2个地方看得不大明白

Over time, my decisions on who may benefit from our scarce resources have been as much shaped by the local culture and values as it has been by my clinical training. Many of you reading this may instantly say, this rationale is contributing to poor resource utilization, but I would counter with attempting to understand the culture is as much multidisciplinary care as ventilator-acquired pneumonia bundles and out of bed initiatives. In this context, it is also patient centered.

随着时间的推移，我对谁可以从我们稀缺的资源中受益的决定，与我的临床培训一样，也受到了当地文化和价值观的影响。读到这里你们中的许多人可能会立即说，这种“所谓的合理”导致了资源利用率低下，但我试图反对将这种文化理解为像呼吸机相关性肺炎综合治疗和下床活动一样的多学科治疗。在这种情况下，它也是以患者为中心的。