健康滞后:对新冠肺炎大流行的医学哲学思考

IF 0.9 Q3 MEDICAL ETHICS
Journal of Medical Ethics and History of Medicine Pub Date : 2020-12-23 eCollection Date: 2020-01-01 DOI:10.18502/jmehm.v13i28.5045
Alireza Monajemi, Hamidreza Namazi
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引用次数: 1

摘要

本文从医学哲学的角度对新冠肺炎疫情进行反思。对冠状病毒危机的批判性审查发现,为了理解和解释卫生系统的准备不足,我们需要一个新的概念框架。这有助于我们以一种新的方式看待这一现象,解决新问题,并提出创造性的解决方案。我们的建议是,“健康滞后”是一个概念,可以帮助框定和解释这种不准备和不准备。“卫生滞后”一词指的是卫生系统未能跟上临床医学的步伐。换句话说,在大多数情况下,健康问题落后于临床医学,导致社会、文化和经济问题。在定义健康滞后的第一步,我们必须解释临床医学和健康之间的区别,并解决个人健康,公共健康和流行病在这种二分法中的作用。然后,从理论、实践和制度三个层面分析卫生滞后的原因。在第三步中,我们将指出健康滞后的最重要后果:健康的医疗化、生物政治的不一致、不充分的伦理框架和公共领域的脆弱性。最后,我们试图在此哲学概念分析的基础上提出一套建议。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Health lag: medical philosophy reflects on COVID-19 pandemic.

In this paper, we reflect on the COVID-19 pandemic based on medical philosophy. A critical examination of the Corona crisis uncovers that in order to understand and explain the unpreparedness of the health systems, we need a new conceptual framework. This helps us to look at this phenomenon in a new way, address new problems, and come up with creative solutions. Our proposal is that "health lag" is a concept that could help frame and explain this unpreparedness and unreadiness. The term "health lag" refers to the failure of health systems to keep up with clinical medicine. In other words, health issues in most situations fall behind clinical medicine, leading to social, cultural, and economic problems. In the first step to define health lag, we have to explain the distinction between clinical medicine and health and address the role of individual health, public health, and epidemic in this dichotomy. Thereafter, the reasons behind health lag will be analyzed in three levels: theoretical, practical, and institutional. In the third step, we will point out the most important consequences of health lag: the medicalization of health, the inconsistency of biopolitics, inadequate ethical frameworks, and public sphere vulnerabilities. Finally, we try to come up with a set of recommendations based on this philosophical-conceptual analysis.

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来源期刊
CiteScore
1.80
自引率
0.00%
发文量
23
审稿时长
23 weeks
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