标签： 上海贵族宝贝交流

In 1953, the Senior Nursing School of Peking Union Medical College was officially dissolved after 33 years of spring and autumn.

Prior to this, the senior nursing school and the medical college went through several times of disintegration and baptism by gunfire, as well as harsh "elite education", English teaching, elimination mechanism, internship, studying in the United States … The highlight and darkness coexist, and the inside story of education remains unchanged.

After that, nursing education entered the period of "technical secondary school mode", in which "Secondary Five" was common (that is, graduating from junior high school and going to technical secondary health school) and "Senior Six" was rare (high school+junior college was six years). Nie Yuchan, the former president of the Nursing School of Peking Union Medical College, once said: "After four months of hard migration and running schools in the rear during the war, the nursing school of Peking Union Medical College was not retained.". It was not until the 1980s that it gradually regained its glory. In 1983, Tianjin Medical College first set up five-year undergraduate nursing education, which brought it back to light.

The work of nurses is often replaced by "injection" and "medicine distribution", and the academic background of nurses is often synonymous with "poor students". Stable work, integrated with medicine, is often excluded from medicine.

Prescription right is not a precedent, and it has existed abroad for a long time. However, in China, the soil of nursing vocational education is not perfect, and the implementation of nurse prescription right is also stumbling.

By the end of 2021, the number of registered nurses in National Health Commission has reached 5.018 million, and nearly 80% of them have graduated from colleges and universities. However, according to Liu Hua, director of the nursing department of a hospital in Shenzhen, "education is the cornerstone of practice, and at this stage, most of our vocational education (that is, the mechanism of sending students from Secondary Five/third-party labor) may still be difficult to match the difficulty and intensity of hospital work."

The liberalization of the rights and interests of nurses’ prescription right in Shenzhen Special Economic Zone is only the beginning, and a series of supporting facilities such as the entry threshold for specialized nurses have not been supplemented, and the reshaping of vocational education in related disciplines is the fundamental.

This article comes from WeChat WeChat official account:Caijiandao (id: artofwealthandhealth)Author: Zhang Yuqi, Yan Yang, editor: Yang Zhongxu, drawing: Zhang Yuqi, original title: "Shenzhen nurses can prescribe! Patient trust, talent gap, industrial outbreak, still waiting for time ",the first picture comes from: vision china.

On June 23rd, news came out from Shenzhen Special Economic Zone that nurses would have the right to prescribe with certain authority. At that time, applause and controversy arose at the same time, and there was a discussion around the scope, power and responsibility of nurses’ right to prescribe.

In the revised Medical Regulations of Shenzhen Special Economic Zone(hereinafter referred to as "medical regulations")Article 64 clearly states,Nurses with specialist nurse certificates can issue examination application forms, treatment application forms, topical drugs and other practice activities in nursing specialist clinics or community health service institutions.

This local medical regulation, known as the "advanced upgraded version" of the SAR medical regulations, will be implemented on January 1, 2023.

According to the practitioners involved in the revision of medical regulations, before the final version was published, they participated in the revision of 13 different versions. The specific rules behind the "nurse’s prescription right" in the medical regulations and the division of rights and interests are still under planning.

The "dispute over prescription right" is not about who signs and who is responsible, but about the same frequency resonance of the practice level, vocational education and supporting measures behind the prescription right.

Zhangyan, head nurse of comprehensive rehabilitation department of a hospital in Shenzhen, mentioned many times in her communication with her peers.Nurses’ prescription right not only benefits nurses themselves, but also benefits patients..

Patients don’t want to go back and forth and register repeatedly, but they are subject to the authority. Nurses often have the skills and can change clothes, but they don’t have the authority, which is a double loss of money and time for patients.

Of course, "if there is only a single prescription right, it can’t go too far," Liu Hua said.

According to Huang Wei, director of the medical department of a hospital in Shenzhen, although it is a good thing for nurses to let go of prescription rights, in the medical regulations, prescriptions prescribed by doctors can be reimbursed by medical insurance, and it is still inconclusive whether the prescriptions prescribed by nurses can be connected with medical insurance in the future.　

How far the nurse’s prescription power goes is unknown, but medical treatment itself is a long process of trust. Doctors are trusting nurses, and patients are choosing medical care.

First, the limited right of nurses to prescribe

Nurses’ prescription right has long existed.

In 2017, Anhui Province took the lead in trying to give nurses the right to prescribe. Compared with the regulations of Shenzhen, the scope of prescription right of nurses in Anhui Province was narrower and the assessment was more stringent, which was expressed by a formula: "Strict assessment mechanism+specialist nursing clinic = limited prescription right under the guidance of doctors".

Senior nurses have more rights and interests, the academic community is exploring, and the industry is crossing the river by feeling the stones.

