重新构想 COVID-19 疫情后的卫生应急准备。
Reimagining health preparedness in the aftermath of COVID-19.
机构信息
Department of Anaesthesiology and Perioperative Medicine, Alfred Healthoo, Australia; Central Clinical School, Monash University, Australia; Trauma Service, Alfred Health, Australia; National Trauma Research Institute, Monash University, The Alfred, Australia.
Department of Anaesthesiology and Perioperative Medicine, Alfred Healthoo, Australia.
出版信息
Br J Anaesth. 2022 Feb;128(2):e100-e103. doi: 10.1016/j.bja.2021.08.020. Epub 2021 Sep 6.
Efficiency is an essential part of sustainable healthcare, especially in emergency and acute care (including surgical) settings. Waste minimisation, streamlined processes, and lean principles are all important for responsible stewardship of finite health resources. However, the promotion of efficiency above all else has effectively subordinated preparedness as a form of waste. Investment in preparedness is an essential part of resilient healthcare. The ongoing COVID-19 pandemic has exposed the gap between efficient processes and resilient systems in many health settings. In anticipation of future pandemics, natural disasters, and mass casualty incidents, health systems, and individual healthcare workers, must prioritise preparedness to be ready for the unexpected or for crises. This requires a reframing of priorities to view preparedness as crucial insurance against system failure during disasters, by taking advantage of lessons learnt preparing for war and mass casualty incidents.
效率是可持续医疗保健的重要组成部分，特别是在急诊和急性护理（包括手术）环境中。减少浪费、简化流程和精益原则对于有限卫生资源的负责任管理都非常重要。然而，将效率置于首位实际上已经将准备工作视为一种浪费。对准备工作的投资是弹性医疗保健的重要组成部分。持续的 COVID-19 大流行暴露了许多卫生环境中高效流程和弹性系统之间的差距。为了应对未来的大流行病、自然灾害和大规模伤亡事件，卫生系统和个别医护人员必须优先考虑做好准备，以应对意外或危机。这需要重新调整优先事项，将准备工作视为在灾难期间防止系统故障的关键保险，利用为战争和大规模伤亡事件做准备所吸取的经验教训。
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