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全球卫生参与以及作为安全与全球卫生可持续发展载体的国防部

Global Health Engagement and The Department of Defense as a Vehicle for Security and Sustainable Global Health.

作者信息

Moten Asad, Schafer Daniel, Burkett Edwin K

机构信息

Department of Defense, Uniformed Services University of the Health Sciences, Bethesda, MD 20814.

Institute for Translational Medicine and Novel Therapeutics, HealthNovations International, Houston, TX 77089.

出版信息

Mil Med. 2018 Jan 1;183(1-2):14-17. doi: 10.1093/milmed/usx044.

Abstract

The Unites States Department of Defense (DoD) is viewed by many in the general public as a monolithic government entity whose primary purpose is to coordinate this country's ability to make war and maintain a military presence around the world. However, the DoD is in fact a multidimensional organization whose global impact is as expansive as it is varying and is responsible for far-reaching global health interventions. The United States has worked toward providing long-term care among host nation populations by providing training in several areas related to medicine, with positive results. These efforts can be built upon with substantial positive effects. Building health infrastructure and capacity around the world is essential. The DoD is the most generously funded agency in the world, and the resources at its disposal provide the opportunity to make great gains in the long term in terms of both health and security worldwide. With efficient and careful use of DoD resources, and partnerships with key non-governmental organizations with specialized knowledge and great passion, partnerships can be forged with communities around the world to ensure that public health is achieved in even the most underserved communities. A move toward creating sustainable health systems with long-term goals and measurable outcomes is an essential complement to the already successful disaster and emergency relief that the United States military already provides. By ensuring that communities around the world are both provided with access to the sustainable health care they need and that emergency situations can be responded to in an efficient way, the United States can serve its duty as a leader in sharing expertise and resources for the betterment and security of all humankind.

摘要

美国国防部(DoD)在许多普通民众眼中是一个庞大的政府实体,其主要目的是协调美国发动战争的能力并在全球维持军事存在。然而,事实上国防部是一个多层面的组织,其全球影响范围广泛且各不相同,并且负责意义深远的全球卫生干预措施。美国一直致力于通过在与医学相关的多个领域提供培训,为东道国人口提供长期护理,并取得了积极成果。这些努力可以在此基础上进一步推进,产生重大积极影响。在全球范围内建设卫生基础设施和能力至关重要。国防部是世界上资金最雄厚的机构,其可支配的资源提供了在全球健康和安全方面长期取得巨大进展的机会。通过高效且谨慎地利用国防部资源,并与拥有专业知识和极大热情的关键非政府组织建立伙伴关系,可以与世界各地的社区建立合作关系,以确保即使在服务最欠缺的社区也能实现公共卫生目标。朝着建立具有长期目标和可衡量成果的可持续卫生系统迈进,是对美军已经成功提供的灾害和紧急救援的重要补充。通过确保世界各地的社区既能获得所需的可持续医疗保健,又能以高效方式应对紧急情况,美国可以履行其作为领导者的职责,分享专业知识和资源,以促进全人类的福祉和安全。

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