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新冠疫情期间危重病资源的伦理优先排序:来自意大利和美国的观点。

Ethical prioritization of critical care resources during COVID-19: perspectives from Italy and the United States.

机构信息

Bruno Kessler Foundation, Center for Religious Studies, Trento, Italy.

UCLA Health Ethics Center and Department of Pediatrics, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA.

出版信息

Theor Med Bioeth. 2024 Jun;45(3):167-181. doi: 10.1007/s11017-024-09672-4. Epub 2024 May 28.

DOI:10.1007/s11017-024-09672-4
PMID:38806871
Abstract

This article examines some of the ethical challenges of prioritizing intensive care resources during the Covid-19 pandemic by comparing the Italian and United States contexts. After presenting an overview to the clinical, ethical, and public debates in Italy, the article will discuss the development of triage allocation protocols in United States hospitals. Resource allocation criteria underwent increased scrutiny and critique in both countries, which resulted in modified professional and expert guidance regarding healthcare ethics during times of emergency and resource scarcity.

摘要

本文通过比较意大利和美国的情况,考察了在 COVID-19 大流行期间优先考虑重症监护资源所面临的一些伦理挑战。在介绍了意大利的临床、伦理和公共辩论概述后,本文将讨论美国医院的分诊分配协议的制定。在这两个国家,资源分配标准都受到了更严格的审查和批评,这导致了在紧急情况和资源短缺时期对医疗保健伦理的专业和专家指导进行了修改。

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