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Preparing healthcare systems for shocks - from disasters to pandemics / ショックに備えた保健医療システムの構築（日本語字幕）
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緊急事態が発生した際にクリティカルケアを提供する、そのフロントライン（最前線）にあるのが保健医療システムです。
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Healthcare systems are at the frontline of delivering critical care during emergencies. Yet, already before the COVID-19 pandemic, many countries were struggling to meet even routine demands for health care. Climate change, disasters, pandemics, and demographic changes will increase pressures on already strained health systems. To strengthen the resilience of health systems to shocks and pressures, this note outlines five principles and priority areas for action. (1) Foundations: Building the capacity of health systems to effectively manage routine demands is a prerequisite for increasing their resilience to shocks. (2) Health care facilities: Facilities must be prepared to meet surge demand during emergencies and protected against shocks, such as earthquakes or floods. (3) Health care systems: Coordinated regional and system-level responses and flexible solutions are key during emergencies. (4) National emergency management: Crisis response by the health sector must be coordinated with emergency management systems, including civil protection and risk financing. (5) Quality infrastructure: Resilient water, electricity, transport, and digital systems are essential for effective health services. The principles presented in this note can help to better prepare health systems to respond to a wide range of shocks, from seasonal demand surges, to pandemics, climate change, and disasters.
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2021-06-30T01:41:31Z
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緊急事態が発生した際にクリティカルケアを提供する、そのフロントライン（最前線）にあるのが保健医療システムです。 しかし、低中位所得国ではリソースと能力に制約があるため、パンデミック以前から多くの保健医療システムでは日常的な需要を満たすことさえ困難でした。今後、災害や気候変動をはじめ、パンデミック、人口動態の変化、慢性疾患によって、そうしたすでに困窮している保健医療システムへの負担はさらに増していくことでしょう。 世界銀行が新たに作成した報告書フロントライン『Frontline』は、防災と緊急事態管理の経験から得た教訓を活かして、これまで以上に信頼性の高い、ショックに耐え得る保健医療サービスの提供に向けて5つの領域にわたる優先事項を提案しています。
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