医疗人道主义的反复失败:难以解决,被忽视,还是被夸大?
Sandro Colombo1, Enrico Pavignani2
1Independent consultant, Madrid 28232, Spain.
Lancet (London, England)
|June 13, 2017
概括
医疗人道主义面临着不断重复的失败, 解决这些问题需要具体的干预措施,以及对人道主义援助政策和实践的系统性改变.
科学领域:
- 全球健康
- 人道主义医学
- 国际援助
背景情况:
- 人道主义卫生工作者在高风险,不可预测的环境中工作.
- 人道主义卫生干预的失败频繁,严重且经常重复.
- 现有的审查记录了这些反复出现的失败.
研究的目的:
- 讨论医疗人道主义的持续失败.
- 分析为什么这些失败是难以解决的,
- 倡导环境化的救济医疗干预措施.
主要方法:
- 分析人道主义卫生计划的记录失败情况.
- 讨论导致反复出现错误的系统因素.
- 支持医疗人道主义援助的观点.
主要成果:
- 人道主义行动中经常出现的缺陷是无法解决的.
- 医疗人道主义有时会因为不适用的原则和期望而受到批评.
- 目前复杂的危机环境阻碍了人道主义医学的彻底改革.
结论:
- 避免重复失败需要承认过去的错误并实施政策变化.
- 加强捐助者政策,计划分析,专业化,媒体参与和当地伙伴关系至关重要.
- 对于有效的人道主义医学而言,与当地卫生利益相关者进行背景化和改进的合作至关重要.
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