[冠状病毒（SARS-CoV-2）大流行期间初级保健中的伦理问题]
[Ethical issues in primary care during the coronavirus (SARS-CoV-2) pandemic].
作者信息
Beltran-Aroca C M, González-Tirado M, Girela-López E
机构信息
Sección de Medicina Legal y Forense, Facultad de Medicina y Enfermería, Universidad de Córdoba, Córboba, España.
Centro de Salud de Villafranca de Córdoba, Villafranca de Córboba, Córdoba, España.
出版信息
Semergen. 2021 Mar;47(2):122-130. doi: 10.1016/j.semerg.2020.11.002. Epub 2020 Nov 28.
Public health emergencies, such as the current SARS-CoV-2 coronavirus pandemic, have led to tragic resource constraints that prevent lives from being saved. This has led to tensions in patient-centered care as the backbone of the system in normal conditions and the same care in emergencies originating in the COVID-19. In this review we address some of the healthcare, organizational and ethical problems that this scenario has caused in primary care such as: cancellation of programmed activities; scarce home care and follow-up of elderly, chronically ill and immobilized patients; shortage of PPE and the exposure to risk of healthcare professionals, and finally the problems associated with telemedicine and telephone attention to patients.
公共卫生突发事件，如当前的新型冠状病毒肺炎疫情，导致了严重的资源限制，使得挽救生命变得困难。这引发了以患者为中心的医疗服务在正常情况下作为系统核心与在新冠疫情引发的紧急情况下同样的医疗服务之间的紧张关系。在本综述中，我们探讨了这种情况在初级医疗保健中引发的一些医疗、组织和伦理问题，例如：取消计划内活动；老年、慢性病和行动不便患者的家庭护理和随访稀缺；个人防护装备短缺以及医护人员面临风险；最后还有与远程医疗和电话问诊患者相关的问题。
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