicine, First Affiliated Hospital of Chongqing Medical University:Patients with relatively stable condition can be transferred to other specialized wards at the first time, so as to ensure that the utilization rate of ICU beds can really serve the critical patients in need.

For non-critical patients, neurology, cardiovascular medicine and other departments have also vacated many beds.

In the emergency department, doctors and nurses are still busy, and 2023 has quietly arrived.

A thorough reading of the symptoms of different respiratory diseases and the difference of medication

It’s winter.
High incidence of respiratory infectious diseases
But can you tell what kind of infection it is?
Collect it! This article answers your questions!

  1. What are the clinical manifestations of mycoplasma pneumoniae infection?
  Mycoplasma pneumoniae is mainly infected by respiratory tract, which can cause pneumonia, often accompanied by pharyngitis and bronchitis.
  The onset of mycoplasma pneumoniae infection is generally slow, and patients often have chills, fever and dry cough, which may be accompanied by symptoms such as stuffy nose, fatigue and headache. Mycoplasma pneumoniae infection has certain self-limitation. In recent years, the proportion of refractory mycoplasma pneumonia and severe mycoplasma pneumonia has increased among school-age children.

  2. What are the clinical manifestations of respiratory syncytial virus infection?
  In the early stage of respiratory syncytial virus infection, the main symptoms are upper respiratory tract infection, such as nasal congestion, runny nose, cough and hoarseness, and most of the symptoms will disappear by themselves in 1-2 weeks.
  A few cases can develop into lower respiratory tract infections such as bronchiolitis or pneumonia, which are more common in infants under 2 years old.

  3. What are the clinical manifestations of adenovirus infection?
  Adenovirus infection has various clinical manifestations, which can cause common cold, bronchitis and pneumonia, diarrhea and gastroenteritis, conjunctivitis, cystitis and some nervous system inflammation.
  People with chronic respiratory diseases, heart diseases or low immune function may have serious clinical symptoms after being infected with adenovirus.

  4. What are the clinical manifestations of rhinovirus infection?
  Rhinovirus infection can cause symptoms of upper respiratory tract infection such as nasal congestion, runny nose, sneezing, sore throat, fever or cough, and can also lead to wheezing and asthma aggravation in children.
  Infants or children with basic diseases infected with rhinovirus may cause lower respiratory tract infections such as bronchiolitis and pneumonia. The infection of rhinovirus in the elderly can increase the risk of chronic obstructive pulmonary disease, and the infection of hospitalized patients can lead to prolonged hospitalization.

  5. What are the clinical manifestations of human metapneumovirus infection?
  The incubation period of human metapneumovirus infection is 3~5 days, which often causes symptoms of upper respiratory tract infection, such as fever, cough, nasal congestion, runny nose and hoarseness, which are slightly self-limited, and the symptoms gradually ease in about 1 week.
  Children, the elderly and immunocompromised people may have bronchiolitis, pneumonia or acute respiratory distress syndrome after infection.

  6. What is the difference between the clinical manifestations of influenza, mycoplasma pneumoniae infection and common cold in children?
  The clinical manifestations of influenza, mycoplasma pneumoniae infection and common cold in children are different, and the main differences are shown in the table below.
  The clinical manifestations of respiratory tract infectious diseases are usually not specific, and there are individual differences among patients, so they can not be differentiated only by symptoms and signs, and usually need laboratory tests to diagnose.

  

  7. What are the commonly used therapeutic drugs for respiratory tract infection pathogens in adults?
  Recently, viruses and mycoplasma are the main pathogens causing respiratory tract infections. At present, there are mabaloxavir, oseltamivir and palamivir for influenza virus, nematevir/ritonavir, sennotvir/ritonavir, Monola vir and deuterium hydrobromide for Covid-19, and macrolides (such as azithromycin), fluoroquinolones (such as moxifloxacin and levofloxacin) and tetracyclines (such as doxycycline and levofloxacin) for mycoplasma.
  Some infections caused by viruses or mycoplasma will be secondary to bacterial infections. At this time, it is necessary to use antibiotics reasonably under the guidance of doctors to avoid drug resistance. Commonly used antibiotics include penicillins (such as amoxicillin/clavulanic acid), cephalosporins (such as cefaclor, cefuroxime and cefdinir), fluoroquinolones (such as moxifloxacin and levofloxacin) and macrolides (such as azithromycin). It is worth noting that the above drugs are all prescription drugs and need to be used under the guidance of a doctor.
  If you are self-tested for influenza virus antigen or Covid-19 antigen, and have serious high-risk factors such as age over 65, body mass index (BMI) over 40kg/m, basic diseases (such as chronic obstructive pulmonary disease, tumor, immune system diseases, etc.) or pregnancy, it is suggested to take orally anti-influenza drugs oseltamivir or mabaloxavir or oral anti-Covid-19 drugs within 48 hours of onset. If respiratory symptoms get worse, you should seek medical advice promptly.

  8. What drugs are commonly used by children to treat pathogens of respiratory infections?
  Children infected with influenza virus can take neuraminidase inhibitors such as oseltamivir, and children over 5 years old can also choose RNA polymerase inhibitors such as mabaloxavir.
  After children are infected with mycoplasma pneumoniae, the first choice is macrolide drugs, such as azithromycin, clarithromycin and roxithromycin. The alternative drugs are new tetracyclines (such as doxycycline and minocycline) and quinolones. Tetracyclines are only used for children over 8 years old because they may cause yellowing of teeth and hypoplasia of enamel.
  Children and adolescents under the age of 18 who use quinolones need doctors to strictly evaluate the indications and pay attention to the side effects of the drugs.

  9. What are the precautions in diet during respiratory infection?
  During the period of respiratory infection, on the one hand, due to fever, cough, fatigue and other conditions, the patient’s appetite decreased compared with usual; On the other hand, respiratory tract infection leads to the increase of energy consumption and the increase of energy demand.
  Therefore, it is particularly important to supplement nutrition in a reasonable and balanced way and ensure the supply of energy. People with decreased digestive function can eat less and eat more to ensure adequate energy intake.
  (1) Recommended food:
  ① Highly nutritious and digestible foods: such as lean meat, chicken, fish, tofu, etc. These foods are rich in protein, which helps to repair body tissues.
  2 foods rich in vitamins: fresh fruits and vegetables, such as oranges, kiwis, carrots and spinach, are rich in vitamin C and other antioxidants, which helps to enhance immunity.
  ③ Whole grains and foods rich in cellulose, such as oats, whole wheat bread and brown rice, provide necessary energy and cellulose.
  4 Adequate water: Ensure adequate water intake, such as drinking water, juice or soup, which helps to keep the body water balance and relieve sore throat.
  (2) Foods that are not recommended or need to be controlled:
  Oily and spicy foods, high-sugar foods, caffeinated drinks, etc.

A 12-year-old girl cooks for her brother and sister according to the "cookbook": her mother works and goes home once a month.

  Twelve years old is a happy age. You can go to school with a small bag on your back every day, cuddle up in your mother’s arms and eat delicious meals cooked by your mother … … But for 12-year-old Xiaomei (a pseudonym), all this seems to have become a long memory. After my mother went to Nanjing for business last year, she could only live in a cramped storage room of about 10 square meters in a residential area in Economic Development Zone of Suqian City, washing and cooking for her 16-year-old brother and 9-year-old sister, day after day. For her, the future is looking forward to growing up earlier. "Mom said that when she is 16 years old, she can go out and find something to do."