This year(2017)Peking University College of Nursing recruits the first batch of senior practicing nurses in chronic disease management in China.(2, equivalent to practicing nurses in the United States)After completing the professional master’s course and clinical practice training, it is expected to become a pioneer with limited prescription rights and participation in chronic disease management.

Nurse practitioner（NP，nurse practitione）Clinically, it is often called "nurse doctor", which refers to a registered nurse who is specially trained to provide many primary health care usually carried out by doctors. Their nurses with specialized skills and knowledge can diagnose and treat patients and have the right to prescribe.

According to statistics, from 2012 to 2017, Guangdong Nursing Association trained ICU in five years.(intensive care unit)There are 2836 specialist nurses in 14 specialties, including specialist nurses and static therapy specialist nurses. On this premise, in 2018, hospitals in Guangdong Province successively opened nursing clinics, PICC clinics, midwifery clinics and wound ostomy clinics.

When the outpatient service is opened, the rights and interests are released, pointing to who owns the prescription right within the outpatient service.

According to zhangyan’s recollection, the prescription right of nurses was very limited at that time, and only a few head nurses had the authority to apply for treatment.

For example, when a patient with stress injury goes to the hospital for face-to-face consultation, the nurse first evaluates the wound condition in the dressing changing room of the outpatient clinic, then registers with the doctor, and then the doctor makes a prescription for dressing change, and then the outpatient nurse changes the dressing. The whole process is summed up in the queue at the payment office, the consultation room or the dressing changing room, and the time cost and registration cost are drowned in the hospital. In fact, if the nurse has certain prescription rights, most of the dressing changing problems can be solved.

Having the right to prescribe is not only for improving personal rights and interests, but also for patients.

Many head nurses said that although patients have much higher trust in doctors than nurses, with the improvement of nurses’ professional skills, patients’ trust is also improving. Huang Wei said that the division of labor between doctors and nurses in hospitals is different. Some treatments, such as PICC catheterization and nursing, are more professional for nurses; Some such as deep vein catheterization.(Infusion port implantation)Our doctors are more familiar with the operation, but they need nurses to change the dressing.

Opening up the rights and interests of nurses is convenient for nursing and the promotion of autonomy. For doctors, it diverts doctors’ prescription rights, and the work pressure itself is great. Why not release some rights that should be diverted? Huang Weiru said.

As early as October, 2021, when west china hospital started the Senior Practical Nurse Program, the relevant nursing professionals felt that if vocational education and medical treatment were derailed, nurses’ autonomy and nursing professional level could not be improved.

The expansion of prescription right continues.

Although Anhui Province, as the leader of the "pilot project", "sank" the first batch of 78 senior nurses to the grassroots level to carry out specialist nursing clinics to supplement the position of general practitioners, Anhui’s prescription rights have not really landed, and the rights and interests of nurses under the guidance of doctors are still limited.

Controversy among all parties is difficult to implement, which is the first step to limit the promotion of nurses’ prescription rights.

Liu Hua mentioned that in the dispute of prescription right, the most intuitive feeling is who owns the graded nursing prescription for clinical patients. Nursing majors learn how to distinguish between primary care and secondary care in medical college. Although it is necessary to distinguish the nursing levels of patients in clinical practice, in practice, the prescription right of graded care is not owned by nurses, and the graded care prescribed by doctors is sometimes not necessarily right, but it is actually difficult to shake the power to follow and follow the doctor’s advice.

In addition, how to make patients trust is also a long process in the promotion process.

According to Wang Li, the head nurse of the emergency department of a hospital in Shenzhen, some of her peers are specialized nurses in wound repair in Guangdong Province.(also the head nurse of the surgical ward)She helps patients to repair pressure ulcers by opening an outpatient clinic. Different from clinicians, nurses work in three shifts, have the most contact with patients, give consideration to clinical and outpatient services, and need to make patients trust nurses, so the difficulty coefficient is greatly improved. How to make patients accept nurses to sit in the clinic? How to find patients who need more help? Every question needs thinking.

Driving the clinic into the ward was the idea of the peers at that time. To this end, her colleagues went deep into the ward to help deal with liquefied wounds, pressure ulcers, diabetic feet, etc. in the department, and the word-of-mouth effect started, and the patient’s trust in nurses also improved.

At present, the nurses’ prescription rights in Shenzhen medical regulations are still being explored, and their rights and interests are expanding compared with those in other places. However, the detailed rules have not been drawn up and the contents have not been implemented. Whether it can be successful or not, and to what extent, everything remains to be seen.

Second, what power does the prescription right give nurses?

Medical treatment is never trivial.

Shenzhen’s short words about nurses’ prescription rights are behind the fact that patients’ huge needs for professional nursing and out-of-hospital nursing have not been met for a long time.

