珍视生命：公共卫生紧急事件期间稀缺医疗资源的分配与《美国残疾人法案》（视角）
Valuing lives: Allocating scarce medical resources during a public health emergency and the Americans with Disabilities Act (perspective).
作者信息
Wolf Leslie, Hensel Wendy
机构信息
Professor of Law, Georgia State University College of Law, Atlanta, GA.
出版信息
PLoS Curr. 2011 Sep 21;3:RRN1271. doi: 10.1371/currents.RRN1271.
Abstract
Public health emergencies from natural disasters, infection, and man-made threats can present ethically or legally challenging questions about who will receive scarce resources. Federal and state governments have offered little guidance on how to prioritize distribution of limited resources. Several allocation proposals have appeared in the medical literature, but components of the proposed approaches violate federal antidiscrimination laws and ethical principles about fair treatment. Further planning efforts are needed to develop practical allocation guidelines that comport with antidiscrimination laws and the moral commitment to equal access reflected in those laws.
摘要
自然灾害、感染及人为威胁引发的突发公共卫生事件可能会带来关于谁将获得稀缺资源的伦理或法律难题。联邦和州政府在如何对有限资源的分配进行优先排序方面几乎没有提供指导。医学文献中出现了一些分配方案，但这些方案的组成部分违反了联邦反歧视法以及关于公平对待的伦理原则。需要进一步开展规划工作，以制定符合反歧视法以及这些法律所体现的平等获取资源的道德承诺的实用分配指南。
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本文引用的文献
1
Who should receive life support during a public health emergency? Using ethical principles to improve allocation decisions.
Ann Intern Med. 2009 Jan 20;150(2):132-8. doi: 10.7326/0003-4819-150-2-200901200-00011.
2
Affective forecasting: an unrecognized challenge in making serious health decisions.
J Gen Intern Med. 2008 Oct;23(10):1708-12. doi: 10.1007/s11606-008-0719-5. Epub 2008 Jul 30.
3
Definitive care for the critically ill during a disaster: a framework for allocation of scarce resources in mass critical care: from a Task Force for Mass Critical Care summit meeting, January 26-27, 2007, Chicago, IL.
Chest. 2008 May;133(5 Suppl):51S-66S. doi: 10.1378/chest.07-2693.
4
Allocation of ventilators in a public health disaster.
Disaster Med Public Health Prep. 2008 Mar;2(1):20-6. doi: 10.1097/DMP.0b013e3181620794.
5
Clinical review: allocating ventilators during large-scale disasters--problems, planning, and process.
Crit Care. 2007;11(3):217. doi: 10.1186/cc5929.
6
Development of a triage protocol for critical care during an influenza pandemic.
CMAJ. 2006 Nov 21;175(11):1377-81. doi: 10.1503/cmaj.060911.
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