  Yangzi Evening News reporter Gao Fengwen/photo

  The girl cooks three meals a day according to the "recipe" on the wall

  On the afternoon of January 19th, the reporter of Yangzi Evening News came to Xiaomei’s house according to the address provided by enthusiastic citizens. This is a storage room on the first floor of the community, only about 10 square meters. When you walk into the room, a musty smell comes.

  Two 1.5-meter-wide beds are placed almost next to each other, occupying most of the room. Walking in from one end of the bed, the right hand side was separated from a bathroom with a washing machine outside. The prominent place in the corner of the room, with an area of about 1 square meter, became a kitchen. On the small round table, there was a single-headed gas stove with a range hood on it, and pots and various items were randomly placed next to it. The iron pot was open, and there was a bowl of hot sauce on the empty and dirty chopping board.

  There is an air conditioner hanging on the wall opposite the bed. Under the air conditioner, there is a piece of stained paper, the edge of which has been curled. On the paper, there are three meals a day arranged by the mother for the children:

  Breakfast 7— 9 (Reporter’s Note: Meal time) (only one can be selected): milk +2 eggs, millet porridge +2 eggs, millet porridge +4 steamed buns (pure meat);

  Chinese food 11— 13, pancakes+scrambled eggs with tomatoes, steamed bread+fried meat with onions, pancakes+fried mung bean sprouts with leeks, fried shredded pork with celery+pancakes, and 4 steamed buns;

  Dinner 5— 7. One cucumber, one apple, one tomato and half pitaya.

  Xiaomei said that at first, it was my brother who cooked the meal. Later, my brother went out to find something to do, and he began to cook for his brother and sister according to the "recipe" for three meals a day prescribed by his mother. Every time my mother leaves, she will specially cook a bowl of hot sauce for the three brothers and sisters, which has become the next meal for the three brothers and sisters for a month.

  On the morning of 20th, the reporter of Yangzi Evening News came to the community where the children lived again, only to see the door locked and the sisters playing with the children in the community.

  "My sister’s cooking is delicious. Let’s have dinner at my house at noon." Near noon, my sister sent an invitation to a six or seven-year-old girl. Then, the three men walked into the house and the door closed.

  Parents divorced and all three children dropped out of school.

  In an interview with reporters, Ms. Li, the mother of three children, happened to have a rest and rushed back to Suqian to take care of her children. "I usually take four days off a month and come back once to see them. This time I only come back once every two months."

  Ms. Li said that she is an Anhui native. After she married Fengxian County, Xuzhou, she gave birth to three children. The older one is a boy, now 16 years old, and the two younger ones are girls. Xiaomei is now 12 years old and the youngest child is only 9 years old. Ms. Li said that due to family breakdown, among the three children, the older child dropped out of school in the first grade, Xiaomei dropped out of school in the sixth grade, and the youngest daughter was forced to drop out of school just after entering the first grade.

  Last May, she came to Suqian with three children and started her life again. Ms. Li rented a storage room in the community at the monthly price of 450 yuan, and the family settled down temporarily. Soon, Ms. Li found a job selling cosmetics, going out early and returning late every day, earning more than 2,000 yuan a month. Last October, Ms. Li went to Nanjing to do cosmetics business and earned more than 3,000 yuan a month. Every month, she will transfer more than 1,000 yuan to her son through WeChat transfer, which is the monthly living expenses of the three brothers and sisters.

  For Ms. Li, although people have arrived in Nanjing, her heart is still concerned about Suqian’s three children. "I call several times a day, send WeChat, tell her how to cook, and ask if the clothes are hanging … …”

  After learning about this special family, the residential property was very sympathetic and began to do some odd jobs with the brother of three children. "On the one hand, it can take care of him, guide him, prevent him from being adversely affected, and go to the wrong road. At the same time, it can also make him supplement some household expenses."

  So, after her brother went out every day, 12-year-old Xiaomei took over the burden of cooking.

  The police are worried about safety.

  On the afternoon of 19th, when interviewed by Yangzi Evening News reporter, the police in the jurisdiction happened to visit Xiaomei’s home. "At the end of last year, we found this special family in the community investigation visit." The police said that at first, the family was very resistant to outsiders and could not communicate. After many times of communication, they learned something. "I am very worried about their safety. I can only come and walk more, and the community security guards will take care of them."

  conversation

  "I want to go to school but I don’t want to go to school"

  Reporter: Do you cook?

  Xiaomei: Do it. My brother’s cooking is not delicious.

  Reporter: So you can cook?

  Xiaomei: My mother always calls me to tell me what to do before cooking.

  Reporter: Do you sleep after dinner at night?

  Xiaomei: When my brother comes back at night, let us sleep after dinner. But I can’t sleep. My sister always cries for hours, which wakes me up and won’t fall asleep until 12 o’clock.

  Reporter: Usually all the children in the community go to school. What do you do?

  Xiaomei: Go home to sleep, and then get up to buy food and cook.

  Reporter: Do you want to go to school?

  Xiaomei: Yes and no. I want to go to school because I am bored at home, and I don’t know a word out of ten when I read a book, and no one teaches me. I don’t want to go to school, because I have to board and live at school, and my sister goes to school, so there is no one to pick me up.

  Reporter: Do you want your mother to accompany you?

  Xiaomei: Yes! But it’s no use, because my mother is going out. How can we live without going out?

Service Announcement of Jiangsu Provincial Department of Human Resources and Social Security Announcement on Recruitment of "Three Supports and One Support" Plan for College Graduates in Jiangsu Provi

According to the Notice of the Ministry of Human Resources and Social Security of the Organization Department of the Central Committee of the Communist Party of China and other ten departments on the implementation of the fourth round of the "Three Supports and One Support" plan for college graduates (No.32 [2021] of the Ministry of Human Resources and Social Security) and the Notice of the General Office of the Ministry of Finance on Doing a Good Job in the Implementation of the "Three Supports and One Support" plan for college graduates in 2022 (No.22 [2022] of the Ministry of Human Resources and Social Security), The Notice of the Organization Department of the Provincial Party Committee and the Provincial Department of Human Resources and Social Security on Doing a Good Job in Implementing the Plan of "Three Supports and One Support" for College Graduates in Jiangsu Province in 2022 (Su Ren She Fa [2022] No.67) and other documents require that in 2022, our province will recruit 400 college graduates and arrange them to be engaged in teaching, supporting agriculture, supporting doctors and helping rural revitalization in towns (streets) in eight cities in central Jiangsu and northern Jiangsu. The relevant matters are hereby announced as follows:

I. Number of recruits

1. 45 in Xuzhou (10 for teaching, 10 for supporting agriculture, 10 for supporting doctors, 10 for helping rural revitalization and 5 for water conservancy);

2. 40 in Nantong (6 in medical support, 29 in rural revitalization, 1 in water conservancy, and 4 in employment and social security services);

3. Lianyungang 55 (19 teaching, 21 supporting doctors, 8 helping rural revitalization, 1 water conservancy, 6 employment and social security services);

4. 40 in Huai ‘an City (3 for teaching, 7 for supporting agriculture, 8 for supporting doctors, 16 for rural revitalization, 4 for water conservancy, and 2 for employment and social security services);

5. 60 in Yancheng (7 in teaching, 19 in supporting agriculture, 11 in supporting doctors, 15 in helping rural revitalization, 2 in water conservancy, and 6 in employment and social security services);

6. 40 in Yangzhou (6 in teaching, 13 in supporting agriculture, 2 in supporting doctors, 15 in helping rural revitalization, 2 in water conservancy, and 2 in employment and social security services);

7. 40 in Taizhou (7 in teaching, 9 in supporting agriculture, 2 in supporting doctors, 10 in helping rural revitalization, 6 in water conservancy, and 6 in employment and social security services);

8. Suqian 80 (21 in teaching, 12 in supporting agriculture, 6 in supporting doctors, 30 in helping rural revitalization, 3 in water conservancy, and 8 in employment and social security services).

