上海花千坊,爱上海同城交友,上海后花园论坛 – 第 70 页

How can primary health care be strengthened？

When people need medical treatment, they often fall into a dilemma. When you go to a general hospital, you will face the problems of difficulty in registering and waiting in line. However, when you go to a community medical institution, you will inevitably worry: Is the doctor professional enough, and will it delay your illness? During this epidemic, I personally felt the importance of vigorously developing primary health care. In the future, how to strengthen primary health care and make it more convenient and reassuring for people to seek medical treatment?

-Chen Kang (media person)

Dai Qing (attending physician in a 3A hospital):

The impact of the epidemic is not only a test for hospitals and medical workers, but also exposes some problems and shortcomings that have not been fully paid attention to before.

The relative shortage of human resources in the medical system is the most intuitive thing I feel. Before the arrival of the epidemic peak at the end of last year, the work of the hospital was already very busy. After the arrival of the infection peak, there was a large-scale phenomenon of medical staff "going into battle with illness". In the most difficult time, there were two doctors and four nurses in the ward, and some graduate students and regulatory students rushed to the front line. This phenomenon can be effectively alleviated by increasing the input of resources to the first-line medical institutions with definite needs.

At the same time, the hospital’s emergency ability in the face of special circumstances is relatively lacking, which is also a short board that needs to be filled. At the peak of the epidemic, surgery, obstetrics and gynecology, pediatrics, etc. all opened wards to treat COVID-19 patients, but the front-line doctors did not receive relevant training, so they had to "drive ducks to the shelves" under the guidance of respiratory doctors, and the treatment effect was not satisfactory. If there is a medical run, a large number of emergency patients will be anxious but helpless. In this regard, both hospitals and public health systems should pay more attention to prevent this from happening.

The three-year epidemic prevention course has also allowed the hospital to accumulate some experience that it did not have before. Before the peak of the epidemic, the hospital prepared more ventilators and drugs in advance, and the medical order was basically maintained. How to sum up the epidemic experience and optimize the future medical work needs to be studied at the policy level.

Chen Yingjun (community doctor):

The ideal community medical service should enable ordinary people to solve their daily health problems at home, which is inseparable from a series of humanized and refined service measures.

In reality, in order to reduce people’s psychological burden of seeking medical treatment, community hospitals can establish a long-term and fixed "friend-like" partnership between residents and doctors through family doctors’ contract service. In this way, once residents encounter health problems, they can communicate with family doctors at any time. The active concern of family doctors and friends can also help residents eliminate health hazards in time.

In addition, community medical institutions can rely on information services to optimize the medical treatment process and improve the medical experience of residents in their jurisdiction. The Majiapu Community Health Service Center where I am located has launched the "Pocket Service", where contracted residents can communicate with family doctors online, make online follow-up visits, and make appointments for registration. Through the "internet plus", hospitals, medical insurance and drug distribution enterprises and other systems have been opened up, and "drugs are delivered online, delivered to the door, and services are superior" has been realized, and residents’ sense of obtaining medical treatment and satisfaction have been greatly improved.

Linking with higher-level hospitals, perfecting department settings and creating characteristic service projects according to the characteristics of the community can better meet the medical needs of residents. For example, for the disabled, semi-disabled and other elderly groups with mobility difficulties, we can provide services such as sending medicines to the hospital and hospice care. In view of the common diseases of the elderly such as lumbago and leg pain, we can also create a special service consultation area of traditional Chinese medicine, and relieve the pain of patients through traditional Chinese medicine massage and acupuncture.

Zheng Shanhai (doctor):

To strengthen primary health care, we can focus on the following aspects.

First of all, primary health care is a healthy "goalkeeper" and should undertake the first consultation task of general outpatient service. If patients feel unwell, they should first go to a nearby community medical institution for treatment. The community medical institution will make a preliminary differential diagnosis and analysis of the patient’s condition, and then treat or refer them to the corresponding superior medical institution according to the actual situation of the patient. This can not only liberate the general hospital from the tedious outpatient work, but also ensure the community medical institutions to play their due role at the source.

Secondly, in order to attract patients, community health institutions must have the ability to refer patients to higher medical institutions. Otherwise, if the community is finished, it needs to be referred, but the follow-up work completely requires the patient to go to the "road" himself, and the initial diagnosis in the community becomes "unnecessary".

Third, establish a rational flow mechanism of doctors between community hospitals and general hospitals. Different doctors have different specialties, some like to bury their heads in medical treatment, some have strong theoretical foundation, but their clinical application ability is poor. Establishing the up-and-down flow mechanism of doctors at different levels is of great benefit to strengthening primary medical institutions. To do this, it is necessary to reform the assessment mechanism of community doctors. When the treatment of community doctors is improved, more outstanding talents can be attracted to take root at the grassroots level, and medical "strong grassroots" can come naturally.

Source: China Youth Daily

In 2023, three important answers to medical and health money.

2023 is the year of recovery, but it will not reproduce the "madness" of 2019.

Text | Caijing reporter Zhao Tianyu Ling Xin

Edit | Wang Xiao

"There are several interesting projects. Once New Year’s Day is over, the negotiations will go smoothly." Zhang Chen, a partner of Probe Capital, said.

