從無效到病人分類
From Futility to Triage
DOI:
https://doi.org/10.24112/ijccpm.31392Keywords:
病人分類, 無效, 資源分配Abstract
LANGUAGE NOTE | Document text in Chinese
無效概念決定著➀對持久植物狀態(PVS)病人提供生命支援治療是否是適當的;➁對絕症晚期病人提供監護(ICU)是否是適當的(這兩類病例以下稱為“範例病例”)。對人的生命價值含義的基本分歧妨礙了無效概念的應用。病人分類規劃(確立醫療保健優先權標準的程式)是闡述這些範例病例的一個引人注目的選擇性框架。病人分類規劃允許社會從以下各個角度去考慮這些範例病例:各種不同的道德觀念、有限的資源、相爭的醫療保健需求。另外,範例病例至少提出了這樣一個實質性問題:對其治療是否為浪費?病人分類規劃能否成為鑒定和評估這類浪費的治療的有效模式。本文論述了如何實施病人分類規劃以闡述範例病例問題,並最終得出結論--按規劃提供了一個超出無效範圍來推進範例病例爭端的方法。
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Copyright (c) 2000 International Journal of Chinese & Comparative Philosophy of Medicine

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