Department of Pediatrics, Division of Neonatology, Columbia University Medical Center, 622 W 168th street PH17-, New York, NY, 10032, USA.
J Bioeth Inq. 2020 Dec;17(4):675-679. doi: 10.1007/s11673-020-10059-y. Epub 2020 Nov 9.
In today's pandemic, many countries have experienced shortages of medical resources and many healthcare providers have often been faced with dramatic decisions about how to allocate beds, intensive care, or ventilators. Despite recognizing the need for triage, responses are not the same everywhere, and opinions and practices differ around what guidelines should be used, how they should be implemented, and who should ultimately decide. To some extent, triage issues reflect community values, revealing a given society's moral standards and ideals. Our goal is to study two countries which share many common features-Italy and France-as they deal with the pandemic, revealing the moral organization of medicine and healthcare, the power structures, and the nature of the disruptions in each context.
在当今的大流行中,许多国家都经历了医疗资源短缺的问题,许多医疗保健提供者经常面临如何分配床位、重症监护室或呼吸机的重大决策。尽管认识到分诊的必要性,但各地的反应并不相同,对于应该使用哪些指南、如何实施以及最终应由谁来决定,意见和做法也存在差异。在某种程度上,分诊问题反映了社区价值观,揭示了一个特定社会的道德标准和理想。我们的目标是研究两个具有许多共同特征的国家——意大利和法国——在应对大流行时的情况,揭示医学和医疗保健的道德组织、权力结构以及在每个背景下的混乱本质。