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On January 14th, passengers stopped at Chongqing West Railway Station. Xinhua News Agency reporter Wang Quanchao photo

On 14th, Spring Festival travel rush officially kicked off in 2025. A record-breaking "world’s largest population migration" with an estimated 9 billion person-times began to take place in China, and the "floating China" once again showed its full vitality.

According to the forecast of China’s transportation department, in the 40-day Spring Festival travel rush, the cross-regional personnel flow of the whole society will reach 9 billion passengers, and the passenger traffic of railways and civil aviation is expected to exceed 510 million passengers and 90 million passengers respectively, both reaching record highs.

This year is the first Spring Festival travel rush after the successful application for World Heritage during the Spring Festival, and it is also the Spring Festival travel rush with an 8-day Spring Festival holiday. "The demand for travel such as visiting relatives and traveling will be further stimulated, and the passenger flow in Spring Festival travel rush will continue to grow on the basis of last year’s high base." Yang Zhusong, an associate researcher at Tsinghua University Institute of National Studies, said.

China has made joint efforts from many places and departments to ensure a convenient and warm trip to Spring Festival travel rush. Beijing railway station improves the way of passengers entering and leaving the station and improves the traffic efficiency; Shenzhen North Station cooperates with China Railway Express and Shenzhen Airport to set up service points. Passengers can check in and check their luggage immediately after getting off the high-speed rail.

The high-speed railway with a mileage of 48,000 kilometers is the main force in Spring Festival travel rush. In 2024, a new high-speed railway line of 2,457 kilometers was put into operation in China, making it more convenient for passengers to travel in Spring Festival travel rush.

In shanghai hongqiao railway station, Wang Qinran’s family took the G1627 train back to their hometown of Huzhou to visit relatives and have a holiday. The Shanghai-Suzhou-Lake high-speed railway connecting the Yangtze River Delta was opened at the end of 2024, and it only takes about one hour to return to Huzhou from Shanghai. "Not only is the driving time reduced by half than before, but the number of optional trains has also increased significantly. Spring Festival travel rush is very comfortable this year. " Wang Qinran said.

In 2025, self-driving travel will occupy the main position in Spring Festival travel rush, and it is estimated that the scale of cross-regional self-driving travel will reach 7.2 billion. With the successful application for the World Heritage in the Spring Festival, it has become a new year’s way for many people to bring their families to go on road trip and experience different folk customs in different places. According to the data of Zhongxin Tourism Group, the number of people traveling in the Spring Festival in 2025 is expected to increase by 46%.

Guo Wei and his family drove north from Tangshan, Hebei Province. On the first day in Spring Festival travel rush, he arrived in Fuxin, Liaoning Province to experience folk tourism. He was very interested in local activities such as paper-cutting and posting Spring Festival couplets.

On January 14th, passengers displayed their Spring Festival ornaments in the waiting hall of Guangzhou South Railway Station. Xinhua News Agency reporter Deng Hua photo

"The successful application for the World Heritage has added a special flavor to the Spring Festival." Guo Wei said that his trip to Spring Festival travel rush will continue in the next few days. "We plan to drive all the way to Harbin to deeply experience the folk customs of the Spring Festival in Northeast China".

Influenced by favorable factors such as the new policy of 240-hour visa-free transit and the increase of entry and exit ports for visa-free transit personnel, the popularity of "China Travel" has not diminished, and more and more foreign faces have appeared in the "Spring Festival travel rush Army". According to a report by Ctrip, the number of foreign tourists’ travel orders in China in the Spring Festival of 2025 increased by 203% year-on-year.

Polish tourist Magdalena and his family were waiting at Shanghai Pudong Airport on the 14th, preparing to fly to Shenyang to start a trip to Northeast China. In the next few days, they will also take the high-speed train to Anshan and other places.

"I have heard of Spring Festival travel rush in China, and it feels very special to catch up this time. You can enjoy the beautiful scenery along the way, appreciate the folk customs and have a different experience." Magdalena said.

The reference news network reported on December 17. The US media said thatWeapons that can kill people without direct human participation, the so-called "lethal autonomous weapons" will soon appear.

According to the US Forbes biweekly website reported on December 15, on September 14, 2019, a small number of drones attacked the Hureis oil field and the Bougueg refinery in Saudi Arabia. In addition to disrupting 5% of the world’s crude oil production, the attack also highlighted some challenges brought by the use of these remote-controlled weapons.

The report said that the first is that it is difficult to be accountable. Nearly three months after the incident, it is still unclear who made the attack. Like hackers in cyber warfare, the attackers left almost no trace. Another problem is that such weapons are small in size and relatively low in cost, so they may be attractive to a small group of militants or terrorists and some countries.

The report said that this is scary enough. However, in view of the current development direction of the arms industry, these concerns cannot be compared with those that may arise in the future.

As the Dutch NGO "Peace" pointed out in a report published a few weeks ago, the world is on a dangerous path, and those weapons that can kill people without direct human participation, the so-called "lethal autonomous weapons", will soon appear. The more common name of this kind of weapon is "killing robot".

According to the report, this nickname is misleading to some extent, reminiscent of fantasy things such as "Terminator" in science fiction movies. In fact, these tools are similar to more traditional deadly devices: unmanned combat aircraft, tanks, submarines; What has changed is not the shape of the weapon, but its degree of autonomy. At present, completely autonomous offensive weapons have not been deployed in actual combat, but machines are becoming more and more advanced, and the dependence on human control is decreasing.

Profile picture: T-800 hunting robot in the sci-fi movie Terminator. (Forbes biweekly website)

Profile photo: The Turkish "Cargou" attack four-axis UAV was unveiled at the exhibition. (Turkish Ministry of Defence website)

One example is the "Cargou" autonomous attack four-axis UAV developed by the Turkish state-owned enterprise STM. According to reports, it will be deployed in the border area adjacent to Syria in eastern Turkey in 2020. According to an article in the Turkish newspaper Freedom, each "Cargou" fleet will consist of 30 drones, all of which are equipped with artificial intelligence and facial recognition systems. Depending on the coordinates or images of the target, these Cargou UAVs will be able to complete all tasks autonomously. Fortunately, human operators can still choose to "abort the mission" and "return to the base" at all stages of the drone attack.

According to the report, Russia’s T-14 Amata main battle tank is equipped with unmanned turrets and computerized systems, so it is often regarded as another equipment case that will soon achieve complete autonomy-although some people doubt whether this will really make it more effective on the battlefield.

Perhaps not coincidentally, countries such as Russia, Israel and the United States strongly oppose banning the development of "killing robots" in advance. The United Nations discussed the issue of pre-banning such weapons at a meeting in Geneva in November.

As The New York Times pointed out in a recent special report, the measures to ban blinding laser weapons in advance were successful. Therefore,Theoretically, this ban may also apply to "killing robots". The general public awareness and strong support for the ban may change the situation, which is what is missing at present.

[Extended reading] Lifting the ban on "killing robots"? The US military AI development strategy involves ethical disputes.

The reference news network reported on February 15. According to the British "Daily Mail" website reported on February 14th, the US military hopes to expand the application of artificial intelligence (AI) in the war, but said that it will pay attention to the deployment of this technology according to national values.

According to the report, in a 17-page report, the Pentagon explained how to inject artificial intelligence into future military operations and how to keep up with the technological progress of Russia and China in the future.

The report entitled "Using Artificial Intelligence to Promote Our Security and Prosperity" marks the first time that the Pentagon has formulated a strategy on how to deal with the rise of artificial intelligence.