Second, the recruitment target and basic conditions

The recruitment targets are the graduates of full-time colleges and universities in the province in 2022, the graduates of full-time colleges and universities in Jiangsu in 2022, and the graduates of full-time colleges and universities in Jiangsu in 2020 and 2021. And meet the following conditions:

1. Good political quality, love the motherland and support the party’s basic line, principles and policies; Law-abiding, decent style; Have the spirit of professionalism and dedication, and volunteer to work in rural grassroots.

2. Qualified in academic performance, with corresponding professional knowledge, and able to graduate as scheduled.

(1) those who are engaged in teaching must be graduates with bachelor degree or above in normal or other related majors, and must obtain a teacher qualification certificate;

(2) Those who are engaged in supporting agriculture must be college graduates or above in agriculture, forestry, animal husbandry and other related agriculture-related majors;

(3) Those who are engaged in supporting medicine must be college graduates or above in medicine, pharmacy, public health and other related majors, and must meet the access requirements for health professionals and technicians;

(4) Those who are engaged in helping rural revitalization must be graduates with bachelor degree or above in public administration, social politics, Chinese secretarial, art, law, urban planning, construction engineering, finance and accounting, environmental protection, economy, business administration, business and trade, computer and other related majors;

(5) Those engaged in water conservancy work must be college graduates or above in water conservancy engineering and other related majors;

(6) Engaged in employment and social security services must be graduates with bachelor degree or above in public administration, social politics, Chinese secretarial, law, business administration and other related majors;

The setting directory of "major" in the above recruitment conditions refers to the "Jiangsu Province 2022 Examination Civil Servant Professional Reference Directory". Due to the epidemic situation in COVID-19, if the above recruitment conditions involve the requirements of teacher qualification certificate, they shall be implemented in accordance with the Notice of the General Office of the Ministry of Human Resources and Social Security and the General Office of the Ministry of Education on Doing a Good Job in the Open Recruitment of Kindergarten Teachers in Primary and Secondary Schools in 2022 (No.21 [2022] of the Human Resources and Social Security Department).

(7) See the recruitment schedule for specific recruitment positions and requirements in various places.

3. Good health.

4. Undergraduate and junior college students are under 27 years old (born after January 1, 1995), and graduate students with master’s degree or above are under 30 years old (born after January 1, 1992).

5. Under the same conditions, party member, outstanding league cadres, outstanding student cadres and "three good students" are preferred.

III. Recruitment Procedures

The recruitment work is carried out in accordance with the procedures of individual registration, qualification examination, written examination, interview, inspection, physical examination, publicity and decision on employment.

1. From June 16th to June 20th, individuals can register online.

2. From June 16th to June 20th, the relevant municipal "three supports and one support" offices will conduct qualification examination on individual registration information and determine the candidates for written examination.

3. On July 3rd, the written examination was organized in the whole province, and test sites were set up in nine cities: Nanjing, Xuzhou, Nantong, Lianyungang, Huai ‘an, Yancheng, Yangzhou, Taizhou and Suqian.

In late 4.7, the relevant municipal "three supports and one support" offices organized interviews, inspections and physical examinations, and reported the list of candidates to the provincial "three supports and one support" offices.

At the end of 5.7, the provincial "three supports and one support" office unified publicity, publicity time of 7 days. After the publicity, the relevant cities shall handle the employment procedures.

IV. Policy Treatment and Guarantee

In order to ensure the implementation of various benefits, during the service period, the provincial finance will co-ordinate the central subsidy funds, issue special subsidy funds according to the standard of 26,000 yuan per person per year, and give a one-time resettlement fee of 3,000 yuan to the newly recruited personnel in that year. The insufficient part and the funds needed for the independent recruitment of "three supports and one support" personnel beyond the recruitment plan issued by the province shall be borne by the local county (city, district) finance.

"Three supports and one support" personnel can enjoy the following benefits:

(1) Protection of treatment during service

1. During the service period, the "three supports and one support" personnel refer to the standard of wage income level of newly hired staff from college graduates in local township institutions after the probation period expires, and determine the standard of working and living subsidies, which will be paid monthly. Welfare enjoys the same treatment as the staff of the service unit.

2. From the month of starting salary, employees of local enterprises shall participate in various social insurances, pay housing accumulation fund and plan housing subsidies, and their working and living subsidies shall be taken as the payment base. The part paid by the individual shall be withheld and remitted from the personal allowance by the unit that issues the working and living allowance.

3 for the service period of "three supports and one support" personnel for personal accident insurance. Related expenses are included in the scope of working and living subsidies given by the finance.

4. According to the standard of 3,000 yuan per person, a one-time settlement fee will be paid to the newly recruited "three supports and one support" personnel who have served on the job for more than 6 months.

5. The personnel files during the service of "three supports and one support" personnel shall be managed by the public employment and talent service institutions of the human resources and social security departments of the counties (cities, districts) where they are located in principle, and the household registration shall be settled in the seat of the government of the counties (cities, districts) where they serve or transferred back to their original places according to their wishes, and the relationship between the party and the group organizations shall be transferred to their units.

(2) Preferential policies upon expiration of service.

1. Take out a certain number of positions of civil servants, institutions and provincial and municipal state-owned enterprises every year, and specifically recruit (hire) grassroots service project personnel such as "three supports and one support" who have passed the service examination.

2. Those who have passed the "three supports and one support" after the expiration of the examination and participated in the national postgraduate entrance examination within 3 years will receive a total score of 10 points for the initial examination, and will be given priority under the same conditions; Graduates who have been admitted as graduate students participate in the "three supports and one support" program, the school should reserve their admission qualifications; Graduates of the "three supports and one support" college who have passed the examination after the expiration of service can enter the starting undergraduate course of adult higher education college without examination; Graduates with bachelor’s degree or above who participate in supporting medical services shall be arranged by the county-level health authorities to participate in standardized training for residents after the expiration of the period and passing the examination.

3. Those who have no work experience before participating in the "Three Supports and One Support" plan have expired and passed the examination. They can equally enjoy the relevant policies of recent college graduates in terms of taking part in the examination (recruitment) of government agencies and institutions, employment, self-employment, settlement and further studies of various enterprises within two years.

