Clinicians may increasingly find themselves practicing, by choice or necessity, in resource-poor or extreme environments. This often requires altering typical patterns of practice with a different set of medical and ethical considerations than are usually faced by clinicians practicing in hospitals in the United States and Europe. Practitioners may be required to alter their usual scope of practice or their standard ways of medically treating patients. Limited resources will also often place clinicians in the position of having to make decisions about fairly allocating healthcare, which will alter the physician-patient relationship. This does not absolve physicians and other healthcare practitioners of providing the best quality of care that can be given under the circumstances. In addition, the lack of a well-developed healthcare infrastructure and limited resources will require working with established providers to determine the needs of the community, and what types of healthcare are feasible given these limitations. The essays in this issue of HEC Forum encourage readers to reflect on the unique ethical challenges faced in the extreme or austere environment.

中文翻译：

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极端严峻环境中的医疗保健：应对伦理挑战

临床医生可能会越来越多地发现自己在资源贫乏或极端环境中进行选择或必要。与在美国和欧洲的医院执业的临床医生通常面临的不同，这通常需要改变典型的实践模式，并具有不同的医学和伦理考虑。从业者可能需要改变他们通常的执业范围或他们治疗患者的标准方式。有限的资源也常常使临床医生不得不就公平分配医疗保健做出决定，这将改变医患关系。这并不能免除医生和其他医疗保健从业者提供在这种情况下可以提供的最佳护理质量的责任。此外，缺乏完善的医疗保健基础设施和有限的资源将需要与成熟的提供者合作，以确定社区的需求，以及鉴于这些限制，哪些类型的医疗保健是可行的。本期 HEC 论坛的文章鼓励读者反思在极端或严峻环境中面临的独特道德挑战。