艾滋病与药物配给。
AIDS and drug rationing.
作者信息
Sharif Pooneh Salari, Noroozi Mahshad
机构信息
Assistant Professor, Medical Ethics and History of Medicine Research Center, Tehran University of Medical Sciences, Tehran Iran.
出版信息
J Med Ethics Hist Med. 2010 Mar 16;3:1. Print 2010.
Financial shortage in resource-limited and poor countries restricts treatment in HIV-infected patients especially in poor countries. Higher HIV prevalence in poorer countries makes drug rationing a real concern. Different countries solve the problem with different methods regarding WHO guidelines, but fairness and equity should be a major consideration in drug rationing. This paper is aimed at reviewing different strategic approaches to drug rationing in AIDS treatment and then discusses pharmacists' role. In conclusion, there is no fair and equitable strategy, and in each society, cultural, ethical and socioeconomic issues along with considering a critical role for pharmacists must be taken into account.
资源有限的贫穷国家面临的资金短缺问题限制了对艾滋病毒感染患者的治疗，尤其是在贫穷国家。较贫穷国家中较高的艾滋病毒流行率使得药物配给成为一个切实令人担忧的问题。不同国家根据世界卫生组织的指导方针采用不同方法解决这一问题，但公平性应是药物配给中的主要考虑因素。本文旨在回顾艾滋病治疗中药物配给的不同战略方法，然后讨论药剂师的作用。总之，不存在公平公正的战略，在每个社会中，都必须考虑文化、伦理和社会经济问题，并重视药剂师的关键作用。
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