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Year 2020, Volume 5 , Issue 1, Pages 57 - 66 2020-04-03

ETHICAL APPROACHES IN PRE-HOSPITAL FIELD TRIAGE
HASTANE ÖNCESİ ALAN TRİYAJINDA ETİK YAKLAŞIMLAR

Hasan ERBAY [1]

Abstract

The theoretical ethical foundations of pre-hospital emergency healthcare systems are based on the principle of "beneficence" from the basic principles of medical ethics. The strongest criticism of triage practices is that the principle of "justice" is not taken into account. The “distributive justice” dimension of the principle of justice is in the focus of ethical discussions. Triage recommended to be applied in cases where resources are limited and the number of injured is high; it contains many ethical conflicts and it is difficult to justify cases. As soon as the necessary conditions are met, the triage must immediately be abandoned. In the prehospital triage; in addition to ethical approaches such as “beneficence/utilitarianism”, “justice”, “equality” and “equity”, there are also a variety of algorithms that derived from principles and values of different philosophical thoughts. In this study, the approaches related to pre-hospital triage are examined and the subject is interpreted in the context of medical ethics.
Hastane öncesi acil sağlık sistemlerinin, ilkesel bağlamdaki kuramsal etik temelleri, temel tıp etiği ilkelerinden “faydacılık” ilkesi üzerine kuruludur. Triyaj uygulamalarına yöneltilen en güçlü eleştiri, “adalet” ilkesinin dikkate alınmadığı ile ilgilidir. Adalet ilkesinin ise özellikle “dağıtıcı adalet” boyutu etik tartışmaların odağındadır. Kaynakların kısıtlı ve yaralıların fazla olduğu durumlarda uygulanması önerilen triyaj; etik açıdan pek çok sorun içermekte ve gerekçelendirilmesi zor, savunulması güç durumlara neden olabilmektedir. Gerekli şartlar sağlandığı an triyaj uygulamasından derhal vazgeçilmelidir. Hastane öncesi alan triyajında; “yarar sağlama/faydacılık”, “adalet”, “eşitlik” ve “adil olma” gibi etik yaklaşımların yanında, farklı felsefi akımlardan beslenen ilkeler ve değerler ile kaynağını bu etik kuramlardan alan çok çeşitli algoritmalar da mevcuttur. Bu çalışmada, hastane öncesi alan triyajıyla ilgili yaklaşımları incelenmiş ve konu tıp etiği bağlamında yorumlanmıştır.

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Details

Primary Language tr
Subjects Social Sciences, Interdisciplinary
Journal Section Derleme
Authors

Orcid: 0000-0002-5436-3961
Author: Hasan ERBAY (Primary Author)
Institution: Afyonkarahisar Sağlık Bilimleri Üniversitesi, Tıp Fakültesi,
Country: Turkey
Dates

Publication Date : April 3, 2020

Cite

Bibtex @review { hod714102, journal = {Hastane Öncesi Dergisi}, issn = {}, eissn = {2548-1215}, address = {}, publisher = {Paramedik Eğitiminde Standardizasyon ve Akreditasyon Derneği}, year = {2020}, volume = {5}, pages = {57 - 66}, doi = {}, title = {HASTANE ÖNCESİ ALAN TRİYAJINDA ETİK YAKLAŞIMLAR}, key = {cite}, author = {Erbay, Hasan} }
APA Erbay, H . (2020). HASTANE ÖNCESİ ALAN TRİYAJINDA ETİK YAKLAŞIMLAR . Hastane Öncesi Dergisi , 5 (1) , 57-66 . Retrieved from https://dergipark.org.tr/en/pub/hod/issue/53584/714102
MLA Erbay, H . "HASTANE ÖNCESİ ALAN TRİYAJINDA ETİK YAKLAŞIMLAR" . Hastane Öncesi Dergisi 5 (2020 ): 57-66 <https://dergipark.org.tr/en/pub/hod/issue/53584/714102>
Chicago Erbay, H . "HASTANE ÖNCESİ ALAN TRİYAJINDA ETİK YAKLAŞIMLAR". Hastane Öncesi Dergisi 5 (2020 ): 57-66
RIS TY - JOUR T1 - HASTANE ÖNCESİ ALAN TRİYAJINDA ETİK YAKLAŞIMLAR AU - Hasan Erbay Y1 - 2020 PY - 2020 N1 - DO - T2 - Hastane Öncesi Dergisi JF - Journal JO - JOR SP - 57 EP - 66 VL - 5 IS - 1 SN - -2548-1215 M3 - UR - Y2 - 2020 ER -
EndNote %0 Hastane Öncesi Dergisi HASTANE ÖNCESİ ALAN TRİYAJINDA ETİK YAKLAŞIMLAR %A Hasan Erbay %T HASTANE ÖNCESİ ALAN TRİYAJINDA ETİK YAKLAŞIMLAR %D 2020 %J Hastane Öncesi Dergisi %P -2548-1215 %V 5 %N 1 %R %U
ISNAD Erbay, Hasan . "HASTANE ÖNCESİ ALAN TRİYAJINDA ETİK YAKLAŞIMLAR". Hastane Öncesi Dergisi 5 / 1 (April 2020): 57-66 .
AMA Erbay H . HASTANE ÖNCESİ ALAN TRİYAJINDA ETİK YAKLAŞIMLAR. HOD. 2020; 5(1): 57-66.
Vancouver Erbay H . HASTANE ÖNCESİ ALAN TRİYAJINDA ETİK YAKLAŞIMLAR. Hastane Öncesi Dergisi. 2020; 5(1): 57-66.
Authors of the Article
Hasan ERBAY [1]
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