It is worth noting that,The subject of releasing nurses’ prescription right actually refers to specialist nurses, not all nurses..

What is a specialist nurse? Based on the description of many practitioners, it can be simply understood that there are high-level expert nurses in some nursing fields, with corresponding qualifications, long experience and high level.

At present, the qualification of specialist nurses is mainly obtained through a series of processes: hospital recommendation registration, passing examination, participating in study and rotation.

Zhangyan told Caijiandao that those who can be recommended by the hospital to participate in specialist nurse training must first be the best recognized by everyone in the department. Secondly, there are certain requirements for professional titles, at least nurses.(Junior nurse-nurse-nurse in charge)Generally, the top three hospitals should ask for a supervisor nurse or above.

Wang Li also said that taking the emergency department as an example, first, the nurses who participated in the training should have at least 5 years of working experience in the emergency department; Second, the education must be at least undergraduate; Third, applicants should take the initiative to have self-improvement requirements and career planning, and finally have a sense of responsibility. Specialist nurses not only improve their personal ability, but also play a leading role in the team.

However, at present, there are only some simple and wide-ranging regulations on the qualification of specialist nurses, and the final standard is still for each hospital to make its own decisions. In the future, the admission standards and training standards for specialist nurses still need to be unified by the state.

It cannot be ignored that,Behind the industry’s promotion and expectation for specialist nurses is a huge gap in the high-quality nursing market, especially the demand for out-of-hospital nursing market, which is gradually becoming clear under the promotion of measures such as family wards and community nursing..

Huang Wei mentioned that specialist nurses have the right to prescribe, which can not only improve nurses’ enthusiasm and sense of work value, but also greatly facilitate patients, which can be said to be multi-faceted.

For example, in the expanding family bed mode, for patients who suffer from stroke sequelae or stay in bed for a long time, nurses can completely perform some daily operations like changing stomach tubes, etc. After the official promulgation of the regulations, many obstacles will be cleared away for such long-term care scenes outside the hospital, and the huge gap in the rehabilitation industry has already attracted the attention of capital.

Although it is still a minority insurance at present, under the guidance of long-term insurance, commercial institutions have participated extensively, and all kinds of social capital have also accelerated the pace of entering the aged care service market, and on-site medical care services are expected to gradually increase.

According to the data of China Long-term Care Insurance Market Potential Research Report, the whole long-term care insurance market is predicted to grow to 2.7 trillion yuan by 2030. Liu Hongbo, deputy general manager of Taikang Pension Insurance Co., Ltd., has publicly stated that the long-term care insurance payment lever will incite the 800 billion old-age care market scale.

Zhang Yan has more expectations for the practical application scenarios after the release of nurses’ prescription rights.

She has been engaged in rehabilitation nursing for nearly 20 years. When talking about community nursing service, zhangyan said that many nurses are reluctant to go to patients’ homes to provide some continuous nursing services, because the process is cumbersome and there is no legal protection. Zhangyan emphasized that nurses’ prescription rights have not been released, so any behavior of nurses can only be carried out according to the doctor’s advice, and there are many obstacles to be solved in practical work.

She cited an example around her. A patient was still in a coma when he was discharged from the hospital, and he was obese. There were no stairs at home. When he was discharged from the hospital, his family had to invite several big men to carry him to the seventh floor. What is distressing is that the patient has a stomach tube and a urinary tube inserted because his trachea has been cut, so daily care is extremely necessary.

Community nurses are extremely embarrassed about the door-to-door. If nurses operate on their own, it is actually against the rules. However, according to hospital standards, the insertion of gastric tubes needs to be confirmed by filming, and it is extremely inconvenient for patients to move, which undoubtedly puts patients’ families and nurses in a dilemma.

Zhangyan said that the rehabilitation effect of many patients he handled after discharge was far less than that in the hospital, because of the lack of knowledge and skills of rehabilitation nursing. For these patients, there is no need for a doctor’s diagnosis, but a guide of professional rehabilitation knowledge and skills. If the nurse’s prescription right is released, then the nurse can come to the door and do a lot.

Third, can vocational education and medical insurance keep up behind the prescription right?

Since 2017, the exploration of nurses’ prescription rights has a long history.

At present, the specific qualification evaluation, training requirements and medical insurance convergence of nurses’ prescription rights in Shenzhen have not yet been promulgated, and the detailed rules of relevant regulations have not yet been published.

Huang Wei mentioned a very realistic problem in the whole process of liberalizing nurses’ prescription rights, that is, access to medical insurance.

Huang Wei introduced,At present, the medical insurance regulations stipulate that doctors can prescribe medical insurance, and all items that need to be charged in the ward must be issued on the doctor’s advice. Whether the prescriptions prescribed by nurses in the future can also be connected to medical insurance is not stipulated at present..

