Veatch R M
Hastings Cent Rep. 1986 Jun;16(3):32-40.
To allocate resources ethically under DRGs, we need an expanded medical ethics. Appealing to traditional patient-centered principles such as individual beneficence and autonomy will not be sufficient. We also need to take into account the social principles of full beneficence and justice. If marginal benefits must be eliminated, clinicians should not participate in deciding who should get less care but should remain committed to their patients' interests.
为了在诊断相关分组（DRGs）下进行符合伦理的资源分配，我们需要一种扩展的医学伦理学。仅仅诉诸传统的以患者为中心的原则，如个体受益和自主，是不够的。我们还需要考虑全面受益和公正的社会原则。如果必须消除边际效益，临床医生不应参与决定谁应获得较少的治疗，而应始终致力于维护患者的利益。
