Tabery James, Mackett Charles W
Department of Philosophy and Division of Medical Ethics and Humanities, University of Utah, Salt Lake City, UT 84112, USA.
Disaster Med Public Health Prep. 2008 Jun;2(2):114-8. doi: 10.1097/DMP.0b013e31816c408b.
The prospect of a severe influenza pandemic poses a daunting public health threat to hospitals and the public they serve. The event of a severe influenza pandemic will put hospitals under extreme stress; only so many beds, ventilators, nurses, and physicians will be available, and it is likely that more patients will require medical attention than can be completely treated. Triage is the process of sorting patients in a time of crisis to determine who receives what level of medical attention. How will hospitals sort patients to determine priority for treatment? What criteria will be used? Who will develop these criteria? This article formulates an answer to these questions by constructing a conceptual framework for anticipating and responding to the ethical issues raised by triage in the event of a severe influenza pandemic.
严重流感大流行的前景对医院及其服务的公众构成了令人生畏的公共卫生威胁。严重流感大流行的发生将使医院面临巨大压力；病床、呼吸机、护士和医生的数量有限，很可能需要医疗护理的患者数量超过了能够得到充分治疗的数量。分诊是在危机时刻对患者进行分类以确定谁接受何种医疗护理水平的过程。医院将如何对患者进行分类以确定治疗优先级？将使用哪些标准？谁将制定这些标准？本文通过构建一个概念框架来回答这些问题，该框架用于预测和应对严重流感大流行时分诊引发的伦理问题。
