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新冠疫情防控机制的社会伦理维度——关怀伦理学的胜利

Socio-ethical Dimension of COVID-19 Prevention Mechanism-The Triumph of Care Ethics.

作者信息

Dine Charles Biradzem

机构信息

Applied Human Sciences, University of Montreal, Montreal, Canada.

出版信息

Asian Bioeth Rev. 2020 Aug 12;12(4):539-550. doi: 10.1007/s41649-020-00143-1. eCollection 2020 Dec.

DOI:10.1007/s41649-020-00143-1
PMID:33717344
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7747343/
Abstract

The psycho-social day-to-day experience of COVID-19 pandemic has shone some light on the wider scope of health vulnerability and has correspondingly enlarged the ethical debate surrounding the social implications of health and healthcare. This emerging paradigm is neither a single-handed problem of biomedical scientists nor of social analysts. It instead needs a strategically oriented collaborative and interdisciplinary preventive effort. To that effect, this article presents some socio-ethical reflections underscoring the judicious use of the insight from care ethics as an asset in minimizing the possible propagation of the COVID-19 virus and the escalation of its vulnerability in the day-to-day human interaction. It further emphasizes that if this insight is overlooked, the effects of the diverse facets of the "shadow pandemics" of COVID-19-fallouts on both the affected and the infected-may equally be deadly.

摘要

新冠疫情的社会心理日常经历揭示了更广泛的健康脆弱性范围,相应地扩大了围绕健康与医疗保健社会影响的伦理辩论。这种新兴范式既不是生物医学科学家的单方面问题,也不是社会分析师的单方面问题。相反,它需要以战略为导向的协作性跨学科预防努力。为此,本文提出了一些社会伦理思考,强调明智地运用关怀伦理的见解,将其作为一种资产,以尽量减少新冠病毒在日常人际互动中的可能传播及其脆弱性的升级。文章还进一步强调,如果忽视这一见解,新冠疫情“影子大流行”(即疫情后果)的各个方面对受影响者和感染者的影响可能同样致命。

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本文引用的文献

1
COVID-19 Pandemic: a Litmus Test of Trust in the Health System.新冠疫情:对卫生系统信任度的试金石。
Asian Bioeth Rev. 2020 May 29;12(2):213-221. doi: 10.1007/s41649-020-00122-6. eCollection 2020 Jun.
2
Bioethics and Universal Vulnerability: Exploring the Ethics and Practices of Research Participation.生物伦理学与普遍易损性:研究参与的伦理与实践探讨。
Med Law Rev. 2020 May 1;28(2):293-316. doi: 10.1093/medlaw/fwz026.
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Covid-19: the ethics of clinical research in quarantine.新冠疫情:隔离状态下临床研究的伦理问题
BMJ. 2020 May 29;369:m2060. doi: 10.1136/bmj.m2060.
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'What is Inconvenient for You is Life-saving for Me': How Health Inequities are playing out during the COVID-19 Pandemic.“对你不便之事于我却是救命之事”:新冠疫情期间健康不平等现象是如何显现的
Asian Bioeth Rev. 2020 May 16;12(2):223-234. doi: 10.1007/s41649-020-00119-1. eCollection 2020 Jun.
5
The COVID-19 response for vulnerable people in places affected by conflict and humanitarian crises.针对受冲突和人道主义危机影响地区弱势群体的新冠疫情应对措施。
Lancet. 2020 May 16;395(10236):1532-1533. doi: 10.1016/S0140-6736(20)31036-9. Epub 2020 May 4.
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JAMA. 2020 May 19;323(19):1891-1892. doi: 10.1001/jama.2020.6548.
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Health equity in England: the Marmot review 10 years on.英国的健康公平:十年后的《马尔莫特审查报告》
BMJ. 2020 Feb 24;368:m693. doi: 10.1136/bmj.m693.
8
"I go into crisis when …": ethics of care and moral dilemmas in palliative care.“我陷入危机是因为……”:关怀伦理与缓和医疗中的道德困境。
BMC Palliat Care. 2019 Aug 9;18(1):70. doi: 10.1186/s12904-019-0453-2.
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The concept of vulnerability in medical ethics and philosophy.医学伦理与哲学中的脆弱性概念。
Philos Ethics Humanit Med. 2019 Apr 11;14(1):6. doi: 10.1186/s13010-019-0075-6.
10
Towards a universal concept of vulnerability: Broadening the evidence from the elderly to perinatal health using a Delphi approach.迈向普遍脆弱性概念:使用德尔菲法拓宽老年人至围产期健康的证据。
PLoS One. 2019 Feb 20;14(2):e0212633. doi: 10.1371/journal.pone.0212633. eCollection 2019.