J Emerg Nurs. 2021 Mar;47(2):321-325. doi: 10.1016/j.jen.2020.11.009. Epub 2020 Nov 30.
The coronavirus 2019 pandemic has affected almost every aspect of health care delivery in the United States, and the emergency medicine system has been hit particularly hard while dealing with this public health crisis. In an unprecedented time in our history, medical systems and clinicians have been asked to be creative, flexible, and innovative, all while continuing to uphold the important standards in the US health care system. To continue providing quality services to patients during this extraordinary time, care providers, organizations, administrators, and insurers have needed to alter longstanding models and procedures to respond to the dynamics of a pandemic. The Emergency Medicine Treatment and Active Labor Act of 1986, or EMTALA, is 1 example of where these alterations have allowed health care facilities and clinicians to continue their work of caring for patients while protecting both the patients and the clinicians themselves from infectious exposures at the same time.
2019 年冠状病毒病大流行几乎影响了美国医疗服务提供的方方面面，而急诊医学系统在应对这一公共卫生危机时受到了特别严重的冲击。在我们历史上前所未有的时期，医疗系统和临床医生被要求富有创造力、灵活性和创新性，同时还要坚持美国医疗体系中的重要标准。为了在这个特殊时期继续为患者提供优质服务，护理提供者、组织、管理人员和保险公司需要改变长期存在的模式和程序，以应对大流行的动态变化。1986 年的《急诊医学治疗和积极分娩法》（Emergency Medicine Treatment and Active Labor Act of 1986，简称 EMTALA）就是一个例子，这些修改使医疗保健机构和临床医生能够在保护患者和临床医生免受感染的同时，继续为患者提供护理。