In 2023, many investors who pay attention to the medical and health field found that things began to develop in a good direction. According to the incomplete statistics of Caijing reporters, the opening year is only one month, and as of February 6, the total number of medical and health investment and financing has exceeded 50.

Together with Zhang Chen, many investors are willing to believe that the first half of 2023 will definitely increase, and it will be good, and the secondary market will be good.

Sequoia China predicted that,Investment and financing behavior will accelerate in 2023, because some investors feel that the market price has been adjusted back to a certain stage and are considering whether it is time to take the shot.

In the medical and health industry, what opportunities will appear in 2023?

"Oncolytic virus is a hot spot this year." In early January, Tang Haofu, a partner of Shanghai Chuangrui Fund and Chongqing Dianshi Chuangjian Fund, went to San Francisco to attend the J.P. Morgan Healthcare Conference in JPMorgan Chase, which was one of the trends he observed. JPMorgan Chase Medical and Health Conference, the largest and most informative medical investment seminar in the world, has become the vane of the global medical and health industry once a year.

Oncolytic virus is a kind of virus that can cause cancer cell apoptosis after being integrated into cancer cells, while keeping normal tissues from being destroyed, and can deal with different types and stages of tumors. After nearly 30 years of verification, it has become an important branch of tumor immunotherapy. In 2015, the US Food and Drug Administration (FDA) approved the marketing of oncolytic virus product Imlygic (T-Vec), which treats melanoma by intratumoral injection.

From the medical and health conference in JPMorgan Chase in 2023, small nucleic acid drugs, adeno-associated virus vectors (AAV) and new drug-carrying technologies of liposomes are also hot directions.

For small molecule drugs and antibody drugs, it will be better to have innovative targets. Although the new use of old drugs in oral medicine in COVID-19 was very successful, only one indication was changed, which was not well received at the meeting.

In the field of cell therapy, the fourth generation CAR-T has attracted much attention and has become the mainstream overseas. As for the targets that many local companies are still doing, such as CAR-T therapy targeting CD19 and CD22, few people abroad have done it.

In Tang Haofu’s view, cytokine storm, the number one risk factor in the clinical application of CAR-T therapy, is expected to be significantly reduced in the next three years. CAR-T therapy is mainly used for tumor treatment. Although this technology can remove tumor cells, it will also produce toxic side effects, that is, cytokine storm, by attacking normal cells in the body.

Tang Haofu looked at some projects and found that everyone was doing it in this direction. For example, Elpis, whose core team is from Harvard Medical School, has reduced its data cytokine storm by more than 70%.

In the field of cell and gene therapy (CGT), in 2023, many investors expressed their continued optimism.

Li Yishi, senior partner of Haoyue Capital, said,Cell therapy drugs, for a period of time, are mostly used for back-line patients, that is, those patients who have been resistant to most existing therapies.

The back-end market is relatively small, so it is unlikely to produce a large variety of drugs with sales of 1 billion yuan.

"If you want to say that there is an opportunity, it has to be this kind-if everyone has an opportunity, it is sunny, is it still an opportunity?" Li Yishi said.

As for gene therapy, Li Yishi said that at present, the whole field is dominated by rare diseases, and going to sea is the main commercial path.

"Gold digger" may not be successful, "water seller" still has a chance, but the field has been very subdivided.Zhang Chen is concerned about the mRNA in the direction of tumors and infectious diseases. He thinks that in this industrial chain, the opportunity of "selling water" is the best, such as making cell culture medium, and then looking further, transfecting reagents.

"We want to find some powerful companies and stay with them all the time. If we serve an infrastructure, it will become a profitable position." Zhang Chen said.

He is also optimistic about the opportunities of proteomics and structural biology. The demand for proteomics is increasing, and the financing in China market is accelerating; The contribution of structural biology to pharmacy may appear in the next year or two, especially the continuation of structural biology based on cryoelectron microscopy.

In terms of innovative instruments, Sequoia China said that it would pay attention to globally synchronized cutting-edge technologies such as single cell sequencing and single molecule protein detection.

Some investors favor gene sequencer. Zhang Chen said,At present, there is still room for improvement in mainstream machines. If the signal and noise can be well distinguished, early tumor screening will be more available. Hospitals require high detection speed, which requires machines with more flexible throughput, and the most important thing is the innovation at the bottom of sequencing.

It has been three years since the epidemic, and the detection in Covid-19 has fluctuated greatly. Both nucleic acid detection and antigen detection are betting on a policy window period, which leads to the concern of IVD (in vitro diagnosis) industry. Zhang Chen said frankly that because he was not sure what products would sell well in the future, he chose to look upstream.

Cardiovascular, neurosurgery, orthopedics and ophthalmology are the departments frequently mentioned by investors.

Although cardiovascular and orthopedics have been targeted by the national centralized procurement, they are still the departments that bring the most cash flow to hospitals, and the consumption of consumables is large and the demand is large, which promotes the emergence of new technologies and materials.

How to make doctors more labor-saving is a big product direction. Zhang Chen pays attention to small active medical devices (plugged in) and hopes that the higher the intelligence and complexity, the better.

