Fortes Paulo Antonio de Carvalho
Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo, Brasil.
Cad Saude Publica. 2008 Mar;24(3):696-701. doi: 10.1590/s0102-311x2008000300024.
Since health needs outweigh the available resources, choices are imperative. It is thus necessary to set limits, criteria, and standards in order to prioritize the supply, the recipients, and the services to be provided. Ethical alternatives are discussed for the prioritization and rationing of health care, focusing on the principles of equity and social utility.
由于健康需求超过了可用资源,因此必须做出选择。因此,有必要设定限制、标准和准则,以便对供应、接受者以及提供的服务进行优先排序。本文讨论了医疗保健优先排序和配给的伦理选择,重点关注公平和社会效用原则。