Katzenmeier Christian
Institut für Medizinrecht, Universität zu Köln, Köln.
Z Evid Fortbild Qual Gesundhwes. 2010;104(5):364-70. doi: 10.1016/j.zefq.2010.06.004. Epub 2010 Jul 2.
Scarcity in the German health care system leads to an implicit allocation of means and also implies a risk of liability for physicians. Prioritisation can contribute to the solution of these problems and ascertain an equitable allocation of scarce resources. However, the criteria that will be applied to establish a ranking order will have to be thoroughly considered, particularly in light of the constitutional law, and there is still a multitude of unresolved questions seeking an answer. This requires an open political discourse about society and health care.
德国医疗保健系统中的资源稀缺导致了资源的隐性分配,也给医生带来了责任风险。确定优先次序有助于解决这些问题,并确保稀缺资源的公平分配。然而,用于确定排名顺序的标准必须经过深思熟虑,尤其是考虑到宪法,而且仍有许多未解决的问题有待解答。这需要就社会和医疗保健问题展开公开的政治讨论。