Reckling J B
School of Nursing, University of Kansas, Kansas City.
ANS Adv Nurs Sci. 1989 Apr;11(3):70-81. doi: 10.1097/00012272-198904000-00012.
Home health care nurses are facing the ethical dilemma of discontinuing care to nonpaying needy patients or facing agency economic demise. Nurses perceive discontinuing care under such circumstances as patient abandonment. Ethical analysis of the dilemma yields two conclusions: (1) discontinuing care under non-life-threatening circumstances is not abandonment and does not violate the duty of beneficence, and (2) nurses do have an obligation to inform society of such instances so that public policy decision makers can be armed with that information when making allocation decisions.
要么停止对无力支付费用的贫困患者的护理，要么面临机构的经济崩溃。护士们认为在这种情况下停止护理等同于遗弃患者。对这一困境的伦理分析得出两个结论：（1）在非危及生命的情况下停止护理并非遗弃行为，也不违反行善的义务；（2）护士确实有义务将此类情况告知社会，以便公共政策决策者在做出资源分配决策时能够掌握这些信息。
