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人道主义医学中的伦理决策:如何最好地准备?

Ethical Decision-Making in Humanitarian Medicine: How Best to Prepare?

机构信息

Institute of Philosophy and Semiotics, University of Tartu, Tartu, Estonia.

出版信息

Disaster Med Public Health Prep. 2021 Aug;15(4):499-503. doi: 10.1017/dmp.2020.85. Epub 2020 Apr 13.

DOI:10.1017/dmp.2020.85
PMID:32279682
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8532122/
Abstract

Ethical decision-making during humanitarian medical response is a topic of great moral as well as practical importance. The context of humanitarian disasters, often characterized by acute time-pressure, lack of resources, the unfamiliarity of circumstances, is stressful for medical professionals. The overall aim of this article is pragmatic, to introduce briefly the importance and context for preparing medical disaster response personnel for ethical decision-making and then to provide a discussion case and explain the particular value-reflection methodology. The focus of methodology is on providing space for the emotional and stressful aspects of ethics training for disasters.

摘要

人道主义医疗救援中的伦理决策是一个具有重大道德和实践重要性的话题。人道主义灾难的背景通常以急性时间压力、资源匮乏、环境陌生为特征,这对医疗专业人员来说是有压力的。本文的总体目标是务实的,简要介绍为医疗灾难应对人员做好伦理决策的重要性和背景,然后提供一个讨论案例并解释特定的价值反思方法。该方法的重点是为灾难伦理培训的情感和压力方面提供空间。

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本文引用的文献

1
The Duty of Mind: Ethical Capacity in a Time of Crisis.心智的责任:危机时刻的伦理能力
Disaster Med Public Health Prep. 2018 Oct;12(5):657-662. doi: 10.1017/dmp.2017.120. Epub 2017 Nov 2.
2
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3
A Framework for Training Public Health Practitioners in Crisis Decision-Making.公共卫生从业者危机决策培训框架
Disaster Med Public Health Prep. 2016 Feb;10(1):165-73. doi: 10.1017/dmp.2015.149. Epub 2015 Nov 18.
4
Core Competencies in Disaster Management and Humanitarian Assistance: A Systematic Review.灾害管理与人道主义援助的核心能力:系统综述
Disaster Med Public Health Prep. 2015 Aug;9(4):430-9. doi: 10.1017/dmp.2015.24. Epub 2015 May 5.
5
The impact of humanitarian context conditions and individual characteristics on aid worker retention.人道主义背景条件和个人特征对援助工作者留用的影响。
Disasters. 2015 Jul;39(3):522-45. doi: 10.1111/disa.12119. Epub 2015 Jan 9.
6
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Prehosp Disaster Med. 2013 Oct;28(5):502-8. doi: 10.1017/S1049023X13008698. Epub 2013 Jul 26.
7
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PLoS One. 2012;7(9):e44948. doi: 10.1371/journal.pone.0044948. Epub 2012 Sep 12.
8
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J Med Ethics. 2011 Mar;37(3):162-5. doi: 10.1136/jme.2010.038448. Epub 2010 Nov 17.
9
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Disasters. 2010 Apr;34 Suppl 2:S130-7. doi: 10.1111/j.1467-7717.2010.01149.x. Epub 2010 Feb 2.
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JONAS Healthc Law Ethics Regul. 2009 Jan-Mar;11(1):27-33. doi: 10.1097/NHL.0b013e31819a787e.