4. Those "three supports and one support" who have passed the examination after the expiration of the service period start their own businesses, are included in the scope of policy support for college graduates to start their own businesses, and provide "one-stop" services such as policy consultation, project development, entrepreneurship training, business incubation, micro-loans, business guidance and follow-up counseling for their own businesses. In accordance with the relevant policies, those who meet the requirements for engaging in individual business can be exempted from administrative fees; For those who are employed flexibly through various forms, those who meet the requirements can enjoy social insurance subsidies.

5. If the "three supports and one support" personnel who have passed the service expiration assessment choose their own jobs, the human resources and social security departments at all levels and their public employment and talent service institutions will provide free policy advice, career guidance and career introduction services; Organize to participate in vocational qualification training, vocational skill appraisal or employment probation, and give vocational training subsidies according to regulations; Focus on helping the "three supports and one support" personnel who have not been employed for a long time after the service expires.

6. The "three supports and one support" personnel who have passed the examination after the expiration of the service period will enter the state-owned enterprises and institutions, and the receiving unit will determine the salary and treatment according to the positions hired by the employees with the same conditions. The service period of the "three supports and one support" personnel who have passed the examination after the expiration of the service period shall be calculated as the length of service. In the future promotion of senior titles, priority will be given to evaluation under the same conditions.

V. Registration related matters

(1) Announcement of recruitment information

The number, targets, conditions and policy treatment of the "three supports and one support" plan for college graduates in Jiangsu Province in 2022 can be inquired through the following websites:

Portal of Provincial Department of Human Resources and Social Security (http://jshrss.jiangsu.gov.cn);

Websites of human resources and social security departments of relevant cities.

(2) Registration method

Registration is conducted online. Registration, photo uploading, qualification examination and payment confirmation are all done online. Applicants can choose to take the written test in nine test areas: Nanjing, Xuzhou, Nantong, Lianyungang, Huai ‘an, Yancheng, Yangzhou, Taizhou and Suqian.

Registration Website: "Other Examination Column" of Jiangsu Personnel Examination Network, the business subnet of the portal website of the Provincial Department of Human Resources and Social Security (http://jshrss.jiangsu.gov.cn).

(3) Registration time

Registration and photo uploading time: 9: 00 on June 16th-12: 00 on June 20th;

Preliminary qualification examination time: 9: 00 on June 16th-16: 00 on June 20th;

Payment confirmation time: 9: 00 on June 16th to 19:00 on June 20th.

Applicants can use the bank card with online payment function to confirm the payment after passing the preliminary qualification examination and photo review, and the candidates who have completed the payment confirmation will be regarded as successful registration. Those who fail to confirm the registration qualification, upload photos or pay the registration fee online on time are deemed as invalid.

(4) Matters needing attention

1. Applicants should truthfully fill in the relevant information according to the requirements and online prompts, and upload the applicant’s recent bareheaded electronic photo (two-inch [35× 45 mm] photo on the front, in jpg format, below 20Kb in size). The relevant municipal "three supports and one support" offices will conduct audit according to the information provided by the applicants. Anyone who practices fraud will be disqualified from the examination or employment once verified.

2. According to the local recruitment plan, applicants can choose the provincial cities to apply for registration; Before the deadline for registration, if the qualification examination fails, it can be reported to other provinces and municipalities; When registering, you must use the second-generation ID card within the validity period. The ID card held by candidates when taking the exam must be consistent with the ID card used when registering, otherwise they may not enter the examination room to take the exam.

3. According to relevant regulations, applicants are required to pay the 100 yuan examination fee, and the candidates who take the written examination (except those who violate the discipline) will be given an equal subsidy for the examination fee. The equal subsidy will be distributed to the card originally paid by the candidates, and the candidates are requested not to cancel the card during this period. Candidates who have not paid the fee are deemed to have failed the registration. The equal subsidy will be issued after the written examination, and it needs to go through yeepay and the bank. Candidates are requested to pay attention to their bank card status and related information in time. If you have any questions, please call yeepay Customer Service at 95070 for consultation.

4. Applicants should take the admission ticket and the original ID card to the test center to take the written test according to the specified time. Before online registration, they should carefully read the Notice of COVID-19 Epidemic Prevention and Control for College Graduates in 2022 in Jiangsu Province (see Annex 3), and continue to pay attention to the epidemic situation in COVID-19 and the latest requirements for epidemic prevention and control in the districts and cities where the written test is located, so as not to affect the normal participation in the test.

The written test is a closed test, and no papers can be handed in or withdrawn in advance during the test.

5. The written test results are published in the "Results Query" column of Jiangsu Personnel Examination Network, the business subnet of the portal website of the Provincial Department of Human Resources and Social Security (http://jshrss.jiangsu.gov.cn), and applicants can query by ID number and admission ticket number.

(5) Print the admission ticket online.

Candidates who have passed the registration qualification examination and completed the payment confirmation within the specified time, please log on to the registration website to download and print the admission ticket from 9: 00 on June 30th to 24:00 on July 2nd. Before downloading and printing the admission ticket online, you should carefully read the relevant examination regulations and epidemic prevention requirements, and downloading and printing the admission ticket for written examination will be regarded as agreeing with and signing the Commitment Letter on COVID-19 Epidemic Prevention and Control for College Graduates in Jiangsu Province in 2022 (see Annex 3). If there is any problem in printing, please contact the Provincial Personnel Testing Center at 025-83236083.

Admission ticket printing website: the same as the registration website.

VI. Examination Implementation and Employment

(1) Written examination

The written test is organized by the whole province. Written test time: 9: 00-11: 00 am on July 3. There is no exam outline for this exam.

After the written paper marking, the provincial "three supports and one support" office will delimit the qualified line for entering the interview and inspection, and then the relevant cities will determine the shortlisted candidates for the interview and inspection according to the recruitment plan from high score to low score according to the ratio of 1:3.

(2) Qualification review

Before the interview, the applicants will be re-examined for registration qualification. At the time of qualification review, applicants should provide their ID card, student ID card or graduation certificate, teacher qualification certificate, political outlook and relevant certificates of being a student cadre and winning prizes. Those who fail to pass the review will be disqualified from the interview.

(3) Interview and inspection

The interview and inspection work shall be organized and implemented by the relevant cities. The specific time will be notified separately by the municipalities, please pay attention to the personnel examination websites of the municipalities.

The ratio of written test, interview and inspection is 4:3:3, forming the comprehensive scores of candidates. The comprehensive scores are from high to low, and the candidates for physical examination are selected according to the ratio of 1:1.

(4) Physical examination and publicity

The physical examination shall be organized and implemented in accordance with the general standards for physical examination of civil servants (for Trial Implementation) and the operation manual for physical examination of civil servants (for Trial Implementation).

Those who fail to pass the physical examination or give up will be given a one-time supplement according to the comprehensive scores of the candidates who apply for the position.

The relevant cities will submit the list of candidates who have passed the medical examination to the provincial "three supports and one support" office, and the provincial "three supports and one support" office will make a seven-day publicity on the portal website of the Provincial Department of Human Resources and Social Security.

