卫生专业者与非专业人士对稀缺资源分配的价值观和偏好
Russell G Buhr1,2,3, Ashley Huynh4,5, Connie Lee4,6
1Division of Pulmonary and Critical Care Medicine, David Geffen School of Medicine at the University of California, Los Angeles.
JAMA network open
|March 12, 2024
概括
在COVID-19大流行期间,社区成员和医疗保健专业人员对稀缺资源分配 (SRA) 政策表现出适度的同意. 持续参与对于完善这些重症监护方案至关重要.
科学领域:
- 公共卫生 公共卫生
- 卫生政策 卫生政策
- 生物伦理学生物伦理学
背景情况:
- 由于COVID-19,需要快速制定关键护理的稀缺资源分配 (SRA) 政策.
- 了解公共和医疗保健专业人员 (HCP) 的优先事项对于有效实施SRA政策至关重要.
- 现有的SRA政策通常遵循一般的伦理框架,但社区的投入对于改进至关重要.
研究的目的:
- 在加利福尼亚大学 (UC) 评估社区成员和医疗保健人员对SRA协议草案的同意.
- 评估公众和专业的价值观和偏好,关于在流行病期间重症监护资源的分配.
主要方法:
- 在2020年5月至9月期间,通过社交媒体和社区伙伴关系分发了一项基于网络的调查.
- 1545名年龄在18岁以上的参与者 (包括478名医疗保健人员) 提供了SRA值和偏好数据.
- 使用描述性统计数据分析了调查答案,并应用了快速定性分析.
主要成果:
- 与UC的SRA政策草案的总体同意率在67%至83%之间.
- 非专业人士在大多数领域,除了与健康相关的因素外,表现出比医疗保健专家更高的同意.
- 医疗保健人员更强烈地支持优先考虑生存和重新分配资源,从不太可能的幸存者.
结论:
- 该研究发现受访人口中对SRA政策的基本原则的同意程度适度.
- 建议通过持续的社区参与来反复改进SRA政策,以应对未来的危机.
- 透明度和建立信任被确定为参与者反中的关键主题.
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