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[老年患者医疗管理中服务分配的资源配置与公平性]

[Resource allocation and justice in distribution of services in medical management of elderly patients].

作者信息

Driesch G, Heuft G

机构信息

Klinik und Poliklinik für Psychosomatik, und Psychotherapie, Universitätsklinikum Münster, Domagkstr. 22 48129 Münster, Germany.

出版信息

Z Gerontol Geriatr. 2002 Aug;35(4):361-8. doi: 10.1007/s00391-002-0077-6.

Abstract

This paper presents the most important arguments in medical allocation based on an analysis of the relevant literature. The main arguments of rationing scarce medical resources are scrutinized. Especially the use of age limit considerations are critically reviewed. The discussion takes place against a backdrop of aggravating pressure on old people as cost factors. As a basis for further discussion, the authors give a brief history of theories of justice in philosophy. Finally minimum requirements for a constructive and responsible discussion are stated.

摘要

本文通过对相关文献的分析,呈现了医疗资源分配中最重要的论点。对稀缺医疗资源配给的主要论点进行了审视。尤其对年龄限制考量的运用进行了批判性审视。讨论是在老年人作为成本因素面临的压力不断加剧的背景下展开的。作为进一步讨论的基础,作者简述了哲学中正义理论的历史。最后阐述了进行建设性和负责任讨论的最低要求。

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