Adams Lisa, Suresh Gautham K, Lahey Tim
Section of Infectious Diseases and International Health, Geisel School of Medicine at Dartmouth, 1 Rope Ferry Road, Hanover, NH 03755-1404, USA.
Department of Pediatric Medicine, Neonatology, The Newborn Center, Texas Children's Hospital, Baylor College of Medicine, 6621 Fannin, WT6104, Houston, TX 77030, USA.
Pediatr Clin North Am. 2016 Feb;63(1):195-208. doi: 10.1016/j.pcl.2015.09.002.
Children are vulnerable to the priorities and decision-making of adults. Usually, parents/caregivers make the difficult healthcare decisions for their children based on the recommendations from the child's healthcare providers. In global health work, healthcare team members from different countries and cultures may guide healthcare decisions by parents and children, and as a result ethical assumptions may not be shared. As a result, ethical issues in pediatric global health are numerous and complex. Here we discuss critical ethical issues in global health at an individual and organizational level in hopes this supports optimized decision-making on behalf of children worldwide.
儿童容易受到成人的优先事项和决策的影响。通常，父母/照顾者会根据儿童医疗保健提供者的建议，为他们的孩子做出艰难的医疗保健决策。在全球卫生工作中，来自不同国家和文化背景的医疗保健团队成员可能会指导父母和儿童做出医疗保健决策，因此道德假设可能无法共享。因此，儿科全球卫生中的伦理问题众多且复杂。在此，我们将在个人和组织层面讨论全球卫生中的关键伦理问题，希望这有助于为全球儿童做出优化决策。
