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构建统一朝鲜医疗体系的策略。

A strategy toward reconstructing the healthcare system of a unified Korea.

作者信息

Lee Yo Han, Yoon Seok-Jun, Kim Seok Hyang, Shin Hyun-Woung, Lee Jin Yong, Kim Beomsoo, Kim Young Ae, Yoon Jangho, Shin Young Seok

机构信息

Graduate School of Public Health, Korea University, Seoul, Korea.

出版信息

J Prev Med Public Health. 2013 May;46(3):134-8. doi: 10.3961/jpmph.2013.46.3.134. Epub 2013 May 31.

DOI:10.3961/jpmph.2013.46.3.134
PMID:23766871
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3677066/
Abstract

This road map aims to establish a stable and integrated healthcare system for the Korean Peninsula by improving health conditions and building a foundation for healthcare in North Korea through a series of effective healthcare programs. With a basic time frame extending from the present in stages towards unification, the roadmap is composed of four successive phases. The first and second phases, each expected to last five years, respectively, focus on disease treatment and nutritional treatment. These phases would thereby safeguard the health of the most vulnerable populations in North Korea, while fulfilling the basic health needs of other groups by modernizing existing medical facilities. Based on the gains of the first two phases, the third phase, for ten years, would prepare for unification of the Koreas by promoting the health of all the North Korean people and improving basic infrastructural elements such as health workforce capacity and medical institutions. The fourth phase, assuming that unification will take place, provides fundamental principles and directions for establishing an integrated healthcare system across the Korean Peninsula. We are hoping to increase the consistency of the program and overcome several existing concerns of the current program with this roadmap.

摘要

本路线图旨在通过改善健康状况,并通过一系列有效的医疗保健计划为朝鲜的医疗保健奠定基础,从而为朝鲜半岛建立一个稳定和一体化的医疗体系。该路线图以从当前开始分阶段逐步推进至统一的基本时间框架为基础,由四个连续阶段组成。第一阶段和第二阶段预计各持续五年,分别侧重于疾病治疗和营养治疗。这两个阶段将保障朝鲜最弱势群体的健康,同时通过使现有医疗设施现代化来满足其他群体的基本健康需求。在前两个阶段取得的成果基础上,为期十年的第三阶段将通过促进全体朝鲜人民的健康以及改善诸如卫生人力能力和医疗机构等基本基础设施要素,为朝鲜半岛的统一做准备。第四阶段假设实现统一,为在整个朝鲜半岛建立一体化医疗体系提供基本原则和方向。我们希望通过本路线图提高该计划的连贯性,并克服当前计划中现有的一些问题。

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本文引用的文献

1
No end in sight for North Korea's malnutrition crisis.朝鲜的营养不良危机看不到尽头。
Lancet. 2012 Feb 18;379(9816):602. doi: 10.1016/s0140-6736(12)60252-9.
2
North Korea's health system in disarray.朝鲜的卫生系统处于混乱状态。
Lancet. 2010 Jul 31;376(9738):318. doi: 10.1016/s0140-6736(10)61169-5.
3
North-South Korea maternal health project to continue.朝韩母婴健康项目将继续推进。
Lancet. 2010 Jun 5;375(9730):1953. doi: 10.1016/s0140-6736(10)60908-7.