Sobral Margarida, Santa Rosa Bárbara, Silvestre Margarida
Institute of Bioethics. Faculty of Medicine. University of Coimbra. Coimbra. Portugal.
Institute of Bioethics. Faculty of Medicine. University of Coimbra. Coimbra. National Institute of Legal Medicine and Forensic Sciences, North branch. Porto. Portugal.
Acta Med Port. 2021 Jun 30;34(7-8):558-561. doi: 10.20344/amp.16142. Epub 2021 May 19.
The COVID-19 pandemic has brought dramatic worldwide consequences affecting social, economic and healthcare systems. Considering that the number of infected patients requiring admission to intensive care units far exceeded the available resources, healthcare professionals have had to face challenging decisions concerning who should benefit from the limited resources and who should not. In this context, after a careful ethical reflection, we propose some principles to be adopted when dealing with allocation resource decisions, based on core ethical values. Ideally, these strategies should be established and integrated into institutional policies before a crisis scenario, in order to anticipate a potential new public health emergency and prevent possible tragic consequences.
新冠疫情已在全球造成巨大影响，波及社会、经济和医疗体系。鉴于需要入住重症监护病房的感染患者数量远远超过了可用资源，医护人员不得不面对有关谁应受益于有限资源、谁不应受益的艰难决策。在此背景下，经过审慎的伦理思考，我们基于核心伦理价值观，提出了一些在处理资源分配决策时应采用的原则。理想情况下，这些策略应在危机情况发生前就制定并纳入机构政策，以应对潜在的新公共卫生紧急情况，并防止可能出现的悲剧后果。