(5) Employment

After the publicity, the relevant cities will organize pre-job training and dispatch to the post, and go through the employment procedures according to the time stipulated by the province. Recruiters are required to fill in the "Approval Form for the Employment of College Graduates in Jiangsu Province", which will be included in my personnel file after being approved by the "Three Supports and One Support" offices of various cities, and submitted to the "Three Supports and One Support" office for the record.

Seven, recruitment policy consultation telephone.

Xuzhou "Three Supports and One Support" Office: 0516-85792308;

Nantong "Three Supports and One Support" Office: 0513-83558025, 0513-83558011;

Lianyungang "Three Supports and One Support" Office: 0518-85811783, 0518-85825303;

Huai ‘an "Three Supports and One Support" Office: 0517-83646465, 0517-83660110;

Yancheng "Three Supports and One Support" Office: 0515-88198704, 0515-8668704;

Yangzhou "Three Supports and One Support" Office: 0514-85825319, 0514-85822332;

Taizhou "Three Supports and One Support" Office: 0523-86606565, 0523-86886131;

Suqian "Three Supports and One Support" Office: 0527-84353007, 0527-84353009;

Provincial "three supports and one support" offices: 025-12333, 025-83338133.

Eight, recruitment examination technical advice

Provincial Personnel Testing Center: 025-83236083.

 

Attachment:  1 "Jiangsu Province in 2022 college graduates" three supports and one support "recruitment schedule". xls

             2.2022 college graduates "three supports and one support" plan registration form and instructions for filling out the form. doc

             3. Jiangsu Province in 2022 college graduates "three supports and one support" plan to recruit written candidates COVID-19 epidemic prevention and control notice. doc

 

                                                                                                    Jiangsu province "three supports and one support" work coordination management office

                                                                                                                        June 15, 2022

International high-end management talent exchange and cooperation forum

  First, the overall design

  Activity name: China (Henan) Pilot Free Trade Zone International High-end Management Talent Exchange and Cooperation Forum (hereinafter referred to as "Free Trade Zone High-end Talent Forum").

  Theme of the event: Carry forward the spirit of Henan merchants in the new era and create a high-quality open highland.

  Activity time: October 26th from 14: 30 to 18: 00.

  Venue: Hall 3, Zhongyuan Grand Ballroom, Sheraton Meisheng Hotel

  Activity scale: 200 people

  Organizer: Henan Provincial Department of Commerce and Henan Pilot Free Trade Zone Work Office.

  Co-organizer: Administrative Committee of Zhengzhou, Kaifeng and Luoyang in Henan Pilot Free Trade Zone

  Second, the participants

  Provincial government leaders; Responsible comrades of leading group member units; Director, deputy director and relevant personnel of Zhengzhou, Kaifeng and Luoyang administrative committees of Henan Pilot Free Trade Zone; Representatives of district enterprises; News media.

  Invite well-known Henan entrepreneurs and senior executives of financial institutions at home and abroad, representatives of other influential enterprises and innovation and entrepreneurship projects at home and abroad, and representatives of experts, scholars and high-level talents at home and abroad to attend the meeting.

  III. Agenda

  Moderator: To be determined

  The first session is from 14: 30 to 16: 00: Main Forum.

  The first agenda: broadcast the propaganda film of Henan Pilot Free Trade Zone (10 minutes);

  The second agenda: Speech by the leaders of Henan Province (6 minutes);

  The third agenda: Zhang Yanming, Director of the Henan Provincial Department of Commerce, introduces the free trade zone and publishes the policy advantages of talent projects (10 minutes);

  The fourth agenda: Introduce the policies for attracting talents (projects) and policies for attracting talents, and release the demand for key talents (projects) (24 minutes);

  The fifth agenda: speeches by domestic and foreign experts and scholars, Henan entrepreneurs and financial executives (3, 10 minutes each);

  Agenda 6: On-site signing (10 minutes);

  Adjust the venue of the rostrum and place the sofa (5 minutes);

  The second session: 16:05-18:00: Two rounds of live dialogue sessions.

  Moderator: Chen Kaijie, member of the Party Group of the Provincial Department of Commerce and deputy director of the Free Trade Office.

  16:05-17:00 Henan businessmen do business after their return to China.

  17:05-18:00 Financial elites talk about free trade.

  The third link on October 27th, 09:00-12:00.

  Investigation and investigation in Zhengzhou area

  Fourth, the venue design

  The venue covers an area of 500 square meters.

  1. The main background board is a 7X3.5 HD LED screen. The propaganda film "Welcome to Open Henan" was broadcast before the event, and the cultural and trade industry matchmaking fair in Henan Pilot Free Trade Zone was displayed during the event. When presenting and speaking, display PPT synchronously.

  2. The podium is equipped with a podium, a desktop microphone and a wireless microphone.

  3. The first two rows of the seats are desk-shaped, with seat tags. The first row is the provincial leaders, department leaders and important guests, and the second row is the leaders and speakers who came to the stage to promote. The third row is arranged in a theater style, with about 200 seats.

  4. Media seats: Media seats will be set up behind the participants for the use of participating news media reporters.

How to prevent teenagers from imitating short videos with frequent injuries?

  ● Driven by interests, some short video platforms and video producers publish short videos with surprising, exciting, dangerous and difficult contents in order to attract attention and increase traffic, many of which hide potential dangerous factors, and users are prone to accidents when imitating.

  ● For high-risk videos and spoof videos, the short video platform should fulfill the obligation of early review and practice the principle of video review before broadcasting; For dangerous videos or videos with strong professionalism, if they are identified as dangerous or potentially dangerous, warning terms such as "Do not imitate" should be marked.

  ● After the accident, the guardian also has an unshirkable responsibility. Guardians should guide children to use all kinds of network service platforms in a healthy and controlled way; Earnestly perform supervisory duties, spend more time with children, and help children strengthen their ability to distinguish right from wrong.

  Our reporter Du Xiao

  Intern Dai Xueqing of our newspaper

  Recently, two girls in Zaozhuang City, Shandong Province, imitated online celebrity’s anchor to make popcorn with cans at home. As a result, they were burned seriously by careless operation, and one of them suffered a total burn area of 96%, and finally died unfortunately.

  The girl’s father, Mr. Zhou, said in an interview with the media that the two girls often play together and watch short videos on their mobile phones. Afterwards, he looked at similar videos on related short video platforms and found no risk reminder.

  In recent years, the short video industry has developed rapidly, but some incidents of user casualties caused by imitating popular short videos have also been exposed, among which the accident rate of minors is relatively high. Regarding the dangerous content in short videos, the reporter of Legal Daily interviewed relevant experts in the industry.

  Teenagers are keen on short videos.

  Accidents happen from time to time

  It is understood that the two girls in Zaozhuang City ignited high-concentration alcohol during the process of making popcorn with pop cans by imitating short online videos, causing explosion and fire. The 12-year-old Xiao Yu was slightly injured, while the 14-year-old Zhe Zhe died unfortunately because of his injuries.

  "When I first started to do it, I didn’t respond, so I poured the alcohol up. It just exploded when I poured it up. At that time, when I saw a fire, I quickly ran out to catch water to put out the fire. At that time, I was covered with fire, accidentally fell down, and ran out to call someone for help." Xiaoyu recalled.

