Acad Emerg Med. 1995 Nov;2(11):990-5.
Emergency department overcrowding, the growth of managed care, and the high cost of emergency care are creating pressures to triage patients away from U.S. EDs. Paradoxically, this pressure to limit patient access to EDs has increased in spite of federal laws that restrict patient triage and transfer. The latter regulations view EDs as the safety net for the U.S. health care system. The SAEM Ethics Committee evaluated the ethical implications of policies that triage patients out of the ED prior to complete evaluation and treatment. The committee used these implications to develop practical guidelines, which are reported.
急诊科人满为患、管理式医疗的发展以及急诊护理的高昂成本，正促使人们对美国急诊科的患者进行分流。矛盾的是，尽管有联邦法律限制患者分流和转诊，但限制患者进入急诊科的压力却在增加。后一项规定将急诊科视为美国医疗系统的安全网。美国急诊医学学会伦理委员会评估了在患者完成评估和治疗之前将其从急诊科分流的政策所带来的伦理影响。委员会利用这些影响制定了实用指南，并予以报告。
