Lynn David C, De Lorenzo Robert A
Department of Surgery, Womack Army Medical Center, 2817 Reilly Road, Fort Bragg, NC 28310, USA.
Mil Med. 2011 Sep;176(9):998-1002. doi: 10.7205/milmed-d-11-00042.
Medical civil-military operations are important for deployed military medical units engaged in counter-insurgency missions. There are few reports on military support for a host nation's military medical infrastructure, and we describe an initiative of the 21st Combat Support Hospital in 2010 during the postsurge phase of Operation Iraqi Freedom and Operation New Dawn. The goal was to incrementally improve the quality of care provided by Iraqi 7th Army medical personnel using existing clinic infrastructure and a low budget. Direct bedside teaching to include screening and treatment of ambulatory patients (sick call), focused pharmacy and medical supply system support, medical records documentation, and basic infection control compliance were the objectives. Lessons learned include the requirement to implement culturally relevant changes, maintain focus on system processes, and maximize education and mentorship through multiple modalities. In summary, a combat hospital can successfully implement an advise and assist mission with minimal external resources.
军事民事行动对于参与反叛乱任务的部署军事医疗单位而言至关重要。关于军事力量对东道国军事医疗基础设施支持的报道较少，在此我们描述2010年第21战斗支援医院在伊拉克自由行动和新黎明行动后 surge 阶段的一项举措。目标是利用现有的诊所基础设施和低预算逐步提高伊拉克第七军医务人员提供的护理质量。直接床边教学包括对门诊患者（伤病员集合）的筛查和治疗、有针对性的药房和医疗供应系统支持、医疗记录文档以及基本感染控制合规性，这些都是目标。汲取的经验教训包括实施与文化相关的变革的必要性、保持对系统流程的关注以及通过多种方式最大化教育和指导。总之，一家战斗医院可以用最少的外部资源成功实施咨询和协助任务。
