检疫决策中的证据与有效性。
Evidence and effectiveness in decisionmaking for quarantine.
作者信息
Bensimon Cécile M, Upshur Ross E G
机构信息
Joint Centre for Bioethics and Institute of Medical Science, University of Toronto, Toronto, Ontario, Canada.
出版信息
Am J Public Health. 2007 Apr;97 Suppl 1(Suppl 1):S44-8. doi: 10.2105/AJPH.2005.077305. Epub 2007 Apr 5.
Abstract
When public health decisionmakers turned to quarantine during the recent severe acute respiratory syndrome (SARS) epidemic, difficult questions were raised about the legitimacy and acceptability of restrictive measures to attain public health goals. SARS also brought to light how scientific uncertainty can permeate public health decisionmaking, leading us to think about the relationship between the adequacy of evidence of the effectiveness of an intervention and its role in the justification of public health action. In this article, we critically examine the role of evidence and effectiveness in decision-making for quarantine. It is our contention that the effectiveness of a public health intervention should not be defined exclusively in (absolute and objective) scientific terms but rather conceptualized relationally and normatively in public health decisionmaking.
摘要
在近期严重急性呼吸综合征（SARS）疫情期间，当公共卫生决策者采用隔离措施时，关于为实现公共卫生目标而采取的限制措施的合法性和可接受性出现了难题。SARS还揭示了科学的不确定性是如何渗透到公共卫生决策过程中的，促使我们思考干预措施有效性证据的充分性与其在证明公共卫生行动合理性方面的作用之间的关系。在本文中，我们批判性地审视了证据和有效性在隔离决策中的作用。我们认为，公共卫生干预措施的有效性不应仅以（绝对和客观的）科学术语来定义，而应在公共卫生决策中从关系和规范的角度进行概念化。
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本文引用的文献
1
Public health ethics: from foundations and frameworks to justice and global public health.公共卫生伦理学：从基础与框架到正义与全球公共卫生
J Law Med Ethics. 2004 Summer;32(2):232-42, 190. doi: 10.1111/j.1748-720x.2004.tb00470.x.
2
A glossary for evidence based public health.循证公共卫生术语表。
J Epidemiol Community Health. 2004 Jul;58(7):538-45. doi: 10.1136/jech.2003.011585.
3
Current epistemological problems in evidence based medicine.循证医学当前的认识论问题。
J Med Ethics. 2004 Apr;30(2):131-5. doi: 10.1136/jme.2003.007039.
4
Argumentation and evidence.论证与证据。
Theor Med Bioeth. 2003;24(4):283-99. doi: 10.1023/a:1026006801902.
5
Public health ethics: mapping the terrain.公共卫生伦理学：描绘领域
J Law Med Ethics. 2002 Summer;30(2):170-8. doi: 10.1111/j.1748-720x.2002.tb00384.x.
6
Principles for the justification of public health intervention.公共卫生干预的正当性原则。
Can J Public Health. 2002 Mar-Apr;93(2):101-3. doi: 10.1007/BF03404547.
7
Ethical analysis in public health.公共卫生中的伦理分析。
Lancet. 2002 Mar 23;359(9311):1055-9. doi: 10.1016/S0140-6736(02)08097-2.
8
Ethics and public health: forging a strong relationship.伦理与公共卫生：建立牢固关系。
Am J Public Health. 2002 Feb;92(2):169-76. doi: 10.2105/ajph.92.2.169.
9
Large-scale quarantine following biological terrorism in the United States: scientific examination, logistic and legal limits, and possible consequences.美国生物恐怖袭击后的大规模隔离：科学审视、后勤与法律限制以及可能的后果。
JAMA. 2001 Dec 5;286(21):2711-7. doi: 10.1001/jama.286.21.2711.
10
An ethics framework for public health.公共卫生的伦理框架。
Am J Public Health. 2001 Nov;91(11):1776-82. doi: 10.2105/ajph.91.11.1776.
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