Al Mulhim Mobarak A, Darling Robert G, Kamal Hetaf, Voskanyan Amalia, Ciottone Gregory
Emergency Medicine, Beth Israel Deaconess Medical Center, Boston , USA.
Emergency Medicine, Uniformed Services University of the Health Sciences, Bethesda, USA.
Cureus. 2019 Oct 22;11(10):e5962. doi: 10.7759/cureus.5962.
Dignitary medicine (DM) involves the provision of healthcare to government leaders and other high-profile individuals collectively referred to as "dignitaries." Due to the unique circumstances around their lifestyle, dignitaries often receive suboptimal healthcare. We define the requisite skills needed to practice DM based on the available literature and provide a framework for training providers in these skills. A review of the English language medical literature focussing on adult subjects was performed, searching for terms such as "dignitary medicine," "VIP medicine," and "protective medicine." Literature was gathered from CINAHL, Google Scholar, PubMed, EBSCOHost, and San Bernardino County Library databases and then analyzed by experienced DM providers. A total of 23 relevant articles were eligible for review. No meta-analyses on the subject exist. We found that existing studies highlight skills in wellness, executive health, and protective medicine, which form the backbone of DM. The burgeoning field of DM encompasses several disciplines and skills. We strongly recommend a structured curriculum for the field of DM, focused on dignitary wellness, executive health, and protective medicine.
政要医疗（DM）涉及为政府领导人及其他统称为“政要”的知名人士提供医疗保健服务。由于政要们生活方式的特殊情况，他们往往无法获得最佳的医疗保健。我们根据现有文献确定了从事政要医疗所需的必备技能，并为培训提供者提供这些技能的培训框架。我们对侧重于成人受试者的英文医学文献进行了综述，搜索了“政要医疗”、“贵宾医疗”和“安保医疗”等术语。文献来自护理学与健康领域数据库（CINAHL）、谷歌学术、美国国立医学图书馆数据库（PubMed）、EBSCOHost数据库以及圣贝纳迪诺县图书馆数据库，然后由经验丰富的政要医疗提供者进行分析。共有23篇相关文章符合综述要求。目前尚无关于该主题的荟萃分析。我们发现现有研究强调了健康管理、高管健康和安保医疗方面的技能，这些构成了政要医疗的核心。政要医疗这个新兴领域涵盖多个学科和技能。我们强烈建议为政要医疗领域制定一个结构化课程，重点关注政要健康、高管健康和安保医疗。
