Hanfling Dan
Department of Emergency Medicine, Inova Fairfax Hospital, 3300 Gallows Rd, Falls Church, VA 22042, USA.
South Med J. 2013 Jan;106(1):7-12. doi: 10.1097/SMJ.0b013e31827ca6a1.
Catastrophic disaster planning and response have been impeded by the inability to better coordinate the many components of the emergency response system. Healthcare providers in particular have remained on the periphery of such planning because of a variety of real or perceived barriers. Although hospitals and healthcare systems have worked successfully to develop surge capacity and capability, less successful have been the attempts to inculcate such planning in the private practice medical community. Implementation of a systems approach to catastrophic disaster planning that incorporates healthcare provider participation and engagement as one of the first steps toward such efforts will be of significant importance in ensuring that a comprehensive and successful emergency response will ensue.
应急响应系统诸多组成部分之间无法实现更好的协调，这阻碍了灾难性灾难的规划与应对。尤其是医疗服务提供者，由于各种实际存在的或感知到的障碍，一直处于此类规划的边缘。尽管医院和医疗系统已成功努力提升应对能力，但将此类规划灌输到私人执业医疗群体中的尝试却不太成功。实施一种系统方法来进行灾难性灾难规划，将医疗服务提供者的参与和投入作为此类努力的首要步骤之一，对于确保随后能有全面且成功的应急响应将具有重要意义。
