Unto the least of these: Caring for the vulnerable in the time of COVID

IF 0.1 0 RELIGION
F. J. White
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引用次数: 0

Abstract

As the COVID-19 pandemic initially unfolded in early 2020, medical systems were rapidly overwhelmed with critically ill patients. Intensive care resources were strained and, in some cases, insufficient. Concepts of triage and allocation of life-saving resources, once only hypothetical, were called into action. Vulnerable elderly, chronically ill, and disabled patients found themselves subject to protocols and guidelines that singled them out for disparate access to treatments. In this article, I overview the historical background of the early COVID-19 crisis, frontline triage guidelines in Italy and New York City, the conceptual nature of triage, the problematic practice of reallocation, the ethical principles that were challenged, how Judeo-Christian teachings inform these issues, and conflicts of physician duties with attendant moral distress. I close with a set of normative guideline statements that could help define a path through the extreme scarcities of a catastrophic pandemic crisis surge.
最不重要的是:在新冠疫情期间照顾弱势群体
随着新冠肺炎疫情最初于2020年初爆发,医疗系统迅速被危重患者淹没。重症监护资源紧张,在某些情况下甚至不足。曾经只是假设的救生资源的分类和分配概念被要求付诸行动。弱势老年人、慢性病患者和残疾患者发现自己受到协议和指南的约束,这些协议和指南将他们单独挑选出来,以获得不同的治疗。在这篇文章中,我概述了早期新冠肺炎危机的历史背景、意大利和纽约市的一线分诊指南、分诊的概念性质、有问题的重新分配实践、受到挑战的伦理原则、犹太-基督教教义如何影响这些问题,以及医生职责冲突和随之而来的道德困境。最后,我提出了一套规范性的指导性声明,这些声明可能有助于确定一条穿越灾难性疫情危机激增的极端稀缺性的道路。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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Review & Expositor
Review & Expositor RELIGION-
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