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Holistic Care in the US Military I—The Epidaurus Project: An Initiative in Holistic Medicine for the Military Health System, 2001-2012

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Frederick O. Foote, MD (CAPT, MC, USN, retired) is project officer, The Epidaurus Project, and adjunct associate professor of Preventive Medicine and Biometrics (Health Services Administration), Uniformed Services University of the Health Sciences, Bethesda, Maryland. Roger J. Bulger, MD, is president (retired), Association of Academic Health Centers, Washington, DC. Susan B. Frampton, PhD, is president, Planetree, Derby, Connecticut. Edmund D. Pellegrino, MD, is emeritus professor of Medicine and Bioethics and director, Kennedy Center on Bioethics, Georgetown University School of Medicine, Washington, DC. 摘要 本文说明 Epidaurus 项目的开展历史和研究发现,该项目由统一服务大学 (Uniformed Services University) 开展,旨在为军队卫生系统 (Military Health System) 提供全面护理和有根据的安排。一群具有平民思想的杰出领导人作出贡献。2005 年的基地改组与关闭(Base Realignment and Closure) 流程为施行 Epidaurus 项目提供了机会。结果建成了一个新的综合性医疗服务体系,并以位于贝塞斯达的沃尔特�里德国家军事医疗中心 (Walter Reed National Military Medical Center) 为核心。这些设施将是新一代军队卫生系统 (MHS)“康复环境”的典范,亦是全国创新医疗体系的范例。Epidaurus 项目体现了民用医药与军队在战争期间的重要合作。 Sinopsis Este art�culo describe la historia y los hallazgos del Proyecto Epidaurus, un proyecto en colaboraci�n con la Uniformed Services University (Universidad de Servicios Uniformados), para incorporar la medicina hol�stica y el dise�o basado en la evidencia en el Military Health System (Sistema de Salud Militar). A ello contribuy� un grupo distinguido de l�deres intelectuales civiles. El proceso de Realineamiento y Cierre de Bases del 2005 ofreci� una oportunidad para implementar el programa Epidaurus. El resultado fue un sistema nuevo e integrado de asistencia sanitaria, centrado alrededor del Walter Reed National Military Medical Center de Bethesda. Estas instalaciones ser�n el modelo para una nueva generaci�n de “entornos de salud” MHS y para sistemas de asistencia sanitaria innovadores a nivel nacional. El Proyecto Epidaurus representa una colaboraci�n destacada entre la medicina civil y los militares en tiempos de guerra.

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                               FEATUrE


                               Holistic Care in the US Military I—The Epidaurus Project:
                               An Initiative in Holistic Medicine for the Military Health
                               System, 2001-2012
                               Frederick O. Foote, MD (CAPT, MC, USN, retired); Roger J. Bulger, MD; Susan B. Frampton, PhD; Edmund D. Pellegrino, MD



        Author Affiliations    AbSTrACT                                                 摘要                                                              SInoPSIS
  Frederick O. Foote, MD
                               This article describes the history                       本文说明 Epidaurus 项目的开展                                            Este artículo describe la historia y
(CAPT, MC, USN, retired)
     is project officer, The   and findings of the Epidaurus                            历史和研究发现,该项目由统一                                                  los hallazgos del Proyecto Epidaurus,
   Epidaurus Project, and      Project, a Uniformed Services                            服务大学          (Uniformed Services                               un proyecto en colaboración con la
          adjunct associate    University–affiliated project to                         University) 开展,旨在为军队卫生                                          Uniformed Services University
  professor of Preventive
Medicine and Biometrics
                               bring holistic care and evidence-                        系统 (Military Health System)                                     (Universidad         de      Servicios
            (Health Services   based design into the Military                           提供全面护理和有根据的安排。                                                  Uniformados), para incorporar la
           Administration),    Health System (MHS). A distin-                           一群具有平民思想的杰出领导人                                                  medicina holística y el diseño basa-
        Uniformed Services
                               guished group of civilian thought                        作出贡献。2005 年的基地改组与                                               do en la evidencia en el Military
 University of the Health
        Sciences, Bethesda,    leaders contributed. The 2005 Base                       关闭(Base Realignment and Closure)                                Health System (Sistema de Salud
        Maryland. Roger J.     Realignment and Closure process                          流程为施行 Epidaurus 项目提供                                            Militar). A ello contribuyó un grupo
 Bulger, MD, is president      offered a chance to implement the                        了机会。结果建成了一个新的综                                                  distinguido de líderes intelectuales
  (retired), Association of
          Academic Health
                               Epidaurus agenda. A new integrat-                        合性医疗服务体系,并以位于贝                                                  civiles. El proceso de Realineamiento
     Centers, Washington,      ed healthcare delivery system, cen-                      塞斯达的沃尔特·里德国家军事                                                  y Cierre de Bases del 2005 ofreció
  DC. Susan B. Frampton,       tered around the Walter Reed                             医疗中心 (Walter Reed National                                      una oportunidad para implementar
          PhD, is president,
                               National Military Medical Center                         Military Medical Center) 为核心。                                   el programa Epidaurus. El resultado
          Planetree, Derby,
 Connecticut. Edmund D.
                               at Bethesda, Maryland, was the                           这些设施将是新一代军队卫生系                                                  fue un sistema nuevo e integrado de
         Pellegrino, MD, is    result. These facilities will be tem-                    统 (MHS)“康复环境”的典范,亦                                              asistencia sanitaria, centrado alred-
     emeritus professor of     plates for a new generation of MHS                       是全国创新医疗体系的范                                                     edor del Walter Reed National
  Medicine and Bioethics
                               “healing environments” and a                             例。Epidaurus 项目体现了民用医                                            Military Medical Center de Bethesda.
    and director, Kennedy
       Center on Bioethics,    model for innovative systems of                          药与军队在战争期间的重要合作。                                                 Estas instalaciones serán el modelo
  Georgetown University        healthcare nationwide. The Epi-                                                                                          para una nueva generación de
       School of Medicine,     daurus Project represents a signifi-                                                                                     “entornos de salud” MHS y para
          Washington, DC.
                               cant collaboration between civilian                                                                                      sistemas de asistencia sanitaria
        Correspondence         medicine and the military in times                                                                                       innovadores a nivel nacional. El
 Frederick O. Foote, MD        of war.                                                                                                                  Proyecto Epidaurus representa una
Fred.Foote@comcast.net
                                                                                                                                                        colaboración destacada entre la
                                                                                                                                                        medicina civil y los militares en
               Citation
Global Adv Health Med.                                                                                                                                  tiempos de guerra.
        2012;1(2):44-52.




                               A
              Key Words
 Military Health System,                merican medicine faced a crisis at the turn of                                  and reductionism have been a central problem of
      Epidaurus Project,
 traumatic brain injury,
                                        the millennium. The Institu
								
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