Some instruments used in departments such as gastroenterology and cardiology will continue to develop into software and nano-scale miniaturized products. Interventional robots and interventional materials are the highlights.

Tang Haofu observed at the JPMorgan Chase Medical and Health Conference,The interventional robot is taking the route of miniaturization and software, and it is expected that there will be some progress in one or two years. There is also a self-driven gastrointestinal mirror, which is driven by its own propeller, and its technical content is much higher than before.

As for the open surgical robot, it is not a big focus in the short term. The typical product in this field is Da Vinci surgical robot, which consists of three parts: surgeon console, bedside manipulator system and imaging system. By enlarging the field of vision and defibrillating the hand, it helps doctors to complete the operation and reduce the trauma caused by the operation to patients.

Some companies continue to optimize this kind of surgical robot with different structures, but in the eyes of investors, it is "too heavy" and some actions are quite barbaric and not smart enough to operate.

Although surgical robots are not so popular, xenotransplantation, in Tang Haofu’s view, will become a hot investment in two or three years.

In 2022, the Medical College of the University of Maryland transplanted a pig heart to a 57-year-old man. In a few weeks after the operation, the transplanted heart in his body worked well and showed no signs of rejection. It lasted for 63 days until the illness deteriorated and died. This is regarded as a major breakthrough in the field of xenotransplantation, and it is expected that there will be companies mainly engaged in xenotransplantation within two years.

Hou Xuchao, founding partner of Zhuozhi Consulting, proposed that,There are three factors to grasp the opportunity of the industry: breakthrough and development in technology; The market demand and unmet demand are huge; It can improve the performance-to-price ratio or efficiency at some levels.

For 2023, "recovery" is felt by many investors, although the degree is different.

Hou Xuchao believes that on the whole, there will be a great recovery in 2023, but the "madness" in 2019 should not reappear. At present, the overall fund-raising form and exit channels have changed greatly, and the investment strategy and style of private equity funds have also changed greatly, so there will be new local hot spots and explosions, but it will not "raise chickens and dogs to heaven."

Sequoia China observed that,In fact, since October 2022, the biomedical industry has entered a slow recovery process, especially for companies with good fundamentals, and they have also seen many positive improvements.

However, after four years of epidemic tempering, investors’ mentality has become more cautious, the overall investment action has slowed down, and the difficulty of raising funds for companies in the market has also increased.

Li Yishi told Caijing reporter,For the heat of investment and the possibility of financing in 2023, it should be a tentative spiral upward trend.

For the key words in the field of health in 2023, Sequoia China is still an "early investment".

In the past few years, the capital market has made great strides, and the valuations of many primary market companies have soared. For investment institutions, if the investment is not early enough, the multiple of return may decline. From this dimension,In fact, all funds will gradually realize that whether it is active choice or passive choice, it is an inevitable trend to invest early.

Hou Xuchao’s key words are "innovation, efficiency improvement and cost performance". The medical and health field has returned to normal, and the industry continues to emphasize the value of innovation and technology.

Tang Haofu believes that the key word in 2023 is "deep innovation". With the opening of information channels, the communication between investors and overseas countries is getting smoother and smoother, and deep innovation will be valued.

Zhang Chen’s first thought is to consider long-term value, and new technology is the focus.

In Li Yishi’s view, "restart" is the key, and 2023 should be regarded as the first year of real departure after restart.

However, a private equity person in the secondary market said that in the short term of 2023, there are still uncertainties and there is no particularly clear conclusion. In the long run, we are still optimistic about China’s health field, because the problem of aging is more and more prominent, and we spend more on health expenditure.

Domestic beauty products are squeezing out overseas brands.

The rise of domestic beauty products can be described as one of the biggest highlights of the Double Eleven that just ended this month. Although the top of the pyramid is still occupied by L ‘Oreal and Estee Lauder international first-line brands,Domestic brands, such as Proya, Betani and Huaxi Bio, have also joined the fierce share competition and shown a good upward trend..Among them, Polaiya and Winona both achieved a rise in price and quantity, surpassing the international big names such as the Mystery of Sea Blue and SK-II in the beauty list. Huaxi Bio is a successful counterattack, and its high-end anti-aging Quadi has become the fastest growing product with a year-on-year ratio of 105%.

Today, the study of wisdom will be analyzed in detail for everyone.Why do domestic brands squeeze out overseas brands? What are the moats of Polaiya, Betani and Huaxi Bio? Where will the future of domestic beauty cosmetics go?

In fact, the rise of domestic brands is not a day or two.From the Forbidden City, the joint make-up is popular among young people, the concept of "early C and late A" is "out of the circle", KOL recommends planting grass in the little red book, and the proportion of domestic products in the live broadcast room is increasing. The beauty market is blowing a strong "national" wind.

According to Jianzhi research, high "price-to-product ratio" is the magic weapon for the rise of domestic products.Under the current trend of tightening consumption, consumers are more willing to pay for the product itself than to pay a high premium for overseas brands; At the same time, more and more "component parties" have emerged. Compared with brands, components and efficacy are what they pay most attention to.

Then, the research of Jianzhi will analyze the advantages of domestic brands compared with foreign brands from the two dimensions of "quality" and "price" in "price ratio".

