Srinivas G, Maanasa R, Meenakshi M, Adaikalam J M, Seshayyan S, Muthuvel T
Department of Epidemiology, The Tamil Nadu Dr MGR Medical University, 600032 Chennai, India.
The Tamil Nadu Dr MGR Medical University, Chennai, India.
Ethics Med Public Health. 2021 Mar;16:100633. doi: 10.1016/j.jemep.2021.100633. Epub 2021 Feb 8.
While rationing of healthcare resources is inevitable even in the most developed economies, particularly on the wake of a pandemic, ethical basis of its implementation needs to be reviewed. With sudden and huge demand for drugs and medical supplies and equipments, the need for rationing arises and thus the concept becomes unavoidable. Thus, we aimed to review and analyse on the key ethical issues in the concept of healthcare rationing. Our search in various PubMed databases resulted articles explaining on the concept of strategizing the priorities based on universal ethical principles of justice, benevolence and ensuring equality rather than wealth, power, geographical location or other personal biases. Concrete and pragmatic regulations and guidelines for systematic rationing have to be framed and followed. In addition, physicians being sensitive and empowered on deciding bedside rationing in coordination with the recommendations of ethicists and healthcare officials, will ensure fair practice.
尽管即使在最发达的经济体中，医疗资源的分配也是不可避免的，尤其是在疫情之后，但其实施的伦理基础仍需审视。随着对药品、医疗用品和设备的需求突然大幅增加，分配的必要性随之产生，因此这一概念变得不可回避。因此，我们旨在回顾和分析医疗资源分配概念中的关键伦理问题。我们在多个PubMed数据库中进行检索，结果发现一些文章解释了基于公正、仁爱等普遍伦理原则以及确保平等而非财富、权力、地理位置或其他个人偏见来制定优先策略的概念。必须制定并遵循具体务实的系统性分配法规和指南。此外，医生在与伦理学家和医疗官员的建议相协调的情况下，对床边分配决策保持敏感并具备相应能力，将确保公平实践。