  The "Legal Daily" reporter noted that such injuries caused by teenagers blindly imitating short videos have occurred too many times, and they are not limited to a short video platform, and the imitation forms are diverse and the dangers are different.

  In March 2018, a father and daughter in Wuhan imitated the somersault of a short video platform and finally hugged together. When the father grabbed his daughter and flipped it 180 degrees upwards, he suddenly slipped off. The two-year-old daughter landed on her head, causing serious damage to the spinal cord. The upper body has been unable to move.

  In May 2018, an 8-year-old boy in Xi ‘an, Shaanxi Province, caused his 6-year-old brother to stumble and fall, and his chin was stitched with ten stitches because he imitated the whole video of a platform "tape sticking to the door".

  The "Research Report on the Development of Online Video in China in 2019" released by the 7th China Internet Audio-visual Conference shows that as of December 2018, the number of online video users (including short videos) in China has reached 725 million, and short videos have shown explosive growth.

  The reporter of "Legal Daily" learned in the interview that short videos are becoming more and more popular among teenagers and are welcomed by many people.

  "In our class, many students brush short videos, and whoever doesn’t play will be out." Xiaoyu, a junior high school student, told the reporter of Legal Daily that every day during recess, he could hear his classmates humming "Tik Tok Divine Comedy" and chatting with online celebrity jokes, and sometimes he would imitate one or two funny videos to make jokes with his friends. Some students also opened their own short video accounts to post videos online, and invited teachers and students to pay attention to them. The number of likes and comments exceeded 1,000, and they became small stars in the school.

  Xiaoyu also said that he is also a loyal user of short videos. He brushes short video apps every day after school, and often forgets the time by brushing short videos. Sometimes when I see the novel and interesting contents in short videos, I can’t help but pull my classmates and parents to imitate them.

  This year’s Spring Festival, Xiaoyu brushed a short video of spraying hot water into the air to freeze instantly. At that time, he thought it was very interesting and imitated the video to sprinkle water. As a result, the water did not freeze, so Xiaoyu was very disappointed.

  When asked if he was aware of the danger that hot water spilled over his head might cause burns, Xiaoyu said that he was not aware of it. As for why he imitated such short videos, Xiaoyu replied without hesitation: "Fun!"

  Zhao Liangshan, a lawyer in Shaanxi Province, has taken over some cases related to short videos. He believes that there are three main reasons for the accidents caused by imitating short videos: First, short videos contain dangerous content, that is, some short videos containing thrilling, strange and difficult contents are produced and released in order to attract attention; Second, the wide spread of dangerous content; Third, blind imitation or unguided imitation may lead to the imitator’s accident.

  "The accident probability of minors is higher than that of adults. This is because minors have the characteristics of strong curiosity, love to try, immature mind, poor judgment and nonstandard operation, and have poor identification of potential dangers. Therefore, the possibility of risks remains high. " Zhao Liangshan said.

  Dangerous content attracts attention

  The publisher should have a warning.

  What is the reason that some short video platforms have a lot of video content with hidden risk factors?

  Li Danlin, a professor at China Communication University, believes that with the popularity and maturity of the Internet, short videos have become one of the main entertainment ways for many people to kill fragmentation time and obtain information by virtue of their rich content information and direct sensory stimulation. At the same time, short videos have the product advantages of strong participation and low production threshold. Users are not only information recipients, but also creative output subjects. Publishing videos attracts fans’ attention and rewards, and even makes profits by being pushed to the homepage of the platform. It is this powerful communication and liquidity that attracts more participants and intensifies the competition in the short video field.

  "Driven by interests, some short video platforms and video producers release short videos with surprising, exciting, dangerous and difficult contents in order to attract attention and increase traffic. Many of them hide potential dangerous factors, and users are prone to accidents when imitating. Although the duration of a single short video is short, this kind of short video App can kill time. Especially for young children with poor self-control, they are easy to indulge in it and occupy too much energy. And the short video content is complicated, and some vulgar and harmful content may endanger children’s physical and mental health and even affect the formation of their values. " Li Danlin said.

  After an accident, should video producers and platforms be responsible for the damage caused by users imitating short video content?

  Zhao Liangshan believes that as long as the video content of the video publisher does not have infringement reasons, illegal reasons and induced plots, it is generally not responsible. On the contrary, it is necessary to bear the responsibility corresponding to its fault. But at the same time, it should be noted that video communication platforms and websites should make necessary tips and warnings for dangerous videos. For high-risk videos and spoof videos, we should do a good job of reviewing them in advance and practice the principle of video trial before broadcasting; For dangerous videos or videos with strong professionalism, if they are identified as dangerous behaviors or potentially dangerous, warning terms such as "Do not imitate" or "Professional actions, beware of injury, and proceed under guidance" shall be marked, or technical ambiguity and other means shall be adopted to prevent the audience from imitating.

  "If the video is violent or illegal, measures such as informing, deleting, shielding, banning broadcasting and disconnecting links should be taken in time to prevent short video platforms from becoming ways and accomplices to spread dangerous behaviors. If the above management responsibilities are not fulfilled, the platform party shall bear corresponding responsibilities. " Zhao Liangshan said.

  Li Danlin believes that the short video platform should strictly establish a pre-evaluation mechanism, and the platform should formulate more detailed and detailed content specifications according to relevant laws and regulations, clearly inform all users whether their uploaded content meets the publishing standards, strengthen their sense of responsibility, and reduce the possibility of danger from the source. Platforms that ignore public interests and excessively pursue traffic should be required to bear corresponding civil liabilities according to the actual situation.

  Zhu Wei, deputy director of the Communication Law Research Center of China University of Political Science and Law, believes that the anchor is not only the photographer, performer and disseminator of Duan Zi, but also the winner of Duan Zi and live broadcast traffic bonus. From an economic point of view, the main purpose of the anchor shooting segment to get attention is to get traffic. Taking the live broadcast platform as an example, there are two channels for realizing traffic. One is live popularity and rewarding profit. For example, an anchor with 10 to 20 million fans has hundreds of thousands of people live online every time, and the rewards for one or two hours of live broadcast every day range from tens of thousands of yuan to hundreds of thousands to millions of yuan. The second is to profit from advertising. For example, an anchor with 10 to 20 million fans publishes a paragraph advertisement, and the cost ranges from several hundred thousand yuan to millions of yuan.

  "From the perspective of traffic realization, the segment shot by the anchor must have a high degree of attention, so that there is a chance to realize it. In addition to high-quality and high-cost videos, most anchors get the fast track of attention, which is either vulgar or curious. This video that caused burns in Shandong belongs to the range of curiosity videos. " Zhu Wei said.

  Zhu Wei believes that an anchor should judge the influence of his works, especially the big anchor with 20 to 30 million fans, knowing that his fans are of complex age, should also know that this video may be imitated after broadcast, and should also know the dangers of flammable and explosive substances such as alcohol. However, in this incident, the anchor did not make any reminders or hints in the short video. Instead, he was showing off, performing and promoting such practices, as if such dangerous behaviors were commonplace. This kind of behavior, from the point of view of legal responsibility determination, should know but pretend not to know, and the due obligation has not been fulfilled. This is to let the damage happen, which is indirect intention and should bear tort liability.

