Suppr超能文献

老年护理中的正义伦理:年龄歧视与新冠疫情

An Ethics of Justice in Elderly Care: Ageism and the Covid-19 Pandemic.

作者信息

Maboloc Christopher Ryan, Cutillas Anesito

机构信息

Department of Philosophy, Ateneo de Davao University, Davao City, Philippines.

Cebu Normal University, Cebu City, Philippines.

出版信息

Community Health Equity Res Policy. 2025 Apr;45(3):237-243. doi: 10.1177/2752535X231219017. Epub 2023 Nov 28.

Abstract

BACKGROUND

The study looks into the condition of elderly Covid-19 patients regarding the kind of attention they received during the pandemic given the scarcity of medical resouces in the countries mentioned in this investigation. In this case, we apply the bioethical principle of justice on the age-based criteria in determining which patient must receive treatment The argument is that the same is a form of discimination against the elderly.

PURPOSE

The purpose of this study is to emphasize that the age-based criteria in deciding whether to treat elderly Covid-19 patients or not is violative of the bioethical principle of justice since it discriminates against them.

METHOD

This study uses the interpretive method. The authors analyzed the literature and the arguments pertaining to the issue of ageism at the height of the Covid-19 Pandemic. We mentioned the countries where the issue of prioritization was a big concern. The qualitative analysis in this paper is meant to respond to such medical dilemma.

ANALYSIS

In our analysis, we determined that when age is used as a criterion, it violates the bioethical principle of justice. The principle is meant to ensure that physicians are fair in dealing with patients. Using age in deciding whether a life is worth saving or not is a prejudice against old people who require care and attention.

DISCUSSION

Medical doctors must treat patients equally and without bias. The challenge, however, is that due to the unprecedented nature of the pandemic, a triage is put in place to be able to manage the overwhelming influx of Covid-19 patients. Some age-based medical treatment criteria that recommend age-based cutoffs for specific treatments are morally untenable. This is because the same is bereft of any acceptable justification that warrants the judgment that the elderly must have less priority when medical resources are scarce.

CONCLUSION

In conclusion, doctors must not discriminate patients on the basis of age. All lives are equal in moral worth. We argue that governments must promulgate non-discriminatory policies when it comes to medical treatment during a global public health emergency.

摘要

背景

鉴于本调查所提及国家医疗资源稀缺,该研究探讨了老年新冠患者在疫情期间所获关注情况。在此情况下,我们将公正的生物伦理原则应用于基于年龄的标准,以确定哪些患者必须接受治疗。有人认为这是对老年人的一种歧视形式。

目的

本研究的目的是强调,在决定是否治疗老年新冠患者时基于年龄的标准违反了公正的生物伦理原则,因为这对他们存在歧视。

方法

本研究采用解释性方法。作者分析了与新冠疫情高峰期年龄歧视问题相关的文献和论点。我们提及了将优先排序问题视为重大关切的国家。本文的定性分析旨在应对此类医疗困境。

分析

在我们的分析中,我们确定当以年龄为标准时,它违反了公正的生物伦理原则。该原则旨在确保医生公平对待患者。以年龄来决定一条生命是否值得挽救是对需要护理和关注的老年人的偏见。

讨论

医生必须平等且无偏见地对待患者。然而,挑战在于由于疫情的前所未有的性质,实施了分诊以应对大量涌入的新冠患者。一些基于年龄的医疗治疗标准建议对特定治疗设置基于年龄的界限,这在道德上是站不住脚的。这是因为它缺乏任何可接受的理由来支持在医疗资源稀缺时老年人应享有较低优先级的判断。

结论

总之,医生不得基于年龄歧视患者。所有生命在道德价值上都是平等的。我们认为政府在全球公共卫生紧急情况期间的医疗治疗方面必须颁布非歧视性政策。

相似文献

1
An Ethics of Justice in Elderly Care: Ageism and the Covid-19 Pandemic.
Community Health Equity Res Policy. 2025 Apr;45(3):237-243. doi: 10.1177/2752535X231219017. Epub 2023 Nov 28.
2
Fair innings.
Bioethics. 2015 May;29(4):251-61. doi: 10.1111/bioe.12101. Epub 2014 Jun 9.
3
Why lockdown of the elderly is not ageist and why levelling down equality is wrong.
J Med Ethics. 2020 Nov;46(11):717-721. doi: 10.1136/medethics-2020-106336. Epub 2020 Jun 19.
4
Age, "Life-Cycles," and the Allocation of Scarce Medical Resources.
Chest. 2020 Nov;158(5):1837-1838. doi: 10.1016/j.chest.2020.06.019. Epub 2020 Jun 22.
5
Rationing, Responsibility, and Vaccination during COVID-19: A Conceptual Map.
Am J Bioeth. 2024 Jul;24(7):66-79. doi: 10.1080/15265161.2023.2201188. Epub 2023 Apr 27.
7
Covid-19 and age discrimination: benefit maximization, fairness, and justified age-based rationing.
Med Health Care Philos. 2023 Mar;26(1):3-11. doi: 10.1007/s11019-022-10118-8. Epub 2022 Oct 15.
10
A consequentialist argument for considering age in triage decisions during the coronavirus pandemic.
Bioethics. 2021 May;35(4):356-365. doi: 10.1111/bioe.12864. Epub 2021 Mar 8.

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验