KPHA 2023 应明确包括州问责制：对 Fernandez 等人的回应

Q3 Medicine

Indian journal of medical ethics Pub Date : 2024-07-17 DOI:10.20529/ijme.2024.044

Sylvia Karpagam

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引用次数: 0

摘要

2024 年 1 月 27 日发表在《印度医学伦理学杂志》（IJME）上的评论文章《公共卫生伦理学与 2023 年喀拉拉邦公共卫生法》收到了喀拉拉邦国家卫生系统资源中心（State Health Systems Resource Centre）和马拉普拉姆政府医学院（Government Medical College, Malappuram, Kerala）成员的回复。他们解释说，《喀拉拉邦公共卫生法》（KPHA）是一份法律文件，不需要明确包括该邦的问责机制和社会义务。考虑到在 Covid 大流行期间各州明显存在过度干预的现实危险，这些制衡机制实际上应该是不容讨价还价的。KPHA 在外来务工人员和肺结核患者医疗保健问题上的立场违背了现有的公共医疗保健原则。因此，有必要重新审查该法，明确纳入国家问责制。

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KPHA 2023 should explicitly include state accountability: Response to Fernandez et al

The commentary “Public health ethics and the Kerala Public Health Act, 2023" published on January 27, 2024 in the Indian Journal of Medical Ethics (IJME) has received a response from members of the State Health Systems Resource Centre and Government Medical College, Malappuram, Kerala. They explain that the Kerala Public Health Act (KPHA) is a legal document and not required to explicitly include accountability mechanisms and social obligations of the state. Given the very real danger of state over-reach as was evident during the Covid pandemic, these checks and balances should, in fact, be non-negotiable. The position of KPHA on healthcare of migrant workers and patients with tuberculosis goes against existing public healthcare principles. There is therefore a need to revisit the Act to explicitly include state accountability.

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来源期刊

Indian journal of medical ethics Medicine-Medicine (all)

CiteScore

2.40

自引率

0.00%

发文量

期刊介绍： The Indian Journal of Medical Ethics (formerly Issues in Medical Ethics) is a platform for discussion on health care ethics with special reference to the problems of developing countries like India. It hopes to involve all cadres of, and beneficiaries from, this system, and strengthen the hands of those with ethical values and concern for the under-privileged. The journal is owned and published by the Forum for Medical Ethics Society, a not-for-profit, voluntary organisation. The FMES was born out of an effort by a group of concerned doctors to focus attention on the need for ethical norms and practices in health care.