  Constantly strengthen content management

  Parents are responsible for guardianship.

  The video casualties of two girls imitating in Zaozhuang have aroused widespread concern in society. According to a survey conducted by Weibo, a media official, 41.48% of netizens think that individual short videos are very harmful and should not be spread. 35.52% of netizens suggested that the platform should strengthen audit management; 16.21% netizens think that video publishers are grandstanding and should be sealed; Another 6.72% netizens think that this kind of video is an alternative idea.

  Zhao Liangshan believes that the frequent short video problems on the Internet are still mainly due to the rapid development of the Internet, while laws and regulations are relatively lagging behind and supervision is difficult. Some people use the Internet to opportunistically walk on the edge of the law, resulting in some problems not being effectively managed.

  In fact, in recent years, the supervision and management of short videos has become more and more strict.

  On January 9th, China Network Audiovisual Program Service Association issued "Management Standard for Network Short Video Platform" and "Detailed Rules for Auditing Network Short Video Content", which made detailed requirements on short video content and technology.

  On March 28th, the National Network Information Office organized short video platforms such as "Tik Tok", "Aauto Quicker" and "Volcano Video" to pilot the online youth addiction prevention system. This is the first attempt in the field of network short video to prevent teenagers from indulging, which is of innovative significance for caring for the healthy growth of minors, fulfilling social responsibilities of the industry and creating a good network environment.

  Li Danlin believes that China has detailed rules and regulations on the content and management of Internet short videos, but the successive introduction of corresponding laws and regulations cannot completely cover the problems exposed by the rapid development of short videos. For example, how to define and review some short videos that are not within the scope of prohibited rules but do have security risks? Should video producers and platform parties be completely exempted from the accident after the video publishing subject clearly identifies the safety tips? Such problems are not only related to the establishment of laws and regulations in the industry, but also related to many issues such as ethics and management, which need to be further refined and improved.

  Zhao Liangshan suggested that the supervision of Internet platforms should be strengthened, laws and regulations should be improved, and responsibilities, contents and illegal situations should be determined by legislation to increase the illegal cost of Internet platforms; Implement the self-correction and self-inspection responsibility of the Internet platform itself, strengthen the internal management of enterprises, and put forward practical tasks, objectives and requirements for auditors. Once there is a breach of contract, in addition to punishing the enterprise, the main person in charge should also be punished; Increase technical monitoring, set up an automatic screening system for short videos harmful to people’s health, and constantly optimize the content of short videos watched by teenagers to limit the viewing time.

  Li Danlin suggested that in the network era when everyone has a "microphone", it is also essential to give full play to the supervisory role of users. The short video platform should encourage users to actively participate in content supervision, and encourage users to feed back short videos with violations or potential safety hazards to the platform in time, so as to broaden the supervision channels.

  "After the accident, the child guardian also has an unshirkable responsibility. First of all, before equipping or using mobile terminals such as mobile phones for minors, guardians should be aware that the network will bring both advantages and disadvantages to young children. How to guide children to use various network service platforms healthily and moderately is the primary responsibility of parents. Secondly, as the closest person to the child, the guardian should earnestly perform his supervisory duties, spend more time with the child, understand their interests and concerns, find out the abnormal behavior of the child in time, and prevent it from being delayed and stopped in time. Finally, guardians should assume the responsibility of educating children and help them strengthen their ability to distinguish right from wrong. " Li Danlin said.

  Zhu Wei believes that in general, parents as guardians should bear the first responsibility. In this incident, children can easily find such a dangerous thing as alcohol and put it into practice, which is obviously caused by the unfavorable parental supervision.

  "In the Internet age, parents’ responsibilities are even more arduous. In addition to offline daily monitoring, online parental monitoring systems, anti-addiction systems, and youth protection models all require close cooperation between parents and platforms. Child custody is a scope of social co-governance. It is impossible to rely solely on the platform and the government. Parents, schools and society must all join in to form a monitoring system from law to technology and from point to point. " Zhu Wei said.

On the "New Story Compilation" of Domestic Animated Films from The List of New Gods: Yang Jian

The animated films in the hot show have inherited the system of "deifying" pioneered by other films, and taken another solid step on the road of building "China Animation School" in the new century with rich narrative content and distinctive artistic characteristics. However, its narrative defects have exposed the universality of domestic animated films in adapting myths and legends in recent years. It is of great significance to explore this issue in depth to promote the benign development of "China Animation School".


The new list of gods: Yang Jian takes the myth story of Aquilaria sinensis saving the mother as the core, integrates the relevant plots of Romance of the Gods, and integrates myths and historical stories such as the Goddess of Wushan and the warlord of Zhou Youwang, focusing on the mental journey of Yang Jian and Aquilaria sinensis seeking for themselves and resisting power, which is exactly the same as the previous similar works such as Ne Zha Legend of Deification weakening the collective ethical narrative and strengthening the personal growth narrative, showing the narrative and values of the "China Animation School" and traditional animation works in the new century. However, just like the controversy caused by Ne Zha’s release, the excessive reconstruction of The List of New Gods: Yang Jian under the shell of "a new story" is also worth pondering.


The most interesting thing in the film is the "blackening" transformation of the celestial groups represented by Yuding real person and the four heavenly kings. In the traditional story of the Three Notre Dames, the Lotus Lantern bears the spirit of Yang Chan and Liu Yanchang’s guarding and rebelling against love. This story was transplanted into the film, and it was adapted into the spirit of dedication to protect the world, and it was sublimated from "small self" to "big self" in value. However, with the development of the plot, the traditional narrative of Lotus Lantern gradually disintegrated: Yang Chan, the Three Virgin, who tried her best to suppress the mysterious birds, was just a chess piece ruthlessly manipulated by Yuding real people; While talking about "the great righteousness of the world" and "the sentient beings in the three realms", Yuding real people used Yunhua, the mother of Yang Jian, and Yang Chan, the sister of Yang Jian, to achieve their political goals, and the original touching friendship between master and apprentice disappeared. Whether Yang Jian split Taoshan or Agarwood split Huashan, it was the deliberate operation of Yuding real interest groups, and the ethical connotation of the story itself was greatly weakened.


The story after the "new edition" has multiple explosive points, such as court tactics, blood relatives fighting, loyalty and injustice, which undoubtedly enhances the readability and commercialization of the film. In fact, in recent years, many animated films adapted from traditional myths and legends have such a tendency. Ne Zha strengthened Nezha’s "anti-tradition" color of "disobedience and unfilial", and Legend of Deification strengthened the hero’s lonely heroic color of resisting the collective will for personal value. This adaptation conforms to the trend of pursuing individuality in the current youth subculture and has gained many fans. However, the subversive reconstruction of the traditional story system and the ethical system behind it implies the danger of falling into the quagmire of value nihilism from myth nihilism.


The reason why these "new stories" can be established in narrative logic is that the system of China’s myths and legends is complex, which leaves enough space for the current reconstruction, but the ethical system behind it is complete and firm. Whether it is a personal narrative that praises love and exalts family ties, or a collective narrative of self-sacrifice and resistance to power, it contains the national spirit condensed by the Chinese nation in the long process of agricultural civilization evolution. This national spirit not only cherishes personal values, but also vigorously promotes family, family-centered collectivism values and community consciousness.


