Hadorn D C
Department of Public Health Sciences, University of Alberta, Edmonton.
CMAJ. 2000 Oct 3;163(7):857-60.
In order to develop standardized measures to assess patients' relative priority for services for which there are waiting lists, it is essential that key terms be clearly defined. We propose that severity be defined as the degree or extent of suffering, limits to activities or risk of death; that urgency be defined as severity combined with considerations of the expected benefit and the natural history of the condition; that need be considered equivalent to urgency; and that priority be defined in terms of urgency (or need) with or without consideration of social factors.
为了制定标准化措施,以评估在有等候名单的服务中患者的相对优先次序,明确界定关键术语至关重要。我们建议将严重程度定义为痛苦的程度或范围、活动受限程度或死亡风险;将紧迫性定义为严重程度与预期益处及病情自然发展过程的考量相结合;将需求视为等同于紧迫性;并将优先次序定义为基于紧迫性(或需求),同时考虑或不考虑社会因素。