Savyon Michal, Keinan-Boker Lital, Enav Teena, Rozentraub Tammy, Laor Danny, Shohat Tamy
Tel Aviv District Health Office, Ministry of Health.
Harefuah. 2010 Dec;149(12):769-72, 812.
On December 27th, 2008, the Israeli Defense Forces initiated operation "Cast Lead", aiming to strike the infrastructure of the terror organizations in the Gaza Strip. An emergency situation was declared on the home front, allowing the security forces special jurisdiction over the area. The Home Front Command's Medical Operation Center, in cooperation with the Superior National Health Authority of the Ministry of Health, coordinated the delivery of community health services.
The objective of this study was to evaluate the delivery of community health services to the Israeli civilian population living in proximity to the Gaza Strip during operation "Cast Lead".
A telephone household survey was initiated on the 20th day of the operation until two days after a cease-fire was declared. The sample was drawn from the Jewish population living within a radius of 40 kilometers from the Gaza Strip. Questions included the need and use of health care services, satisfaction with health care services and demographic variables.
Overall, 901 interviews were conducted. Findings revealed that: 91.3%, 76.2% and 89.6% of those who needed primary physician, a specialist or a renewal of a drug prescription received these services, respectively; 87.1% of those who needed medical emergency services received them. The reported satisfaction with health care services during the combat period was very high; 91% reported high or very high satisfaction with their HMO's function during that period.
The delivery of community health care services during operation "Cast Lead" efficiently addressed the needs of the population in the area. The delivery of medical emergency services and the access to medical specialists should be reassessed. It is important to plan ahead surveys such as the survey described above, and to cooperate with the HMO's and the Israel Defense Forces (IDF) in order to improve emergency preparedness.
2008年12月27日，以色列国防军发起“铸铅行动”，旨在打击加沙地带恐怖组织的基础设施。以色列国内宣布进入紧急状态，赋予安全部队在该地区的特殊管辖权。后方司令部医疗行动中心与卫生部高级国家卫生管理局合作，协调社区卫生服务的提供。
本研究的目的是评估“铸铅行动”期间向居住在靠近加沙地带的以色列平民提供社区卫生服务的情况。
在行动第20天至宣布停火后两天开展了一项电话入户调查。样本取自居住在距加沙地带40公里半径范围内的犹太人口。问题包括医疗保健服务的需求和使用情况、对医疗保健服务的满意度以及人口统计学变量。
共进行了901次访谈。结果显示：分别有91.3%、76.2%和89.6%需要初级医生、专科医生或药物处方续签的人获得了这些服务；87.1%需要医疗急救服务的人获得了此类服务。报告称在战斗期间对医疗保健服务的满意度非常高；91%的人表示对其健康维护组织在此期间的功能满意度高或非常高。
“铸铅行动”期间社区医疗保健服务的提供有效满足了该地区民众的需求。应重新评估医疗急救服务的提供情况以及获得专科医疗服务的途径。提前规划如上述调查的此类调查，并与健康维护组织和以色列国防军合作以提高应急准备能力很重要。
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