Yeo M, Williams J R, Hooper W
Canadian Medical Association.
Health Care Anal. 1999;7(2):177-94. doi: 10.1023/A:1009445306165.
The authors were involved in developing an ethical framework to assist the Queens Region Board (Prince Edward Island, Canada) set priorities in health and health care. Two and one half years after the adoption of this framework, the authors undertook an evaluation of the framework. This paper will discuss: (a) the historical background of regionalization in Canada, and in particular the circumstances leading up to the institution of regional boards in Prince Edward Island; (b) the sorts of ethical issues facing the Queens Regional Board; (c) issues arising in connection with the use and development of ethics frameworks for managing ethical issues in priority setting; (d) the framework adopted by the Queens Board and the process that led to its development; (e) issues arising as concerns implementation of the framework; (f) questions and issues pertinent to other boards and bodies considering similar initiatives.
作者参与了制定一个伦理框架，以协助皇后区委员会（加拿大爱德华王子岛）确定卫生与医疗保健方面的优先事项。在采用该框架两年半后，作者对其进行了评估。本文将讨论：（a）加拿大区域化的历史背景，尤其是导致爱德华王子岛设立区域委员会的情况；（b）皇后区区域委员会面临的各类伦理问题；（c）在使用和制定伦理框架以管理优先事项设定中的伦理问题时出现的问题；（d）皇后区委员会采用的框架及其制定过程；（e）框架实施过程中出现的问题；（f）与其他考虑类似举措的委员会和机构相关的问题。