Quality improvement is mainly reflected in product upgrade and brand upgrade.

Product upgrade:

In the past,The right to speak of high-end beauty products seems to be only in the hands of overseas big names, but this trend is being reversed in recent years.

Polaiya is a good example. In the early years, Polaiya was still dominated by water emulsion, and the customer unit price was low and no explosive products appeared. It was not until a series of high-end, high-efficiency products were launched to meet the popular anti-aging needs of consumers that the highlight moment of performance was ushered in. Among them, the ingredient (early C) of the explosive single product double antibody essence is ergot sulfur, the same raw material of Estee Lauder small brown bottle; Ruby essence (late A) uses the patented technology of Polaiya: 1% supramolecular vitamin A alcohol +20% hexapeptide.

Big single productalsobecomewatch from a height or distancePolaiya’s main source of income,In the first half of 2022, the performance revenue accounted for 35%+ of Polaiya brand, 65%+ of Tmall platform and about 50% of Tik Tok platform (versions 2.0 of Shuangkang Essence, Ruby Essence and Yuanli Essence have been released respectively, and the customer unit price has increased from 169 yuan in 2021 to 298 yuan, with an overall increase of 76.33%).

Brand upgrade:

In addition, we all know that overseas big-name groups all have rich brand matrices and high-end brand lines.If domestic brands want to "go out" in the true sense, they must also move in the direction of high-end.

In 2014, Huaxi Bio launched its high-end anti-aging brand Kwadi., the composition is the core technology of Huaxi Bio.5D hyaluronic acid +CT50, another brand positioning in the middle and high end.RunbaiyanIt is used.Hyaluronic acid (HA)+ biological skin activation technologyExpanding the effect of hyaluronic acid from moisturizing to anti-aging, not only created a super-large single product of Runbaiyan moisturizing essence, but also set off a skin care trend of "smeared hyaluronic acid".

Also ambitious in the high-end skin care session is Betani.We must know that Betani has a good reputation among sensitive muscle users as a cosmeceutical leader, and is the only brand that has entered the top10 of Double Eleven beauty products for five consecutive years, but it has always been criticized for its single category (at present, 98% of its income comes from Winona). In order to show her determination to enter the high-end stage and find the second growth curve except Winona, Betani launched a new high-end anti-aging brand AOXMED this year, using its patented technology."Mei Ya ‘an Ti MLYAAT-1002".

Towards "high-end", research and development is the most important moat.

For domestic products that want to move towards "high-end", products must have scientific and technological content and level.We should know that international brands all have strong R&D capabilities and unique production processes. For example, Pitera, the core patent component of SK-II under Procter & Gamble, and Bosin, the patent component of L ‘Oré al Ace, have created a series of explosive products such as helena rubinstein Black Bandage, Lancome Pure Cream and L ‘Oré al 20 Cream on their own. Exactly.The patent "black technology" gives the brand unique competitiveness and gives them high-end confidence.

Looking at China, although the R&D investment of Proya, Betani and Huaxi Bio can’t be compared with that of overseas companies (the R&D expenditure of L ‘Oreal/Estee Lauder/Shiseido in 2021 was 7.851 billion yuan/1.568 billion yuan/1.458 billion yuan respectively), it is also increasing year by year.Its R&D expenses and revenue ratio of China Hi Bio are always higher than those of its peers..

(See Intellectual Research Drawing)

According to Jianzhi Research, Huaxi Bio, as a biotechnology company that has transformed from To B To C,Rich bioactive raw materials and synthetic biology technology are its advantages.Its core component is that building various raw materials on the basis of hyaluronic acid is conducive to the layout of high-end brands, which has won the opportunity to compete with foreign brands.

However, neither the application of Huaxi bio-hyaluronic acid, Betani’s plant extraction technology, nor the patented technology "Mei Ya ‘an Ti MLYAAT-1002" can obviously reach the level of creating a new track.After all, it takes time for functional skin care products to perceive and educate the efficacy of ingredients. The three kings of anti-aging world, "Bose", "A alcohol" and "peptide", have a history of more than 20 years, but there are no killer products that can compete with them in synthetic biology in recent years. Even the more GABA, ekdoline and blue copper peptide in recent years, they still can’t be as good as Bose and VC.

From the price point of view, compared with overseas brands, domestic products have obvious advantages.

Or use the high-end essence class as an example, represented by Lancome and Estee Lauder.The essence of overseas brands usually gathers in 500-1000 yuan.Price belt; And mostThe essence of China brand is in 200-400 yuan.In the price range, the price of ruby essence, a big explosive item of Polaiya, is only 1/4 of that of SK-II light bulb.

(Source: China Merchants Securities)

It doesn’t really make sense to compare the price. Let’s compare the ingredients.Or take ruby essence as an example,Ruby essence is the essence with the highest concentration of hexapeptide in the industry.The price per milliliter is 9 yuan, which is lower than that of 24 yuan and 19 yuan competing for Estee Lauder and Clinique, and the concentration of alcohol A is as high as 1%. Compared with foreign brands, the overallCost-effective.