Prescription not only represents rights, but also represents responsibilities. Wang Li stressed that if there is a medical dispute due to inappropriate dosage or usage on the prescription, the nurse who prescribed the prescription should also bear legal responsibility. There are many kinds of drugs themselves, and the opening and future of prescription rights need the guidance and joint participation of professionals.

Another problem that can’t be ignored is whether the number of specialist nurses can meet the needs of patients in the future with the gradual liberalization of nurses’ prescription rights.

Xu Yucai, former deputy director of the Health Bureau of Shanyang County, Shaanxi Province, told Caijiandao that there are many factors behind the slow progress of nurses’ prescription rights in China. The first is that the foundation of nursing education in China is too low. Many schools have three-year nursing programs, and most of them are directly recruited from junior high school graduates. Undergraduate nursing education started late. This also leads to the weak cultural foundation of nurses in China as a whole, and the problem of traditional understanding of medical services, which leads to the fact that nurses can only undertake auxiliary work in clinical medical treatment.

In the continuing education, there is also the lack of systematization and standardization of nursing education, and the incomplete training system of specialized nurses, which leads to the fact that clinical nurses seem to be mainly giving injections and infusions, without medical dominance and authority.

On the other hand, the admission requirements of specialist nurses in Hong Kong are higher, and they have to go through at least one year’s internship period. The number and items of specialist nurses are not as good as those in the mainland, but before that, the requirements for nursing professional studies and the qualification certificate of nurses in Hong Kong are much higher than those in the mainland. The division is clear, the responsibilities of medical staff are clear, and the authority is relatively more, Liu Hua said.

Xu Yucai said that in addition to continuously strengthening the training and attention of the nursing team, we must also pay close attention to the academic education and re-education of specialist nurses, which still has a long way to go.

When talking about whether specialist nurses can meet the needs of patients in the future, Liu Huaxian, who has been engaged in nursing work for most of his life, is worried.

She said that many nurses in the team don’t talk about basic medical knowledge of physiology and biochemistry, and they can’t even recite the element list. These nursing technical teams dare not let him get started even if they really let go of the prescription right.

The lack of high-level professionals is a common pain point in the industry. At present, public hospitals are required to recruit employees above junior college, but there are not so many qualified talents in the market. What should we do? They are all sent to the hospital in disguise through the way of third-party labor delivery. Isn’t this selling dog meat?

Liu Hua said that to change the current situation of the nursing industry, it is far from enough to rely solely on personal identity with the profession, mainly relying on the improvement of basic terms at the social level. She is looking forward to the subsequent impact of opening up nurses’ prescription rights.

Can the spring of nursing industry be far behind after the nurse’s prescription right is released?

(The author is a medical researcher of Caijing. Some interviewees such as Liu Hua and zhangyan are pseudonyms, and some interviewees are provided by Shenzhen Hezheng Hospital.)

This article comes from WeChat WeChat official account:Caijiandao (id: artofwealthandhealth), Author: Zhang Yuqi, Yan Yang, Editor: Yang Zhongxu

　　Hosted by Yangzhou Municipal Bureau of Culture, Radio, Film and Tourism, Yangzhou Municipal Committee’s Network Information Office, Yangzhou Intangible Heritage Protection Center and Yangzhou Cooking and Catering Industry Association, the results of the most popular Huaiyang cuisine selection in 2023 were released. After nearly one month’s online voting, the top ten most popular Huaiyang cuisine and the top ten most popular Huaiyang cuisine were finally selected.

　　Ten Most Popular Huaiyang Cuisine

　　[Ruyi Liangjuan]

　　Yangzhou traditional dim sum, milled glutinous rice flour, rice flour mixed with sugar, oil, sweet-scented osmanthus sauce and cocoa powder, is made into thick paste with cold water. White and brown flour are pasted into a plate, steamed in a cage, and then the two dough sheets are folded together and rolled to form a desirable shape, and then cut into small pieces with a knife and served on a plate. The finished product has a beautiful meaning and a soft taste.

　　Yechun

　　Address: No.8 Fengle Shangjie, Hanjiang District, Yangzhou

　　[Wangchao’s secret recipe for breast beef]

　　The finished dish is atmospheric in shape, beautiful in shape and bright in color, and it is a banquet dish with distinctive characteristics in Huaiyang. The taste is crisp, rotten and soft, and the meat is rich.

　　Wangchao building

　　Address: No.116, Canal West Road, Qujiang Street, Guangling District, Yangzhou

　　[Bright Moon Chrysanthemum Cup]

　　The soup is clear, tofu is like chrysanthemum, pigeon eggs are like moon, and the artistic conception is far away. The dishes are elegant in color, which embodies the exquisite knife work, superb soup hanging skills and the aesthetic temperament of literati dishes.