However, from Legend of Deification in The Big Fish Begonia to The New List of Gods: Yang Jian, this collectivism value and community consciousness have been gradually deconstructed in the artistic world of "New Stories". For example, the concept of "love is above everything else" in Big Fish Begonia and Legend of Deification’s concept of "individual is above the collective" clearly declared this tendency, while The New List of Gods: Yang Jian quietly hollowed out the core of social and ethical relations such as mentoring and friends through the blackening of Yuding real people, leaving only the trust and willfulness of the relationship between individuals and blood relatives, which undoubtedly fell into the pattern of individualism.


Animated films conform to the growth track of the younger generation, express the value appeal of young people, and also reflect the value confusion of young people. Domestic animated films with "new stories" are put into the "new wine" of youth culture with "old bottles", but the educational and guiding functions of film art as an important category of popular culture are ignored. Although traditional stories have their limitations of the times, there are also defects and misunderstandings in youth subculture. The significance of "new story compilation" is not only to endow the traditional narrative with new connotation of the times, but also to guide the audience to establish "new value" in the new era with "old stories". If we blindly obey and cater to the aesthetic preference of the market and abandon the responsibility and mission of socialist literature and art, the development of animated films will inevitably be mired in the quagmire of commercial reproduction.


Needless to say, with its exquisite artistic presentation and complicated narrative construction, The List of New Gods: Yang Jian has become the most eye-catching animated film this summer, and will certainly become one of the representative works of "China Animation School" in the new century. However, how the "China Animation School", which is characterized by the "new story compilation", establishes the value benchmark of the new era in the "new story compilation", organically combines the construction of the nationality of animated films with the modernization of the national spirit, and makes domestic animated films become an important participating force in the creative transformation and innovative development project of excellent traditional culture, which is still an urgent problem for China animators.


Looking for business opportunities in the examination of down-and-out candidates, Zhejiang police cracked the case of selling national-level examination questions

Looking for business opportunities in the examination of down-and-out candidates, Zhejiang police cracked the case of selling national-level examination questions

  Zhoushan, China, March 15th (Reporter Lin Bo correspondent Chen Weifang Hu Xiao) The national professional and technical personnel qualification examination is commonly known as the "title examination". Obtaining the title certification can not only promote the salary increase, but also affect the career prospects, and even bring convenience to the settlement in some cities. Therefore, some people stay up all night reading, while others rack their brains to take shortcuts, which makes some lawless elements see "business opportunities".

  In 2018, the network police brigade of Dinghai Branch of Zhoushan Public Security Bureau in Zhejiang Province found that someone publicly peddled the answers to the title examination online in their daily work. After nearly half a year of investigation and evidence collection, tracking and arrest, they successfully cracked the first online sale of national-level examination questions in Zhoushan recently, and arrested 2 suspects, involving more than 15,000 yuan.

  Looking for "business opportunities" in the examination of down-and-out candidates

  Wang, a 25-year-old man from Weishi, Henan Province, worked as an ordinary skilled worker in a construction company in Changbai Township, Dinghai District. In order to get into a management position as soon as possible, in May 2018, Wang signed up for the national second-level constructor examination (hereinafter referred to as "Second Construction").

  During the preparation period, he joined a number of QQ groups for exams, so he made friends with a netizen named "King" who was selling answers to exam questions. At first, Wang didn’t believe the truth of the answer and didn’t buy it. Until the end of the exam, another netizen told him that the answer of "Dawang" was true, and he also sent questions and answers. Wang was shocked after checking it. Only then did he believe that "Dawang" did have channels to get the answer.

  In September 2018, the national first-class constructor exam (hereinafter referred to as "Yijian") was just around the corner, and the QQ group became lively again, and all kinds of information about buying answers to exam questions at high prices came in an endless stream, which made Wang, whose family was poor, have the idea of reselling exam questions.

  In order to improve the income, Wang only bought the answer of the last of the four subjects from the "King" place at the price of 500 yuan, and then copied and pieced together the answers of the first three subjects from other online channels at will, trying to sell them by the way of genuine imitation. At the same time, in order to further convince people of the authenticity of the examination questions, Wang adopted the sales strategy of giving the first answer for free and paying for the last three, with the price ranging from 50 to 1000 yuan.

  Sure enough, as soon as the news of selling the questions hung out in the QQ group, many candidates contacted Wang one after another, and it didn’t take long for him to easily earn more than 5,000 yuan. Then he formed a group of netizens who had paid money separately. In order not to give away the clues, he only sent the last three answers on the day of the exam.

  Although, after the exam, many netizens told him that the questions were wrong and asked for a refund, Wang didn’t care and dissolved the QQ group.

  However, what Wang couldn’t think of was that his business had been targeted by the police as soon as it opened. On September 17, 2018, the police arrested Wang in his dormitory and seized one computer and two mobile phones involved.

  A thousand miles to track down the thief and catch the king first

  According to Wang’s account and the results of electronic data exploration, the police found that criminals bought and sold answers to test questions through the Internet, and generally settled money with WeChat and Alipay. The people involved were all over the country, and the real identity of the other party was not clear between the upper and lower families. These factors caused great trouble to the case handling work.

  How to find the last "king" in the vast network has become the primary problem that the police must overcome.

  After online tracing, the police initially locked the suspect’s location in Liupanshui City, Guizhou Province. In order to determine the identity of the suspect, the police rushed to the local area non-stop, and finally found out the true identity of the "King" through a lot of investigation, field investigation and clue analysis — — Yang, male, 32 years old, from Zhengzhou, Henan.

  On December 5, 2018, the police successfully captured it in a construction site in Liupanshui.

  In the face of the trial, Yang thought that the transactions were all done online through virtual identities, and the relevant data had already been deleted, so there was no way to prove it. At first, the performance did not cooperate.

  However, in the end, in the face of the wisdom and evidence of the police, Yang confessed to the facts of the crime and explained more than 10 people who bought the answers.

  Yang confessed that on the eve of the exam, he bought the answers to four subjects at one time from a netizen named Spongebob on QQ at a price of 2,700 yuan, and then the sales method was basically similar to that of Wang. Yang said that he earned a total of more than 10,000 yuan by reselling test questions.

  The content of the test questions is highly consistent.

  The authenticity of a criminal suspect’s selling test questions is directly related to the determination of the crime of fraud or illegal selling, providing test questions and answers.

  The police reported the test materials seized from Wang and Yang for identification. Appraised by relevant departments: the contents of the first and second test questions can all correspond to the corresponding subject test papers of the first-level constructor in 2018; Nearly 70% of the content of the third test question corresponds to the corresponding subject test paper of the first-level constructor in 2018, and another 15% can correspond to the corresponding subject test paper of the first-level constructor in 2017.

  On February 27th, 2019, the criminal suspects Wang and Yang were transferred to Dinghai police for examination and prosecution according to law because they violated the provisions of the third paragraph of Article 284-1 of the Criminal Law of People’s Republic of China (PRC) and were suspected of illegally selling and providing test questions and answers. The suspect "Spongebob" and the source of the leaked answers to the test questions are being fully investigated by the police.