A Principled Account of AMR Global Governance Solidarity, Subsidiarity, and Stewardship.

IF 1.8 3区哲学 Q2 ETHICS

Health Care Analysis Pub Date : 2023-03-01 DOI:10.1007/s10728-023-00456-w

Thana C de Campos-Rudinsky

引用次数: 0

Abstract

This commentary defines what shared yet differentiated ethical responsibilities to tackle antimicrobial resistance (AMR) mean, by introducing a threefold principled account of AMR global governance. It argues that the principles of solidarity, subsidiarity, and stewardship can be especially helpful for further justifying some of the universal, differentiated, and individual responsibilities that Van Katwyk et al propose. The upshot of my threefold principled account of AMR global governance is a less ambitious AMR treaty, one that can only justify (i) universal duties of global coordination (as per the principle of solidarity); (ii) differentiated duties to local communities, which bear the primary AMR responsibilities (as per the principle of subsidiarity); and (iii) individualized duties for ensuring truthful, evidence-based, consistent, and timely shared accountable communication (as per the principle of stewardship).

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抗微生物药物耐药性全球治理的原则解释团结、辅助和管理。

本评论通过介绍抗微生物药物耐药性全球治理的三重原则，定义了应对抗微生物药物耐药性(AMR)的共同但有区别的伦理责任的含义。它认为，团结、辅助和管理原则可以特别有助于进一步证明Van Katwyk等人提出的一些普遍的、有区别的和个人的责任。我对抗微生物药物耐药性全球治理的三方面原则解释的结果是一个不那么雄心勃勃的抗微生物药物耐药性条约，它只能证明:(1)全球协调的普遍责任(根据团结原则);对地方社区有区别的责任，地方社区承担抗菌素耐药性的主要责任(按照辅助原则);(iii)确保真实、循证、一致和及时分享负责任的沟通的个性化职责(根据管理原则)。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health Care Analysis Multiple-

CiteScore

4.20

自引率

0.00%

发文量

期刊介绍： Health Care Analysis is a journal that promotes dialogue and debate about conceptual and normative issues related to health and health care, including health systems, healthcare provision, health law, public policy and health, professional health practice, health services organization and decision-making, and health-related education at all levels of clinical medicine, public health and global health. Health Care Analysis seeks to support the conversation between philosophy and policy, in particular illustrating the importance of conceptual and normative analysis to health policy, practice and research. As such, papers accepted for publication are likely to analyse philosophical questions related to health, health care or health policy that focus on one or more of the following: aims or ends, theories, frameworks, concepts, principles, values or ideology. All styles of theoretical analysis are welcome providing that they illuminate conceptual or normative issues and encourage debate between those interested in health, philosophy and policy. Papers must be rigorous, but should strive for accessibility – with care being taken to ensure that their arguments and implications are plain to a broad academic and international audience. In addition to purely theoretical papers, papers grounded in empirical research or case-studies are very welcome so long as they explore the conceptual or normative implications of such work. Authors are encouraged, where possible, to have regard to the social contexts of the issues they are discussing, and all authors should ensure that they indicate the ‘real world’ implications of their work. Health Care Analysis publishes contributions from philosophers, lawyers, social scientists, healthcare educators, healthcare professionals and administrators, and other health-related academics and policy analysts.