Ethox Centre and Wellcome Centre for Ethics and Humanities, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Med Health Care Philos. 2023 Mar;26(1):13-20. doi: 10.1007/s11019-022-10119-7. Epub 2022 Nov 16.
In this paper, we discuss the lack of consideration given to children in the COVID-19 health systems policy response to the pandemic. We do this by focusing on the case of children with complex medical needs. We argue that, in broad terms, health systems policies that were implemented during the pandemic failed adequately to meet our obligations to both children generally and those with complex medical needs by failing to consider those needs and so to give them fair protection against harm and disadvantage. We argue that justice requires that the distinct needs and vulnerabilities of children with medical complexities are explicitly integrated and prioritised in decisions concerning healthcare and operational planning in the recovery phase and beyond.
在本文中，我们讨论了在大流行期间针对 COVID-19 的卫生系统政策应对措施中对儿童的关注不足。我们通过关注有复杂医疗需求的儿童的情况来做到这一点。我们认为，从广义上讲，大流行期间实施的卫生系统政策未能充分履行我们对一般儿童和有复杂医疗需求儿童的义务，因为这些政策没有考虑到这些需求，因此未能公平地保护他们免受伤害和不利。我们认为，正义要求在医疗保健和运营规划方面的决策中明确纳入和优先考虑具有医疗复杂性的儿童的特殊需求和脆弱性，这不仅是在复苏阶段，而且是在之后。
