COVID-19 ethics: unique aspects and a review as of early 2024.

IF 1.6 Q2 ETHICS Monash Bioethics Review Pub Date : 2024-06-01 Epub Date: 2024-07-13 DOI:10.1007/s40592-024-00199-x
Wayne X Shandera
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Abstract

COVID-19 presents a variety of ethical challenges in a set of arenas, arenas not always considered in past pandemics. These challenges include issues related to autonomy, distributive ethics, and the establishment of policies of equity and justice. Methods are a literature review based on regular editing of an online textbook during the COVID-19 outbreak and a literature review using key ethical terms. Patients are confronted with new issues related to autonomy. Providers need to expand their concepts of ethical issues to include decisions based on proportionality and public health ethics. The public health sector needs to assess the beneficence of alternative modes of disease control. The research community needs to redefine the concept of informed consent in emergent conditions. All elements of the medical spectrum-physicians, scientists, and the community-at-large including the pharmaceutical industry-need to consider the multifaceted methods for preventing future pandemics. This will require giving particular emphasis to public health funding and ending the documented discrimination that exists in the provision of proven therapies. The developing world is especially at risk for most of the ethical issues, especially those related to equity and justice. The ethical issues associated with the COVID-19 outbreak are not unique but provide a diverse set of issues that apply to patients, providers, social groups, and investigators. The further study of such issues can help with preventing future outbreaks.

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COVID-19 伦理学:独特方面和截至 2024 年初的审查。
COVID-19 在一系列领域提出了各种伦理挑战,这些领域在以往的大流行病中并不总是得到考虑。这些挑战包括与自主权、分配伦理以及公平和正义政策的制定有关的问题。研究方法是在 COVID-19 爆发期间定期编辑在线教科书的基础上进行文献综述,以及使用关键伦理术语进行文献综述。患者面临着与自主权相关的新问题。医疗服务提供者需要扩展他们的伦理问题概念,将基于相称性和公共卫生伦理的决策纳入其中。公共卫生部门需要评估其他疾病控制模式的益处。研究界需要重新定义紧急情况下的知情同意概念。医学界的所有成员--医生、科学家和包括制药业在内的整个社会--都需要考虑预防未来流行病的多方面方法。这就需要特别重视公共卫生资金,结束在提供行之有效的疗法方面存在的歧视。在大多数伦理问题上,特别是与公平和正义有关的问题上,发展中国家尤其面临风险。与 COVID-19 爆发相关的伦理问题并非独一无二,但却提供了一系列适用于患者、医疗服务提供者、社会团体和研究人员的不同问题。对这些问题的进一步研究有助于预防未来的疫情爆发。
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来源期刊
CiteScore
2.70
自引率
6.20%
发文量
16
期刊介绍: Monash Bioethics Review provides comprehensive coverage of traditional topics and emerging issues in bioethics. The Journal is especially concerned with empirically-informed philosophical bioethical analysis with policy relevance. Monash Bioethics Review also regularly publishes empirical studies providing explicit ethical analysis and/or with significant ethical or policy implications. Produced by the Monash University Centre for Human Bioethics since 1981 (originally as Bioethics News), Monash Bioethics Review is the oldest peer reviewed bioethics journal based in Australia–and one of the oldest bioethics journals in the world. An international forum for empirically-informed philosophical bioethical analysis with policy relevance. Includes empirical studies providing explicit ethical analysis and/or with significant ethical or policy implications. One of the oldest bioethics journals, produced by a world-leading bioethics centre. Publishes papers up to 13,000 words in length. Unique New Feature: All Articles Open for Commentary
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