It is also worth mentioning that,original editionLike most other essences (e.g. Estee Lauder, Clinique, The Ordinary), the core component of Proya ruby essence is acetyl hexapeptide -8, andnew editionOn the basis of constant concentration,From the original acetyl hexapeptide -8 to acetyl hexapeptide -1.The anti-wrinkle effect of hexapeptide -1 is better than that of hexapeptide -8.Win by 10 times.

(Source: Ping An Securities)

Wisdom research also found thatIn fact, there are very few overseas brands making high-concentration alcohol A products in China.Try it only in a few brands, the main reason is that in the anti-aging world, except Bose is not naughty, A alcohol products are certain.thrill, caused by skin intolerance.Return rateIt will hit the brand image.

althoughAnti-aging itself has certain risks, but it is also an opportunity for domestic products, because domestic products are harmful to the skin of local consumers.And needs, soCompared with overseas brands, domestic productsofformulaChange can also be moreFlexible,For example, Polaiya added Sympathetic 1609, an anti-inflammatory, anti-irritating and skin barrier-repairing composition to the new ruby essence, which is milder than the original version and more suitable for the thin stratum corneum of China people.

In recent years, the boost of traffic to domestic beauty products is believed.alsoNeedless to saywatch from a height or distance.Both the rise of e-commerce and the explosive growth of new media such as Tik Tok and Xiaohongshu have created new growth points for domestic products.

Behind the competition for traffic and barbaric growth are the high marketing expenses of various companies.We can clearly see from the financial report that in the third quarter of 2022,The sales expenses/revenues of the three companies are close to 50%.. Kwadi, a subsidiary of Huaxi Bio, entered the 1 billion domestic product camp in just four years, behind which the sales expenses nearly doubled in 20 years; Polaiya is labeled as "emphasizing marketing and neglecting R&D" because of the significant investment difference between marketing expenses and R&D expenses.

(See Intellectual Research Drawing)

In addition,Superhead Li Jiaqi still has a strong irreplaceable role for domestic beauty products.amongWinonaIn the time when Li Jiaqi left, Tmall’s cargo data was only 127 million, and the monthly sales volume was not as good as that of Li Jiaqi in a single day. Judging from the data of this month’s Double Eleven,Huaxi Bio is the most dependent on the super anchor.About 70% of the sales of Quadi and Mibel are contributed by Li Jiaqi Live Studio. butBecause Polaiya has maintained a high proportion of self-broadcasting for a long time, it is not highly dependent on the super-head..

Hidden behind the high marketing expensesYes.More and more expensive customer acquisition cost and the failure of traffic law

Take Betaine as an example. In the past five years, marketing expenses have accounted for about 40% of Betaine’s revenue, which means that every income in 10 yuan needs 4 yuan to do marketing. From the current point of view,Betani’s marketing investment can still get considerable returns, and the income growth rate is higher than the sales cost growth rate. However, the efficiency of marketing growth driven by marketing investment is decreasing.In 2020, every 31.28% increase in sales expenses of Betani will drive 35.64% increase in revenue; In the mid-year report in 2021, this group of figures became 45.7%, and in the latest quarterly report in 22 years, this group of figures became 31.5%.

Generally speaking, Jianzhi research believes that in the eyes of consumers today, domestic products are no longer the "big bowl replacement" of overseas brands, but products, technologies and contents, and they fight with overseas brands by virtue of their price advantages. What can’t be ignored behind the glamorous performance is the high marketing investment, and even some brands suffer from serious "over-dependence".The marginal utility of high investment will decrease. If there is not enough product technology accumulation, it is difficult to establish a brand moat with simple marketing investment.

Aggressive scale growth guided by traffic dividends will gradually withdraw from the stage.futureIf a brand wants to maintain its advantages, it can’t do without the joint efforts of technology, products and marketing..Wisdom research believes that the brand can only be made by constantly moving towards high-endReally stopHeel, and this is inseparable from the cumulative sum of time.Breakthroughs in key core technologies,It also tests the company’sR&D capability.The emergence of a truly high-end beauty brand in China is my higher expectation after the rise of Double Eleven domestic products.

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This ＂talent＂ is healthy： creating a ＂15-minute medical circle＂

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For many chronic patients and the elderly, family doctors can provide them with sustainable and convenient medical services. How to better play the role of family doctors as health gatekeepers and better serve the masses? How to solve the problem that people are difficult and far away from seeing a doctor through the reform of public hospitals and the construction of medical associations? With the concerns of the masses, the reporter went to Xiangtan City, Hunan Province, a national public hospital reform and high-quality development demonstration project city, and conducted an investigation.

　　(As a national public hospital reform and high-quality development demonstration project city, Xiangtan City has continuously deepened the reform of medical and health system and promoted graded diagnosis and treatment)

In recent years, Xiangtan City has promoted the high-quality development of public hospitals, vigorously developed the contract service between medical associations and family doctors, created a "15-minute medical circle" for the masses to facilitate medical treatment, and opened up the "last mile" of primary medical services, so that ordinary people can get medical treatment at their doorstep.

