Petrini C
Bioethics Unit, Office of the President, National Institute of Health (Istituto Superiore di Sanità), Rome, Italy.
Clin Ter. 2010;161(5):471-4.
General concepts and about medical disasters, public health and triage are outlined. Ethical values at stake are summarized. A special attention is given to conflicts between protection of individual interests (typical of clinical ethics) and collective interests (typical of public health and triage). Hippocratic ethics is compared to utilitarian ethics and to perspectives that emphasize the principle of justice. Three attitudes are suggested: protection of human dignity, precaution, solidarity. A personalistic perspective is suggested to deepen solidarity as a pillar both of clinical and public health ethics.
概述了关于医疗灾难、公共卫生和分诊的一般概念。总结了所涉及的伦理价值。特别关注个人利益保护(临床伦理的典型特征)与集体利益(公共卫生和分诊的典型特征)之间的冲突。将希波克拉底伦理与功利主义伦理以及强调正义原则的观点进行了比较。提出了三种态度:保护人的尊严、预防、团结。建议从个人主义视角深化团结,将其作为临床伦理和公共卫生伦理的支柱。