The strategic plan calls for accelerating the use of artificial intelligence systems in the whole army and carrying out a series of tasks, from intelligence gathering actions to predicting maintenance problems of fighter planes or ships. It urges the United States to rapidly advance such technologies before they are weakened by other countries.

"Other countries, especially China and Russia, are also investing heavily in artificial intelligence for military purposes, including those applications that have been questioned by the outside world in terms of international norms and human rights," the report said.

The report makes little mention of automated weapons, but quotes a military directive in 2012 that requires manual control. A few countries, including the United States, have been obstructing the international community from setting a ban on "killing robots" at the United Nations. One day, this completely autonomous weapon system may wage war without human intervention.

The United States believes that it is too early to try to regulate "killing robots".

The report believes that the strategic report released by the Pentagon this week focuses on more immediate applications, but even some of them have triggered ethical debates.

After Google’s internal protests led the technology company to withdraw from the Maven project last year, the Pentagon encountered obstacles in the field of artificial intelligence. Maven project is to analyze aerial images of conflict areas by using algorithms.

Other companies are trying to fill this vacuum, and the Pentagon is working with artificial intelligence experts in industry and academia to formulate ethical guidelines for their artificial intelligence applications.

Todd Probert, vice president of artificial intelligence department of Raytheon, said: "Everything we see is decided by human decision makers."

Probert said: "The project is using technology to help speed up this process, but it has not replaced the existing command structure."

（2019-02-15 10:29:27）

[Extended reading] Expert warning: Killing robots may lead to an arms race or lead to the massacre of civilians.

The reference news network reported on November 21. The British "Star Daily" website published a report entitled "The Killing Robot Arms Race" on November 17th.

An artificial intelligence expert revealed that the United States, Britain, Russia, Israel and other countries are involved in a competition to build a killing robot army.

From self-shooting guns and drones to remote-controlled super tanks, prototype robots in the United States and Russia have been successfully built and ready to go. And humanoid robots on the battlefield will only appear in a few decades-and outline a terrible prospect for the world.

Noel sharky, honorary professor of artificial intelligence and robotics at the University of Sheffield in the UK, told SciDev.Net: "An arms race has begun."

Sharky said: "What we are seeing now is that the United States, Israel and Russia (the killing robot arms race) has begun. If these things appear, then they may accidentally trigger war at any time. "

He also said: "How can we ban them? You can put these things on hold forever, but they only need to be recharged to start again. "

Nowadays, artificial intelligence robots are setting off a craze around the world. Professor sharky is worried that the research and development of killing robots may also have such an amazing speed. Therefore, he is leading a global movement to ban killing robots.

After this website disclosed the latest development-American robots do backflips-the expert warned that the latest project in Russia was "absolutely frightening".

Sharky said: "There is something terrible … The Russians have developed this thing called’ super tank’, and it is the most advanced tank in the world, which is much ahead. It is definitely a monster with great destructive power, and they can remotely control it. They are still trying to turn it into a fully automatic robot at the fastest speed. "

Although autonomous armed robots are ahead of humanoid robots for many years, Professor sharky is worried that the possible humanoid robots may bring disaster to the world-leading to the massacre of civilians.

When warning about the terrible consequences of killing robots, Professor sharky said: "This can’t be in line with the laws of war. Can they distinguish whether a target is a military target or a civilian target? This is the key to the law of war. "

He said: "It is also not allowed to kill people who try to surrender. I know that many people think that surrender means raising a white flag, but actually surrender means any gesture that shows that you are no longer fighting, such as lying on the ground unarmed … but robots can’t distinguish this. My biggest personal concern is what kind of damage this will cause to global security-because an arms race for such weapons has already begun. "

Profile picture: American robot that can do backflips. (British "Star Daily" website)

（2017-11-21 10:14:24）

[Further reading] German media said that the United Nations wanted to restrain the development of "killing robots" so far without results.

The reference news network reported on November 16. According to the German Daily Mirror website reported on November 13th, in the near future, completely autonomous killing robots will decide people’s life and death on the battlefield. Discussions on prohibiting or at least restricting the use of such weapon systems have not stopped in recent years, but so far there is no result. The United Nations recently began discussions on this issue in Geneva.

What is a killing robot?

Its official name is "lethal autonomous weapon system". At present, there is no universally valid definition. The United Nations and the International Red Cross explain it this way: it can set targets, launch attacks and clear targets without human help. In other words, once programmed, these weapon systems can independently analyze data, navigate to the combat area and use weapons such as cannons or rockets. In recent years, the great progress in the field of artificial intelligence constitutes the basis for the development of killing robots.

The drone that is already in use is still controlled by soldiers, so it is not a killing robot. Although it doesn’t seem far away from its independent operation.

How far has it developed?

Russian Deputy Prime Minister rogozin, who is in charge of armament, released a video this spring, in which a humanoid killing robot like Terminator can be seen. This is more of a propaganda category. It doesn’t matter whether the appearance is similar to that of human beings. Experts from Human Rights Watch believe that "the autonomy of weapon systems developed by the United States, Britain, China, Israel, Russia and South Korea is increasing". At present, there are already prototypes in use.

Supporters argue that it will minimize the danger of soldiers. But this may lead to the lowering of the threshold and the increase of wars-thus leading to more civilian casualties. People can already see this development in the use of remotely controlled drones.

The picture shows a military drone equipped in the United States.

Who will bear the consequences?

This is a fundamental ethical issue that is inseparable from the killing robot. Ethical and moral actions, the distinction between good and evil, right and wrong, the evaluation of the consequences, and the responsibility for one’s own actions all do not exist in future wars. Although the robot has artificial intelligence, it has no feelings such as pity or regret, and it has no sense of guilt. It has no way to start with concepts such as moderation. But this is written in the so-called law of war: the parties to the conflict must avoid unnecessary damage and unnecessary pain to each other. We must be kind to civilians, injured, incapacitated and captured soldiers. Experts believe that this cannot be programmed. In 2013, policy experts warned in a report to the United Nations Commission on Human Rights that these "tireless war machines" may turn armed conflicts into endless wars-diplomacy will not be able to stop the killing of machines dedicated to fighting even if there is no hope.

How to establish legal norms?

So far, no. This UN conference will not legislate, but will only explore its political, ethical and legal space in a "political statement". A ban is out of the question.

Since these systems do not actually exist at present, Germany and France propose to define autonomous weapon systems first. A group of technical experts, including military representatives, will explain the risks of new weapons. The representative of the "International Campaign to Stop Killing Robots" thinks that this is not enough, and these weapons must be banned in advance.

Only 19 countries have asked for a ban. Behind the scenes, it is precisely the countries that are leading in integrating artificial intelligence with combat equipment. Recently, more than 100 experts wrote in an open letter that killing robots are the third combat revolution after gunpowder and nuclear bombs. If new weapons fall into the hands of tyrants and terrorists, what awaits people will be complete terror.

（2017-11-16 09:31:00）

　　Innovation is the first driving force for development. In 2021, scientific and technological innovation will support and lead the high-quality development of China’s economy.

　　In recent years, the global economy has been hit by the COVID-19 epidemic, but China’s economy has maintained a growth trend. In 2021, China’s innovation-driven development trend continued to improve, the profit growth rate and investment growth rate of high-tech industries maintained a high level, and the transformation of old and new kinetic energy was accelerated during the epidemic.

　　The economic growth of national high-tech zones is good.

　　National High-tech Zone has become an important strategic support and new growth point of China’s economy. From January to August this year, 169 national high-tech zones realized an operating income of 29.5 trillion yuan, a year-on-year increase of 21.9%; The total profit was 2.3 trillion yuan, a year-on-year increase of 36.8%; The total export volume was 3.0 trillion yuan, a year-on-year increase of 25.4%; The profit rate of national high-tech zone enterprises’ operating income was 7.8%, an increase of 0.9 percentage points over the same period of last year; The number of newly registered enterprises in the National High-tech Zone was 436,000, a year-on-year increase of 34.1%.

