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[将稀缺医疗资源分配给新冠病毒肺炎患者。一项析因调查的结果]

[Allocating scarce medical resources to COVID-19 patients. Results of a factorial survey].

作者信息

Schmidt Julia, Kriwy Peter

机构信息

Institut für Klinische Epidemiologie und Biometrie (IKE-B), Julius-Maximilians-Universität Würzburg, Josef-Schneider-Straße 2, 97080 Würzburg, Deutschland.

Institut für Soziologie, Technische Universität Chemnitz, Thüringer Weg 9, 09126 Chemnitz, Deutschland.

出版信息

Pravent Gesundh. 2022;17(4):545-551. doi: 10.1007/s11553-021-00909-x. Epub 2021 Oct 25.

DOI:10.1007/s11553-021-00909-x
PMID:40477515
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8543408/
Abstract

AIM OF THE STUDY

The present study investigated scarcity decision-making by medical laypersons in the treatment of COVID-19 ("Coronavirus Disease 2019") patients.

METHODS

In the multivariate cluster-corrected regressions, the responses to 1802 case situations of a factorial survey assessed by 181 medical laypersons were evaluated.

RESULTS

Younger patients, men, those with a high chance of recovery, who have their own children and a job in a hospital were given priority by medical laypersons.

CONCLUSION

Medical laypersons consciously or unconsciously apply social criteria of decision-making when medical resources are scarce, which are inadmissible from a professional medical and ethical point of view. In order to assess acceptance in the general population, this circumstance should be taken into account.

摘要

研究目的

本研究调查了非医学专业人士在治疗2019冠状病毒病(COVID-19)患者时的稀缺资源决策情况。

方法

在多变量聚类校正回归中,评估了181名非医学专业人士对一项析因调查中1802个病例情况的反应。

结果

非医学专业人士优先考虑年轻患者、男性、康复机会大的患者、有自己孩子的患者以及在医院工作的患者。

结论

在医疗资源稀缺时,非医学专业人士会有意或无意地应用社会决策标准,从专业医学和伦理角度来看,这些标准是不可接受的。为了评估普通民众的接受程度,应考虑到这一情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/166a/8543408/65e340e185ab/11553_2021_909_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/166a/8543408/65e340e185ab/11553_2021_909_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/166a/8543408/65e340e185ab/11553_2021_909_Fig1_HTML.jpg

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Recommendations on COVID-19 triage: international comparison and ethical analysis.关于 COVID-19 分诊的建议:国际比较与伦理分析。
Bioethics. 2020 Nov;34(9):948-959. doi: 10.1111/bioe.12805. Epub 2020 Sep 25.
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Sex differences in immune responses that underlie COVID-19 disease outcomes.COVID-19 疾病结局相关的免疫反应中的性别差异。
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