医学的人道主義が 繰り返し失敗するのは 難解で 無視されているのか それとも 誇張されているのか?
Sandro Colombo1, Enrico Pavignani2
1Independent consultant, Madrid 28232, Spain.
Lancet (London, England)
|June 13, 2017
まとめ
医学的人道主義は 単純な技術的な問題ではなく 深く根付いた問題のために 繰り返される失敗に直面しています これらの問題に対処するには,状況に合わせて介入し,人道支援の政策と慣行を体系的に変える必要があります.
科学分野:
- 世界保健
- 人道的医療
- 国際援助
背景:
- 人道的医療従事者は リスクの高い 予測不可能な環境で活動しています
- 人道的医療介入の失敗は 頻繁で深刻で しばしば繰り返されます
- 既存のレビューは,これらの繰り返し失敗を記録しています.
研究 の 目的:
- 医学的人道主義における 継続的な失敗について議論する
- 単純な解決法に 耐えられない理由を 分析する
- 文脈的な救済医療介入を提唱する.
主な方法:
- 人道的保健プログラムにおける 文書化された失敗の分析
- 繰り返されるエラーに寄与するシステム的要因の議論
- 医療人道支援の文脈化のための議論
主要な成果:
- 繰り返される欠陥は 人道的活動に深く根付いており 技術的な解決にはなりません
- 医学的な人道主義は 適用不可能な原則と期待のために 時々批判されます
- 人道医学における根本的な改革を妨げています
結論:
- 失敗を繰り返さないためには 過去の過ちを認める必要があり 政策の変更が必要です
- 資金提供者政策の強化,プログラム分析,プロフェッショナライゼーション,メディアの関与,地方のパートナーシップは不可欠です.
- 人道的医療の有効性には 地域の保健関係者との連携が不可欠です
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