De los Santos-Briones Saúl, Cruz-Lavadores Dulce María
Servicios de Salud del Edo. de Yucatán, Mérida, Yuc., México.
Gac Med Mex. 2005 May-Jun;141(3):247-9.
The aim of this essay is highlight the need to establish an ethical frame of reference to formulate public health interventions. Politics and public health programs are viewed as an interaction between people where their own beliefs, moral values and expectations come together. One of the main reasons for the failure of public health interventions is that often they do not focus on the impact they will have in people's belief system and moral values. Aside from economic and epidemiological considerations, public health interventions must take into account essential human principles as self-determination, autonomy, justice, beneficence and non maleficence, social inclusion, equity, co-responsibility, citizenship, pluralism, solidarity, the right to information, privacy, confidentiality and fair treatment among others. International experiences in the establishment of ethical principles that regulate the medical profession constitute a good starting point to show that is possible to achieve a consensus for an ethical frame of reference to formulate public health policies; furthermore the accomplishment of this ethical framework will make public health more humane and dignified
本文的目的是强调建立一个道德参照框架以制定公共卫生干预措施的必要性。政治和公共卫生项目被视为人们之间的一种互动,在这种互动中,他们自己的信仰、道德价值观和期望汇聚在一起。公共卫生干预措施失败的主要原因之一是,它们往往没有关注其对人们信仰体系和道德价值观的影响。除了经济和流行病学方面的考虑,公共卫生干预措施还必须考虑到基本的人类原则,如自决、自主、正义、行善和不伤害、社会包容、公平、共同责任、公民身份、多元主义、团结、知情权、隐私、保密和公平待遇等。在确立规范医疗行业的道德原则方面的国际经验构成了一个良好的起点,表明有可能就制定公共卫生政策的道德参照框架达成共识;此外,这一道德框架的实现将使公共卫生更具人文关怀和尊严。