　　"These data show that the national high-tech zone economy has maintained a good growth momentum and innovation and entrepreneurship have continued to be active." Jia Jingdun, director of the Torch Center of the Ministry of Science and Technology, said.

　　The performance of high-tech zones such as Zhongguancun in Beijing and Donghu in Wuhan is quite outstanding. From January to August, the technology income of Zhongguancun Science Park was 996.68 billion yuan, up 26.3% year-on-year, and the sales income of new products was 592.58 billion yuan, up 96.0% year-on-year. Together, they accounted for about 30% of the total income, and the income structure continued to be optimized. The profit rate of the enterprise was 10.5%, 1.6 times that of the same period of last year. From January to August, the leading industries in Wuhan Donghu High-tech Zone continued to develop strongly, and the industrial output value of optoelectronic information industry reached 125.52 billion yuan, a year-on-year increase of 40.2%.

　　High-tech Zone solves problems for enterprises in the park and optimizes various services.

　　"Haidian Pioneer Park has solved the financing problem of enterprises, and the service has achieved results and the amount has reached a new high." Zhao Xinliang, director of in haidian estate of zhongguancun science park Innovation Service Center, introduced that Haidian Pioneer Park has classified and integrated the resources of more than 800 high-quality cooperative institutions, effectively linked financing needs and reduced corporate financing costs. In 2021, 9 financing docking activities have been held, including the "three or three meetings" and investor meetings, with 180 sub-enterprises and more than 600 sub-investment institutions participating. They also joined the Beijing Equity Exchange Center to recommend 240 high-quality enterprises to land on the "four boards" for free, helping enterprises to standardize their operations and enter the multi-level capital market.

　　High-tech zones actively responded to the requirements of self-reliance and self-improvement in science and technology, and launched a number of reforms.

　　The "Minshan Action" plan is a special practice launched by Chengdu High-tech Zone this year. It is based on the actual ability and effectiveness of solving the problem of "sticking the neck" in industrial development. After the release of the first demand list, 92 application teams were attracted, including 18 academicians leading the team. At present, six new R&D institutions, including Chengdu Minshan Institute of Hydrogen Energy and Carbon Neutralization Technology and Chengdu Minshan Institute of Power Semiconductor Technology, have successfully unveiled the list and obtained support funds of about 450 million yuan.

　　"The team that successfully unveiled the list needs to sign the task book for unveiling the list and set up ‘ Military order ’ , according to the established goals and ‘ Milestone ’ Node to attack, and take ‘ Assessment once a year, elimination once every three years ’ Management methods, timely suspension of non-performance or poor progress of the project. " Wang Xiaoning, deputy director of Chengdu Hi-tech Zone Science and Technology Talent Bureau, said.

　　High-tech enterprises operate efficiently

　　High-tech enterprise groups have gradually become the main force of scientific and technological innovation. At present, there are 278,000 high-tech enterprises in China, accounting for only 0.6% of the total number of enterprises in the country, but the R&D expenditure is as high as 1.33 trillion yuan, exceeding 70% of the R&D expenditure of enterprises in the country.

　　Some high-tech leading enterprises aim at the future and increase investment.

　　At the Guangzhou Auto Show on November 18th, Iflytek Smart Car unveiled many intelligent interactive products, and officially released a set of "Flying Fish Intelligent Audio Management System". Advanced sound algorithms such as 3D immersion surround sound with independent intellectual property rights can instantly restore audio with high quality, bringing users a richer and fuller listening experience.

　　"The automobile has a long industrial chain and high technical complexity. In the context of the Internet of Everything, the automobile has become one of the main battlefields for the application of artificial intelligence." Wu Xiaoru, president of Iflytek, said that at present, Iflytek is making joint efforts from many aspects, such as intelligent interaction, intelligent service and intelligent sound field, to help the automobile industry upgrade in an all-round way.

　　With the rise of a new round of scientific and technological revolution and industrial transformation, the global intelligent networked automobile industry has ushered in a new major historical development opportunity. Iflytek has been deeply involved in the automobile field for 18 years, and delivered more than 1,000 models, with a front-mounted capacity of over 31 million and an annual installed capacity of over 6 million.

　　Some traditional industrial enterprises use technology to drive transformation and upgrading.

　　Xin ‘an Chemical is a leading enterprise in glyphosate production industry in China. In view of the widespread phenomenon of "flue gas tailing" in the industry, Xin’ an Chemical has stepped up scientific and technological research and pioneered the "deep treatment technology of directional conversion flue gas" nationwide; More than 20 million yuan was invested in six new projects of tail gas treatment technology after the production of glyphosate by-product crude phosphate. The flue gas treatment system of directional conversion unit realized the upgrading of the process and the upgrading of environmental protection devices.

　　Yu Meidong, director of phosphate plant in Xin ‘an Chemical Industry, introduced that the technology deeply treated the directional conversion flue gas and realized the ultra-low emission of tail gas from chemical production. "We believe that the enterprises that take the lead in bid upgrading can gain market opportunities and realize transformation and development."

　　High-quality input brings high-quality output. According to the statistics of China National Intellectual Property Administration, by the end of September 2021, high-tech enterprises had 5.617 million valid patents, an increase of 15.8% over the same period of last year, including 1.127 million valid invention patents, an increase of 20.1% over the same period of last year.

　　The cultivation and development of high-tech enterprises has become an important starting point for all localities to promote high-quality economic development. According to statistics, from January to August this year, the number of industrial high-tech enterprises in China exceeded 101,000, accounting for 25.1% of the total industrial enterprises in China, with 37.3% of the total assets, achieving 33.4% of operating income and 40.3% of total profits.

　　"In the first three quarters, high-tech enterprises generally operated well, and the benefit indicators were generally better than the national level." Jia Jingdun said.

　　The vitality of innovation and entrepreneurship continues to be released.

　　In 2021, China’s "double innovation" vitality continued in generate, and its innovation and entrepreneurship continued to upgrade. Scientific research institutions took the initiative to connect with the market, and the total transaction volume of technology contracts increased significantly.

　　In recent years, the Institute of Microbiology of China Academy of Sciences has made outstanding achievements in the fields of recombination vaccines in COVID-19, therapeutic antibodies, low-carbon intellectual production in polyamide industry and cultivation of innovative crop varieties with disease resistance, resulting in a market value of over 100 billion yuan. Qian Wei, director of the Institute, said that the Institute’s major needs and goals lead to basic research, and in the core innovation fields such as "microbial frontier", "life and health" and "green and low-carbon sustainable development", it has established an efficient linkage mechanism with "innovation chain driving the industrial chain", focused on major tasks and objectives, and solved outstanding problems in reality with modern biotechnology such as modern vaccines, gene editing, synthetic organisms and microbiome as sharp edges.

　　"The Torch Center will speed up the improvement of the market-oriented allocation system and mechanism of technical factors, and continuously open the channels for technical factors to enter the economic system and industrial system." Jia Jingdun introduced that as of September 20, 2021, a total of 347,748 technology contracts were registered, with a turnover of 2,071.98 billion yuan, up 33.4% and 45.6% respectively, and the total transaction volume of technology contracts continued to grow.

　　The service capacity of scientific and technological innovation carriers has been continuously improved, helping enterprises tide over the epidemic situation.

