A Research On Civilian Hospital Mobilization In Cold Plateau Regions

The fundamental mission of PLA in the new era is the “capability for battle”. Thewestern cold plateau regions in China (Tibet, Qinghai and Xinjiang) cover a vast area withlong border lines and rugged roads and are sparsely populated, these regions arestrategically important to fight against encroachment and splittism, they are the majorbattlefields of the military. The high-tech war in cold plateau regions is characterized withsudden breakout, shortness of time, mass troops, large scale of medical support and manydifficulties in the process; the severe weather condition, endemic diseases, environmentaldiseases and natural focal diseases pose difficulties for medical support in cold plateauregions. The medical support pattern of designated planning, arranged support, and level tolevel responsibility can be easily targeted in the war and poses life threat to medicalpersonnel. At the same time, in the information context, when a high-tech war break out incold plateau regions, the medical support unit in other battle fields would face manyobstacles, such as having difficulty in adapting to the environment and providing medicalservice due to the insufficient medical support resources in the military. Thus, it is withgreat significance to study the medical support mechanism in this region to improve thepeacetime reserve and wartime mobilization, to include civilian hospitals of the backupregion into wartime medical support reserve, establish cooperation between military andcivilian hospitals, and develop a creative medical support mechanism and explore aneffective method to strengthen medical service capability in cold plateau regions.This research is based on theories related to military medical service, national healthdefense mobilization, modular theory and system evaluation theory; and lays emphasis oncivilian hospital mobilization in cold plateau regions, adopts methods as documentsreference and field research to discuss and summarize theories related to civilian hospitalmobilization and the development and practice of domestic and foreign civilian hospitalmobilization, to analyze the foundation and existing problems in civilian hospital mobilization in cold plateau regions. This research centers on the analysis of the need,medical resource reserve and readiness training of civilian hospitals in cold plateau regionsthrough expert consultation and statistical analysis to acquire the actual medical serviceneed in civilian hospital mobilization in cold plateau regions, based on which to build aemergence response pattern of civilian hospital mobilization through optimizing modelingand modularization to improve emergence response system and process, and discussemergence response mechanism; and to analyze the modular structure of medical serviceunit of civilian hospitals in cold plateau regions, construct modular system for medicalservice unit in civilian hospitals, and illustrate modular mechanism of civilian hospitalmobilization; and formulate preplans and form preplanning system for civilian hospitalmobilization in cold plateau regions to provide theory and method for civilian hospitalmobilization in cold plateau regions. This research provides index system and tool toevaluate the capability of civilian hospital mobilization in cold plateau regions to enhancethe medical support capability of civilian hospitals in battles in cold plateau regions.This paper is divided into seven chapters. The first chapter analyzes the generalcondition of cold plateau regions and its impact on organism, and illustrates the features andrequirements of medical service in cold plateau regions, and mainly explains the meaningand concept. The second, third and fourth chapters analyze the development, theoreticalachievements and practices of civilian hospital mobilization, and give answers to “is itnecessary?” based on the research on the need of civilian hospital mobilization in coldplateau regions. The fifth and sixth chapter conducts survey and analysis on the foundationof civilian hospitals in cold plateau regions, and conducts research on index system forevaluating the capability of civilian hospital mobilization based on the survey, and giveanswers to the question of “possibility”.Chapter seven discusses the construction of civilianhospital mobilization in cold plateau regions and preplanning system to solve practicalissues. The following results have been obtained through referring to literature andconsulting experts.The results of the research on the development and current situation of civilianhospital mobilization are:(1) a series of theoretical achievements and practical experiencesof health defense mobilization and civilian hospital mobilization from both domestic andabroad have been obtained. The civilian hospital mobilization in this paper refers to the process of gathering and preparation of medicals teams from civilian hospitals that areincluded in the civilian hospitals; currently, there are four major problems existing in thecivilian hospital mobilization, such as insufficient research and management, inadequatemechanism, preplan system and evaluation index system(2) civilian hospitals have hugepotential in heath mobilization due to their rich human and technological resources, and aneffective national health defense mobilization is an important supplement to medicalsupport in cold plateau regions.