生物危险性和脆弱性:对获得公共卫生服务问题的伦理处理

Q3 Medicine
S. Jimeno Ramírez
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引用次数: 0

摘要

在2019冠状病毒病大流行期间,获得专利产品(疫苗)由于价格高昂而成为一个公共卫生问题,尤其是在最不发达国家。但是,获取的概念也与其他卫生保健相关问题有关。目的:本文试图通过使用生物危险的概念来分析公共卫生中的这些获取问题,我们通常将其定义为由于无法获得生命所需的基本资源而对生命的结构性暴力。方法:我们将通过与脆弱性概念、健康差异和知识产权立法有关的文献来分析生物风险,并评估生物风险对全球健康公平的负面影响。研究结果我们将提出一种生物危险的分类,考虑到医疗保健的三个不同维度,即药理学、数字和与医疗相关的生物危险。从这一点出发,我们将探讨每一种生物危险对公共卫生的影响,因为它同时增加了脆弱性和卫生不平等。结论生物危害性是一个与脆弱性密切相关的概念,它导致了重大的卫生差距和卫生资源的不公平分配,从而加剧了卫生不公平。我们建议通过适当的政府政策来解决与生物安全相关的问题。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Bioprecariousness and vulnerability: An ethical approach to the issues of access to public health

Introduction

During the Covid-19 pandemics, the access to patented products (vaccines) become a problem of public health due to their high prices, especially in the least developed countries. Buth the concept of access is also related to other health care-related issues.

Objective

This paper seeks to analyse these problems of access in public health by using the notion of bioprecariousness, that we generally define as the structural violence against life due to the lack of access to essential resources for life.

Methodology

We shall analyse bioprecariousness by means of literature concerned to the concept of vulnerability, health disparities and IP legislation and shall assess the negative impact of bioprecariousness on global health equity.

Findings

We shall present a taxonomy of bioprecariousness considering three different dimensions of health care in form of pharmacological, digital, and care-related bioprecariousness. From that point, we will explore the effects of each kind of bioprecariousness on public health, given that it increases vulnerability and health inequities simultaneously.

Conclusion

Bioprecariousness is a concept closely related to vulnerability, which results in important health disparities and unjust distribution of health-related resources, thereby increasing health inequities. We propose to address the issues related to bioprecariousness by applying adequate government policies.
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来源期刊
Ethics, Medicine and Public Health
Ethics, Medicine and Public Health Medicine-Health Policy
CiteScore
2.20
自引率
0.00%
发文量
107
审稿时长
42 days
期刊介绍: This review aims to compare approaches to medical ethics and bioethics in two forms, Anglo-Saxon (Ethics, Medicine and Public Health) and French (Ethique, Médecine et Politiques Publiques). Thus, in their native languages, the authors will present research on the legitimacy of the practice and appreciation of the consequences of acts towards patients as compared to the limits acceptable by the community, as illustrated by the democratic debate.
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