　　(Tang Wenjing, Party Secretary and Director of Xiangtan Health and Health Commission, introduced the medical reform in Xiangtan)

As a national public hospital reform and high-quality development demonstration project city, Xiangtan has made some achievements in deepening the reform of medical and health system and promoting the construction of graded diagnosis and treatment. Tang Wenjing, secretary and director of the Party Committee of Xiangtan Health and Health Commission, told the reporter that Xiangtan City explored the construction of a close medical association, and Xiangtan Central Hospital took the lead in establishing Xiangtan City Medical Group, optimizing the reform of medical supply side, promoting the sharing of resources within the medical group and promoting the development of graded diagnosis and treatment.

　　(Family doctors in Xiangtan provide diagnosis and treatment services for patients)

At present, 67 primary medical institutions in Xiangtan have formed a close medical association with hospitals above the second level. Xiangtan City has built a new medical and health service system with reasonable layout and linkage from top to bottom to facilitate the masses to see a doctor. At the county level, Xiangtan actively promoted the pilot project of national compact county medical community. Full coverage of imaging diagnosis and remote consultation of difficult cases in the medical community, promoting the graded diagnosis and treatment system of primary diagnosis, two-way referral, rapid and slow division and treatment, and linkage up and down.

The reporter learned that in the city medical group, patients at the grass-roots level do not need to repeat the examination, and the examination results at the grass-roots level can be uploaded to the higher-level hospitals in time through the information platform, avoiding patients from running more.

In order to make it more convenient for people to see a doctor, Xiangtan City has set up 453 teams of family doctors, each team including general practitioners, nursing staff, medical experts, etc., and the team of family doctors has sunk into 1269 community grids to create a "home-front" hospital for the people.

(Reporter interviewed at the ECG Sharing Center of Xiangtan City Medical Group)

"Through information technology, solve the problem of difficult medical treatment." Tang Wenjing said that Xiangtan has built a smart medical and health service system, established a national health information platform, promoted the horizontal interoperability of four types of information platforms: hospital management, primary health care, disease control platform, and maternal and child system, provided digital medical services such as "one card" for convenient medical treatment, and built a new mechanism integrating prevention, treatment, rehabilitation and management, so that people can enjoy more convenient health services. At present, the signing rate of key groups such as the elderly, children and patients with chronic diseases in Xiangtan City is nearly 80%.

In recent years, Xiangtan City has taken the opportunity of implementing the national public hospital reform and high-quality development demonstration project to continuously deepen the reform of the medical and health system and promote the coordinated development of medical insurance, medical care and medicine. At present, Xiangtan city has basically realized the pattern of "headache and fever are solved in the countryside, common diseases are not out of the county, and difficult diseases are not out of the city".

Reporter: Shuai Cai, Cheng Ji ‘an, Dai Bin

Correspondent: Xue Gangyue, Wu Hao, Su Yanmin, Peng Qiuxiang.

Photography: Fu Xin Peng Shuixiu Yao Jiacheng

Later period: Yao Jiacheng and Wang Binyuan

Acknowledgement: Hunan Provincial Health and Wellness Committee

Xiangtan health and health commission

Xiangtan Central Hospital

Active medical sound

Xinhua News Agency Hunan Branch Shuaicai Studio Production

Beauty cosmetics, hard sun protection, telephoto phones … Large-scale performances also brought them on fire？

The resumption of large-scale performances in 2023 not only incited urban cultural tourism, but also became the engine to promote the soaring of many consumer goods industries. From beauty products, hard sunscreen equipment to telephoto lens mobile phones, many single products warmed up in the heat wave of performance economy.

Sales of concert-related industries

This year has soared strongly.

A report on "Performance Economy Explodes and Touches Multi-industry Growth" shows that at the beginning of 2023, large-scale performances were restarted one after another, and the spiritual collision between the audience and artists not only incited urban cultural tourism, but also became the engine to promote the soaring of many consumer goods industries.

According to statistics, more than 400 concerts have been held throughout the country this year, including the peak season in April and May, with nearly 150 concerts per month, which has exceeded the level of the same period in 2019. According to industry estimates, the number of large-scale concerts will exceed 1,000 this year, which will drive the attendance of 6 million to 8 million people.

As of the first half of 2023, the main consumer of the performance market is still young people aged 18 to 39. Among them, the number of female consumers among ticket buyers is significantly higher than that of men, and the proportion of consumers and female consumers after 00 and 95 is increasing year by year. Performance economy is not only a feast of music, but also an important part of young people’s cultural consumption.

With the enthusiastic pursuit of millions of fans and fans, the leverage of the performance economy is constantly rising. According to the data of Amoy Department, the sales of the industry with concerts as the key words have shown a strong soaring trend since January this year. In the first half of the year, the market sales reached its peak twice, which appeared in January and April respectively.

Blending of Fashion and Performance Economy

Make-up wear is concerned

The beauty industry is particularly prominent. In the past three months, the interaction of fashion elements such as makeup and wearing in music festival notes reached 273,600. In the official topic of Little Red Book, the number of views on the topic of "Dressing in Music Festival" in the past 90 days exceeded 50.153 million, and the topic of "Dressing in Music Festival" in the past two months was as high as 75.456 million. Fashion and performance economy have achieved a perfect blend, and the audience not only pursues music, but also swims in the ocean of fashion.