　　Jujin building

　　Address: No.2-1 Niansiqiao Road, Hanjiang District, Yangzhou

　　【 Sweet gourd duck 】

　　Use the whole duck deboning technique to remove the duck bones, and keep the duck skin intact. Eight kinds of fillings (different cuisines have different fillings) were brewed in the belly of duck, and made into gourd shape by seiko. The duck meat is fresh and tender, the stuffing is glutinous and scattered, and the taste is salty, fresh and mellow.

　　Yechun

　　Address: No.8 Fengle Shangjie, Hanjiang District, Yangzhou

　　"Fish, sheep and crab are three fresh"

　　The combination of fish and sheep into fresh characters, together with lake crab’s fat and top soup hanging skills, highlights the original flavor of the ingredients, ingenuity everywhere, and lack of craftsmanship.

　　Jujin building

　　Address: No.2-1 Niansiqiao Road, Hanjiang District, Yangzhou

　　[Fried soft pockets]

　　Fried soft pockets in Huaiyang is a very famous dish in Huaiyang cuisine. The main ingredient is Monopterus albus, which is cooked from its loin. The meat of Monopterus albus is very tender, delicious and unique. Because chopsticks are picked up, both ends of eel meat hang down, just like the belt of Chinese-style chest covering worn by the ancients, so it is named soft pocket. This dish requires pepper and garlic to be fragrant, hot, spicy, fresh and fragrant, and it is a happy dish that is suitable for both wine and rice.

　　Dishes store west zone branch

　　Address: No.395-No.2 Wenchang West Road, Hanjiang District, Yangzhou

　　[Yangzhou fried rice with Vince tofu]

　　Yangzhou fried rice is one of the most famous dishes in the world with Chinese flavor. The common Yangzhou fried rice is called Sanxiang broken gold rice, also known as assorted fried rice. Wensi Tofu is the representative dish of swordsmanship in Huaiyang cuisine. A piece of lactone tofu is cut into intricate threads with a knife, and the chef in Yangzhou’s three knives is skillful.

　　China Huaiyang Cuisine Culture Museum

　　Address: No.22 Kangshan Street, Guangling District, Yangzhou

　　【 Crab-filled quicksand osmanthus fish 】

　　Filling crab and quicksand osmanthus fish, instead of filling yellow croaker with soup, the main dish in the Manchu-Han banquet, is made of crab yellow and mandarin fish from local gaoyou lake. This dish looks simple in appearance, but there is dried Kun in the belly of the fish. The cooking technique is exquisite, so that the fish can be cleaned and boned without breaking. When the soup is filled in the belly, the fish is fresh, fragrant and smooth, and when dipped in golden soup, the flavor is cubic.

　　Jiangnan yipin wucai world branch

　　Address: F4, Colorful World Life Plaza, No.8 Jinghuacheng Road, Hanjiang District, Yangzhou

　　"Emerald Peony Shrimp Ball"

　　The main ingredient is shrimp, the ingredient is spinach juice, and the seasoning is salt, starch, cooking wine, chicken soup and so on. The color is bright and crystal clear, green and transparent, and the color is like jade, hence the name. Peel the big shrimps with cash, quickly size them after peeling, and lock the moisture to ensure the crisp and refreshing taste. The ingredients and seasonings of this dish are simple and healthy, which is in line with the current trend of light diet and health care.

　　Guanglingyan

　　Address: No.8 Guangling Road, Dongguan Street, Guangling District, Yangzhou

　　"Braised pork intestines with garlic"

　　A special dish with a strong local flavor. Its garlic rake glutinous, fat sausage red and bright color, rich flavor. Taste: salty, spicy and unique.

　　Wangchao building

　　Address: No.116, Canal West Road, Qujiang Street, Guangling District, Yangzhou

　　Ten Best Popular Huaiyang Cuisine

　　[Emerald Shaomai]

　　Yangzhou dim sum, one of the two must-haves, is as beautiful as jade, looks like a vase, is exquisite and lovely, and is famous for its sweet oil and moist fragrance. This famous point is green and worn with broken red. The taste is gentle and tender, moist and delicate. The taste is fresh and elegant, and the flavor is meaningful.

　　Fuchun

　　Address: No.35 Desheng Bridge, Guangling District, Yangzhou

　　[Braised eel tube with green onion and red sauce]

　　The eel is boned, peeled with a spatula, the yam is fried in an oil pan and shaped, and the scallion is fried and braised with scallion sauce. Characteristics of the dish: rich in nutrition, tender and delicious, and rich in juice.

　　City cuiyuan

　　Address: No.459 Wenchang Middle Road, Guangling District, Yangzhou

　　"Boiled shredded crab powder"

　　Known as a famous dish in East Asia, it is also one of the representative works of Huaiyang cuisine, also known as boiled dried silk. This is a semi-soup dish, with white dried silk, orange soup color, smooth and elastic taste, strong, fresh and mellow taste.

