Thiagesan Rajeswaran, Gopichandran Vijayaprasad, Soundari Hilaria
Centre for Applied Research, The Gandhigram Rural Institute - Deemed to be University, Dindigul, Tamil Nadu India.
Resource Group for Education and Advocacy for Community Health (REACH), Chennai, India.
Asian Bioeth Rev. 2023 Jan 20;15(3):1-11. doi: 10.1007/s41649-023-00239-4.
Disability is one of the key public health issues in India and the burden will increase given the trend of an aging population. People with disabilities experience greater vulnerability as they may develop secondary health issues. They face various barriers while accessing health services. This is a major ethical concern. In this article, we frame the barriers to healthcare provision to persons with disabilities and propose an ethical framework to address these barriers. This ethical framework is derived from the basic ethical principles of justice, fairness, trust, solidarity, stewardship, proportionality, and responsiveness. The framework proposes strategies to address these barriers to healthcare service delivery for persons with disabilities in India.
残疾是印度主要的公共卫生问题之一，鉴于人口老龄化趋势，这一负担将会加重。残疾人面临更大的脆弱性，因为他们可能会出现继发性健康问题。他们在获得医疗服务时面临各种障碍。这是一个重大的伦理问题。在本文中，我们阐述了为残疾人提供医疗保健的障碍，并提出了一个伦理框架来解决这些障碍。这个伦理框架源自正义、公平、信任、团结、管理、相称性和响应性等基本伦理原则。该框架提出了应对印度残疾人医疗服务提供障碍的策略。
