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实时为法律决策提供依据:公共卫生紧急事件中的法律分诊。

Building evidence for legal decision making in real time: legal triage in public health emergencies.

机构信息

ASU Sandra Day O'Connor College of Law, Ross-Blakley Library, Room 318, PO Box 877906, Tempe, AZ 85287-79906, USA.

出版信息

Disaster Med Public Health Prep. 2011 Sep;5 Suppl 2:S242-51. doi: 10.1001/dmp.2011.57.

DOI:10.1001/dmp.2011.57
PMID:21908702
Abstract

Similar to the triaging of patients by health care workers, legal and public health professionals must prioritize and respond to issues of law and ethics in declared public health emergencies. As revealed by the 2009-2010 H1N1 influenza outbreak and other events, there are considerable inconsistencies among professionals regarding how to best approach these issues during a public health emergency. Our project explores these inconsistencies by attempting to assess how practitioners make legal and ethical decisions in real-time emergencies to further critical public health objectives. Using a fictitious scenario and interactive visualization environment, we observed real-time decision-making processes among knowledgeable participants. Although participants' decisions and perspectives varied, the exercise demonstrated an increase in the perception of the relevance of legal preparedness in multiple aspects of the decision-making process and some key lessons learned for consideration in future repetitions of the exercise and actual, real-time emergency events.

摘要

类似于医疗工作者对患者的分诊,法律和公共卫生专业人员必须在宣布的公共卫生紧急事件中优先处理和应对法律和伦理问题。正如 2009-2010 年 H1N1 流感爆发和其他事件所揭示的那样,在公共卫生紧急事件期间,专业人员在如何最好地处理这些问题方面存在相当大的不一致。我们的项目通过尝试评估从业者如何在实时紧急情况下做出法律和道德决策,以进一步实现关键的公共卫生目标,来探讨这些不一致性。使用虚构的场景和交互式可视化环境,我们观察了知识渊博的参与者的实时决策过程。尽管参与者的决策和观点有所不同,但该练习表明,在决策过程的多个方面,对法律准备的相关性的认识有所提高,并且为今后重复该练习和实际的实时紧急事件提供了一些关键经验教训。

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