Dutzmann J, Nuding S
Universitätsklinik und Poliklinik für Innere Medizin III, Kardiologie, Angiologie und internistische Intensivmedizin, Universitätsklinikum Halle (Saale), Ernst-Grube-Str. 40, 06120, Halle (Saale), Deutschland.
Med Klin Intensivmed Notfmed. 2021 Apr;116(3):190-197. doi: 10.1007/s00063-021-00798-0. Epub 2021 Mar 7.
Demographic change, medical progress, pandemics, and mass casualty events may cause an increased demand for intensive and emergency medical care resources. There is thus a definite need for fair allocation criteria.
The rationale, structure, and criteria for allocation of intensive and emergency medical care resources are presented and discussed.
Analysis and discussion of German literature about the topic.
Decisions on the allocation of intensive and emergency medical care resources are made on different levels (micro-, meso-, and macrolevel). They shall fulfill minimum demands in terms of procedure and content. Consequent and careful examination of indication and evidence of therapeutic decisions as well as consequent and careful examination of the patient's definite or presumed consent helps to take responsibility for fair allocation decisions.
人口结构变化、医学进步、大流行病和大规模伤亡事件可能导致对重症和急诊医疗资源的需求增加。因此，明确需要公平的分配标准。
介绍并讨论重症和急诊医疗资源分配的基本原理、结构和标准。
对德国有关该主题的文献进行分析和讨论。
重症和急诊医疗资源分配的决策在不同层面（微观、中观和宏观层面）进行。这些决策应在程序和内容方面满足最低要求。对治疗决策的适应症和证据进行连贯且仔细的审查，以及对患者明确或推定的同意进行连贯且仔细的审查，有助于为公平分配决策负责。