　　In the first three quarters of this year, there were 46,000 creative teams of 1,692 creative space services submitted by 2,251 countries for record, and the total rent reduction for entrepreneurial teams and start-ups was 210 million yuan; Among the 1,287 state-level science and technology business incubators, 91,000 enterprises are incubating in 1,093 incubators, and the total rent reduction for incubating enterprises is 370 million yuan; Among the 139 national university science parks, 103 submitted statistics reduced or exempted the rent by 38.067 million yuan for incubating enterprises.

　　Yang Bin, president of China Science and Technology Development Institute, said that up to now, the incubation system of China Development Institute has operated 30 incubation carriers nationwide, with 1,815 incubating enterprises and 1,164 graduated enterprises. "After the outbreak of the COVID-19 epidemic, in order to cope with the operational difficulties of small and medium-sized enterprises, the China Development Institute actively responded to national policies. The Shenzhen Incubation Base and the national holding bases successively reduced the rent and incubation service fees for small and medium-sized technology enterprises, reaching 17 million yuan."

　　Science and technology enterprises have received continuous support from financial institutions, and technology stocks have increasingly become the main force in the capital market.

　　According to statistics, by the end of August, 51.1% of high-tech enterprises had received loan support from financial institutions, and the number of high-tech enterprises that received loan support increased by 5,655 compared with the beginning of the year; The loan balance of 142,000 high-tech enterprises was 8,868.77 billion yuan, with an average loan support of 62.466 million yuan for each enterprise; The loan rate of small and medium-sized science and technology enterprises was 42.9%, and the number of enterprises supported by loans increased by 5,723 compared with the beginning of the year, and the accumulated loan amount exceeded 1 trillion yuan.

　　By the end of September, 43.9% and 50.2% of high-tech enterprises had publicly issued shares on the main board of Shanghai Stock Exchange and Shenzhen Stock Exchange, and 95.0% and 87.1% had publicly issued shares on the Growth Enterprise Market of science and technology innovation board Stock Exchange and Shenzhen Stock Exchange. (Economic Daily reporter She Huimin)

Regular press conference of the National Health and Wellness Committee on May 10, 2018

Time: May 10, 2018

Venue: Press Release Hall, Building 2, National Health and Wellness Commission.

Jia Bin: Jiao Yahui, Deputy Director of Medical Administration and Hospital Authority

　 　 　 　 Wen Daxiang, Deputy Director of Shanghai Municipal Health and Family Planning Commission

　 　 　 　 Wu Xinjuan, Director of Nursing Department of Peking Union Medical College Hospital

Liu Zhefeng:

Hello, friends from the media, and welcome to the regular press conference of the National Health and Wellness Committee in May. The theme of today’s conference is to introduce the development of nursing in China. First of all, I’d like to introduce all the guests seated on the stage, Ms. Jiao Yahui, deputy director of the Medical Administration and Hospital Authority, Mr. Wen Daxiang, deputy director of the Shanghai Municipal Health and Family Planning Commission, and Ms. Wu Xinjuan, director of the nursing department of Peking Union Medical College Hospital, chairman of the Chinese Nursing Association and winner of the 43rd Nightingale Prize. Welcome to our press conference.

The day after tomorrow is the International Nurses’ Day. Nurses from all over the country give their patients care and dedication day and night, and they give them scientific care and guidance. With the comprehensive cooperation of nursing work, the comprehensive recovery of patients can be promoted. On the occasion of the International Nurses’ Day, we would also like to say hello and pay tribute to the nursing workers all over the country and our fellow nurses. We also hope that through the reports of friends in the media, the whole society can understand and pay more attention to our nursing work and show more care and love to our nurses. Let’s start today’s press release. First of all, please ask Deputy Director Jiao Yahui to introduce the development of nursing in China.

Jiao Yahui:

Good morning, friends from the media. First of all, I would like to thank my friends from the news media for their concern and support for the nursing work. On the occasion of the upcoming "5.12" International Nurses’ Day in 2018, I also take this opportunity to wish the majority of nursing workers across the country a happy holiday. This year is also the tenth anniversary of the promulgation and implementation of the nurses’ regulations. I would like to take this opportunity to briefly introduce the overall situation of the development of the national nursing cause in recent years, especially since the tenth anniversary of the implementation of the nurses’ regulations.

"Three-point treatment and seven-point nursing" is an important part of health and health undertakings, which is closely related to people’s health interests and life safety, and is of great significance for stabilizing growth, promoting reform, adjusting structure, benefiting people’s livelihood and winning the battle to build a well-off society in an all-round way. Strengthening the construction of nursing staff and promoting the reform and development of nursing career and nursing industry is an important content of implementing the strategy of healthy China, and it is also an objective requirement of establishing a health service system covering the whole population and the whole cycle.

The State Council promulgated the Nurses’ Regulations in January 2008, which was implemented on the International Nurses’ Day on May 12 of the same year. It protects the legitimate rights and interests of nurses from the legal level, clarifies the rights, obligations and practice rules of nurses, promotes the healthy development of nursing, and guarantees medical safety and people’s health. This year marks the tenth anniversary of the implementation of the Nurses Ordinance. In the past ten years, under the strong leadership of the CPC Central Committee and the State Council, governments at all levels, health administrative departments and medical and health institutions have implemented the Nurses Regulations and taken effective measures to stabilize and develop the ranks of nurses. The majority of nursing workers consciously fulfill their responsibilities and obligations, actively practice high-quality nursing services, and make great contributions to improving the health level of the whole people. Since the implementation of the "Regulations on Nurses", nursing has developed rapidly and achieved remarkable results, mainly in the following aspects.

First, the team of nurses has developed vigorously, and their quality and professional ability have been significantly improved.

By the end of 2017, the total number of registered nurses in China exceeded 3.8 million, accounting for 42.3% of health and family planning professionals. There are two important time nodes. In 2005, the first "Eleventh Five-Year" nursing plan was promulgated and implemented, and in 2008, the Nurses Regulations was promulgated and implemented. Compared with 2005 and 2008, the number of nurses in 2005 was 1.35 million. In 2008, the number of nurses reached 1.678 million, which was 181.6% higher than that in 2005 and 126.5% higher than that in 2008. The number of nurses per thousand population increased from 1.03 in 2005 to 1.208. The national medical care ratio increased from 1: 0.66 in 2005 to 1: 0.79 in 2008, and reached 1: 1.1 in 2017, which reversed the inverted medical care ratio. In 2017, the doctor-nurse ratio of tertiary hospitals reached 1: 1.54, and that of secondary hospitals reached 1: 1.46. There are nearly 800 thousand nurses engaged in nursing work at the grassroots level. According to statistics, 67% of the nurses have college education, and the level of specialized nursing has been continuously improved, which has played an important role in daily nursing work and medical service for major emergencies.

Second, the enthusiasm of nurses has been further mobilized.

Improving nurses’ working conditions and ensuring nurses’ treatment are the important contents of the Nurses’ Regulations. In the past ten years, through implementing the Nurses’ Regulations, especially in the process of deepening medical reform, aiming at the common problems in nurse management in medical institutions, and exploring the reform from identity management to post management, we have increased the incentive and publicity for outstanding nurses. At present, 79 nurses in China have won the Nightingale Medal, and many nurses have won the titles of Bethune Medal, National Advanced Worker of Health and Family Planning System and National Model Worker.

Third, the level of nursing professional technology has been continuously improved to ensure medical quality and safety.

All kinds of medical institutions at all levels and nurses provide patients with quality nursing services in accordance with the requirements of the Nurses Regulations. The concept of nursing service has changed from "disease-centered to patient-centered", and the service model has changed from cooperating with doctors to focusing on patients’ physical and mental health needs. The technical level of nursing specialty has been continuously improved, and nursing work is closer to patients, clinic and society. In 2017, high-quality nursing services have achieved full coverage of tertiary hospitals, and nearly 90% of secondary hospitals have also carried out high-quality nursing services, and patients’ sense of access to medical treatment has been significantly enhanced. According to the evaluation of the third-party effect of improving medical services, the masses are most satisfied with nursing work.

