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我应该成为什么样的人?论公共卫生干预中的美德诉求。

What Type of Person Should I Be? About the Appeal to Virtues in Public Health Interventions.

作者信息

Refolo Pietro, Sacchini Dario, Raimondi Costanza, Calabrò Giovanna Elisa, Spagnolo Antonio Gioacchino

机构信息

Section of Bioethics and Medical Humanities, Department of Healthcare Surveillance and Bioethics, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, Italy.

Research Center for Clinical Bioethics and Medical Humanities, Università Cattolica del Sacro Cuore, Largo Francesco Vito 1, 00168 Rome, Italy.

出版信息

Vaccines (Basel). 2023 Mar 30;11(4):767. doi: 10.3390/vaccines11040767.

Abstract

In line with how ethics has developed for the last three centuries, public health ethics has been widely dominated by a deontological as well as a utilitarian approach. The latter is a version of consequentialism, which states that maximizing utility is the primary goal of the majority of individuals or group action, while, on the other hand, virtue ethics, or at least the appeal to virtues, has been largely marginalized. The aim of this article is twofold. Firstly, we aim to highlight the political and ethical nature of public health interventions, often interpreted and presented as mere scientific enterprises. Secondly, we try to highlight the need to integrate or at least recognize the value of appeal to virtues in public health measures. The analysis will reference the Italian COVID-19 vaccination program as a case study. Initially, we will explore the political and ethical nature of any public health measure, using the implementation of the COVID-19 vaccination program in Italy as an example. Subsequently, we will illustrate the deontological approach to ethics, the utilitarian one, and the virtues one, focusing on the dynamic of the agent's perspective. Lastly, we will briefly analyze both the Italian COVID-19 vaccination program and the communication campaign that promoted it.

摘要

与过去三个世纪伦理学的发展历程一致,公共卫生伦理学在很大程度上一直由义务论以及功利主义方法主导。后者是后果主义的一种形式,它认为效用最大化是大多数个人或群体行动的主要目标,而另一方面,美德伦理学,或者至少是对美德的诉求,在很大程度上被边缘化了。本文的目的有两个。首先,我们旨在强调公共卫生干预措施的政治和伦理性质,这些措施常常被解释和呈现为纯粹的科学事业。其次,我们试图强调在公共卫生措施中整合或至少认识到诉诸美德的价值的必要性。分析将以意大利的新冠疫苗接种计划作为案例研究。首先,我们将以意大利实施新冠疫苗接种计划为例,探讨任何公共卫生措施的政治和伦理性质。随后,我们将阐述伦理学的义务论方法、功利主义方法和美德方法,重点关注行为主体视角的动态变化。最后,我们将简要分析意大利的新冠疫苗接种计划以及推广该计划的宣传活动。

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本文引用的文献

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Recommendations to drive a value-based decision-making on vaccination.关于推动疫苗接种决策的价值导向的建议。
Expert Rev Vaccines. 2022 Mar;21(3):289-296. doi: 10.1080/14760584.2022.2021880. Epub 2022 Jan 4.
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COVID-19 calls for virtue ethics.新冠疫情需要美德伦理学。
J Law Biosci. 2020 Jul 7;7(1):lsaa056. doi: 10.1093/jlb/lsaa056. eCollection 2020 Jan-Jun.
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Theoretical models and operational frameworks in public health ethics.公共卫生伦理中的理论模型和操作框架。
Int J Environ Res Public Health. 2010 Jan;7(1):189-202. doi: 10.3390/ijerph7010189. Epub 2010 Jan 18.

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