Munezhi Martha, Hammad Nazik
120458Queen's University, Kingston, Ontario, Canada.
Healthc Manage Forum. 2021 Jan;34(1):62-67. doi: 10.1177/0840470420961913. Epub 2020 Oct 5.
We adopt a holistic-micro, meso, macro-approach to health leadership ethics to examine how low- and middle-income countries have responded to the COVID-19 pandemic. Healthcare delivery happens within complex settings in low- and middle-income countries and high-income countries. These settings are riddled with systemic political and economic challenges which, in some instances, make it difficult for health leaders to be ethical. These challenges, however, are not unique to low- and middle-income countries. Globally, countries can learn from ethical health leadership missteps that occurred during low- and middle-income countries' responses to COVID-19. We discuss the implications of problematic ethics in health leadership on managing pandemics in low- and middle-income countries, using Zimbabwe as an example. We offer suggestions on what can be done to improve ethical health leadership in response to future health crises in both high-income and low- and middle-income nations.
我们采用一种整体的——微观、中观、宏观——方法来研究卫生领导力伦理，以审视低收入和中等收入国家如何应对新冠疫情。在低收入和中等收入国家以及高收入国家，医疗服务是在复杂的环境中进行的。这些环境充满了系统性的政治和经济挑战，在某些情况下，这使得卫生领导者难以做到合乎伦理。然而，这些挑战并非低收入和中等收入国家所特有。在全球范围内，各国可以从低收入和中等收入国家应对新冠疫情期间出现的卫生领导力伦理失误中吸取教训。我们以津巴布韦为例，讨论卫生领导力中存在问题的伦理对低收入和中等收入国家应对疫情的影响。我们就如何采取措施提高卫生领导力伦理以应对未来高收入国家以及低收入和中等收入国家的卫生危机提出建议。
