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医疗能力团队:反叛乱行动中战地医疗服务的临床微观系统。

Medical capability team: the clinical microsystem for combat healthcare delivery in counterinsurgency operations.

作者信息

Clark Susz, Van Steenvort Jon K

机构信息

Task Force 62 Medical Brigade, Baghdad, Iraq.

出版信息

US Army Med Dep J. 2008 Oct-Dec:57-62.

PMID:20088056
Abstract

Today's operational environment in the support of counterinsurgency operations requires greater tactical and operational flexibility and diverse medical capabilities. The skills and organizations required for full spectrum medical operations are different from those of the past. Combat healthcare demands agility and the capacity for rapid change in clinical systems and processes to better support the counterinsurgency environment. This article proposes the Army Medical Department (AMEDD) develop and implement the medical capability team (MCT) for combat healthcare delivery. It discusses using the concept of the brigade combat team to develop medical capability teams as the unit of effectiveness to transform frontline care; provides a theoretical overview of the MCT as a "clinical microsystem"; discusses MCT leadership, training, and organizational support, and the deployment and employment of the MCT in a counterinsurgency environment. Additionally, this article proposes that the AMEDD initiate the development of an AMEDD Combat Training Center of Excellence to train and validate the MCTs. The complexity of combat healthcare demands an agile and campaign quality AMEDD with joint expeditionary capability in order to promote the best patient outcomes in a counterinsurgency environment.

摘要

当前支持反叛乱行动的作战环境要求具备更高的战术和作战灵活性以及多样化的医疗能力。全谱医疗行动所需的技能和组织与过去不同。战斗医疗需要灵活性以及临床系统和流程快速变革的能力,以便更好地支持反叛乱环境。本文提议美国陆军医务部(AMEDD)组建并实施医疗能力团队(MCT),用于提供战斗医疗服务。文章讨论了利用旅级战斗队的概念来组建医疗能力团队,将其作为提高前线护理水平的有效单位;对作为“临床微系统”的医疗能力团队进行了理论概述;讨论了医疗能力团队的领导、训练和组织支持,以及该团队在反叛乱环境中的部署与运用。此外,本文提议美国陆军医务部着手建立一个卓越的陆军医务部战斗训练中心,以训练和验证医疗能力团队。战斗医疗的复杂性要求具备灵活性且能参与战役的美国陆军医务部拥有联合远征能力,以便在反叛乱环境中实现最佳的患者治疗效果。

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US Army Med Dep J. 2008 Oct-Dec:57-62.
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