没有病人和道德的空间:马德里的医院因covid -19而崩溃

IF 0.7 Q4 ETHICS
A. Romera
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引用次数: 0

摘要

2020年,西班牙几个城市的COVID-19患者挤满了医院病床,由于缺乏资源,导致死亡率上升。提供新的空间,重新配置为COVID患者的医疗中心是实施的措施之一。在马德里,其中两个COVID中心因其高昂的费用和围绕其提供的护理质量的争议而引起了巨大的媒体和政治反响。在这种错误信息的情况下,一些医生和病人拒绝被转移到这样的医疗中心,但他们仍然被迫采取行动。这篇论文强调了这种缺乏透明度如何影响卫生工作者、患者以及他们之间的关系,并提出了一个问题,即公共卫生问题可以单独违反多少基本的生物伦理原则。应从伦理角度设计病人转院的新准则,并随着疫情的持续而更新,以便在不确定时期提高对人为因素的现代理解。这些中心给我们的教训是,我们必须从优先获得高质量信息的新角度重新思考危机资源管理。在这种情况下,自治原则必须占上风。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
No room for patients or ethics: COVID-19-broken hospitals in Madrid
Abstract In 2020, COVID-19 patients overwhelmed hospital beds in several Spanish cities, producing an increase in mortality derived from a lack of resources. The provision of new spaces to be reconfigured as healthcare centers for COVID patients was one of the measures implemented. In Madrid, two of these COVID centers drew enormous media and political repercussions due to their high cost and the controversy surrounding the quality of the care they offered. In this scenario of misinformation, several doctors and patients rejected to be transferred to such medical centers, but they were nonetheless compelled to make the move. This manuscript underscores how this lack of transparency affects health workers, patients, and the relationship between them, and brings out the question of how many essential bioethical principles can be individually violated by a matter of public health. New guidelines for the transfer of patients should be designed from an ethical perspective and updated, as the epidemic continues, to improve the modern understanding of human factors in times of uncertainty. The lesson that these centers provide us is that we must rethink crisis resource management from a new perspective that prioritizes access to quality information. In its absence, the principle of autonomy must prevail.
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来源期刊
Ethics and Bioethics (in Central Europe)
Ethics and Bioethics (in Central Europe) Arts and Humanities-Philosophy
CiteScore
1.00
自引率
28.60%
发文量
10
审稿时长
12 weeks
期刊介绍: Ethics & Bioethics (in Central Europe) is one of the leading Central European international journals in ethics and bioethics focusing on philosophical ethics, bioethics and applied ethics also including the history of ethics, ethical and moral education as well as professional ethics. The journal publishes theoretical articles as well as empirical findings concerning all aspects of ethics and morality. Authors can submit research articles, review articles, book reviews, conference reports and information on recently published books. Ethics & Bioethics (in Central Europe) is published in print as well as electronic format, two issues per year (June and December). Only articles in English are accepted for publishing.
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