摘要
ICU收费高的主要症结在于ICU的建设和管理需要规范化,包括在中国制定ICU的收治和转出指征规范,减少过度医疗和延迟医疗;积极配备ICU人力资源,提高监护质量,培训ICU专业医师上岗,掌握并运用专业知识施救,保证治疗的恰当性。允许恰当的家属陪护,对患者给予情感支持,或可降低镇静药物等的使用,缩短住院日;对于脑死亡、植物状态以及癌症晚期或其他晚期疾病的临终患者,提倡放弃治疗,避免无益救治造成卫生资源的浪费,对家属造成巨大的精神压力和经济负担。但是医生主动放弃治疗的决定尚需要政策的支持和法律的保障。
The main cause of the huge cost of ICU is due to the needs of standardizing the ICU＇s organization and management. It includes several points： the first is to work out the guidelines of admission and discharge of ICU in China and to reduce excessive and delayed treatment. The second is to regulate the ICU＇s human resources actively. Except for the improvement of nursing quantity, ICU physicians should be specialized so as to master and apply the specialized knowledge, maintaining the appropriate for care. Appropriate family nursing in ICU may be helpful for the emotional support of the patients and for reduction of calmant＇s dose and shortening the length of stay. The withdrawal of treatment is advocated to those patients with cerebral death, vegetable condition or terminal patients in ICU. It can avoid the non- benefit treatment that waste the social medical resources and make huge spiritual pressure and economic burden to the patients and their family. But the doctor＇s active withdrawal of treatment from the patients should be under the policy support and legal aids.
出处
《医学与哲学（B）》
2006年第2期13-15,共3页
Medicine & Philosophy(B)
关键词
ICU收费
规范化
专业性
过度医疗
无益救治
cost of ICU
standardization
speciality
excessive treatment
nonbenefit treatment
