Macias-Konstantopoulos Wendy L
Board-certified emergency physician at Massachusetts General Hospital (MGH) in Boston, and a faculty member in the MGH Department of Emergency Medicine's Division of Global Health & Human Rights, and co-founding director of the Human Trafficking Initiative, and founding medical and executive director of the MGH Freedom Clinic, an innovative primary care clinic that provides comprehensive health care for human trafficking survivors, and an assistant professor of emergency medicine at Harvard Medical School.
AMA J Ethics. 2017 Jan 1;19(1):80-90. doi: 10.1001/journalofethics.2017.19.1.msoc2-1701.
Human trafficking is an egregious human rights violation with profound negative physical and psychological consequences, including communicable diseases, substance use disorders, and mental illnesses. The health needs of this population are multiple, complex, and influenced by past and present experiences of abuse, neglect, and exploitation. Effective health care services for trafficked patients require clinicians to consider individual patients' needs, wishes, goals, priorities, risks, and vulnerabilities as well as public health implications and even resource allocation. Applying the bioethical principles of respect for autonomy, nonmaleficence, beneficence, and justice, this article considers the ethics of care model as a trauma-informed framework for providing health care to human trafficking victims and survivors.
人口贩运是一种极其严重的侵犯人权行为，会造成深远的负面生理和心理后果，包括传染病、物质使用障碍和精神疾病。这一群体的健康需求多种多样且复杂，受过去和现在遭受虐待、忽视及剥削经历的影响。为被贩运患者提供有效的医疗服务，要求临床医生考虑个体患者的需求、愿望、目标、优先事项、风险和脆弱性，以及公共卫生影响甚至资源分配。本文运用尊重自主权、不伤害、行善和公正等生物伦理原则，将关怀伦理模式视为一种创伤知情框架，用于为人口贩运受害者及幸存者提供医疗服务。
