Moses Michael J., Bosco Joseph A., Schwarzkopf Ran, Zuckerman Joseph D., Long William J.
Bull Hosp Jt Dis (2013). 2020 Dec;78(4):221-226.
The COVID-19 pandemic has had unprecedented impact on the United States health care system. One of the consider-ations was the decision to halt elective orthopedic surgery to preserve consumption of scarce resources. However, as the number of COVID-19 cases decrease, there will be discus-sions regarding the modality of resuming elective orthopedic surgery. Ethical considerations will come to the forefront in terms of determining the best course of action, patient selection, resource rationing, and financial implications. These factors will be examined through the lens of the four tenets of bioethics, beneficence, maleficence, autonomy, and justice, to elucidate the best approach in ethically manag-ing elective orthopedic surgery during a global pandemic.
新冠疫情对美国医疗保健系统产生了前所未有的影响。其中一个考虑因素是决定暂停择期骨科手术，以保存稀缺资源的消耗。然而，随着新冠病例数量的减少，将讨论恢复择期骨科手术的方式。在确定最佳行动方案、患者选择、资源分配和财务影响方面，伦理考量将成为首要问题。这些因素将通过生物伦理学的四个原则，即行善、不作恶、自主和公正来审视，以阐明在全球大流行期间对择期骨科手术进行伦理管理的最佳方法。
