Carlon G C
Department of Anesthesiology, Memorial Sloan-Kettering Cancer Center, New York, New York.
Crit Care Clin. 1988 Jan;4(1):183-91.
The allocation of critical care resources must follow criteria of distributive justice. Because most societies cannot indefinitely expand medical care costs, difficult decisions on the quality and quantity of care that can be rendered to each patient are inevitable. Data on which objective decisions can be based are currently being gathered at many levels. It is reasonable to anticipate that over the next few years regulations will be formulated to decide which patients can be admitted to the ICU. Critical care physicians have the right and obligation to be involved in all aspects of these decision-making processes.
重症监护资源的分配必须遵循分配正义的标准。由于大多数社会无法无限期地扩大医疗费用，因此不可避免地要对可为每位患者提供的护理质量和数量做出艰难决策。目前正在多个层面收集可作为客观决策依据的数据。可以合理预期，在未来几年内将制定相关规定，以决定哪些患者可以入住重症监护病房。重症监护医生有权且有义务参与这些决策过程的各个方面。
