医疗保健中的配给现实。

The realities of rationing in health care.

机构信息

Department of Medicine, Faculty of Medicine and Health Sciences, University of Stellenbosch, Cape Town, South Africa.

Institute of Bioethics and History of Medicine, University of Zurich, Zurich, Switzerland.

出版信息

Nat Rev Nephrol. 2021 Jul;17(7):435-436. doi: 10.1038/s41581-021-00404-8. Epub 2021 Feb 15.

DOI:10.1038/s41581-021-00404-8

PMID:33589744

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7883325/

Abstract

Rationing of scarce health-care resources is distressing. Clinicians therefore require clear guidance, which should be developed systematically and transparently through multi-stakeholder engagement. Rationing is seldom required in high-income settings but is often necessary in low-income settings. Global solidarity and health system strengthening are required to reduce the need for rationing.

摘要

卫生保健资源稀缺的分配问题令人痛心。因此，临床医生需要明确的指导，这些指导应该通过多方利益相关者的参与，系统且透明地制定。在高收入环境中，分配很少是必需的，但在低收入环境中往往是必要的。需要全球团结和加强卫生系统，以减少分配的必要性。