关于在极端的流行病背景下获得重症监护的COVID-19分拣协议的公众观点
Marie-Eve Bouthillier1, Yanick Farmer2, Claudia Calderon Ramirez3
1Department of Family and Emergency Medicine and Office of Clinical Ethics, Faculty of Medicine, Université de Montréal, Montréal, Québec, Canada.
关于COVID-19重症监护室 (ICU) 选方案的公众意见显示,需要明确的标准. 参与者倾向于优先考虑具有最佳生存预后的患者,强调需要协议来减少决策的任意性.
科学领域:
- 医学伦理 医学伦理
- 公共卫生政策 公共卫生政策
- 医疗保健资源分配 医疗保健资源分配
背景情况:
- 随着COVID-19大流行,重症监护室 (ICU) 资源的潜在短缺得到了凸显.
- 选方案引发了关于基于非临床因素的患者选择的伦理问题.
- 公共认知和接受对于危机护理标准的合法性至关重要.
研究的目的:
- 探讨公众对COVID-19 ICU分拣协议的看法.
- 确定考虑因素和条件,以提高分选方案的可接受性.
- 为支未来分拣决策的价值观和标准提供信息.
主要方法:
- 在北克和安大略省进行的在线民主审议 (DD).
- 随机从公众中招募成年参与者 (n=47).
- 对定性数据进行主题分析,以确定新出现的主题.
主要成果:
- 出现了三个关键主题:协议的接受和价值观,整合的考虑,以及公众接受的条件.
- 参与者支持优先考虑具有最佳生存预后的患者.
- 利益最大化是公众青的主要道德方法.
结论:
- 选方案的公众接受受到透明度和明确标准的影响.
- 协议被认为是必要的,以尽量减少任意行为,并支持医疗保健专业人员.
- 未来的分类协议应该整合公共价值观,专注于最大限度地提高生存效益.
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