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【社会人文】汇015灾害医学救援对慢性医疗需求
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Medical interventions following natural disasters: missing out on chronic medical needs.
Chan EY, Sondorp E.
London School of Hygiene and Tropical Medicine, Health Policy Unit, Department of Public Health and Policy, Keppel Street, London WC1E 7HT, UK. emily.chan@lshtm.ac.uk
Although natural disasters may cause massive loss of human life and destruction of resources, they also present affected populations with a rare opportunity to access external resources. Nevertheless, many post-disaster medical relief intervention programmes only focus on the provision of acute medical services and the control of communicable diseases. Currently, no specific study has examined why chronic medical needs seem to be insufficiently addressed in disaster relief interventions. This paper review current knowledge about how natural disasters affect people with chronic medical needs, assess possible factors in disaster preparedness and response that pre-empt addressing chronic medical needs and suggest possible ways to overcome these barriers. Unawareness and insensitivity of relief workers towards chronic medical conditions, the practice of risk rather than need-based assessments, a focus on acute needs, the lack of reliable indicators and baseline information, and the multidimensional characteristics of chronic medical problems all pose serious challenges and probably deter the government and post-disaster relief agencies to deal with diseases of a chronic nature. It is important to increase the awareness and sensitivity of the stakeholders towards chronic medical problems during all phases of planning and intervention. Relevant assessment tools should be developed to rapidly identify chronic medical needs in resource deficit settings. Community partnership and collaboration that promote local ownership and technical transfer of chronic disease management skills will be essential for the sustainability of services beyond the disaster relief period. Potential programmes might include the technical training of local staff, establishment of essential drug and supply lists, and the provision of a range of medical services that may address chronic health needs.
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PMID: 18277528 [PubMed - indexed for MEDLINE] 本人已认领该文编译，48小时后若未提交译文，请其他战友自由认领。 94: Asia Pac J Public Health. 2007;19 Spec No:45-51.
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Medical interventions following natural disasters: missing out on chronic medical needs.
自然灾害后的医疗干预：被遗忘的慢性疾病。
Chan EY, Sondorp E.
London School of Hygiene and Tropical Medicine, Health Policy Unit, Department of Public Health and Policy, Keppel Street, London WC1E 7HT, UK. emily.chan@lshtm.ac.uk
英国伦敦大学公共卫生及政策系，热带病的卫生保健及政策联盟
凯珀尔大街 伦敦
Although natural disasters may cause massive loss of human life and destruction of resources, they also present affected populations with a rare opportunity to access external resources. Nevertheless, many post-disaster medical relief intervention programmes only focus on the provision of acute medical services and the control of communicable diseases.
自然灾害会导致巨大规模的人员伤亡及财产的损伤，因而使人们很少去关注这些损失以外的东西，更不用说，大多数的灾后医疗措施仅仅关注于对急性损伤和传染病的防治。
Currently, no specific study has examined why chronic medical needs seem to be insufficiently addressed in disaster relief interventions.
目前还没有有效的研究说明，为什么灾后对慢性病的医疗干预明显不够。
This paper review current knowledge about how natural disasters affect people with chronic medical needs, assess possible factors in disaster preparedness and response that pre-empt addressing chronic medical needs and suggest possible ways to overcome these barriers. 这篇论文回顾了近期关于自然灾害如何影响人们对慢性病的治疗因素。讨论可能的影响因子，对慢性病的医疗需要制定方案，并探讨可能跨越这些障碍方法。
Unawareness and insensitivity of relief workers towards chronic medical conditions, the practice of risk rather than need-based assessments, a focus on acute needs, the lack of reliable indicators and baseline information, and the multidimensional characteristics of chronic medical problems all pose serious challenges and probably deter the government and post-disaster relief agencies to deal with diseases of a chronic nature.
救援工作者对慢性病的忽略，在实际工作中相对于基本需要他们更关注生命危险度的评估，关注于急性需要，缺少可靠指标及基本信息，并且慢性病的表现方式多种，这些都带给我们巨大的挑战，妨碍了政府及灾后救援组织对慢性病的处理。
It is important to increase the awareness and sensitivity of the stakeholders towards chronic medical problems during all phases of planning and intervention. Relevant assessment tools should be developed to rapidly identify chronic medical needs in resource deficit settings.
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作者:admin@医学,生命科学 2010-09-23 05:11
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