Fournier A M, Dodard M
Department of Family Medicine, University of Miami, USA.
Fam Med. 1997 Oct;29(9):666-9.
This article documents the history, politics, and economics that have contributed to a health care delivery crisis in Haiti and why family medicine will be crucial for the recovery of Haiti's health care. Since the United Nations intervention, there has been some improvement in health conditions. However, the embargo and political turmoil left little infrastructure on which to build. Developing family medicine, one of the priorities of the Ministry of Health, will reverse traditional forces that favor emigration and specialization and will provide the country with well-trained physicians who can treat most of the common health problems of Haiti. These common preventable and treatable problems are now contributing to short life expectancy and high infant mortality. While the ultimate responsibility for Haiti's health rests with Haitian health professionals, the country has an immediate need for international humanitarian assistance, particularly for general medical care.
本文记录了导致海地医疗保健服务危机的历史、政治和经济因素，以及为何家庭医学对海地医疗保健的恢复至关重要。自联合国干预以来，海地的健康状况有了一些改善。然而，禁运和政治动荡使得可供建设的基础设施所剩无几。发展家庭医学作为卫生部的优先事项之一，将扭转那些有利于移民和专业化的传统力量，并为该国提供训练有素的医生，他们能够治疗海地大多数常见的健康问题。这些常见的可预防和可治疗问题目前正导致预期寿命缩短和婴儿死亡率居高不下。虽然海地的健康最终责任在于海地的医疗专业人员，但该国迫切需要国际人道主义援助，特别是一般医疗护理方面的援助。
