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<<   作成日時 : 2009/07/18 15:36   >>

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 英国では深刻な軍医の不足に陥っているという。
 768人の医師ポストの1/3が空いており、特に麻酔科のような重要な分野での不足が目立っている。
 英国医師会BMAによれば、あまりに迅速な前線復帰が要求されることで燃え尽きが起きているという。政府は不足を改善しようとしていると言っている。
 イラクからの撤退で一時救われたが、新たにアフガニスタンでの死者増加が大きな問題である。
 軍医はNHSの仕事と軍事展開の間で移行して仕事をしている。普通は12-18ヶ月に1回軍事配備に駆り出されるが、何人かの医師は6ヶ月ごとに送られているという。野戦病院での仕事も含み、アフガニスタンでの前線近くにも送られる。国防省によれば、最新データでは528人の訓練された医師がいるという。95の麻酔科医のポストに53人が配置され、3人の脳外科ポストは欠員になっている。
 看護師も1/10のポストが空いており、救急医療で4/10、集中治療で5/10のポストが欠員となっている。
 BMAよれば、最近数ヶ月で状況は悪化し、アフガニスタンのへルマンドではスタッフの70%が予備役であるという。予備役は基本的に緊急事態のバックアップとして動くので、技能や装備が正規軍ほど最新のものではない可能性がある。
 現在予備役リストにのっていて、第1次湾岸戦争に従軍したことがある、BMA軍隊委員会委員長のDr Brendan McKeatingは、不足は「長年の問題」であると言う。最近数年NHS医師との契約では、軍医の給与は専門にもよるが公共医療サービス部門より5-10%少ないという。危険度や予測不能な性質を反映してもっと支払われるべきであるが、問題は不足のために頻繁に前線に駆り出されることにあり、士気の低下が問題だ。
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Page last updated at 23:15 GMT, Thursday, 16 July 2009 00:15 UK
Military doctor shortage warning
http://news.bbc.co.uk/2/hi/health/8145287.stm
By Nick Triggle
Health reporter, BBC News

画像Injured soldier
Concerns were raised about the care of wounded soldiers

The military's medical arm is under severe strain because of a huge shortage of doctors, unions say.
A third of the 768 doctor posts in the armed forces are currently unfilled with the worst shortages in some of the most critical areas like anaesthetics.
The British Medical Association said the problem meant doctors were risking burn-out because they were having to return to the front-line too quickly.
The government said it was trying to rectify the shortfall.
While the pressure on military doctors has been relieved slightly by the withdrawal from Iraq, the revelations still raise concerns amid the mounting death toll in Afghanistan.

We are also in the situation where doctors are being sent to the front-line more frequently to fill gaps
Dr Brendan McKeating, of the British Medical Association
Military doctors spend their time being shifted between NHS work and deployments with the armed forces.
Normally they will only be deployed once every 12 to 18 months, but the BMA said some medics are being sent out every six months.
This includes working in field hospitals and close to the front-line in places such as Afghanistan as well as being based on war ships.
Overall, the Ministry of Defence had 528 trained doctors at last count. For anaesthetists, 53 were in place out of a requirement of 95, while none of the three neurosurgery posts were filled.
The shortfall has also hit nurses with one in 10 posts unfilled, rising to four in 10 and five in 10 for emergency care and intensive therapy nurses respectively.
The situation has got so bad that in recent months in the main field hospital in Helmand, Afghanistan, 70% of staff have been reservists, the BMA said.
Reservists basically acts as emergency back-up and as such their skills and preparedness may not be as up-to-date as those employed full-time by the Ministry of Defence.

Dangerous
Dr Brendan McKeating, chairman of the BMA's armed forces committee, who is now on the reservist list but served during the first Gulf War, said the shortfall was "a long-standing problem".
He said because of the new contracts NHS doctors have received in recent years, pay of military doctors lagged behind the health service by between 5% and 10% depending on speciality.
"We believe military doctors should be getting more to reflect the dangerous and unpredictable nature of the job.
"But it is not just about pay. We are also in the situation where doctors are being sent to the front-line more frequently to fill gaps. Morale is suffering."
However, he stopped short of saying lives were being put at risk as doctors were always willing to go that extra mile to ensure services were running properly.
He also acknowledged the Ministry of Defence also used contractors to fill any gaps.
The Ministry of Defence admitted there were problems, but said it was trying to improve recruitment and retention.
A spokesman said: "The Defence Medical Services have met all the operational requirements placed on them.
"We acknowledge that manpower shortages remain a problem, especially in some key specialties.
"We are taking active steps to address the shortfalls through a range of measures including the payment of 'golden hellos' to direct entrants in specialist areas and ensuring pay remains in line with the NHS."

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