Fourth, the connotation of nursing is constantly enriched to meet the multi-level health needs of the masses.

Nursing work serves the whole process of people’s birth, aging, death and illness, and plays a role in all stages of diagnosis and treatment of patients’ diseases in acute stage, rehabilitation in chronic stage and care and care in dying stage. At present, many regions and medical institutions in China actively adapt to the changes in disease spectrum and the aging process of the population, constantly enrich the connotation of nursing specialty, gradually extend nursing services to communities and families, and provide services such as aged care, chronic disease management, rehabilitation care, long-term care and hospice care for the masses, further satisfying the diversified and multi-level health service needs of the masses.

At present, compared with the people’s diversified multi-level health needs, there are still problems of unbalanced and insufficient development in nursing work. In the next step, the National Health and Wellness Committee will fully implement the spirit of the 19th National Congress of the Communist Party of China and the spirit of the National Health and Wellness Conference, take Socialism with Chinese characteristics Thought of the Supreme Leader in the New Era as the guide, closely follow the changes of major social contradictions, pay attention to the structural reform on the supply side and improve the people’s feelings, make efforts at the same time, highlight key points, make up shortcomings, strengths and weaknesses, and accurately meet the diverse and multi-level nursing service needs of the people. First, under the guidance of implementing the strategy of healthy China, we will continue to implement the Nurses Regulations and the 13th Five-Year Plan for the Development of Nursing, strengthen the construction of nurses and promote the healthy development of nursing. The second is to issue guiding documents to promote the reform and development of nursing service industry, innovate nursing service mode, increase the supply of nursing service and vigorously promote the reform and development of nursing service industry in accordance with the principle of "government-led, diversified investment, market operation and industry management". Third, actively respond to the aging population, vigorously develop elderly care and elderly care, strengthen the construction of employees, expand social employment, and promote the rapid development of the nursing industry. Fourth, strengthen nursing propaganda, actively publicize the achievements and typical experiences in promoting the reform and development of nursing; Establish the emerging advanced nursing deeds and outstanding models, and create a good atmosphere for further promoting the healthy development of nursing cause and nursing industry in the new era.

Liu Zhefeng:

Next, please ask Deputy Director Wen Daxiang to introduce the development of nursing career and elderly nursing service industry in Shanghai.

Wen Daxiang:

Good morning, friends from the media. First of all, it is a great honor to introduce the achievements in the development of nursing in Shanghai, as well as the elderly care and long-term care work on the occasion of the tenth anniversary of the implementation of the Nurses Regulations in our country and the upcoming Nurses’ Day this year.

In recent years, the administrative departments of health and family planning at all levels in Shanghai, as well as the medical subjects and medical institutions, have fully implemented the "Regulations on Nurses" and the main tasks put forward by the national and Shanghai nursing career development plan. Shanghai has made remarkable achievements in strengthening the construction of nursing team, promoting high-quality nursing service and expanding the field of nursing service. At the same time, in order to cope with the challenge of aging population, Shanghai has continuously strengthened the management of medical care for the elderly, and gradually explored the formation of an elderly care service system consisting of institutional care, community care and home care. I will introduce the work in Shanghai from two aspects. First, I will introduce the achievements in the development of nursing in Shanghai.

From the height of building a well-off society in an all-round way and improving people’s health level, Shanghai has combined the development of nursing with the development plan of Shanghai’s medical and health undertakings. According to the spirit of the outline of the national development plan for nursing undertakings and related documents, combined with the actual development of nursing undertakings in Shanghai, it has studied and formulated the implementation plan for the development of nursing undertakings in Shanghai, and strengthened organizational leadership to ensure the effectiveness of the work. At the same time, actively promote the health and family planning administrative departments at all levels and medical and health institutions to comprehensively and thoroughly implement the provisions of the Nurses Regulations, effectively protect and safeguard the legitimate rights and interests of nurses, and standardize the practice of nursing. In this process, the nursing career in Shanghai has developed rapidly.

(1) The number of nurses has increased and the knowledge structure has been optimized.

The number of nurses in Shanghai has grown rapidly. By the end of 2017, the number of registered nurses had reached 84,000, an increase of more than 72% compared with 2008. According to the statistics of resident population, the number of nurses per thousand population increased from 2.58 in 2008 to 3.47 in 2017, and the ratio of practicing (assistant) doctors to registered nurses increased from 1.05: 1 in 2008 to 1: 1.23 in 2017. In addition, in terms of structure, the proportion of nurses with college degree or above in Shanghai’s nursing team has increased year by year. By the end of 2017, nurses with college degree or above in Shanghai have accounted for 83.54% of the total registered nurses, and a large number of highly educated and high-quality nurses have enriched the clinical front line, laying a solid foundation for promoting the development of nursing career and the progress of nursing medicine in Shanghai.

(two) the professional and technical level of nurses has been significantly improved.

Shanghai has continuously strengthened the training of clinical specialized nurses and improved the professional level of nurses. In intensive care, blood purification, emergency and first aid and other 11 key areas with high requirements for specialized nursing knowledge and skills, professional nurses’ competency training was carried out. Cultivate higher-level specialized nurses with professional development ability. At present, Shanghai has trained nearly 12,000 clinical nursing backbones. In addition, the international training of nurses has been continuously strengthened, and the training funds for nurses have been greatly increased. In the past five years, all kinds of medical institutions at all levels in the city have sent nurses abroad for training, including studying for master’s and doctoral degrees in nursing abroad, which has exceeded 10,000 person-times.

(3) The quality of nursing service has been further promoted and the quality of nursing has been continuously improved.

Since 2010, Shanghai has started the "Demonstration Project of Quality Nursing Service" and gradually promoted the deepening of this work. At present, all secondary and tertiary hospitals in the city have achieved full coverage of quality nursing services, and community health service centers are also actively carrying out quality nursing with community characteristics. Since the end of 2016, Shanghai has actively promoted the radiation of high-quality nursing resources to the grassroots, further exerted the radiation effect of high-quality nursing resources in tertiary hospitals in this city, extended high-quality nursing services, and improved the nursing service capacity of grassroots medical and health institutions in the city. There are 11 hospitals, 37 wards and 63 individuals in Shanghai who have won the titles of former National Health and Family Planning Commission, state administration of traditional chinese medicine Advanced Hospital for Quality Nursing Service, Advanced Ward and Advanced Individual. In addition, since 1996, a nursing quality control center has been established in Shanghai, and a perfect two-level nursing quality control network has been established in the urban area. The city has unified the nursing management system of various medical institutions, studied and formulated seven general nursing quality control standards and five specialized nursing quality control standards such as pediatrics and obstetrics and gynecology. At present, more than 30 nursing quality control standards in Shanghai have been included in national related standards. By establishing nursing quality control standards, establishing nursing quality information data platform and database, constructing nursing quality index system, organizing nursing management training and full coverage of nursing quality control supervision in medical institutions above the second level. Shanghai’s nursing quality and service ability have been continuously improved. Through the third-party satisfaction measurement, the average patient satisfaction in Shanghai hospitals in the past three years has been above 93%.

(D) The level of hospital nursing management and the ability of long-term nursing service have been continuously improved.

