[预先护理计划和姑息治疗在纽约市新冠疫情期间的作用]
[The role of advance care planning and palliative care in new york city during COVID-19 pandemic].
作者信息
Fujisaki Tomohiro, Miyashita Satoshi
机构信息
Department of Medicine, Mount Sinai Morningside and West Hospital.
Department of Cardiovascular Medicine, Tufts Medical Center.
出版信息
Nihon Ronen Igakkai Zasshi. 2021;58(1):41-46. doi: 10.3143/geriatrics.58.41.
New York City faced an explosive spread of Coronavirus disease 2019 (COVID-19), causing the city's death toll to spike owing to the high virulence of COVID-19. The health care system was on the verge of collapse. Advance care planning (ACP), informed assent, and palliative care played significant roles in supporting patient self-determination and dignity, facilitating decision making, and promoting better care. The importance of these strategies was revisited. Learning from the COVID-19 pandemic in New York City, it is anticipated that several approaches such as ACP and palliative intervention may attract more attention and become increasingly essential to the healthcare system in Japan.
纽约市面临2019冠状病毒病（COVID-19）的爆发式传播，由于COVID-19的高毒力，该市的死亡人数激增。医疗系统濒临崩溃。预先护理计划（ACP）、知情同意和姑息治疗在支持患者的自主决定权和尊严、促进决策制定以及提供更好的护理方面发挥了重要作用。这些策略的重要性再次受到关注。从纽约市的COVID-19大流行中吸取经验教训，预计诸如ACP和姑息干预等几种方法可能会吸引更多关注，并对日本的医疗系统变得越来越重要。
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