Kennedy Marcus
Emergency Services, Royal Melbourne Hospital, Melbourne, Victoria, Australia.
Emerg Med Australas. 2005 Aug;17(4):392-6. doi: 10.1111/j.1742-6723.2005.00763.x.
The present paper is based on an address given at the Australian Financial Review Health Congress in February, 2005. Let's start with the underlying premise that patients have a valid right to fair and just access to emergency care. Fairness and justice are concepts more comfortably placed within legal and sociological settings than within health. They refer to our ability to deliver care without bias or favour. Our college has published a statement asserting patients' right to appropriate access (Patients' Right to Access Emergency Department Care. ACEM Policy Statement P31, March 2004). The other underlying premise in this discussion is that this issue of equity of access actually matters. It may be of significance at a moral level, at a relative resource consumption level, at the level of occupation of system capacity, or at the level of clinical outcomes for individual patients.
本文基于2005年2月在《澳大利亚金融评论报》健康大会上的一次演讲。让我们从一个基本前提开始，即患者有权公平、公正地获得急诊护理。公平和正义在法律和社会学背景中比在医疗领域更易理解。它们指的是我们无偏见或偏袒地提供护理的能力。我们学院发表了一份声明，主张患者有权获得适当的医疗服务（《患者获得急诊科护理的权利》。澳大利亚急诊医学学院政策声明P31，2004年3月）。本次讨论的另一个基本前提是，这种医疗服务公平性问题确实很重要。它可能在道德层面、相对资源消耗层面、系统容量占用层面或个体患者的临床结果层面具有重要意义。
