Graber G C
Department of Philosophy, University of Tennessee, Knoxville 37996-0480.
J Crit Care. 1993 Jun;8(2):128-32. doi: 10.1016/0883-9441(93)90017-f.
Determination of allocation of limited critical care resources appears to be an inevitable development. Criteria proposed to assign such limited resources among patients are not defined. It has been argued that allocation of critical care resources could be based on the principals of patient entitlements to health care, responsibilities of the physician to the critically ill patient, and beneficence. However, based on an analysis of the philosophical tenants of the Hippocratic Oath, there is little to support the concept of "sin" taxes or patient triage on the basis of judgment on the moral merit of the patient.
确定有限的重症监护资源分配似乎是一个不可避免的发展趋势。目前尚未明确在患者之间分配此类有限资源的提议标准。有人认为，重症监护资源的分配可以基于患者获得医疗保健的权利原则、医生对重症患者的责任以及行善原则。然而，基于对希波克拉底誓言哲学原则的分析，几乎没有依据支持基于对患者道德价值的判断来征收“罪孽”税或进行患者分诊的概念。
