医生在大流行病期间的道德责任。
PHYSICIANS' MORAL DUTIES DURING PANDEMICS.
机构信息
Department of Emergency Medicine, The University of Arizona, Tucson, Arizona; Department of Emergency Medicine, Institute of Health Science Education, University of Guyana, Georgetown, Guyana.
Julia and David Uihlein Chair in Medical Humanities, Department of Bioethics and Emergency Medicine, Center for Bioethics and Medical Humanities, Department of Emergency Medicine, and Kern Institute for the Transformation of Medical Education, Medical College of Wisconsin, Milwaukee, Wisconsin.
出版信息
J Emerg Med. 2023 Jun;64(6):740-749. doi: 10.1016/j.jemermed.2023.02.009. Epub 2023 Mar 21.
BACKGROUND
Pandemics with devastating morbidity and mortality have occurred repeatedly throughout recorded history. Each new scourge seems to surprise governments, medical experts, and the public. The SARS CoV-2 (COVID-19) pandemic, for example, arrived as an unwelcome surprise to an unprepared world.
DISCUSSION
Despite humanity's extensive experience with pandemics and their associated ethical dilemmas, no consensus has emerged on preferred normative standards to deal with them. In this article, we consider the ethical dilemmas faced by physicians who work in these risk-prone situations and propose a set of ethical norms for current and future pandemics. As front-line clinicians for critically ill patients during pandemics, emergency physicians will play a substantial role in making and implementing treatment allocation decisions.
CONCLUSION
Our proposed ethical norms should help future physicians make morally challenging choices during pandemics.
背景
在有记录的历史中，反复出现了具有破坏性发病率和死亡率的大流行病。每次新的灾难似乎都让政府、医学专家和公众感到意外。例如，SARS-CoV-2（COVID-19）大流行的到来让毫无准备的世界感到意外。
讨论
尽管人类在大流行及其相关伦理困境方面有着广泛的经验，但在应对这些问题的首选规范标准方面尚未达成共识。在本文中，我们考虑了在这些高风险情况下工作的医生所面临的伦理困境，并为当前和未来的大流行提出了一套伦理规范。作为大流行期间危重病患者的一线临床医生，急诊医师将在制定和实施治疗分配决策方面发挥重要作用。
结论
我们提出的这些伦理规范应该有助于未来的医生在大流行期间做出具有道德挑战性的选择。
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