医院急诊科的患者遗弃现象：对一个老问题的重新关注。

Patient dumping in the hospital emergency department: renewed interest in an old problem.

作者信息

Enfield L M, Sklar D P

机构信息

Residency Training Program in Emergency Medicine, University of New Mexico School of Medicine.

出版信息

Am J Law Med. 1988;13(4):561-95.

Abstract

Alarm about the adverse effects of transferring emergency patients for economic reasons has resulted in federal legislation aimed at curbing the practice. We review the history of common law hospital liability for denial of emergency care and analyze the federal legislation designed to restrict the transfer of medically indigent patients with emergency problems. We conclude that the currently proposed solutions to patient dumping will have limited effectiveness without more specific incentives for the provision of health care to the medically indigent.

摘要

出于经济原因转运急诊患者所带来的不良影响引发了人们的担忧，这导致了旨在遏制这种做法的联邦立法出台。我们回顾了普通法中医院因拒绝提供急诊护理而承担责任的历史，并分析了旨在限制对有急诊问题的医疗贫困患者进行转运的联邦立法。我们得出结论，如果没有为医疗贫困者提供医疗保健的更具体激励措施，目前针对患者遗弃问题提出的解决方案效果将有限。

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引用本文的文献

1

New business for ethics committees.伦理委员会的新业务。

HEC Forum. 1992;4(2):97-102. doi: 10.1007/BF00058012.

2

The determinants of dumping: a national study of economically motivated transfers involving mental health care.倾销的决定因素：一项关于涉及精神卫生保健的经济动机转移的全国性研究。

Health Serv Res. 1997 Dec;32(5):561-90.

3

Patient 'dumping' post-COBRA.《综合预算协调法案》（COBRA）之后的患者“遗弃”

Am J Public Health. 1990 Jul;80(7):864-7. doi: 10.2105/ajph.80.7.864.

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