(精编)Allocation of Medical Resources in the Lifeboat教学课件.pptVIP

Jon Stanger, MD, MDiv, MHS Ethics Chair Contra Costa Regional Medical Center;The Clinician’s “Hippocratic” Ethic; Unrestricted Advocacy Restricted Advocacy Justly Restricted (or Proportional) Advocacy;True emergency. Alternatives exhausted. Anticipate. Avoid. Plan. Priorities and criteria reflect values. Open public process determines rationing system. Identify constituency. Identify rationing criteria. Avoid “social worth” criteria – unless “instrumental”. Address social justice issues. Identify and involve vulnerable groups. Identify and address special needs. Triage by team without direct