Department of Community Medicine, Al Kindy College of Medicine, Baghdad, Iraq.
Lancet. 2013 Mar 16;381(9870):939-48. doi: 10.1016/S0140-6736(13)60320-7.
After decades of war, sanctions, and occupation, Iraq's health services are struggling to regain lost momentum. Many skilled health workers have moved to other countries, and young graduates continue to leave. In spite of much rebuilding, health infrastructure is not fully restored. National development plans call for a realignment of the health system with primary health care as the basis. Yet the health-care system continues to be centralised and focused on hospitals. These development plans also call for the introduction of private health care as a major force in the health sector, but much needs to be done before policies to support this change are in place. New initiatives include an active programme to match access to health services with the location and needs of the population.
经过几十年的战争、制裁和占领，伊拉克的卫生服务正在努力恢复失去的动力。许多熟练的卫生工作者已经移居到其他国家，年轻的毕业生也在继续离开。尽管进行了大量的重建，但卫生基础设施尚未完全恢复。国家发展计划要求重新调整卫生系统，以初级卫生保健为基础。然而，卫生保健系统仍然集中化，以医院为重点。这些发展计划还呼吁将私营医疗保健作为卫生部门的主要力量引入，但在制定支持这一变革的政策之前，还有许多工作要做。新的举措包括一项积极的计划，根据人口的位置和需求来匹配获得卫生服务的机会。
