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一次性医疗用品再利用的伦理问题

The Ethics of the Reuse of Disposable Medical Supplies.

作者信息

Das Anjan Kumar, Okita Taketoshi, Enzo Aya, Asai Atsushi

机构信息

School of Medicine, Faculty of Health and Medical Sciences, Taylor's University, Subang Jaya, Selangor Malaysia.

Department of Medical Ethics, Tohoku University Graduate School of Medicine Sendai, Sendai, Japan.

出版信息

Asian Bioeth Rev. 2020 Apr 12;12(2):103-116. doi: 10.1007/s41649-020-00114-6. eCollection 2020 Jun.

Abstract

The use of single-use items (SUDs) is now ubiquitous in medical practice. Because of the high costs of these items, the practice of reusing them after sterilisation is also widespread especially in resource-poor economies. However, the ethics of reusing disposable items remain unclear. There are several analogous conditions, which could shed light on the ethics of reuse of disposables. These include the use of restored kidney transplantation and the use of generic drugs etc. The ethical issues include the question of patient safety and the possibility of infection. It is also important to understand the role (or otherwise) of informed consent before reuse of disposables. The widespread practice of reuse may bring down high healthcare costs and also reduce the huge amount of hospital waste that is generated. The reuse of disposables can be justified on various grounds including the safety and the cost effectiveness of this practice.

摘要

一次性用品(SUDs)如今在医疗实践中无处不在。由于这些用品成本高昂,在资源匮乏的经济体中,对其进行消毒后重复使用的做法也很普遍。然而,重复使用一次性用品的伦理问题仍不明确。有几个类似的情况,或许能为一次性用品重复使用的伦理问题提供启示。这些情况包括使用修复后的肾脏进行移植以及使用仿制药等。伦理问题包括患者安全问题以及感染的可能性。在重复使用一次性用品之前,了解知情同意的作用(或其他情况)也很重要。广泛的重复使用做法可能会降低高昂的医疗成本,还能减少产生的大量医院废弃物。一次性用品的重复使用可以基于多种理由得到辩护,包括这种做法的安全性和成本效益。

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本文引用的文献

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