Makin Seth, Ross D
Academic Department of Military General Practice, Royal Centre for Defence Medicine, Birmingham, UK
Army Health Unit, Royal Army Medical Corps, Camberley, UK.
BMJ Mil Health. 2022 Dec;168(6):444-448. doi: 10.1136/bmjmilitary-2022-002115. Epub 2022 May 9.
The role of primary care in a disaster has too often been poorly defined and poorly understood. Due to its relative low-cost adaptability and closeness to the community, primary care can treat across multiple medical domains. By interacting with stakeholders from international data collection, state health bodies and secondary care to community groups, primary care can generate effect. Minimal standards are defined by Sphere guidelines to work within international, national and local frameworks. Evolution of the understanding of primary care in disaster medicine has resulted in a greater emphasis on maintaining outputs. In a disaster, effect is maximised by using strong local and wider resiliency frameworks to enable adaptation to new inputs and outputs while continuing continuity of care while moving through the disaster cycle. This is a paper commissioned as a part of the Humanitarian and Disaster Relief Operations special issue of .
初级保健在灾难中的作用常常定义不清且理解不足。由于其相对低成本的适应性以及与社区的紧密联系,初级保健能够跨多个医学领域进行治疗。通过与国际数据收集、国家卫生机构、二级保健机构以及社区团体等利益相关者进行互动,初级保健能够产生效果。《Sphere指南》定义了在国际、国家和地方框架内开展工作的最低标准。对灾难医学中初级保健理解的演变导致更加注重维持产出。在灾难中,通过利用强大的地方和更广泛的恢复力框架,在经历灾难周期的同时实现适应新的投入和产出并维持护理连续性,从而使效果最大化。本文是受委托作为《人道主义与灾难救援行动》特刊的一部分撰写的。