In accordance with the national requirements for deepening medical reform and nursing reform and development, Shanghai has continuously reformed and innovated nursing management system and mechanism, actively explored nursing human resource management, continuous improvement of nursing quality, improvement of performance appraisal and salary distribution, strengthened positive guidance and encouragement, fully mobilized the enthusiasm of clinical nurses, and strived to achieve scientific, professional and refined hospital nursing management. The long-term nursing service capacity of medical institutions has also been further enhanced, paying more attention to the continuous care and rehabilitation of patients. Medical institutions at all levels provide continuing nursing services by carrying out nursing clinics, organizing health education salons, home nursing and other forms, which meet the increasingly diversified health service needs of the masses and broaden the development space for nurses.

(5) Accelerate the reform of nursing education, and promote the academic exchange and discipline development of nursing.

With the goal of cultivating high-level nursing practical talents, Shanghai has carried out the training of undergraduate, master and doctoral nursing students. At present, there are 6 colleges and universities of nursing undergraduate education in the city, 5 independent nursing master’s programs and 3 doctoral programs. In the past three years, 199 masters of nursing and 20 doctors of nursing have been trained. In addition, Shanghai has continuously strengthened cooperation and exchanges with other provinces and cities in China, Hong Kong, Macao and Taiwan, as well as international nursing colleagues. By building brand academic exchange platforms at the municipal level, such as Shanghai International Nursing Conference and Shanghai International Nursing Forum, Shanghai has learned from advanced experience at home and abroad and promoted the development concept and model to be in line with international standards. In terms of the construction of nursing discipline, Shanghai regards nursing discipline as the most important discipline in the city, and it is also an important and weak discipline that needs to be supported. The municipal finance provides special funding, and medical institutions at all levels have set up special funds for nursing, or regard nursing discipline as the key specialty of hospitals, so that the status of nursing discipline has been continuously improved.

Second, the situation of elderly care and long-term care in Shanghai

As we all know, Shanghai is one of the earliest cities in China with an aging population, and the social speed of aging population in Shanghai is very fast and the degree is very high. By the end of 2017, the elderly over 60 accounted for 33.2% of the registered population in Shanghai, and the elderly aged 80 and over accounted for 5.5% of the total. Therefore, in order to meet the needs of urban aging care services, under the principle of paying equal attention to government-led and market-driven and optimizing the distribution of regional health resources, Shanghai has continuously strengthened the management of medical care for the elderly, and the ability and level of medical care for the elderly have been significantly improved.

(A) to strengthen the elderly medical care service system.

Since the "Twelfth Five-Year Plan", Shanghai has continued to implement the policy of increasing the number of beds for elderly medical care. Through the combination of stock consolidation and moderate development increment, the number of nursing beds for the elderly will be gradually increased. On the one hand, the existing treatment beds in public secondary medical institutions and community health service centers are gradually transformed into nursing beds. In 2013, Shanghai issued the "Implementation Opinions on Setting Elderly Care Beds in District and County General Hospitals", requiring that all district general hospitals set no less than an average of 50 elderly care beds. For district general hospitals with elderly care beds, a one-time subsidy of 10,000 yuan per bed was given through the Shanghai Welfare Lottery Public Welfare Fund. On the other hand, encourage and support the establishment of nursing institutions for the elderly and encourage diversified development of nursing stations. In 2016, Shanghai has issued the "Shanghai Nursing Station Management Standard" and the "Notice on Encouraging Social Forces to Develop Nursing Stations" to promote the extension of medical care services to communities and families and meet the people’s growing demand for basic medical care services. In 2017, Shanghai studied and formulated the "Thirteenth Five-Year Plan for the Development of Elderly Medical Care Service System in Shanghai", which further explicitly requested to increase the supply of elderly care service resources in this city and improve the level of elderly medical care services. By the end of 2017, there were 26,599 beds for elderly medical care in the city. There are 46 nursing homes in the city, of which 9 are run by the government and 37 by the society, with 7913 beds. There are 108 nursing stations in the city, of which 9 are run by the government and 99 by the society.The number of elderly medical nursing beds set up by social capital in the city has reached 6051, accounting for 22.7% of the total.

(2) Explore the establishment of a long-term care insurance system.

In 2013, Shanghai has explored the pilot work of the medical care security plan for the elderly. Since January 2017, Shanghai, as one of the first 15 cities in China to carry out long-term care insurance pilots, has piloted the long-term care insurance system in Xuhui, Putuo and Jinshan, and achieved initial results. According to the deployment of the Shanghai Municipal Party Committee and the Municipal Government, the pilot project of long-term insurance protection will be carried out in the city from January 1, 2018. For the long-term disabled people who have reached a certain level of nursing needs after assessment, providing services or financial guarantee for their basic life care and medical care closely related to their basic life not only provides urgently needed long-term nursing services for the long-term disabled elderly, but also effectively reduces their economic burden. According to the unified division of labor in the whole city, the Shanghai Health and Family Planning Department will make great efforts to promote the formulation of evaluation standards, carry out the management of evaluation institutions, the training of evaluators and the quality management of evaluation together with the people’s society and the civil affairs department, strengthen the construction of service institutions such as social nursing stations, strengthen the construction of evaluators and nursing staff, and cooperate with relevant departments to study and formulate relevant supporting policies. By the end of 2017, Shanghai has carried out more than 80,000 evaluations in the city according to the evaluation standards.

(three) to further promote the family doctor system and the combination of medical care.

Shanghai has continuously promoted the construction of the family doctor system, actively explored the signing of "1+1+1" medical institutions, and made the elderly group the focus and priority object of signing services. As of April 23, 2018, the number of "1+1+1" contracted permanent residents in the city has reached 3.92 million, including 2.77 million elderly people over 60 years old. The signing rate of elderly people over 60 years old exceeds 60%, and 73% of the contracted residents’ outpatient visits occur in the "1+1+1" medical institution portfolio. Among them, 52% of the contracted clinics took place in the community health service centers with which they signed contracts. In order to further promote the combination of medical care and nursing care, Shanghai regards community health service centers as an important platform to provide health services for the elderly. At present, the workload of community health service centers for the elderly accounts for about 60% of the total workload, and the service rates of community health service centers with pension institutions and foster care institutions in the city have achieved full coverage.

During the "Thirteenth Five-Year Plan" period, Shanghai will accelerate the construction of a healthy city and strive to become an Asian medical center city. Shanghai’s nursing work will also fully implement the spirit of the 19th Party Congress, implement the health and health work policy in the new era, and further strengthen the nursing team around the overall requirements of the China Nursing Development Plan (2016-2020) and the Shanghai Nursing Development Implementation Plan (2017-2020). Here, finally, I would like to take this opportunity to express my high respect and holiday greetings to angels in white people all over the country. Thank you.

Liu Zhefeng:

Next, please ask Director Wu Xinjuan to introduce the work progress from the front line in deepening the field of quality nursing.

Wu Xinjuan:

Dear media friends, good morning, first of all, I am entrusted by President Zhao Yupei, and on behalf of Peking Union Medical College Hospital, I would like to express my heartfelt thanks to all sectors of society who have long cared for and supported the development and construction of Union Medical College. Below I will briefly introduce some measures and achievements of Peking Union Medical College Hospital in deepening quality nursing service and enhancing patients’ sense of acquisition.

First, the general situation of hospitals and nursing work

Peking Union Medical College Hospital is the national guidance center for the diagnosis and treatment of difficult and severe diseases designated by the National Health and Wellness Committee. It has been ranked first in the "Best Hospital Ranking in China" published by the Institute of Hospital Management of Fudan University for eight consecutive years. In another three years, Peking Union Medical College Hospital will celebrate its centenary birthday. Under the cordial care of the party and the country, it will improve patient satisfaction by "treating patients like relatives; Under the guidance of the concept of "treating colleagues like family members and improving employee well-being", the hospital continues to develop at a high speed. Now there are 2,005 open beds with a total construction area of 530,000 square meters. In 2017, there were 3.7 million outpatient visits, 99,000 hospitalizations and 52,000 surgeries, with an average hospitalization day of 6.7 days.

