
一 | 讯 国家卫生健康委、国家中医药局、国家疾控局近日印发《关于印发进一步深化“六个拓展” 做实家庭医生签约服务若干措施的通知》。

二 | Dhaka, Oct 11 (UNI) China wants to implement the Teesta master plan. Chinese Ambassador Li Ziming visited the Teesta Barrage and said this on Sunday.
On October 10, Ambassador Li Jiming called on Mr. Md. Sabirul Islam, Divisional Commissioner of Rangpur, and Mr. Md. Asif Ahasan, Deputy Commissioner of Rangpur District. Ambassador Li also met with local officials and engineers of Bangladesh Water Development Board.
China wants to lend a billion dollars to this project as a sponsor. China will implement the Teesta Master Plan through its people with loans. This project will include river mining, char mining, construction of satellite cities on both sides, solar power projects, naval terminals and many other things.
But experts say the project will be a white elephant with Chinese loan money. Bangladesh will get stuck in the net of Chinese debt. The way China trapped Sri Lanka, Pakistan in debt net.
International water expert, Lock Haven University professor Dr. Md. Khalekuzzaman has been calling this project ambitious and anti-nature since the beginning. He thinks that if this project is implemented, more terrible disaster will occur in the northern region including Tistapar.
Experts say, canceling the claim of fair share of Teesta river water with India, if this master plan is taken internally, India's unilateral control over Teesta will be recognized. India will no longer want to give water. It would be a suicidal decision.
China's debt trap on the other hand gives India control of the Teesta. A powerful syndicate wants to collect China's debt to Bangladesh. What could be the reason, everyone more or less knows what happens in projects in the name of river dredging.
Bangladeshi media personality Shankar Maitra told UNI, “This project needs more thought and research by the country's scientists and experts. One must also wonder why China has stepped up to give loans to the unprofitable sector. We also know what happens in the name of river mining, how corruption happens in the name of protecting dams”.
He said, "I think India must give its fair share of Teesta water to Bangladesh. This demand cannot be withdrawn".
Dhaka University Professor Major Nazmul Ahsan Kalimullah said, India is in great danger. The chicken neck in the Seven Sisters issue may be out of India's hands.
He said, "India has brought its own danger.
As a result of the tug of war between the Central Government of India and the provincial governments on the Teesta issue, Bangladesh has also withdrawn from the Teesta, while China has missed this opportunity. Bangladesh has waited for a long time.
He said, "We do not digest water?" Is our production stopped? Our hilsa fish production has collapsed? Certainly not.
UNI MAZ GNK。 通知提出,到2026年底,基层机构临床类别内科专业、儿科专业和中医类别执业医师均应作为家庭医生开展签约服务。到2027年底,二、三级医院派驻基层机构1年以上的医生,原则上应开展家庭医生签约服务。 有序推进家庭医生首诊负责制被写进通知。基层机构要加快推进预约就诊和有序分诊,原则上签约居民到基层机构就诊时优先安排家庭医生接诊。 签约居民病情超出家庭医生业务能力范围的,经患者同意,家庭医生应当优先转诊到本机构其他专科医生。确需向上级医院转诊的,应当利用紧密型医联体上级医院预留号源、床位等资源或转诊绿色通道及时上转。 同时,上级医院应当将恢复期、康复期患者下转至基层机构,由家庭医生做好接续服务,上级医院给予必要技术支持。 由慢性病管理向慢性病和传染病共管拓展,签约“菜单”更丰富。 从对“一老一小”等重点人群提供常见呼吸道、消化道、虫媒传播疾病以及结核病、艾滋病等防控知识宣教、转介治疗、随访管理和疫苗接种服务,到鼓励具备相应资质的家庭医生为有需要的签约居民开具疫苗处方……到2027年底,基层机构均应将传染病防控服务纳入家庭医生签约服务内容。 通知要求,分类开展不同人群的签约履约服务。 对于老年人、儿童、孕产妇、残疾人等重点人群,推行以居住地基层机构为主开展签约;对于工作地和居住地分离的职业人群,推行以功能单位所在地基层机构为主开展签约;支持居民健康档案随签约机构变动自由流转…… 通知同时提出,要加强签约服务工作监测,开展签约居民满意度调查,进一步做实做细家庭医生签约服务。

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