Concert makeup and ribbon braiding, sweet and cool dress make the concert trip more enjoyable; Exquisite and small ornaments shine more brightly in the light, and the spice girls wear them in line with everyone’s enthusiasm, and they instantly get high-performance brokers radiate to many industries. In the content related to the "concert", the social platform has reached the top three in terms of makeup and skin care, clothing and food and drink interaction.

Young people are willing to show their vivid personality, and different concert styles correspond to different makeup. Among the high-profile beauty content related to concerts, bold broken diamond makeup, smoky punk makeup and ghost horse girl makeup have a high appearance rate.

In the volume of makeup, it also shows the characteristics of local refinement. Taking eye makeup as an example, the interaction of "eye shadow" is more prominent. Young people pay special attention to the exquisiteness of each local dress, and want to show a perfect image in offline performances. At the same time, "bright makeup", "no makeup" and "no makeup mottled" have also become key words. After all, in a warm gathering of tens of thousands of people, it is a new demand to keep the makeup intact even if the skin is sweaty and oily.

Record high-definition moments

Telefocal mobile phones become popular items.

Driven by outdoor performances such as music festivals, sunscreen products are also heating up. Especially in the summer when outdoor performances are concentrated, hard sun protection becomes just needed. This year, among the hot words related to the music festival, the hot search index of sun protection clothing and sun protection hat exceeded that of sun protection cream, and sun protection masks, masks, gloves and other items also appeared on the hot search list of sun protection products.

The data can also be seen that the digital field has also been driven to heat up. The popularity of keywords such as "concert shooting artifact" remains high, and fans are keen to discuss which mobile phone has the best shooting performance before watching the performance. The telephoto lens mobile phone has become a hot-selling item. In addition, telescopes originally belonging to the outdoor industry have become hot sellers.

Category, sales in the second quarter of this year also increased significantly.

Under the hot background of performance economy, all related brands have taken advantage of the situation to increase the connection between popular items and popular scenes and actively explore growth points. This not only promoted the prosperity of the performance market, but also produced obvious spillover effects in other industries. From derivatives and cultural and creative products to restaurants and hotels, all of them are booming in the heat wave of performance economy.

How fast is badminton？ 300 kilometers per hour, shooting Mars is just basic exercise.

We have all played badminton, but do you know how lethal badminton is? It can even open our heads directly, yes, it is so horrible. What kind of speed does a small badminton need to cause such great lethality? How fast can Lin Dan, a famous badminton player in China, play badminton?

Answer the first question here. The fastest speed of badminton is 493 kilometers per hour. Perhaps some friends’ ideas are still stuck in the impression that the speed of badminton is 350 kilometers per hour, which is an old imperial calendar in previous years. Nowadays, the speed of badminton is getting faster and faster, and it has even become a deadly sport.

In one competition, Chen Wenhong, a famous Malaysian badminton player, created a speed of 493 kilometers per hour. It is unstoppable to jump and kill a ball at such a high speed.

Prior to this, the world’s highest badminton record was 421km/h, of course, it was also created by Chen Wenhong.

Then what is the concept of this speed of more than 400 kilometers per hour? You know, the highest operating speed of our high-speed rail now is 350 kilometers per hour, so badminton is actually faster than the high-speed rail? Do you think it’s incredible to see this? After all, badminton is called the fastest ball game in the world.

In fact, in addition to Chen Wenhong, the strength of Li Zongwei is not to be underestimated. The speed of badminton can reach 456 kilometers per hour, which can directly crack watermelons and deeply embed them in melon meat. If we convert this watermelon into our heads, we suddenly feel that badminton is no longer so cute.

So, like our Chinese Olympic Champion Lin Dan, how fast can he play badminton?

The International Badminton Federation has published a ranking, and Lin Dan ranks fifth in the list of killing speed, with a speed of 401 kilometers per hour. There are friends here to say, since it is the first Olympic champion in the world, why can’t it speed up to the fastest?

Badminton, though extremely fast, is a skillful sport after all. Players who can beat speedminton are not necessarily strong. But strong athletes can generally hit a speed of nearly 400 kilometers per hour. For example, Fu Haifeng, a famous player in China, hit a speed of 396 kilometers per hour.

Since badminton is so fast, how lethal is it? Lin Dan gave us a demonstration. In the reality show "Come Champion" of Zhejiang Satellite TV, a board with a thickness of 12 mm was easily broken by Lin Dan.

So when we play badminton, we must pay attention to safety.

In fact, in addition to the extremely fast speed of badminton, the speed of other ball games can also reach quite amazing levels.

Tennis, similar to badminton, has reached a service speed of 246 kilometers per hour. In addition, the speed of football has reached 149 kilometers per hour, which was created by Carlos, a heavy gunner.

No wonder there are so many athletes with concussion in football matches, but we don’t know how far our national football team can play. Football players who have won proud rankings abroad are strong and muscular. In contrast, our national football team is relatively quiet.

The amazing speed of these ball games not only affirms the athletes’ efforts, but also reflects the limits of human beings invisibly. So in the future, what amazing record can this sport be created?

GS comments on the top ten games in 2023： Bode 3, Biochemical 4RE, etc.

