自主性、自由和风险：在 COVID-19（冠状病毒）大流行期间，根据 1983 年《精神健康法》对被拘留的患者暂停休假所带来的伦理和法律挑战。
Autonomy, liberty, and risk: The ethical and legal challenges of suspending leave of absence for patients detained under the Mental Health Act 1983 during the COVID-19 (coronavirus) pandemic.
机构信息
Barnet Enfield and Haringey NHS Trust, 156577Chase Farm Hospital, Enfield, UK.
East London Foundation Trust, 240357John Howard Centre, London, UK.
出版信息
Med Sci Law. 2022 Jul;62(3):216-224. doi: 10.1177/00258024221099691. Epub 2022 May 12.
Abstract
During the COVID-19 pandemic, many governments around the world have imposed significant restrictions on freedom of movement to tackle the virus. Mental health units have mirrored this approach, implementing restrictive measures to safeguard the health of patients, staff, and the wider community. This paper explores the relevant legal provisions and ethical principles that guide medical decisions regarding restriction of liberty, before considering the suspension of leave from hospital that occurred in several mental health services in response to the pandemic. It reviews how existing ethical principles within the field of public health may support a better-informed decision-making process, should similar widespread restrictions be imposed again.
摘要
在 COVID-19 大流行期间，世界上许多政府都对行动自由实施了重大限制，以应对病毒。精神卫生机构也采取了类似的措施，实施了限制措施，以保护患者、工作人员和更广泛的社区的健康。本文探讨了指导限制自由的医疗决策的相关法律规定和伦理原则，然后考虑了在大流行期间，一些精神卫生服务机构暂停了住院休假的情况。本文回顾了在公共卫生领域内现有的伦理原则如何支持在再次实施类似广泛限制时做出更明智的决策过程。
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