Morikawa Masahiro J
Department of Family Medicine, Case Western Reserve University, Cleveland, OH 44106-4950, USA.
Fam Med. 2003 Jun;35(6):440-4.
Primary care training during and after conflicts is one of the most challenging health care issues but is often neglected compared to emergency medical care. Recently, family medicine has been increasingly used as a model strategy to reconstruct primary care delivery systems in communities torn by conflicts. The lessons learned through providing primary pediatric care training in Kosovo, in two periods, both shortly before the NATO air strike and after the war in Kosovo, are shared in this paper. The training program was organized and provided in collaboration with the Kosovar nongovernmental organization, Mother Teresa Society, and Kinderberg International in support of United Nations High Commissioner for Refugees as a pilot program. This paper provides a narrative description of training experiences that focused on practical bedside training and morale support throughout these two periods. Based on our evaluation, providing morale support at the field level to encourage the health care providers' motivation for learning and collegial support while suffering physical difficulties was beneficial. International primary care organizations should maintain collegial dialogue to support indigenization of family medicine, a process that adapts the principles of family medicine into their own needs in their communities.
冲突期间及冲突后的初级保健培训是最具挑战性的医疗保健问题之一，但与紧急医疗护理相比，它往往被忽视。最近，家庭医学越来越多地被用作一种模式策略，以重建饱受冲突蹂躏的社区中的初级保健提供系统。本文分享了在科索沃提供初级儿科护理培训的经验教训，培训分两个阶段进行，分别在北约空袭前不久和科索沃战争之后。培训项目是与科索沃非政府组织“德兰修女会”和“金德伯格国际”合作组织并提供的，作为一项试点项目，以支持联合国难民事务高级专员公署。本文对培训经历进行了叙述性描述，重点介绍了这两个阶段的实际床边培训和士气支持。根据我们的评估，在实地层面提供士气支持，以鼓励医疗保健提供者在身体困难的情况下学习的积极性和同事间的支持，是有益的。国际初级保健组织应保持同行间的对话，以支持家庭医学的本土化，这一过程是将家庭医学的原则适用于其社区自身的需求。
