临床准备计划：重新聚焦军医保体系。
Clinical Readiness Program: Refocusing the Military Health System.
机构信息
Department of Surgery at Uniformed Services University and Walter Reed National Military Medical Center, Bethesda, MD 20814, USA.
Deloitte Consulting, LLP, Arlington, VA 22209, USA.
出版信息
Mil Med. 2021 Jan 25;186(Suppl 1):32-39. doi: 10.1093/milmed/usaa385.
INTRODUCTION
The Military Health System serves to globally provide health services and trained medical forces. Military providers possess variable levels of deployment preparedness. The aim of the Clinical Readiness Program is to develop and assess the knowledge, skills, and abilities (KSAs) needed for combat casualty care.
METHODS
The Clinical Readiness Program developed a KSA metric for general and orthopedic surgery. The KSA methodology underwent a proof of concept in six medical treatment facilities.
RESULTS
The KSA metric feasibly quantifies the combat relevance of surgical practice. Orthopedic surgeons are more likely than general surgeons to meet the threshold. Medical treatment facilities do not provide enough demand for general surgery services to achieve readiness.
CONCLUSION
The Clinical Readiness Program identifies imbalances between the health care delivery and readiness missions. To close the readiness gap, the Military Health System needs to recapture high KSA value procedures, expand access to care, and/or partner with civilian institutions.
简介
军事卫生系统旨在为全球提供医疗服务和训练有素的医疗力量。军事医务人员的部署准备程度参差不齐。临床准备计划的目的是开发和评估战斗伤员护理所需的知识、技能和能力 (KSA)。
方法
临床准备计划为普通外科和骨科制定了 KSA 衡量标准。KSA 方法在六个医疗设施中进行了概念验证。
结果
KSA 衡量标准能够合理地量化外科实践的战斗相关性。骨科医生比普通外科医生更有可能达到门槛。医疗设施对普通外科服务的需求不足，无法实现准备状态。
结论
临床准备计划发现了医疗保健提供和准备任务之间的不平衡。为了弥合准备差距，军事卫生系统需要重新获得高 KSA 值的手术、扩大医疗服务的可及性，和/或与民间机构合作。
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