Nurses are the backbone of hospital development and construction. There are 1806 nurses in the hospital, including 1775 front-line nurses, accounting for 98.3%; Bed protection ratio is 1: 0.9; Nurses with bachelor degree or above accounted for 72.8%. Xiehe Nursing has established a good reputation in the hearts of ordinary people, ranking among the best in all previous national and Beijing third-party patient satisfaction surveys, and won the honors of National March 8th Red Flag Group, Women’s Civilized Post, and "National Excellent Nursing Service Outstanding Performance Group", and won the Top Ten Value Cases of Nursing in the National Challenge Competition of Medical Service Improvement Action Plan for three consecutive years.

Second, do a good job in top-level design, and continue to promote the power of the whole hospital.

In 2010, the hospital took the lead in developing high-quality nursing service in the whole country. Dean Zhao Yupei attached great importance to this work, and always listed it as a "top-ranking project", and established a cooperative communication mechanism among various departments to solve the difficulties and problems in nursing work. Continue to exert strength in all aspects such as people and property. In recent five years, more than 400 new nurses recruited by our hospital have all been assigned to the clinical front line, and nearly 400 nurses have been employed by the hospital to assist nurses, and the logistics support system has been continuously improved and perfected, such as visit management, field service, equipment inspection, drug delivery, etc., all of which are undertaken by the logistics support system, so that nurses can devote themselves to clinical work wholeheartedly. Continuously improve nurses’ welfare benefits, increase the inclination in performance bonus and night shift fee, set up three types of special performance allowances for nursing, implement paid vacation system, provide dormitories for nurses outside Beijing and suburban counties, actively apply for public rental housing for young people and study and study opportunities abroad, etc., and increase nurses’ happiness.

According to the principle of "top-level design is unified with batch promotion, and tradition is unified with reform and innovation", high-quality nursing service is promoted efficiently. In 2011, 100% ward coverage of quality care was achieved; In 2012, the hospital coverage of ward-outpatient-auxiliary departments was realized; After 2013, we will continue to consolidate and improve, focusing on the post management, personnel training and quantitative assessment of nurses, so as to continuously improve the nursing service ability and refined management level.

Third, continuously improve the service level and increase the people’s sense of gain.

Advocate the service concept of "six ones and six haves" in the whole hospital, carry out the theme activities of "cleaning and quietness" to optimize the medical environment and the activities of changing nurses’ "four hearts", and strengthen the detailed service and humanistic care, such as implementing the responsibility system of first inquiry in outpatient department, seeing doctors in different periods, carrying out voluntary service and setting up special windows for the elderly to facilitate patients to see a doctor. The emergency department took the lead in establishing five-level triage standards, red card procedures for emergencies, and evaluation standards for the transfer of critically ill patients, and opened green channels for multiple diseases to ensure priority treatment for critically ill patients. Wards, operating rooms, etc. fully implement the responsibility system of holistic nursing, establish a one-to-one relationship between nurses and patients, and realize the whole process and seamless nursing of patients from admission, hospitalization, surgery and discharge. Enrich health education and expand extended nursing. Disseminate health knowledge to patients and the public through diversified propaganda manuals, videos, WeChat official account, health lecture halls and popular science lectures; 100% wards have carried out continuous nursing services with distinctive specialties, including telephone or APP follow-up, patients’ meeting, etc., so that the nursing objectives of "close to patients, close to clinic and close to society" can be fully implemented in Xiehe.

Fourth, continuously optimize the quality of nursing and increase the trust of the masses.

Taking system construction as the center to ensure nursing quality and safety. Xiehe Nursing has established a set of nursing system that meets the requirements of modern hospital management characteristics, and this achievement won the first prize of 2017 Hospital Science and Technology Innovation Award of China Hospital Association. Among them, the core safety management systems such as Clinical Nursing Routine and Quality and Safety System require every nurse to master them skillfully and strictly implement them to ensure standardization and homogenization of work. Focusing on the construction of specialized subject, creating excellent nursing quality. As a national center for diagnosis and treatment of difficult and severe diseases and the first batch of national key clinical nursing specialty projects, Concord has continuously improved the nursing level of difficult and severe patients. In recent five years, a total of 187 nurses have been sent abroad for further study, and more than 300 specialized nurses have been trained in 17 specialties or special technical fields to be responsible for the nursing and consultation of difficult and severe patients in the hospital. Nine specialized nursing teams have been set up, and more than 600 specialized nursing backbones have been trained. They are based on clinical practice and go deep into the community, which has promoted the nursing level of hospitals and regions. Eight specialized nursing clinics were opened to provide patients with professional consultation and specialized treatment. In 2017, in order to accurately meet the national second child opening policy, breast-feeding clinics and female pelvic floor rehabilitation clinics were newly opened, serving 9,937 pregnant women in 2017 alone. At present, the nursing level of seven specialties in Concord has reached or exceeded the domestic or international advanced level. Through the formulation of standards, norms and consensus, the quality of nursing in China will be promoted.For example, our hospital has taken the lead in formulating the Technical Operation Standard of Intravenous Therapy and Nursing, the Consensus of Hospital Transport Nursing for Critical Patients, and the Consensus of Nursing Experts on Common Complications of Bedridden Patients, which has fully played the role of radiation and driving of Concord.

The party, the government and the masses have given many honors to Concord and Concord Nursing, which we cherish all the more. Standing in the new era, Concord will base itself on the new needs of the people, constantly explore and innovate, strive to provide better all-round and life-cycle nursing services for the people, and make new and greater contributions to realizing the grand blueprint of healthy China. thank you

Liu Zhefeng:

Thank you, Director Wu. That’s all for the release session, followed by the question session. As usual, please inform your media before asking questions.

Health News reporter:

My question is that nurses are playing an increasingly important role in nursing work under the new situation of implementing the healthy China strategy and actively coping with the aging population in China. May I ask Director Jiao, what are the plans of the National Health and Wellness Committee in accelerating the development of aged care and aged care?

Jiao Yahui:

Thank you for your question. At present, we are facing a great challenge, that is, the problem of aging population. In China, according to the statistics of the National Bureau of Statistics, there are about 240 million elderly people over 60 and 160 million elderly people over 65, and some of them are disabled and semi-disabled. If families have such disabled and semi-disabled elderly people, the burden is very heavy for families. On the one hand, it is an economic burden. In fact, the greater burden is to care for these elderly people.

The National Health and Wellness Committee will start with solving the most urgent medical care problem for the elderly and is studying relevant policies. In the next step, on the one hand, we will continue to consolidate the achievements made in nursing, implement the "Thirteenth Five-Year Plan" for nursing, continue to strengthen the construction of nurses, expand quality nursing services, and gradually meet the health needs of patients. Although the number of nurses in China has reached 3.8 million at present, the gap between supply and demand is still relatively large, and the contradiction between unbalanced and insufficient development and social needs is more prominent in the nursing field. Therefore, the next step is to do a good job in elderly care and elderly care, focusing on solving several problems. One is to solve the problem of who will take care of it. According to the "Thirteenth Five-Year Plan", by 2020, the number of nurses in China will reach 4.5 million. Now we also propose to extend nursing services from hospitals to communities and families. On the one hand, we should vigorously develop the number of nurses, on the other hand, we should vigorously strengthen the team building of elderly nurses. Therefore, to develop medical care for the elderly, we must first solve the problem of who takes care of it.

