<br>疫情期间如何公平分配医疗资源？,Journal of Medical Ethics

当前位置： X-MOL 学术 › J. Med. Eth. › 论文详情

Our official English website, www.x-mol.net, welcomes your feedback! (Note: you will need to create a separate account there.)

疫情期间如何公平分配医疗资源？
Journal of Medical Ethics ( IF 3.3 ) Pub Date : 2021-12-01 , DOI: 10.1136/medethics-2020-106815
Cristina Roadevin ₁ , Harry Hill ₂

Affiliation

每当政府做出医疗资源分配选择时，都会存在与这些选择相关的机会成本：一些患者将接受治疗并寿命更长，而另一组患者将过早死亡。因此，我们必须确保我们从投资治疗 A 中获得的收益足够大，足以证明不投资下一个最佳替代方案（治疗 B）而放弃的收益是合理的。支出和资源重新分配有所增加在 COVID-19 大流行期间，考虑到形势的紧迫性，这可能是有必要的。然而，这些行动并没有绕过机会成本原则，尽管它们可能在短期内出现，因为支出增加不可能无限期地持续下去，而且当资源被重新分配给流行病服务时，有些患者群体会遭受损失。因此，政策制定者必须考虑谁承担医疗资源被取代的成本。如果不这样做，就有可能降低总体人口健康水平，同时使社会弱势群体的健康状况严重恶化。我们举了英格兰少数族裔的例子，他们的健康状况本来就最差，而且由于结构性不公正，他们受到大流行的打击最严重，当重新分配服务以满足危机的资源需求时，他们可能会损失最大。我们如何防止这种形式的健康不平等？我们的建议是具有前瞻性的：我们建议政府明智地投入资源，同时考虑公平问题，即引入成本-公平分析。这项工作中没有任何数据。

"点击查看英文标题和摘要"

How can we decide a fair allocation of healthcare resources during a pandemic?

Whenever the government makes medical resource allocation choices, there will be opportunity costs associated with those choices: some patients will have treatment and live longer, while a different group of patients will die prematurely. Because of this, we have to make sure that the benefits we get from investing in treatment A are large enough to justify the benefits forgone from not investing in the next best alternative, treatment B. There has been an increase in spending and reallocation of resources during the COVID-19 pandemic that may have been warranted given the urgency of the situation. However, these actions do not bypass the opportunity cost principle although they can appear to in the short term, since spending increases cannot continue indefinitely and there are patient groups who lose out when resources are redirected to pandemic services. Therefore, policy-makers must consider who bears the cost of the displaced healthcare resources. Failure to do so runs a risk of reducing overall population health while disproportionally worsening health in socially disadvantaged groups. We give the example of ethnic minorities in England who already had the worst health and, due to structural injustices, were hardest hit by the pandemic and may stand to lose the most when services are reallocated to meet the resource demands of the crisis. How can we prevent this form of health inequity? Our proposal is forward-looking: we suggest that the government should invest our resources wisely while taking issues of equity into account–that is, introduce cost–equity analysis. There are no data in this work.

更新日期：2021-11-29

点击分享查看原文

点击收藏

公开下载

阅读更多本刊新发论文本刊介绍/投稿指南