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将寻求庇护者遣送至危险境地的伦理问题:澳大利亚的一个案例。

The Ethics of Discharging Asylum Seekers to Harm: A Case From Australia.

作者信息

Essex Ryan, Isaacs David

机构信息

Sydney Health Ethics, The University of Sydney, Sydney, NSW, Australia.

Children's Hospital at Westmead, Sydney, New South Wales, Australia.

出版信息

J Bioeth Inq. 2018 Mar;15(1):39-44. doi: 10.1007/s11673-017-9833-6. Epub 2018 Jan 24.

DOI:10.1007/s11673-017-9833-6
PMID:29368170
Abstract

In February 2016 a twelve-month-old asylum seeker, who came to be know as Baby Asha, was transferred from Nauru and hospitalized in Brisbane. This case came to public attention after Doctors refused to discharge Asha as she would have been returned to detention on Nauru. What in other circumstances would have been considered routine clinical care, quickly turned into an act of civil disobedience. This paper will discuss the ethical aspects of this case, along with its implications for clinicians and the broader healthcare community.

摘要

2016年2月,一名12个月大的寻求庇护者(后被称为阿莎宝宝)从瑙鲁被转移至布里斯班并住院治疗。在医生拒绝让阿莎出院后,该事件引起了公众关注,因为她若出院将会被送回瑙鲁的拘留中心。在其他情况下会被视为常规临床护理的行为,迅速演变成了一种公民抗命行为。本文将探讨该案例的伦理问题,以及它对临床医生和更广泛的医疗界的影响。

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Temporal variations in the distribution of self-harm episodes and methods across the Australian asylum seeker population: An observational study.澳大利亚寻求庇护者人群中自残事件和方法的分布随时间的变化:一项观察性研究。
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REFUGEES IN NAURU.
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本文引用的文献

1
Mental health of children and adolescents in Australian alternate places of immigration detention.澳大利亚移民拘留替代场所中儿童和青少年的心理健康
J Paediatr Child Health. 2017 Jun;53(6):525-528. doi: 10.1111/jpc.13538. Epub 2017 May 9.
2
Helping professionals and Border Force secrecy: effective asylum-seeker healthcare requires independence from callous policies.专业救助人员与边境部队的保密行为:有效的寻求庇护者医疗保健需要独立于冷酷无情的政策之外。
Australas Psychiatry. 2016 Feb;24(1):15-8. doi: 10.1177/1039856215623354. Epub 2016 Jan 27.
3
Identifying and Addressing the Hidden Reasons Why Patients Refuse Discharge From the Hospital.
Am J Public Health. 2018 May;108(5):614-615. doi: 10.2105/AJPH.2018.304363.
Psychosomatics. 2016 Jan-Feb;57(1):18-24. doi: 10.1016/j.psym.2015.10.009. Epub 2015 Oct 30.
4
Mental health screening in immigration detention: A fresh look at Australian government data.移民拘留中的心理健康筛查:重新审视澳大利亚政府数据。
Australas Psychiatry. 2016 Feb;24(1):19-22. doi: 10.1177/1039856215624247. Epub 2016 Jan 11.
5
Are healthcare professionals working in Australia's immigration detention centres condoning torture?在澳大利亚移民拘留中心工作的医护人员是在纵容酷刑吗?
J Med Ethics. 2016 Jul;42(7):413-5. doi: 10.1136/medethics-2015-103066. Epub 2015 Dec 23.
6
Ethics, Foreseeability, and Tragedy in Australian Immigration Detention.澳大利亚移民拘留中的伦理、可预测性与悲剧
J Bioeth Inq. 2015 Dec;12(4):537-9. doi: 10.1007/s11673-015-9676-y. Epub 2015 Dec 1.
7
Stories from unaccompanied children in immigration detention: A composite account.移民拘留中无人陪伴儿童的故事:一份综合记录。
J Paediatr Child Health. 2015 Jul;51(7):658-62. doi: 10.1111/jpc.12953.
8
Nauru and detention of children.瑙鲁与儿童拘留问题。
J Paediatr Child Health. 2015 Apr;51(4):353-4. doi: 10.1111/jpc.12872.
9
Australia's treatment of refugee and asylum seeker children: the views of Australian paediatricians.澳大利亚儿科医生对难民和寻求庇护儿童待遇的看法。
Med J Aust. 2014 Oct 6;201(7):393-8. doi: 10.5694/mja14.00279.
10
Asylum seeker health and bridging visas: history repeating.寻求庇护者的健康与过桥签证:历史重演。
Aust N Z J Public Health. 2013 Dec;37(6):506-8. doi: 10.1111/1753-6405.12142.