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如何避免医疗资源分配中对残疾患者的不公平歧视。

How to avoid unfair discrimination against disabled patients in healthcare resource allocation.

机构信息

ARL Health, 48 Echline Drive, South Queensferry, Edinburgh, UK.

出版信息

J Med Ethics. 2012 Mar;38(3):158-62. doi: 10.1136/medethics-2011-100093. Epub 2011 Dec 3.

Abstract

The paper proposes a new method of researching public opinion for the purposes of valuing the outcomes of healthcare interventions. The issue I address is that, under the quality-adjusted life-year system, disabled patients face a higher cost-effectiveness hurdle than able-bodied patients. This seems inequitable. The author considers the alternative approaches to valuing healthcare interventions that have been proposed, and shows that all of them face the same problem. It is proposed that to value an outcome, instead of researching the general public, the population that is to be targeted with the intervention should be researched.

摘要

本文提出了一种新的研究公众舆论的方法,旨在评估医疗干预措施的结果。我所关注的问题是,在质量调整生命年系统下,残疾患者面临比非残疾患者更高的成本效益障碍。这似乎不公平。作者考虑了已经提出的评估医疗干预措施的替代方法,并表明它们都面临着同样的问题。本文建议,为了评估一个结果,而不是研究普通公众,应该研究将接受干预的目标人群。

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引用本文的文献

1
Disability, discrimination and death: is it justified to ration life saving treatment for disabled newborn infants?
Monash Bioeth Rev. 2014 Mar-Jun;32(1-2):43-62. doi: 10.1007/s40592-014-0002-y.

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