Felkai Péter
Anyagcsere Betegségek Tanszék, Utazásorvostani Tanszéki Csoport, Debreceni Egyetem, Klinikai Központ, Általános Orvostudományi Kar, Belgyógyászati Intézet Debrecen.
Orv Hetil. 2015 May 17;156(20):808-12. doi: 10.1556/650.2015.30155.
The number of international travels has been continuously increasing since World War II. Though the travelers' demand for safer ways of travelling appeared, only a handful of them sought pretravel advices. This is the reason why 50% of the travelers have to face some kind of medical problem during their journey. If they have travel insurance, the company's assistance team organizes, monitors and covers their abroad treatment. A doctor of the assistance team has to find her/his ways in various fields: not only a multidisciplinary medical knowledge is a must for a professional like this, but she/he needs to have a good grasp of the basic idea behind the insurance policy, too. Also, she/he should be familiar with the public health care systems of different countries and some legal knowledge is also needed. If the patients are unable to continue their trip, they must be repatriated. Making a decision about the repatriation's timing and modality requires interdisciplinary medical experience and the approach of a critical care/emergency doctor. Among further tasks for the assistance team's doctor one can find medical escort and on-spot medical visit for foreign patients. Both of these two aforementioned medical activities are highly different from - for example - a general practitioner's routine. That is the reason why an assistance doctor has to be familiar with the critical and emergency care. Organizing and monitoring medical treatment for a traveler abroad, providing medical escort, making decisions about repatriation and providing medical help for a foreign patient all fall within the competence of a new medical discipline, the assistance medicine. Creating a body of knowledge, collecting appropriate protocols and establishing postgraduate courses for assistance medicine diplomas are the tasks of the critical care and emergency medicine professionals.
自第二次世界大战以来,国际旅行的人数一直在持续增加。尽管旅行者对更安全的旅行方式有需求,但只有少数人寻求旅行前的建议。这就是为什么50%的旅行者在旅途中不得不面临某种医疗问题的原因。如果他们有旅行保险,保险公司的援助团队会组织、监督并支付他们在国外的治疗费用。援助团队的医生必须在各个领域找到自己的方法:对于这样的专业人员来说,不仅多学科医学知识是必需的,而且他/她还需要很好地掌握保险政策背后的基本理念。此外,他/她应该熟悉不同国家的公共卫生保健系统,还需要一些法律知识。如果患者无法继续旅行,他们必须被遣返。决定遣返的时间和方式需要跨学科的医疗经验以及重症监护/急诊医生的方法。在援助团队医生的其他任务中,可以找到对外国患者的医疗护送和现场医疗访问。上述这两项医疗活动都与例如全科医生的日常工作有很大不同。这就是为什么援助医生必须熟悉重症和急诊护理的原因。为国外旅行者组织和监督医疗治疗、提供医疗护送、决定遣返以及为外国患者提供医疗帮助都属于一门新医学学科——援助医学的范畴。创建知识体系、收集适当的规程以及为援助医学文凭设立研究生课程是重症监护和急诊医学专业人员的任务。