Celis Villagómez M M
Universidad Autonoma Estado de Morelos, Mexico.
EDTNA ERCA J. 1998 Jan-Mar;24(1):22-4.
Dialysis and renal transplants have become a reality in the XXIst century. Their use in third world countries has profound impacts on social, economic, political and cultural aspects. Extraordinary achievements for the medical world, that is constantly concerned in improving the health levels for the population; but what are the repercussions for the lower income groups? Is the cost/benefit relationship being analysed? Is there ample information available and is it well distributed regarding how to avoid the need for dialysis or a kidney transplant? What recommendations are made to the health care workers? And, what has been revealed to us after reflecting on the philosophical/historical aspects of the human existence? How valuable are Dr. Ivan Illich's observations and what can we expect from health care workers in relation to such significant achievements as we face the XXIst century?
透析和肾移植在21世纪已成为现实。它们在第三世界国家的应用对社会、经济、政治和文化方面产生了深远影响。这对一直致力于提高民众健康水平的医学界来说是非凡的成就；但对低收入群体有何影响呢？是否在分析成本效益关系？是否有足够的关于如何避免透析或肾移植需求的信息以及这些信息是否得到了良好传播？对医护人员有哪些建议？而且，在思考人类存在的哲学/历史方面之后，给我们揭示了什么？伊万·伊里奇博士的观察有多有价值，面对21世纪这些重大成就，我们能期望医护人员做些什么？
