Servicio de Microbiología Clínica y Enfermedades Infecciosas del Hospital General Universitario Gregorio Marañón, Universidad Complutense. CIBERES. Ciber de Enfermedades Respiratorias. Madrid, Spain.
Rev Esp Quimioter. 2022 Oct;35(5):444-454. doi: 10.37201/req/058.2022. Epub 2022 Jun 27.
A "Pandemic/Disaster Law" is needed to condense and organize the current dispersed and multiple legislation. The State must exercise a single power and command appropriate to each situation, with national validity. The production of plans for the use of land and real estate as potential centers for health care, shelter or refuge is recommended. There should be specific disaster plans at least for Primary Health Care, Hospitals and Socio-sanitary Centers. The guarantee of the maintenance of communication and supply routes is essential, as well as the guarantee of the autochthonous production of basic goods. The pandemic has highlighted the need to redefine the training plans for physicians who, in their different specialties, have to undertake reforms that allow a more versatile and transversal training. National research must have plans to be able to respond quickly to questions posed by the various crises, using all the nation's resources and in particular, all the data and capabilities of the health sector. Contingency plans must consider ethical aspects, and meet the needs of patients and families with a humanized approach. In circumstances of catastrophe, conflicts increase and require a bioethical response that allows the best decisions to be made, with the utmost respect for people's values. Rapid, efficient and truthful communication systems must be contained in a special project for this sector in critic circumstances. Finally, we believe that the creation of National Coordination Centers for major disasters and Public Health can contribute to better face the crises of the future.
需要制定一部“大流行/灾害法”，以整合当前分散的多项立法。国家必须行使单一权力，对每种情况进行适当指挥，具有国家效力。建议制定计划，将土地和房地产用作潜在医疗保健、避难所或避难中心。至少应针对初级卫生保健、医院和社会卫生中心制定具体的灾害计划。必须保障通信和供应路线的畅通，保障基本物资的本地生产。大流行突出表明需要重新定义医师的培训计划，他们在不同的专业领域必须进行改革，以实现更具通用性和跨学科的培训。国家研究必须有计划，以便能够利用国家的所有资源，特别是卫生部门的所有数据和能力，快速应对各种危机提出的问题。应急计划必须考虑伦理方面的问题，并以人性化的方式满足患者和家属的需求。在灾难情况下，冲突会增加，需要生物伦理方面的回应，以便在最大程度尊重人们价值观的前提下做出最佳决策。必须在特殊项目中包含快速、高效和真实的通信系统，以应对危急情况。最后，我们认为，为重大灾害和公共卫生创建国家协调中心，可以有助于更好地应对未来的危机。
