Hodge David Augustin, Behar-Horenstein Linda S, Onwuachi-Saunders Chu Chu, Alcena Bianca, Lynum-Williams Terrilyn
Bioethics Honors Ambassador.
Bioethics Honors Student.
J Healthc Sci Humanit. 2024 Fall;14(1):193-211.
Efforts to reduce the unequal impacts and generations of systemic disadvantage and inequality in healthcare for black and brown communities became amplified and were made more urgent during the COVID-19 pandemic. Moreover, public health surveillance systems have been challenged to address the vulnerabilities that residents within these environments and experiences. This paper describes the methodology used to develop a public health ethics and bioethics surveillance system grounded in empathy and care ethics. This surveillance system was designed to assess the prevalence of ethical and social justice violations relative to the COVID-19 vaccines administration. The authors describe the methods used to establish content validity of the questionnaire, evaluate the data, and compare three ethical theories (i.e., deontology, utilitarianism, and care ethics) that would best undergird public health ethics to increase health equity.
在新冠疫情期间，为减少医疗保健领域中黑人和棕色社区所面临的系统性劣势和不平等的不平等影响及代际问题而做出的努力得到了加强，并变得更加紧迫。此外，公共卫生监测系统面临着应对这些环境中的居民的脆弱性及相关经历的挑战。本文描述了用于开发一个基于同理心和关怀伦理的公共卫生伦理与生物伦理监测系统的方法。该监测系统旨在评估与新冠疫苗接种相关的伦理和社会正义侵犯行为的发生率。作者描述了用于确立问卷内容效度、评估数据以及比较三种最能支撑公共卫生伦理以促进健康公平的伦理理论（即道义论、功利主义和关怀伦理）的方法。
