面向未来的分类法规:调查德国公众的优先分配原则
Philipp Sprengholz1, Lisa Felgendreff2, Alena Buyx3
1Institute of Psychology, University of Bamberg, Bamberg, Germany; Health Communication, Bernhard Nocht Institute for Tropical Medicine, Hamburg, Germany.
Health policy (Amsterdam, Netherlands)
|June 12, 2023
概括
德国公众更喜欢根据患者的生存概率来分配重症监护资源,而不是根据年龄或随机选择. 这些偏好适用于前期和后期分拣场景.
科学领域:
- 医学伦理 医学伦理
- 公共卫生政策 公共卫生政策
- 密集护理医学 密集护理医学
背景情况:
- 有限的重症监护能力需要分拣协议.
- 德国正在制定新的分类立法,促使公众论研究.
- 了解公众偏好对于道德资源分配至关重要.
研究的目的:
- 调查德国公众对重症监护分配的偏好.
- 在前期 (资源竞争) 和后期 (治疗停止) 预选情况中比较偏好.
- 为未来的分类政策和沟通策略的设计提供信息.
主要方法:
- 一个在线实验,994名参与者.
- 介绍了四个虚构的患者,年龄和生存预后各不相同.
- 为了推断首选的分配策略,对对进行比较,包括随机选择.
主要成果:
- 参与者优先考虑更好的治疗后预后,而不是更年轻的年龄或治疗效益.
- 随机分配和因预后较差而优先考虑在很大程度上被拒绝.
- 公众偏好在前期和后期分拣场景中显示出一致性.
结论:
- 非专业人士支持实用性分配原则在重症监护 triage.
- 研究结果可以指导分选政策的制定和公众沟通.
- 承认公众偏好对于分拣决策的合法性至关重要.
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