Second, we need to solve the problem of who to take care of. We now have 240 million elderly people aged 60, including health of the elderly, some elderly people with chronic diseases, and disabled and semi-disabled elderly people. We are formulating standards for the evaluation of elderly care. Just now, Director Wen also introduced that evaluation standards have been issued in many places, that is, whether the elderly can take care of themselves, whether they can take care of themselves in part or not, and they need to be evaluated. Through evaluation, it is decided whether these elderly people need institutional care. In this different way, he may pay through different channels. In medical institutions, he may need to be paid by medical insurance, and some in institutions or communities may be paid by long-term care insurance. There are also some ways to solve the problem of paying part of the expenses at home by developing commercial insurance models. This is to solve the problem of who to care for.

The third is to solve the problem of taking care of there. At present, some elderly people in the country are receiving rehabilitation in medical institutions, as well as nursing care for chronic diseases, as well as some nursing centers, nursing homes and nursing stations. There are also many elderly people receiving some medical care here, and there are also some nursing homes. Another policy that we are vigorously promoting is the well-known combination of medical care and nursing care. Some elderly people are in old-age care institutions, and we encourage old-age care institutions to set up some medical institutions to solve the problem of combining medical care and nursing care. In addition, our primary medical and health institutions and our community health service centers provide community care and home care for the elderly by signing contracts, setting up family beds and providing on-site services. There are also some elderly people who need our standardized and trained nursing staff to provide some home care services at home. Judging from the national conditions of our country, institutional care is not our main direction. In the future, the main body and main mode of care for these elderly people should be the community and family, especially in the community. Now many places are exploring mutual support for the elderly. In cities, there are such concentrated apartments and communities for the elderly, and in rural areas, there are "happy homes" for the elderly as promoted by civil affairs departments, as well as mutual support for the elderly. In the vicinity of village clinics, village doctors provide daily health services. This is the solution.

The fourth is to solve the problem of who will pay for the care, that is, to raise funds. We know that when it comes to long-term medical care, learning from the experience of other countries, such as Japan, has done a very good job in this regard. Besides medical insurance, there is also long-term care insurance, which is to solve the problem of long-term medical care for the elderly in Japan. Our country is led by the human and social departments, and some cities in the country are also selected to do the pilot project of long-term care insurance, which solves the problem of long-term medical care cost burden to some extent. Of course, the mode of each place and the channels for raising funds are not exactly the same.

Besides long-term care insurance, we also think that commercial insurance should be vigorously developed in China, which is also a very important source of financing. Through some commercial insurance companies, insurance products for long-term care and care of the elderly can be developed to play a supplementary role. So I think, in the next step, we should focus on solving these four problems in medical care for the elderly. Now we are also actively studying relevant policies, and we are also preparing to work with relevant departments to formulate relevant guiding documents, so as to vigorously promote the solution of our elderly medical care problems in the next step. Thank you.

Xinhua News Agency reporter:

My question is for Director Wu Xinjuan. Excuse me, from the perspective of your own work, what role do you think nursing can play in ensuring the health service of ordinary people throughout their life cycle? What do you think of Peking Union Medical College Hospital’s fine and professional management of nursing team? Thank you.

Wu Xinjuan:

It should be said that nurses are the closest group to patients, and the whole process of human birth, aging, illness and death is inseparable from nurses. Therefore, the level of care is good or bad, which directly affects the patient’s safety and medical experience. In the life-cycle health service of the people, it should be said that nurses are indispensable. With the arrival of China’s aging society and the change of disease spectrum, nursing is expanding both in connotation and extension. In order to improve the nursing level, I think we should do it from two aspects: first, improve the service level; The second is to improve professional ability. It is necessary to strengthen the construction of nursing connotation and the training of nurses themselves, to provide patients with warm care, and to improve the professional and technical level of nurses. At present, China has trained many specialized nurses, who have played a very important role in solving difficult and serious problems.

In addition, there are more and more chronic diseases, such as cardiovascular and cerebrovascular diseases and diabetes, and the incidence rate is getting higher and higher. Therefore, nurses should also play an important role in popular science propaganda and health education. Yesterday, the Chinese Nursing Association held a celebration meeting for the International Nurses’ Day, which was also the launching ceremony for the popularization of health science in China. More than 3.8 million nurses in China should be very good propagandists of health science. In the past, nursing service was disease-centered, but now it is going to be human health-centered. To make the public healthier, it is very important to do a good job in disease prevention and develop a healthy lifestyle. In the hospital, we provide health education for patients at all stages, such as health guidance before operation, after operation and before and after discharge. In addition, various forms of continuing nursing services have been carried out, because many patients have not fully recovered when they leave the hospital. In this case, the guidance of nurses needs to be extended to families or referral medical institutions, thus reducing the rate of re-visit after discharge.

On the other hand, it is how to sink the quality nursing service resources. Large hospitals should play a very good role in transferring advanced concepts and technologies to primary medical institutions. At present, we have also carried out a series of work such as aiding Xinjiang, Tibet and Mongolia, and carried out accurate assistance according to the needs of grassroots and remote areas. At the same time, as a national training base, Peking Union Medical College Hospital trains more than 800 advanced nurses for the whole country every year, which plays a very good role in promoting radiation. I also hope that through our efforts, we can jointly promote the construction of a healthy China. Thank you.

Liu Zhefeng:

Thank you, Director Wu. Please keep asking questions.

Reporter of the People’s Political Consultative Conference:

My question is for Director Wen in Shanghai. When you introduced the materials just now, you said that from the end of 2016, our nursing work and high-quality nursing resources in Shanghai began to tilt to the grassroots. What effect has it achieved now? What is the original intention of our work? Thank you.

Wen Daxiang:

Thank you for your question. With the aging of the population, chronic diseases are on the rise. Grassroots medical and health institutions should play a more important role in chronic care, disease rehabilitation, home care and pre-hospital first aid. Therefore, in order to continuously and deeply promote high-quality nursing, implement the requirements of graded diagnosis and treatment, and further improve the service capacity of primary care in Shanghai, from the end of 2016, we have actively explored the sinking and radiation of high-quality nursing resources in tertiary hospitals to primary care, with the main purpose of improving the overall service capacity of primary care. There are various forms. At present, we help and drive primary medical and health institutions to improve their nursing service capabilities, including nursing management capabilities and clinical nursing technical service capabilities, through professional skills training, thematic nursing rounds, consultation with suspected and particularly difficult nursing experts, clinical nursing and advanced nursing management, etc., and gradually hope that primary nursing capabilities and our hospitals at the next higher level will develop in the same direction.

From the work that has been carried out and some achievements have been made, I will introduce them to you through some data. In 2017, Shanghai tertiary hospitals organized 169 special trainings, with nearly 7,000 primary nursing staff trained and 91 community nursing rounds, with more than 1,000 participants. In addition, 214 nursing consultations were organized and 240 nurses from community health service centers were accepted. Through these specific practices, the sinking of high-quality nursing resources in tertiary hospitals has been effectively realized, the core competence of nursing professional care in primary medical and health institutions has been enhanced, and the balance of medical and nursing resources utilization has been promoted, so that elderly patients and chronic patients can get high-quality and continuous nursing care.

At the end of 2017, Shanghai put forward the implementation opinions on strengthening the construction of medical complexes in this city. In the next step, through the construction of medical complexes, including the construction of regional medical centers and the construction of specialist alliances, the focus of nursing disciplines will be included in the construction of these medical complexes, so as to promote the further sinking of high-quality resources and play a better role in radiation. Thank you.

Liu Zhefeng:

Thank you, director Wen. Due to time, today’s press conference is over. Thank you.