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COVID-19 大流行:紧急分诊的伦理问题和建议。

COVID-19 pandemic: ethical issues and recommendations for emergency triage.

机构信息

College of Humanities and Social Sciences, Dalian Medical University, Dalian, Liaoning, China.

出版信息

Front Public Health. 2023 May 5;11:1160769. doi: 10.3389/fpubh.2023.1160769. eCollection 2023.

DOI:10.3389/fpubh.2023.1160769
PMID:37213643
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10196018/
Abstract

The current epidemic of Coronavirus Disease 2019 (COVID-19) has become a public health event worldwide. Through ethical analysis of a series of epidemic prevention phenomena and epidemic prevention measures taken by the Chinese (and other countries) government and medical institutions during the COVID-19 pandemic, this paper discusses a series of ethical difficulties in hospital emergency triage caused by the COVID-19, including the autonomy limitation of patients and waste of epidemic prevention resources due to over-triage, the safety problem of patients because of inaccurate feedback information from intelligent epidemic prevention technology, and conflicts between individual interests of patients and public interests due to the "strict" implementation of the pandemic prevention and control system. In addition, we also discuss the solution path and strategy of these ethical issues from the perspective of system design and implementation based on the Care Ethics theory.

摘要

当前 2019 冠状病毒病(COVID-19)疫情已成为全球范围内的公共卫生事件。通过对 COVID-19 大流行期间中国(和其他国家)政府和医疗机构采取的一系列疫情防控现象和防控措施进行伦理分析,本文讨论了 COVID-19 导致的医院急诊分诊中出现的一系列伦理困境,包括因过诊而导致的患者自主权受限和疫情防控资源浪费、智能疫情防控技术因反馈信息不准确而导致的患者安全问题,以及由于大流行防控体系的“严格”执行而导致的患者个体利益与公共利益之间的冲突。此外,我们还从关怀伦理理论的角度出发,通过系统设计和实施来探讨这些伦理问题的解决路径和策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f8a/10196018/9802f7f189eb/fpubh-11-1160769-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f8a/10196018/9802f7f189eb/fpubh-11-1160769-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f8a/10196018/9802f7f189eb/fpubh-11-1160769-g001.jpg

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