Camb Q Healthc Ethics. 2021 Jan;30(1):69-72. doi: 10.1017/S0963180120000572.
Ethical issues raised by the outbreak of COVID-19 have predominantly been addressed through a public health ethics lens. This article proposes that the rising COVID-19 fatalities and the World Health Organization's failure to include palliative care as part of its guidance on how to maintain essential health services during the pandemic have exposed palliative care as an underlying global crisis. It therefore calls for a different ethical framework that includes a care ethics perspective and thereby addresses the ways in which the pandemic has triggered new difficulties in ensuring the delivery of appropriate end-of-life care for the dying. The article analyses the structural weaknesses of palliative care accentuated by the pandemic and proposes solutions that could set in motion lasting changes in the way it is delivered beyond COVID-19.
由 COVID-19 爆发引发的伦理问题主要是通过公共卫生伦理视角来解决的。本文认为,COVID-19 死亡人数的上升以及世界卫生组织未能将姑息治疗纳入其指导意见的一部分,说明姑息治疗是一个潜在的全球危机。因此,需要一个不同的伦理框架,包括关怀伦理视角,从而解决大流行引发的在确保为临终患者提供适当的临终关怀方面的新困难的问题。本文分析了大流行凸显的姑息治疗的结构性弱点,并提出了一些解决方案,这些解决方案可能会在 COVID-19 之后的姑息治疗方式上引发持久的变革。