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哥伦比亚背景下的毒品、暴力与创伤:从医疗保健角度看人权挑战

Drugs, Violence and Trauma in the Colombian Context: A Health Care Point of View of a Human Rights Challenge.

作者信息

Rubiano Andres M, Muñoz Jorge Hm, Estebanez Glyn, Sanchez Alvaro I, Jacob Puyana Juan C, Puyana Juan C

机构信息

Neurosurgery/Clinical Research, El Bosque University/MEDITECH Foundation, Bogotá, Cundinamarca, Colombia.

Clinical Researcher, MEDITECH Foundation, Neiva, Huila, Colombia.

出版信息

Panam J Trauma Crit Care Emerg Surg. 2018 May-Aug;7(2):158-163. doi: 10.5005/jp-journals-10030-1218.

Abstract

The impact of violence due to illicit drugs markets varies tremendously in magnitude and characteristics depending on several factors. In Colombia, drugs and trauma are related in multiple ways. From interpersonal violence at the street level to the criminal actions of various armed groups whose violent campaigns are financed through the vast profits associated with the illicit drug market. The objective of this review is to analyze the association of the illicit drugs trade and its impact on violence in Colombia from the viewpoint of healthcare providers who care for trauma patients. Injuries related to drug traffic violence are high in Colombia, and only a small reduction was obtained after severe crime enforcement policies. The societal cost of the war on drugs policy is high on trauma deaths and related disabilities according to several reports from non-government agencies and the Colombian National Institute of Legal Medicine and Forensic Sciences. A health care initiative in order to understand the drug phenomena as a health care problem shifting the actual criminal-justice based on the approach can minimize the human rights crisis that is evolving being faced every day at health care facilities in Colombia. This new approach in the actual post-conflict environment deserves to be analyzed.

摘要

非法毒品市场引发的暴力影响在规模和特征上因多种因素而有极大差异。在哥伦比亚,毒品与创伤以多种方式相互关联。从街头层面的人际暴力到各种武装组织的犯罪行为,这些武装组织的暴力活动通过与非法毒品市场相关的巨额利润获得资金支持。本综述的目的是从照顾创伤患者的医疗服务提供者的角度分析非法毒品贸易及其对哥伦比亚暴力行为的影响。在哥伦比亚,与毒品贩运暴力相关的伤害发生率很高,在实施严厉的执法政策后仅略有下降。根据非政府机构以及哥伦比亚国家法医学和法医学研究所的几份报告,毒品战争政策的社会成本在创伤死亡和相关残疾方面很高。一项将毒品现象视为医疗保健问题的医疗保健倡议,改变基于刑事司法的实际做法,可以最大限度地减少哥伦比亚医疗保健机构每天面临的不断演变的人权危机。在当前的冲突后环境中,这种新方法值得分析。

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