INTRODUCTION:Since 2003, Iraq has struggled to build a single national health system administered by the Iraqi Ministry of Health, but politics, lack of leadership, and a cultural bias against treating soldiers in civilian hospitals have hindered access to care for members of Iraq's armed forces who are wounded in combat. METHODS:U.S. surgeons are providing trauma care for Iraqi soldiers in American field hospitals, with more than 80% of hospital bed days occupied by Iraqis. At the same time, Iraqi hospitals have been treating the many civilian casualties of violence, and the Ministry of Health has greatly improved its emergency response and management capabilities over the past year. RESULTS:Ministry of Health hospitals have adequate surgical capabilities and bed capacity to care for both civilian and security forces casualties. Faltering attempts to develop a national health policy that provides comprehensive care for Iraqi Security Forces will jeopardize Iraq's ability to assume responsibilities for the country's national defense, and could delay the withdrawal of Coalition military forces from Iraq. CONCLUSIONS:It is imperative that leadership of the new government of Iraq and the international surgical community strongly endorse the implementation of a single health care system for all Iraqis.

译文

简介:自2003年以来,伊拉克一直在努力建立由伊拉克卫生部管理的单一国家卫生系统,但是政治,缺乏领导力以及在民用医院中对待士兵的文化偏见阻碍了伊拉克武装部队获得医疗服务在战斗中受伤的部队。
方法:美国外科医生正在美国野战医院为伊拉克士兵提供创伤护理,其中80%以上的病床天都由伊拉克人占用。同时,伊拉克医院一直在治疗许多平民的暴力伤亡,而卫生部在过去一年中大大提高了其应急响应和管理能力。
结果:卫生部的医院具有足够的手术能力和床位能力,可以照顾平民和安全部队的伤亡。制定一项为伊拉克安全部队提供全面护理的国家卫生政策的步履蹒跚的尝试将危及伊拉克承担起负责该国国防的责任的能力,并可能延迟联军从伊拉克撤军。
结论:伊拉克新政府和国际外科界的领导层必须坚决支持为所有伊拉克人实施单一的卫生保健系统。

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