de Castro-Hamoy Leniza, de Castro Leonardo D
National Institutes of Health, University of the Philippines Manila, Manila, Philippines.
Department of Pediatrics, Philippine General Hospital, University of the Philippines Manila, Manila, Philippines.
Asian Bioeth Rev. 2020 Jun 16;12(3):331-340. doi: 10.1007/s41649-020-00130-6. eCollection 2020 Sep.
A patient's age serves as a very useful guide to physicians in deciding what disease manifestations to anticipate, what treatment to offer for certain conditions, and how to prepare for possible emergencies. In the context of the COVID-19 pandemic, determining treatment options on the basis of a patient's chronological age can easily give rise to unjustified discrimination. This is of particular significance in situations where the allocation of scarce critical care resources could have a direct impact on who will live and who will die. This paper examines the fairness of recommendations contained in resource allocation guidelines in the Philippines that have implications for the way elderly patients could be treated or excluded from some forms of critical care treatment in the context of the ongoing Corona virus emergency.
患者的年龄对医生而言是一个非常有用的参考，有助于他们判断可能出现的疾病症状、针对特定病症应采取何种治疗方法以及如何应对可能出现的紧急情况。在新冠疫情背景下，根据患者的实际年龄来确定治疗方案很容易导致不合理的歧视。在稀缺的重症监护资源分配可能直接影响生死的情况下，这一点尤为重要。本文探讨了菲律宾资源分配指南中所包含建议的公平性，这些建议对在当前新冠疫情紧急情况下老年患者接受某些形式的重症监护治疗或被排除在外的方式产生影响。
