Eibach U
Z Gerontol. 1980 Nov-Dec;13(6):547-51.
Hospitals are almost exclusively organized for the purpose of technical control of illness and death. They hardly fulfill the needs of chronical ill people and those being dying. It is therefore necessary to provide for them particular hospitals? There are several reasons against: in order to keep a humane praxis and atmosphere you need more personnel than you do in common hospitals. Therefore no reduction of costs could be expected. Furthermore it will be difficult to find enough qualified people because the psychic and physical stress of the team is very hard and because regular change of the personnel is not as easily possible as it is in common hospitals. The medical facilities for controlling pain could be not sufficient in those institutions. The tendency of turning the whole section of care for people being incurable ill, needing permanent care and being dying into a ghetto would increase all the negative moral consequences. Therefore there are important objections against the organisation of specific hospitals for dying people.
医院几乎完全是为对疾病和死亡进行技术控制而设立的。它们几乎无法满足慢性病患者和濒死患者的需求。那么,是否有必要为他们设立专门的医院呢?有几个反对的理由:为了保持人道的实践和氛围,这类医院需要比普通医院更多的人员。因此,无法指望成本会降低。此外,很难找到足够多合格的人员,因为团队面临的心理和身体压力非常大,而且人员的定期更换不像在普通医院那样容易实现。这些机构中控制疼痛的医疗设施可能并不充足。将整个绝症患者、需要长期护理和濒死患者的护理部门变成一个贫民窟的趋势会加剧所有负面的道德后果。因此,对于设立专门的临终医院存在重要的反对意见。