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新型冠状病毒肺炎:公共卫生问题与伦理困境

COVID-19: Public health issues and ethical dilemmas.

作者信息

Kooli C

机构信息

Lusail University, Doha, Qatar.

出版信息

Ethics Med Public Health. 2021 Jun;17:100635. doi: 10.1016/j.jemep.2021.100635. Epub 2021 Jan 31.

Abstract

There are various ethical dilemmas faced by the healthcare sectors, especially at times of pandemics and health emergencies, which is more prominently visible in the case of public healthcare sectors. Keeping this into consideration, the concerned study had emphasized exploring the ethical dilemmas that are faced by the public health care sectors across the globe, in fighting the COVID-19 pandemic situations in the current period. The secondary and qualitative information collected for the concerned study has been analyzed and interpreted using the thematic analytical framework and following the inductive approach. Substantial evidence has revealed that the public health care system globally has been facing a scarcity of resources and allocation of responsibilities to the care provider. There has been disparity noted in the implementation of public health care ethics. The importance of ethics in the public healthcare system cannot be denied however, the issues noted during this pandemic situation have been associated with lack of accountability, issues in resource allocation, and loss of trustworthiness in the healthcare provisions. Hence, there is a need for changes to be made in the public policies and health policies so that the public health institutions are more prepared to deal with emergencies such as the one created by the COVID-19 pandemic.

摘要

医疗保健部门面临着各种伦理困境,尤其是在大流行和卫生紧急情况期间,这在公共医疗保健部门的情况中更为明显。考虑到这一点,相关研究强调探索全球公共卫生保健部门在当前抗击新冠疫情形势中所面临的伦理困境。为该相关研究收集的二手定性信息已使用主题分析框架并遵循归纳法进行了分析和解读。大量证据表明,全球公共卫生保健系统一直面临资源短缺以及向护理提供者分配责任的问题。在公共卫生保健伦理的实施方面存在差异。然而,公共卫生保健系统中伦理的重要性不可否认,在此疫情期间发现的问题与缺乏问责制、资源分配问题以及医疗保健服务中失去可信度有关。因此,需要对公共政策和卫生政策进行变革,以便公共卫生机构更有准备应对诸如新冠疫情所造成的紧急情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a11/7847409/f1d300f5e53f/gr1_lrg.jpg

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