Le scelte tragiche durante l’emergenza sanitaria: quando le risorse sono scarse, chi curare? Una riflessione comparatistica

Camilla Della Giustina, Pierre De Gioia Carabellese
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Abstract

The Tragic Choices during the Covid Health Emergency: When the Resources are Limited, Who Should be Cured First among Several Patients? A Comparative Law Analysis SOMMARIO: 1. Introduzione - 2. L’approccio italiano: le raccomandazioni di etica clinica della SIAARTI e le linee guida SIAARTI-SIMLA - 3. La gestione della scarsità di risorse sanitarie a livello comparato - 4. Considerazioni (finali) comparatistiche - 5. Uno sguardo verso il futuro. ABSTRACT: During the Covid-19 health emergency, a situation of scarcity of resources of different nature, albeit all somehow connected with the “medical world” (e.g. nurses and doctors), dramatically unfolded. This organisational “catch-22” induced the SIAARTI (the Italian Medical Society) to issue some recommendations of clinical ethics. The last ones turn out to be the subject matter of multiple criticisms: given the potential criteria of allocation of resources, one of those adopted the chronological one. Starting from this reflection, the paper discusses and analyses, from a comparative perspective, the approach taken by further countries: in this respect the demarcation lines existing between the Italian responses to the pandemic and those coming from other European - but not EU, namely Switzerland and the United Kingdom - countries will be highlighted.
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卫生危机中的悲剧选择:当资源匮乏时,谁来治疗?比较反思
新冠肺炎疫情期间的悲剧选择:当资源有限时,几个患者中谁应该首先得到治疗?比较法分析SOMMARIO:1。简介-2。意大利批准:SIAARTI临床中心和SIAARTI-SIMLA指导线-3。卫生风险管理是一个生动的对比-4。Considerazioni(最终)比较-5。这是未来的守护者。摘要:在新冠肺炎突发卫生事件期间,尽管与“医疗世界”(如护士和医生)有着某种联系,但不同性质的资源稀缺的局面急剧展开。这一组织“第二十二条军规”促使意大利医学会发布了一些临床伦理建议。最后一个问题被证明是多种批评的主题:考虑到资源分配的潜在标准,其中一个标准采用了按时间顺序排列的标准。从这一反思开始,本文从比较的角度讨论和分析了其他国家采取的方法:在这方面,意大利对疫情的反应与其他欧洲国家(而非欧盟,即瑞士和英国)的反应之间存在的分界线将得到强调。
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