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通过虚拟紧急医疗培训和外展活动加强冲突环境中的医疗能力:乌克兰和苏丹的案例研究。

Healthcare capacity strengthening in conflict settings through virtual emergency medical training and outreach: Ukraine and Sudan case studies.

机构信息

Department of Emergency Medicine, University of Botswana, Gaborone, Botswana.

Department of Internal Medicine, Sustainable Development Response Organization, University of Nebraska Medical Center College of Medicine, Omaha, NE, United States.

出版信息

Front Public Health. 2024 Oct 18;12:1441322. doi: 10.3389/fpubh.2024.1441322. eCollection 2024.

Abstract

The use of digital learning in healthcare is expanding in a range of contexts including for settings of armed conflict. Humanitarian emergencies and war often lead to a surge of traumatic injuries, emotional distress, and disruption to health systems risking neglect and exacerbations of chronic illness, and acute infectious disease outbreaks, often requiring an international response. On the ground humanitarian response is often essential though logistical and security challenges can delay these responses, and the reliance on an international workforce unfamiliar with local cultures can create challenges in response efforts. In crises where local healthcare workers have limited training, or experience in emergency care, digital health care education can augment in-person response and training efforts. In recent years digital emergency care education programs have been deployed to both Ukraine and Sudan. A review of each of these programs demonstrates successes in and potential utility of remote healthcare capacity strengthening through digital education in settings of war. These programs provide important lessons in strengths of and challenges in developing and delivering just in time learning programs to settings of active armed conflict suggesting similar potential utility in a variety of humanitarian emergency contexts.

摘要

数字学习在医疗保健领域的应用正在扩大,包括武装冲突环境。人道主义紧急情况和战争往往会导致创伤性损伤、情绪困扰和卫生系统中断的激增,从而有忽视和加重慢性疾病以及急性传染病爆发的风险,这通常需要国际反应。在现场,人道主义反应通常是必要的,尽管后勤和安全挑战可能会延迟这些反应,而且依赖不熟悉当地文化的国际劳动力可能会在应对工作中带来挑战。在当地医疗工作者培训或紧急护理经验有限的危机中,数字医疗保健教育可以增强现场应对和培训工作。近年来,数字紧急护理教育计划已在乌克兰和苏丹部署。对每个项目的审查都表明,在战争环境中通过数字教育增强远程医疗能力具有成功的潜力和效用。这些计划提供了在积极武装冲突环境中开发和提供及时学习计划的优势和挑战的重要经验教训,表明在各种人道主义紧急情况中具有类似的潜在效用。

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