Department of Internal Medicine I, University Hospital Schleswig-Holstein, Kiel, Germany.
Excellence Cluster Precision Medicine in Inflammation, Christian-Albrechts-University, Kiel, Germany.
J Crohns Colitis. 2020 Dec 2;14(12):1765-1768. doi: 10.1093/ecco-jcc/jjaa127.
The intense competition for resources to combat COVID-19 has greatly reduced access to health care for patients with other diseases. After the disastrous overrun of hospitals through COVID-19 patients in some jurisdictions, availability of resources for 'elective' medical procedures, including care for the chronically ill, has been greatly reduced in many places as a pre-emptive measure before or during the blooming of infection clusters. Pharmaceutical companies have either stopped recruitment or even cancelled ongoing clinical trials in chronic diseases. Pre-emptive triage and its impact on medical ethics is discussed in the framework of care for inflammatory bowel disease.
在抗击 COVID-19 的资源激烈竞争中,许多其他疾病患者获得医疗保健的机会大大减少。在一些司法管辖区,由于 COVID-19 患者对医院的灾难性失控,在感染集群爆发之前或期间,作为预防措施,包括为慢性病患者提供的护理在内的“选择性”医疗程序的资源可用性在许多地方大大减少。制药公司要么停止招募,要么甚至取消正在进行的慢性病临床试验。在炎症性肠病护理的框架内讨论了预先分诊及其对医疗伦理的影响。