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医疗卫生领域的新冠疫苗强制接种:希腊与美国案例的比较研究

Mandatory COVID-19 Vaccination in the Health Sector: a Comparative Approach Between the Greek and American Examples.

作者信息

Pervou Ioanna, Mpogiatzidis Panagiotis

机构信息

Lecturer in Public International Law, Law Faculty, Democritus University of Thrace, Komotini, Greece.

Assistant Professor in Healthcare Economics, Department of Obstetrics, University of Western Macedonia, Ptolemaida, Greece.

出版信息

Health Care Anal. 2025 Mar;33(1):1-14. doi: 10.1007/s10728-024-00502-1. Epub 2024 Dec 15.

Abstract

A few months after national vaccination campaigns were initiated around early 2021, the discussion regarding the mandatory vaccination of healthcare workers started gaining ground in most European states and also in the United States. The debate on whether healthcare workers should be required to be vaccinated has been fueled by three main reasons: the high transmissibility rate of the Delta variant, which posed a significant risk to national healthcare systems across Europe and the Americas, as well placing high pressure on intensive care units even in the summer months (a); states' inability to impose general lockdowns and social distancing measures during the 2022 winter due to financial hardship and fears of an ongoing recession (b); and governmental unwillingness to implement restrictive measures, having in mind their populations' tiredness from previous lockdowns (c). This paper will explore the legal and managerial implications of mandatory vaccination among healthcare workers and will argue that it has the capacity to be a successful part of effective national healthcare systems in the search for responsible professionals to staff them. It will argue that national vaccination strategies are dependent on states' national healthcare models. It will show how the major difference in healthcare models of the two states chosen as examples have affected their vaccination policies and their reception by healthcare personnel. Finally, it will prove that the advantages of mandatory vaccination for healthcare personnel outweigh prospected disadvantages, irrespective of ethical, or legal justification is applied. This research will go through the key points of the legislative provisions of the two states (a); it will delve into their legal (b) and managerial implications (c); and finally, it will go through the policy questions which arose (d). It will prove how selective mandatory vaccination policies may be applied to national healthcare systems with foundational differences in their conception. Thus, it will demonstrate that selective mandatory vaccination is a viable option both for models approaching health from a societal perspective, and from the liberal ones.

摘要

在2021年初左右启动全国疫苗接种运动几个月后,关于医护人员强制接种疫苗的讨论在大多数欧洲国家以及美国开始升温。关于是否应要求医护人员接种疫苗的辩论主要由三个原因引发:德尔塔变种的高传播率,这对欧洲和美洲的国家医疗系统构成了重大风险,即使在夏季也给重症监护病房带来了巨大压力(a);由于财政困难和对持续衰退的担忧,各国在2022年冬季无法实施全面封锁和社交距离措施(b);以及政府不愿实施限制措施,考虑到民众对先前封锁的厌倦(c)。本文将探讨医护人员强制接种疫苗的法律和管理影响,并认为这有能力成为有效国家医疗系统在寻找负责的专业人员来配备这些系统方面的成功组成部分。本文将论证国家疫苗接种策略取决于各国的国家医疗模式。本文将展示作为示例选择的两个国家在医疗模式上的主要差异如何影响了它们的疫苗接种政策以及医护人员对这些政策的接受程度。最后,本文将证明,无论采用何种伦理或法律依据,医护人员强制接种疫苗的优点都超过预期的缺点。本研究将梳理这两个国家立法规定的要点(a);深入探讨其法律(b)和管理影响(c);最后,梳理由此产生的政策问题(d)。本文将证明选择性强制接种疫苗政策如何可以应用于在理念上有根本差异的国家医疗系统。因此,本文将表明,选择性强制接种疫苗对于从社会角度和自由主义角度看待健康的模式来说都是一个可行的选择。

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