Khan Sohail A, Naylor Peter A
Mobile International Surgical Teams.
J Perioper Pract. 2010 Oct;20(10):368-71. doi: 10.1177/175045891002001003.
The current challenges facing the health care system are best described as "acute on top of chronic", where the Palestinian health system has suffered for long years from scarcity of resources, plurality, lack of coordination and integration, unclear roles of the MOH and lack of strategic direction and leadership. The described above feature has demonstrated itself in the widely perceived fragmentation, inequity of services availability and provision, duplication of services, increasing vulnerability of population and fragility of health institutions, and threatened chances of sustainability of the Palestinian health systems with its four major players particularly the NGO sector. This combination of economic and social deterioration and the inability of health services to respond to the consequences of the situation have exacerbated the already dire health status of the population of Gaza and necessitate rapid interventions (EUNIDA, Final report: Damage assessment and needs identification in the Gaza Strip, March 2009, ECESG, January 2010). With the proposals for teaching and training MiST has suggested, we hope to help improve the Orthopaedic and nursing services of Gaza, in collaboration with the Ministry of Health, the Islamic University of Gaza and the sponsors, Qatar Red Crescent and Human Appeal International.
当前医疗保健系统面临的挑战最恰当地描述为“慢性问题之上的急性问题”，巴勒斯坦卫生系统多年来一直遭受资源短缺、多元化、缺乏协调与整合、卫生部角色不明确以及缺乏战略方向和领导力等问题的困扰。上述特征表现为广泛存在的碎片化、服务可及性和提供的不公平、服务重复、民众脆弱性增加以及卫生机构的脆弱性，并且巴勒斯坦卫生系统的四个主要参与者，特别是非政府组织部门的可持续性机会受到威胁。经济和社会的恶化与卫生服务无法应对这种情况的后果相结合，加剧了加沙民众本已严峻的健康状况，因此需要迅速采取干预措施（欧洲联盟人道主义援助司，最终报告：加沙地带的损害评估和需求识别，2009年3月；欧洲联盟驻加沙地带紧急援助协调处，2010年1月）。通过米斯特提出的教学和培训建议，我们希望与卫生部、加沙伊斯兰大学以及赞助商卡塔尔红新月会和国际人道援助组织合作，帮助改善加沙的骨科和护理服务。
