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与新型冠状病毒(COVID-19)疫情相关的伦理挑战:对沙特阿拉伯专业人士的访谈

Ethical Challenges Related to the Novel Coronavirus (COVID-19) Outbreak: Interviews With Professionals From Saudi Arabia.

作者信息

Alahmad Ghiath, Richi Hanie, BaniMustafa Ala'a, Almutairi Adel F

机构信息

King Abdullah International Medical Research Center, King Saud bin Abdulaziz University for Health Sciences, Ministry of National Guard Health Affairs, Riyadh, Saudi Arabia.

出版信息

Front Med (Lausanne). 2021 Mar 30;8:620444. doi: 10.3389/fmed.2021.620444. eCollection 2021.

DOI:10.3389/fmed.2021.620444
PMID:33869243
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8044782/
Abstract

The new and dangerous coronavirus disease (COVID-19) has posed a serious challenge to the ability of healthcare systems of many countries to contain the spread of the disease and to mitigate its various consequences. The disease posed many ethical challenges both in itself and in the methods used in its management. Although the ethical principles that healthcare operates under are universal, a thorough understanding of the ethical difficulties it poses necessitates consideration of contextual, societal, and cultural factors. This study provides an in-depth exploration of the ethical challenges related to the COVID-19 pandemic outbreak in relation to healthcare providers, medical researchers, and decision-makers in Saudi Arabia. Four themes were extracted from participants' responses, namely, ethical challenges about disease-control measures, challenges to actions in certain groups, challenges regarding software programs, and finally ethics in research practices. Each theme likewise contained sub-themes. The themes and sub-themes were discussed in light of the ethical principles: autonomy, beneficence, non-beneficence, and justice, as well as other principles, such as protecting confidentiality, privacy, and preventing stigma and discrimination.

摘要

新型危险冠状病毒病(COVID-19)对许多国家医疗系统控制该疾病传播及减轻其各种后果的能力构成了严峻挑战。该疾病本身及其管理方法都带来了诸多伦理挑战。尽管医疗保健所依据的伦理原则具有普遍性,但要透彻理解其所带来的伦理困境,就需要考虑背景、社会和文化因素。本研究深入探讨了沙特阿拉伯医疗保健提供者、医学研究人员和决策者在COVID-19大流行爆发方面所面临的伦理挑战。从参与者的回答中提炼出四个主题,即疾病控制措施的伦理挑战、特定群体行动的挑战、软件程序相关的挑战,以及研究实践中的伦理问题。每个主题同样包含子主题。这些主题和子主题依据伦理原则进行了讨论:自主、行善、不作恶和公正,以及其他原则,如保护机密性、隐私以及防止污名化和歧视。