Department of Medicine, University of Toronto, Toronto, Ontario M5G 2C4, Canada.
J Pain Symptom Manage. 2010 Feb;39(2):291-5. doi: 10.1016/j.jpainsymman.2009.11.241.
In the event of an overwhelming influenza pandemic, many health care systems will implement a triage system that would potentially deny critical care treatment to some seriously ill patients. Although all triage systems have guaranteed palliative care for those who are denied critical care, no jurisdiction has yet developed a plan to accommodate the anticipated "surge" in demand for palliative care. The authors present a mathematical and ethical justification for a palliative care surge plan and outline some of the key elements that should be included in such a plan.
在流感大流行的情况下,许多医疗保健系统将实施分诊系统,这可能会拒绝为一些重病患者提供重症治疗。尽管所有分诊系统都保证为那些被拒绝重症治疗的人提供姑息治疗,但没有任何司法管辖区制定计划来满足预期的姑息治疗需求“激增”。作者为姑息治疗激增计划提供了数学和伦理依据,并概述了该计划应包含的一些关键要素。