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首页> 外文期刊>Frontiers in Medicine >Allocation of the “Already” Limited Medical Resources Amid the COVID-19 Pandemic, an Iterative Ethical Encounter Including Suggested Solutions From a Real Life Encounter
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Allocation of the “Already” Limited Medical Resources Amid the COVID-19 Pandemic, an Iterative Ethical Encounter Including Suggested Solutions From a Real Life Encounter

机译：在Covid-19大流行中，在Covid-19大流行中，一个迭代的道德遭遇，包括来自真实生活中的建议解决方案的迭代道德遭遇

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The shortage of healthcare providers is well-documented in low-income countries (LIC) prior to COVID-19, due to various causes including the migration to developed countries, scarcity of supplies, poor healthcare infrastructure, limited ICU facilities, and lack of access to guidelines and protocols. One of the important hitches in LIC is the insufficient testing capacity that precluded accurate assessment of disease burden and subsequently resource allocations. Trying to adhere to the principles of bioethics including respect to others, beneficence, and justice should be applied on the ground in the particular setting of the LIC. Solutions should be tailored to the tangible needs and possibility of implementation in real life in the face of the “already” limited resources by making use of simple, yet plausible, measures. Implementing guidelines and frameworks that were set to work in the better-resourced nations is a call for futility. The adoption of novel solutions to overcome the unique challenges in the LIC is exigent. These include the use of automated screening algorithms and virtual video clinics. Moreover, integrating electronic intensive care unit (e-ICU) software may allow for remote monitoring of multiple patients simultaneously. Telemedicine could help in getting consultations worldwide. It can also enhance healthcare workers' knowledge and introduce new skills through teleconferences, e-workshops, and free webinars. Healthcare workers can be remotely trained to enhance their skills. Agencies, such as the WHO, should develop comprehensive programs to tackle different health issues in LIC in collaboration with major institutions and experts around the world.
机译：医疗保健提供者的短缺在Covid-19之前在低收入国家（LIC）提供了充分的文献，由于包括向发达国家的迁移，供应稀缺，供应稀缺，医疗保健基础设施，有限的ICU设施以及缺乏访问的各种原因指导和协议。 LIC的重要搭桥之一是测试能力不足，以准确评估疾病负担和随后资源分配。试图遵守生物伦理的原则，包括尊重他人，福利和正义，应在LIC的特定环境中申请。通过利用简单但容可符合的措施，面对“已经”的资源，应根据“已经”有限的资源在现实生活中规范的实际需求和可能性。实施在更新资源国家设定为工作的准则和框架是一个难以获取的呼吁。采用新的解决方案来克服LIC中的独特挑战是艰巨的。这些包括使用自动筛选算法和虚拟视频诊所。此外，集成电子重症监护单元（E-ICU）软件可以允许同时对多名患者进行远程监控。远程医疗可以帮助全世界获得咨询。它还可以通过电话，电子研讨会和自由网络研讨会增强医疗保健工作者的知识并引入新技能。医疗保健工人可以彻底训练，以提高他们的技能。代理商，如世卫组织，应制定全面的方案，以与世界各地的主要机构和专家合作，以合作解决不同的健康问题。

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