　　Fuchun

　　Address: No.35 Desheng Bridge, Guangling District, Yangzhou

　　"Pearl fish stewed fish face"

　　It shows that the bonesetter of Huaiyang cuisine has changed the taste and shape on the basis of the traditional famous dish "Braised Silver Carp Head", and the innovation of raw material forming has enriched the forms and production methods.

　　Yangzhou banquet

　　Address: No.48, changchun road, Hanjiang District, Yangzhou

　　[Golden Soup Fish Lion Head]

　　Stewed lion’s head is the first famous dish in Huaiyang. On the basis of traditional lion’s head, the golden soup squid lion’s head inherits the traditional skills, adds diced squid, and is served with specially boiled golden soup. It has both form and spirit, and tastes fresh and tender, which is more in line with modern people’s nutritional pursuit and eating habits.

　　China Huaiyang Cuisine Culture Museum

　　Address: No.22 Kangshan Street, Guangling District, Yangzhou

　　"Nourishing lamb chops pot"

　　"The meat is tender, not fishy or fishy", each piece is fat and thin, the lean part is soft and tender, and the fat is sandwiched between muscles, trembling. Between the teeth, it is soft and rotten, and there is no lack of tendons. The fullness and milk fragrance sweep through the mouth.

　　Ershisiqiao hotel

　　Address: No.486, Yangzijiang North Road, Hanjiang District, Yangzhou

　　[Yangzhou salted goose]

　　Yangzhou salted goose is a food business card of Yangzhou, a representative pot-stewed flavor, and also a common flavor feature for people to accompany wine and banquets on the table. It uses a rural earthen stove, a round wooden barrel with a closed mouth, old bittern prepared by ancestors, and all kinds of seasonings to put into the pot. When the goose is put into the pot, it must be discharged vertically and the lid must be tightly covered. After the fire boils, simmer it. The food is crisp and mellow, and it is suitable for both wine and rice.

　　Xishilou

　　Address: No.158, Hanjiang Middle Road, Hanjiang District, Yangzhou

　　"Braised donkey with kumquat"

　　Nourishing dishes in winter, the donkey meat is delicious and tender, and kumquat is sweet and sweet. Donkey gizzard is not a common ingredient in Huaiyang, but using Huaiyang braised technique to make donkey meat pot reflects the characteristics of Huaiyang cuisine.

　　Xiangyuan

　　Address: No.451-1, Yangzijiang North Road, Hanjiang District, Yangzhou

　　[Three sets of ducks]

　　Three sets of ducks, a traditional classic dish in Huaiyang, is a representative dish that embodies Huaiyang’s deboning work. Its appearance is strange and elegant. It is also called Qi Za Tang, because domestic ducks are used to cover Ma Duck and Ma Duck to cover pigeons, and one duck has three heads and one soup has seven flavors.

　　The domestic duck meat is fat, the wild duck meat is thin, the pigeon meat is tender, steamed into a dish, the soup is fresh, and the flavors are compound and complement each other. Eating from the outer layer to the inner layer, the more tender you eat, the more fresh you eat, and there are endless wonders.

　　Ershisiqiao hotel

　　Address: No.486, Yangzijiang North Road, Hanjiang District, Yangzhou

　　"Pine crab crab powder tofu"

　　Crab powder tofu is a traditional famous dish in the south of the Yangtze River. It tastes delicious, tender and refreshing, while pine crab meat is sweet, which increases the taste level of crab powder tofu, and you can chew sweet crab meat in salty and fresh food.

　　Shangri-La Hotel

　　Address: No.472 Wenchang West Road, Hanjiang District, Yangzhou

　

　　At present, the change of the world, the change of the times and the change of history are unfolding in an unprecedented way, and human society is facing unprecedented challenges. The world once again stands at the crossroads of history, and where to go depends on the choices of people of all countries.

　　At this time, the world-famous The 20th National Congress of the Communist Party of China（CPC） opened in the Great Hall of the People on 16th. On behalf of the 19th Central Committee, General Secretary of the Supreme Leader made a report to the General Assembly. Facing the century-long changes in the world, China’s choice is: to promote world peace and development, and to promote the building of a community of human destiny.

　　"significant", "far-reaching" and "shaping the future" … … The convening of the conference aroused widespread repercussions around the world. It is generally believed in the international community that under the leadership of the Communist Party of China, China has always adhered to the foreign policy purpose of safeguarding world peace and promoting common development, committed itself to building a community of human destiny, constantly providing new opportunities for the world with new development, and promoting the construction of a better world.

　　Provide new opportunities for the world with the new development of China.

