美国神经病学学会立场声明：新冠大流行与神经科医生的伦理责任
AAN position statement: The COVID-19 pandemic and the ethical duties of the neurologist.
机构信息
From the Department of Neurology & Neurotherapeutics and Neurological Surgery (M.A.R.), University of Texas Southwestern Medical Center, Dallas; Schools of Law, Medicine, and Public Policy (R.J.B.), University of Virginia, Charlottesville; Department of Pediatrics (L.E.), Northwestern University Feinberg School of Medicine, Chicago, IL; Departments of Neurology and Neurological Surgery (C.H.), University of California, San Francisco; Departments of Anesthesiology, Critical Care Medicine, Pediatrics and Neurology (M.K.), University of Pennsylvania Perelman School of Medicine, Philadelphia; Departments of Neurology and Neurosurgery (A.L.), New York University Langone Medical Center, New York; and Departments of Anesthesiology and Critical Care Medicine, Neurology, and Neurosurgery (J.I.S.), The Johns Hopkins University School of Medicine, Baltimore, MD.
出版信息
Neurology. 2020 Jul 28;95(4):167-172. doi: 10.1212/WNL.0000000000009744. Epub 2020 May 15.
Patients, clinicians, and hospitals have undergone monumental changes during the coronavirus disease 2019 (COVID-19) pandemic. This crisis has forced us to consider the obligations that we neurologists have to our individual patients as well as the greater community. By returning to our fundamental understanding of these duties, we can ensure that we are providing the most ethically appropriate contingency and crisis care possible. We recommend specific adaptations to both the inpatient and outpatient settings, as well as changes to medical and trainee education. Furthermore, we explore the daunting but potentially necessary implementation of scare resource allocation protocols. As the pandemic evolves, we will need to adapt continuously to these rapidly changing circumstances and consider both national and regional standards and variation.
在 2019 冠状病毒病（COVID-19）大流行期间，患者、临床医生和医院经历了巨大的变化。这场危机迫使我们考虑我们神经科医生对我们的个体患者以及更广泛的社区的义务。通过回归我们对这些职责的基本理解，我们可以确保我们提供的应急和危机护理在伦理上是最合适的。我们建议对住院和门诊环境进行具体的调整，并对医疗和学员教育进行改变。此外，我们探讨了令人畏惧但潜在必要的稀缺资源分配协议的实施。随着大流行的发展，我们将需要不断适应这些快速变化的情况，并考虑国家和地区的标准和差异。
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