Arch Intern Med. 1995 Jan 9;155(1):29-40.
Physicians' efforts on behalf of patients often involve the use of resources that, because of naturally limited supply or economic constraints, are not readily available to all who need them. The dilemma in such cases is how physicians may fulfill their ethical duties to "do all that [they] can for the benefit of the individual patient" when the care that they can provide is constrained by the scarcity of needed resources.
医生为患者所做的努力往往涉及资源的使用,由于资源自然供应有限或经济限制,并非所有有需要的人都能轻易获得这些资源。在这种情况下的困境是,当医生能够提供的治疗受到所需资源稀缺的限制时,他们如何履行其道德职责,即“尽[他们]所能为个体患者谋福利”。