Pediatric Neurology and Metabolic Medicine, Center for Pediatrics and Adolescent Medicine, University Hospital Heidelberg, Heidelberg, Germany.
Center for Virtual Patients, Medical Faculty, University of Heidelberg, Heidelberg, Germany.
Front Public Health. 2022 Sep 15;10:975667. doi: 10.3389/fpubh.2022.975667. eCollection 2022.
In the context of a holistic and comprehensive disaster response effort to the COVID-19 pandemic, many countries across the globe mobilized their military forces in order to cope with sudden and exponential surges of critically ill patients with COVID-19 in stretched healthcare systems.
The purpose of this work is to identify, map, and render world-wide key concepts of civil-military cooperation (CIMIC) in disaster management during the COVID-19 crisis visible.
Literature was systematically searched in three databases (PubMed, Web of Science, Cochrane Library) on 26 January 2022, and analyzed with qualitative, mixed narrative-phenomenological methods in compliance with PRISM-ScR and SRQR.
Forty-five publications were included in the analysis; pertinent authors were from 22 countries covering five continents. We identified three key thematic clusters in the published literature: Cluster (1) Medico-scientific contributions with the participation of military medical personnel or institutions: members of the military acted as subject matter experts, clinical and experimental (co-) investigators as well as co-founders for enabling COVID-19 relevant research. Areas covered were relevant to the COVID-19 patient's clinical journey from prevention, exposure, diagnostics, and treatment and included pertinent fields such as digital health and telemedicine, global and public health, critical care, emergency and disaster medicine, radiology, neurology, as well as other medical specialties, i.e., respiratory care, pulmonology, burn medicine, and transfusion medicine, in addition to environmental and occupational sciences as well as materials science. Cluster (2) CIMIC field experiences or analyses included areas such as political framework, strategy, structure, nature of civil-military interaction, and concrete mission reports in selected countries. Themes covered a broad spectrum of pandemic disaster management subjects such as capacity and surge capacity building, medical and pharmaceutical logistics, patient care under austere circumstances, SARS-CoV-2 testing support, intelligent and innovative information management, vaccination support, and disaster communication. Cluster (3) The military as a role model for crisis management.
Civil-military cooperation made a significant contribution to the level of resilience in crisis management on a global scale, positively impacting a broad spectrum of core abilities during the COVID-19 pandemic.
在应对 COVID-19 大流行的整体和全面灾害应对工作中，为应对医疗系统不堪重负的 COVID-19 重症患者突然和指数级增长，全球许多国家都动员了军队。
本研究旨在确定、绘制和展示全球范围内在 COVID-19 危机期间军民合作（CIMIC）在灾害管理中的关键概念。
于 2022 年 1 月 26 日在三个数据库（PubMed、Web of Science、Cochrane Library）中进行系统文献检索，并根据 PRISM-ScR 和 SRQR 标准进行定性、混合叙事现象学方法分析。
共纳入 45 篇文献，作者来自 22 个国家，覆盖五个大陆。我们在已发表的文献中确定了三个关键主题集群：集群 1：有军事医务人员或机构参与的医学科学贡献：军人充当主题专家、临床和实验（共同）研究者以及使 COVID-19 相关研究成为可能的共同创始人。涵盖的领域与 COVID-19 患者的临床旅程相关，从预防、暴露、诊断和治疗，包括数字健康和远程医疗、全球和公共卫生、重症监护、急诊和灾害医学、放射学、神经病学以及其他医学专业，如呼吸护理、肺病学、烧伤医学和输血医学，以及环境和职业科学以及材料科学。集群 2：CIMIC 实地经验或分析包括政治框架、战略、结构、军民互动性质以及选定国家的具体任务报告等领域。主题涵盖大流行灾害管理的广泛主题，如能力和扩充能力建设、医疗和制药物流、艰苦条件下的患者护理、SARS-CoV-2 检测支持、智能和创新信息管理、疫苗接种支持和灾害通信。集群 3：军队是危机管理的榜样。
军民合作在全球范围内为危机管理的弹性水平做出了重大贡献，在 COVID-19 大流行期间对广泛的核心能力产生了积极影响。