　　At present, the changes in the world over the past century are constantly evolving, unilateralism and protectionism are rampant, economic globalization is facing countercurrent, the world economy is dragged down by inflation, epidemics, geographical conflicts and other factors, and downside risks are accumulating. Developing new opportunities is more precious than ever to all countries and people in the world.

　　China adheres to the basic national policy of opening to the outside world, firmly pursues the win-win opening strategy, constantly provides new opportunities for the world with the new development of China, promotes the construction of an open world economy, and better benefits the people of all countries. The 20th National Congress of the Communist Party of China once again sent a strong voice of openness to the world, and its determination and actions to make new contributions to global development with its own new development won wide acclaim and support from the international community.

　　"China’s adherence to a high level of opening up will provide more development opportunities for the world and benefit people all over the world." William jones, president of the Washington branch of Global Strategic Information magazine in the United States, believes that the strategic policy put forward by CPC Report to the 20th CPC National Congress can promote global common prosperity.

　　KanBakhash Kharaji, editor-in-chief of Iranian Daily, who has been paying close attention to China’s development for more than ten years, said: "China’s economy is developing continuously and healthily, and China has always been committed to building an open world economy, which will continue to make positive contributions to the world."

　　China’s high-level opening-up is not only a far-sighted strategic plan, but also a solid and steady policy arrangement. From steadily expanding the institutional opening-up of rules, regulations, management and standards, to accelerating the construction of a trading power, and then promoting the high-quality development of the "Belt and Road", China’s numerous measures to maintain a pluralistic and stable international economic structure and economic and trade relations will inject confidence and motivation into regional and world economic development.

　　Semir Awan, the founding chairman of the Global Silk Road Research Alliance, a Pakistani think tank, said after listening to the Report to the 20th CPC National Congress of the Communist Party of China in real time that China emphasizes adhering to high-level opening up, promoting the high-quality development of the "Belt and Road" and firmly pursuing a mutually beneficial and win-win opening strategy. "I firmly believe that China will do what it says and will definitely make greater contributions to the development and prosperity of the world economy."

　　Sergei Lukonin, director of China’s political and economic department at the Institute of World Economics and International Relations of the Russian Academy of Sciences, explained that China’s accelerated construction of a new development pattern with the domestic big cycle as the main body and the domestic and international double cycles promoting each other means that China is deepening its foreign cooperation while expanding its domestic consumption. He believes that the emphasis of the 20th National Congress of the Communist Party of China on high-level opening-up will bring new opportunities to other countries and regions.

　　Hu Yishan, chief consultant of Malaysian Pacific Research Center, said: "China continues to promote high-level opening up and promote regional and world economic development."

　　China’s Wisdom of Enriching the Path Selection of Human Modernization

　　With the convening of the 20th National Congress of the Communist Party of China, "Chinese modernization" has become a hot word of increasing concern to the international community.

　　Hamid Gulami, a professor at the School of Foreign Languages of Kabul University, visited China many times and deeply admired the great economic and social achievements made by China in the past decade. Gulami has been thinking about such a question: Why is China’s modernization process so fast, so solid and so stable? This time, Report to the 20th CPC National Congress gave the answer — — Chinese modernization road.

　　The report clearly stated that "the great rejuvenation of the Chinese nation should be comprehensively promoted with Chinese modernization". Gulami believes that China’s confident and firm pursuit of the Chinese modernization road is not only beneficial to China, but also to other countries in the world, especially developing countries. China’s exploration of the development road is worth learning from developing countries.

　　Chinese-style modernization is a socialist modernization led by the Communist Party of China (CPC), which not only has the common characteristics of modernization in all countries, but also has the characteristics of China based on its own national conditions. There is no fixed model for the road to modernization. What suits you is the best, and you can’t cut your feet and fit your shoes. Indonesian scholar Bambang Suryono marveled at China’s China wisdom in exploring the road to modernization.

　　This Indonesian scholar, who has been studying China since 1980s, has visited China for many times and witnessed the vicissitudes of China. He believes that the world significance of China’s independent exploration of the modernization road suitable for its own national conditions lies in that "Chinese modernization is an innovation and breakthrough in the theory of global modernization, and the development ideas and experience in the process of Chinese modernization will certainly provide important enlightenment and reference to all countries in the world."

　　Report to the 20th CPC National Congress, the Communist Party of China, has attracted great attention from the international community. Some people have read the importance of taking the road of modernization independently, while others have paid special attention to the systematic concept emphasized in the report. Mamadou Diouf, a sociologist in Senegal, believes that Chinese modernization emphasizes the protection of ecology, environment and human interests, and promotes the harmonious coexistence between man and nature, which is highly compatible with sustainable development. "I hope that China will share the experience of Chinese modernization with the world after the 20th National Congress."

