2019年冠状病毒病大流行期间的伦理分诊：神经外科资源分配工具包
Ethical triage during the COVID-19 pandemic: a toolkit for neurosurgical resource allocation.
作者信息
Hulsbergen Alexander F C, Eijkholt Marleen M, Balak Naci, Brennum Jannick, Bolger Ciarán, Bohrer Anna-Margarete, Feldman Zeev, Holsgrove Daniel, Kitchen Neil, Mathiesen Tiit I, Moojen Wouter A, Samprón Nicolás, Sames Martin, Sandvik Ulrika, Tisell Magnus, Broekman Marike L D
机构信息
Ethics Committee of the European Association of Neurosurgical Societies, Brussels, Belgium.
Departments of Neurosurgery, Haaglanden Medical Center and Leiden University Medical Center, Lijnbaan 32, 2512, VA, The Hague, The Netherlands.
出版信息
Acta Neurochir (Wien). 2020 Jul;162(7):1485-1490. doi: 10.1007/s00701-020-04375-w. Epub 2020 May 14.
BACKGROUND
The COVID-19 pandemic confronts healthcare workers, including neurosurgeons, with difficult choices regarding which patients to treat.
METHODS
In order to assist ethical triage, this article gives an overview of the main considerations and ethical principles relevant when allocating resources in times of scarcity.
RESULTS
We discuss a framework employing four principles: prioritizing the worst off, maximizing benefits, treating patients equally, and promoting instrumental value. We furthermore discuss the role of age and comorbidity in triage and highlight some principles that may seem intuitive but should not form a basis for triage.
CONCLUSIONS
This overview is presented on behalf of the European Association of Neurosurgical Societies and can be used as a toolkit for neurosurgeons faced with ethical dilemmas when triaging patients in times of scarcity.
背景
新冠疫情让包括神经外科医生在内的医护人员在决定治疗哪些患者时面临艰难抉择。
方法
为协助进行符合伦理的分诊，本文概述了在资源稀缺时期分配资源时的主要考量因素和相关伦理原则。
结果
我们讨论了一个采用四项原则的框架：优先救治最弱势群体、利益最大化、平等对待患者以及提升工具性价值。我们还讨论了年龄和合并症在分诊中的作用，并强调了一些看似直观但不应作为分诊依据的原则。
结论
本概述由欧洲神经外科学会协会发布，可作为神经外科医生在资源稀缺时期对患者进行分诊时面临伦理困境的工具包。
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