(3) Cold plateau regions pose new threat to medical servicein, such as large number of the wounded, complicated and severe wounds, and difficulty intreating and transporting, which make the prompt mobilization of civilian hospitals one ofthe important way of medical support in cold plateau regions.(4) To analyze the “militaryand civil integration support system” through civilian hospital mobilization theory andpractice is a new approach to study the medical support in cold plateau regions.The results of the research on the need of civilian hospital mobilization:(1) operationsin cold plateau regions face obstacles due to high incidence of acute high altitude sickness,heavy load of medical service, difficulty in wounded transportation, shortness of civilianmedical resources, lack of special medical supply for high altitude diseases, and specialmedical support is required in cold plateau regions.(2) There is a high rate of staff depletionin the operations in cold plateau areas; thus, large number of medical staff is needed. Apartfrom that, the high incidence of limb injury, multiple site damage, and mild brain injury,together with acute high altitude maladjustment, frostbite and non-battle injury posedifficulty to rescue and treatment.(3) the in-depth analysis to the medical resource of a rearbackup area shows the sufficient health agencies, beds, human and equipment resources inhospitals of certain areas, this manifests sufficient health resources reserve of civilianhospital mobilization in cold plateau regions.(4) Emergence response system and nationalhealth defense mobilization mechanism has been established in civilian hospitals, but thelevel of standardization, comprehensive capability of infrastructure, capability foremergency, and level of emergence management and social involvement is relatively low;there is a gap between the current emergence response system and the need of wartimemedical support, because it is mainly targeted public emergencies, and cannot meet thedemand of medical support in cold plateau regions.The research results of the capability of civilian hospital mobilization in cold plateau region are:(1) based on the study of the mobilization potential of an urban hospital in rearbackup region and2round of experts consultation, the index for evaluating the mobilizationcapability of civilian hospitals has been selected.(2) the weight of indexes has beenconfirmed, and the standard to evaluate the mobilization capability has been finalized, andan evaluation index system has been formed to evaluate the mobilization of civilianhospitals in cold plateau regions. The weight of indexes has been proved reasonable withoutlogic mistake after series of tests, it is capable to evaluate the mobilization capability ofcivilian hospitals in cold plateau regions.The results of the research on the mechanism of civilian hospital mobilization inpreplan construction in cold plateau regions:(1) the study on the mobilization of emergenceresponse mechanism has been carried out based on the “promptness” of civilian hospitalmobilization, and proposes an emergence response procedure of civilian hospitals, builds amodel of mobilization and illustrates the transition from support potential to supportstrength.(2) Study the modularization mechanism of mobilization based on the effectivemobilization of civilian hospitals in cold plateau regions to confirm the measuring methodfor modularization and the process of modularization for medical unit in civilian hospitals,and proposes the idea that the medical teams of civilian hospitals in rear region can providemedical support in the form of field medical corps, field medical stations,“centralized”field hospitals, medical stations, specialized surgery corps and frontline surgery corps,explains and constructs the3-level modular system of field medical station and fieldmedical teams in cold plateau regions, clarifies the modular mechanism of medical support.(3)Propose the classification, categorization of the emergence preplan of medical service incold plateau operation regions based on the theory and method for formulating medicalservice preplan, construct the preplan system for civilian hospital mobilization in coldplateau regions, and provide cases of civilian hospitals mobilization for civilian hospitalmobilization.Large scale of research will be carried out on the mobilization of civilian hospitals incold plateau regions, and the modular construction of civilian medical unit will be targetedto actual combat, and in-depth study will be conducted to the on-site test of mobilizationevaluation system to provide practical advice for the optimization of mobilization system incivilian hospitals of cold plateau regions.