　　In the historical process of mankind’s modernization, there has been a zero-sum road of "national power will dominate and conquer each other", while Chinese modernization is a win-win road of "learning from each other’s civilizations, sharing beauty with the United States". From Report to the 20th CPC National Congress, Kenyan international scholar Cavens Adehir saw the peaceful background of China’s road. He pointed out that the peaceful development of Chinese modernization has provided new choices for other countries to speed up their development while maintaining their own independence, and made important contributions to human exploration of different modernization paths. "The development of China is worth thinking and learning from other countries in the world".

　　China’s plan to solve the global deficit

　　In today’s world, hegemonic bullying behaviors such as bullying, usurpation and zero-sum game are extremely harmful, and the peace deficit, development deficit, security deficit and governance deficit are aggravated, and human society is facing unprecedented challenges. China has always adhered to the foreign policy purpose of safeguarding world peace and promoting common development, and is committed to building a community of human destiny.

　　"In today’s turbulent world, security and stability are precious." Chen Gang, assistant director of the Institute of East Asian Studies at the National University of Singapore, said that the 20th National Congress of the Communist Party of China declared to the world that China will continue to adhere to the Five Principles of Peaceful Coexistence and promote the implementation of global development initiatives and global security initiatives, which is conducive to the healthy development of relations among countries.

　　Mohamed Hiimi, a professor of political science at Helwan University, said that China adheres to developing friendly cooperation with other countries on the basis of the Five Principles of Peaceful Coexistence, which is conducive to promoting common development and prosperity, improving people’s living standards and promoting the building of a community of human destiny.

　　With the remarkable improvement of China’s international influence, appeal and shaping power, China has participated in global governance with unprecedented breadth, depth and strength since the 18th National Congress of the Communist Party of China, providing a new choice for the global governance model, which is different from "one country dominating" or "several parties ruling together", and promoting the development of the global governance system in a more just, reasonable and effective direction.

　　Benjamin Pogosian, director of the Armenian Center for Political, Economic and Strategic Studies, noted that General Secretary of the Supreme Leader stated in his report that China has put forward global development initiatives and global security initiatives and is willing to work with the international community to implement them. "This reflects China’s sincere desire for mutual benefit and common development with other countries, and is a major contribution to solving the various crises and challenges facing mankind and promoting the progress of human civilization." In Pogosian’s view, the 20th Congress of the Communist Party of China is a major event with far-reaching influence on the world.

　　With a series of new ideas, new ideas, new initiatives and concrete plans and actions, China has continuously contributed wisdom and strength to solving various problems faced by mankind and injected strong positive energy into improving global governance.

　　"Five years ago, I participated in the report of the 19 th National Congress of the Communist Party of China as a representative of foreign media, and I still remember it." Sherik Korjumbayev, editor-in-chief of Kazakhstan Industrial News, said that in today’s complicated and ever-changing international environment, the convening of the 20th National Congress of the Communist Party of China has injected strong stability expectations into the world. China will continue to actively participate in global governance, and is willing to work with the international community to implement global development initiatives and global security initiatives, promote the building of a community of human destiny, and contribute new wisdom and strength to human peace and development.

　　Over the years, China has continuously contributed wisdom to the improvement of global governance, and has also outlined an increasingly clear practical path for building a world of lasting peace and common prosperity.

　　Macchian, Secretary-General of Britain’s East Asia Commission, noted that Report to the 20th CPC National Congress’s emphasis on building a community of human destiny was "very important to the world". He pointed out that many problems in today’s world can only be solved through cooperation and joint efforts of all countries, and the concept of building a community of human destiny "has played an important role in benefiting all mankind and provided a path for mankind to jointly cope with global challenges and sustainable development."

　　-END-

　　Planning: Ni Siyi

　　Producer: Li Zhengyu and Feng Junyang

　　Coordinator: Qi Zijian, Wu Liming, Xie Peng, Yan Jieyan

　　Reporter: Deng Xianlai, Gao Wencheng, Mao Pengfei, Wang Yi, Liu Kaihua, Chao Jiang, Zou Xuemian, Yu Qianliang, Prince Zheng Shibo, Wu Hao, Zhu Yubo and Li? Cai Shuya Yao Bing Li Ming Du Fu Adrian Xu Zhang Jiye Ye Shuhong Qiao Jihong Kasper  Li Hualing Wang Ping Meng Jing Yu Fuqing Yang Yiran Wu Lu Yang Shilong Zhang Mocheng Hu Yousong

　　Reporter: Tariq Hamid Ali Jaswar

　　Edit: Shen Haoyang, Wang Pei and Wang Yujue are indifferent

　　Editor: Yang Wei Shang Jing He Yi Yang Haiyun Xue Lei Xu Xiaolei Cheng Dayu

　　Cartography: Xu Xiaolei

　　Produced by Xinhua News Agency International Department

　　Produced by Xinhua News Agency’s International Communication Integration Platform