2023 is a year of great works, including Tears of the Kingdom, Gate of Bode 3, Biochemical 4RE and so on. A few days ago, GameSpot published a paper to evaluate the ten best games in 2023 (in no particular order, including excellent expansion and update content). Let’s take a look.

Killer 2 of the Mind

Bode’s Gate 3

Shadow of the past in 2077

《Hi-Fi Rush》

Killer pigeon mode Freelancer

The legend of zelda: Tears of the Kingdom

Traveler from all directions 2

Resident evil 4 remastered edition

Street fighter 6

Super Mario Bros.: Surprise

Bayern vs Leipzig full-court data： shooting 17-14, shooting 5-7, possession rate of 64.

Live on May 21st, Bayern lost to Leipzig 1-3 in a key battle at the end of this Bundesliga. The following is a comparison of the specific data of the two sides:

Bayern vs Leipzig

Shooting: 17-14

Straight shot: 5-7

Ball control rate: 60%-40%

Passing success rate: 87%-79%

Foul: 8-11

Yellow card: 1-1

Corner kick: 7-2

(Chenpi is not orange)

Alas! Sterling won 11 championships in Manchester City in 7 years, and suffered nothing in his first season when he moved to Chelsea.

Live on May 21 ST, Manchester City, which won the championship three times in advance, will face Chelsea at home at 23:00 tonight, and Sterling will face the old owner.

Last summer, Sterling moved from Manchester City to Chelsea for a total fee of 55 million pounds.

Sterling joined Manchester City from Liverpool in July 2015. During his seven years in Manchester City, he scored 131 goals in 339 appearances and won 11 championships, achieving a grand slam in England.

Premier League Champion X4: 2018/2019/2021/2022

FA Cup X1: 2019

League Cup X5: 2016/2018/2019/2020/2021

Community Shield Cup X1: 2019

Manchester City won the championship ahead of time because Arsenal were lost in the ＂forest＂

The suspense of the Premier League title came to light on the first match day of the 37th round on May 21st-Arsenal lost to Nottingham Forest 0-1 as a guest, and scored 81 points with one round left in the schedule, four points behind Manchester City, so they had to watch their unbeaten rivals reach the top in advance, thus achieving their "three consecutive titles" in the Premier League. Nottingham forest has accumulated 37 points after winning this round, and also announced the relegation in advance.

In this campaign, Nottingham Forest must win in order to avoid relegation. Although Arsenal have lost the initiative to win the championship, they still want to be a living horse, and both sides have done their best in this campaign. In the 19th minute, Arsenal captain Odegard made a return error in the midfield, which made Nottingham Forest form a quick counterattack of three strikes and two strikes in the frontcourt. White made a direct assist and Awoniyi scored a single goal.

After Arsenal conceded the goal, they nest laid siege to Nottingham Forest. The ball control rate of the whole game was over 80%, and he shot 11 times, almost twice as much as his opponent, but only 3 shots were right. Nottingham Forest only shot six times, but it hit twice. Among them, Awoniyi went to the meeting alone in 35 minutes. Nottingham Forest almost expanded its lead if Arsenal goalkeeper Ramsdale saved the danger. In the end, Arsenal led the Premier League standings for 248 days but failed to reach the top, setting the longest leading time for teams that failed to win the championship.

After Nottingham Forest won by surprise, the home fans were very excited.

Ramsdale said helplessly after the game: "This is very difficult! All the hard work for months is over. We just can’t find a way out today. Nottingham Forest has done a good job. They know what they need to do, and it is difficult for us to break through them. This is a disappointing ending. "

Carragher, a famous player in the Premier League, explained the reason why Arsenal missed the Premier League title: "The strength of Arsenal’s 11 starters is not too far from that of Manchester City, and the styles of the two teams are similar, but Guardiola (the head coach of Manchester City) raised the standard so high that now Foden can’t enter the starting lineup, and they are still introducing high-level players, which is the difference between Manchester City and Arsenal."

Arsenal scored 50 points in the first half of this season, but the state in the second half declined obviously, giving people the feeling of anticlimactic; Although Manchester City has been catching up for a long time, it has always been calm and calm, and finally has the last laugh. This is actually a reflection of the strength gap between the two sides. Manchester City is still two rounds less than Arsenal, scoring 90 goals and only losing 31 goals, with 61 goal difference; Arsenal scored 83 goals and lost 43 goals, and the goal difference was 40. The goal difference is the data that best reflects the strength of the team. In fact, there is a grade difference between the two sides. In this sense, Manchester City deserved to win the championship, and Arsenal have done their best.

After six games in this round, the situation of relegation and the fight for four has also become clear: Everton has 33 points, Leeds has 31 points, Leicester has 30 points, and there are still two rounds left. These three teams are ranked fourth, third and second from the bottom. After Southampton, which is at the bottom of the points, has been relegated in advance, the remaining two relegation places will be produced among these three teams; As Manchester United beat Bournemouth 1-0 in this round, Liverpool drew Villa 1-1 at home, Newcastle and Manchester United ranked third and fourth with 69 points, and Liverpool ranked fifth with 58 points left in one round. As long as Newcastle and Manchester United score one point in the remaining two rounds, they will lock the top four places in the Champions League next season. (For more news, please pay attention to Yangcheng Pai pai.ycwb.com)

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