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新冠疫情期间的公共卫生决策需要的不仅仅是“遵循科学”。

Public health decisions in the COVID-19 pandemic require more than 'follow the science'.

作者信息

de Campos-Rudinsky Thana Cristina, Undurraga Eduardo

机构信息

Princeton Institute for International and Regional Studies, Princeton University, Princeton, New Jersey, USA

Government, Pontifical Catholic University of Chile, Santiago, Chile.

出版信息

J Med Ethics. 2021 Feb 25. doi: 10.1136/medethics-2020-107134.

Abstract

Although empirical evidence may provide a much desired sense of certainty amidst a pandemic characterised by uncertainty, the vast gamut of available COVID-19 data, including misinformation, has instead increased confusion and distrust in authorities' decisions. One key lesson we have been gradually learning from the COVID-19 pandemic is that the availability of empirical data and scientific evidence alone do not automatically lead to good decisions. Good decision-making in public health policy, this paper argues, does depend on the availability of reliable data and rigorous analyses, but depends above all on sound ethical reasoning that ascribes value and normative judgement to empirical facts.

摘要

尽管经验证据可能会在以不确定性为特征的大流行期间提供一种非常渴望的确定感,但包括错误信息在内的大量可用的新冠病毒数据反而增加了人们对当局决策的困惑和不信任。我们从新冠病毒大流行中逐渐学到的一个关键教训是,仅靠经验数据和科学证据的可得性并不会自动导致做出好的决策。本文认为,公共卫生政策中的良好决策确实依赖于可靠数据的可得性和严谨的分析,但首先依赖于将价值和规范性判断赋予经验事实的合理伦理推理。

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