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你要去哪里?全球化世界中的短期医疗使命和药学的作用。

Quō vādis? Short-term medical missions in a globalized world and the role of pharmacy.

出版信息

J Am Pharm Assoc (2003). 2022 Jan-Feb;62(1):29-34.e2. doi: 10.1016/j.japh.2021.10.006. Epub 2021 Oct 11.

DOI:10.1016/j.japh.2021.10.006
PMID:34764036
Abstract

Short-term medical missions (STMMs) have evolved in the past few decades to provide non-emergent care including routine and follow-up primary care for acute and chronic conditions, along with treatment of neglected tropical diseases. Many STMMs operate outside the local health care infrastructure and may have limited local partnerships. STMM outcomes in improving local population health are often inferred but not well documented. Concerns such as ethical conduct, provider bias, and lack of adequate training and preparation continue to be raised. When disruptions occur (e.g., the COVID-19 pandemic), STMMs need to develop and prepare for challenges such as the inability to travel and provide care. Pharmacists as health professionals play a unique role when volunteering in STMMs. However, pharmacists' roles in STMMs need further development along with a framework to guide STMM work. Often driven by a few dynamic individuals, STMMs need to be aware of local geo-socio-political issues and develop local partnerships toward a meaningful legacy of building sustaining, long-lasting systems that will continue to serve others beyond the life of the STMMs and their founders.

摘要

短期医疗队(STMMs)在过去几十年中不断发展,提供非紧急护理,包括急性和慢性疾病的常规和随访初级保健,以及治疗被忽视的热带病。许多短期医疗队在当地医疗保健基础设施之外运作,可能与当地的合作伙伴关系有限。短期医疗队在改善当地人口健康方面的成果往往是推断出来的,但没有很好地记录。人们继续提出诸如道德行为、提供者偏见以及缺乏足够的培训和准备等问题。当出现中断时(例如,COVID-19 大流行),短期医疗队需要制定并准备应对挑战,例如无法旅行和提供护理。药剂师作为医疗保健专业人员在参与短期医疗队时发挥着独特的作用。然而,药剂师在短期医疗队中的角色需要进一步发展,并需要一个框架来指导短期医疗队的工作。短期医疗队通常由少数活跃的个人推动,需要了解当地的地缘政治问题,并发展当地的合作伙伴关系,以建立可持续的、持久的系统,为短期医疗队及其创始人之外的其他人提供服务。

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