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[西班牙新冠疫情中的生物伦理问题。系统综述]

[Bioethical issues of Covid-19 in Spain. A systematic review].

作者信息

Sanz Rubiales Álvaro, Del Valle Rivero María Luisa, Flores Pérez Luis Alberto

机构信息

Hospital Universitario del Río Hortega. Calle Dulzaina 2. 47012 Valladolid.

Hospital Clínico Universitario de Valladolid. Valladolid.

出版信息

Cuad Bioet. 2024 May-Aug;35(114):125-141. doi: 10.30444/CB.169.

DOI:10.30444/CB.169
PMID:39135282
Abstract

During the COVID-19 pandemic, bioethical concerns were raised and there was even a ″resurgence of bioethics. ″ In this work, we review the scientific articles published by Spanish authors in relation to bioethical issues in the three years following the declaration of the pandemic. Seventy publications have been selected. Of all of them, the topic that lent itself to the most debate was that of prioritization in the use of health resources. A consensus was reached that ruled out that age could be considered as a sole exclusion criterion in healthcare or in a possible admission to the ICU. And the importance of taking special care of the most vulnerable and adapting care to the conditions of each patient without excluding anyone was recalled. Other relevant topics were the contrast between autonomy and the common good, the immune passport, vaccination, rigor in research and the publication of results, the professionalism of health personnel, misinformation, care for nursing homes, telemedicine, and the importance of the exercise of virtues. After the experience of both vulnerability and the need to exercise solidarity, many works raise the desire and the possibility of being able to overcome the pandemic being better.

摘要

在新冠疫情期间,引发了生物伦理方面的担忧,甚至出现了“生物伦理学的复兴”。在这项工作中,我们回顾了西班牙作者在疫情宣布后的三年里发表的与生物伦理问题相关的科学文章。共挑选了70篇出版物。其中,最具争议的话题是卫生资源使用的优先级问题。达成的共识排除了年龄可被视为医疗保健或进入重症监护病房的唯一排除标准。人们还回忆起特别照顾最弱势群体以及根据每个患者的情况调整护理而不排除任何人的重要性。其他相关话题包括自主性与共同利益的对比、免疫通行证、疫苗接种、研究的严谨性和结果的发表、卫生人员的专业精神、错误信息、养老院护理、远程医疗以及践行美德的重要性。经历了脆弱性以及团结互助的必要性之后,许多作品提出了能够更好地战胜疫情的愿望和可能性。

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