Pandemics, professionalism and the duty of care: Concerns from the coalface
Pandemics, professionalism and the duty of care: Concerns from the coalface
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DOI：
10.7196/samj.2020.v110i6.14901
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发表时间：
2020-06-01
期刊：
影响因子：
--
通讯作者：
Mokhachane, M
中科院分区：
文献类型：
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作者：
Dhai, A;Veller, M;Mokhachane, M
很可能，SARS-CoV-2大流行将影响世界上很大一部分人口，并将持续数年。在医疗保健背景下，出现了许多关键的伦理问题。虽然在新冠肺炎时代，医疗专业人员对参与患者护理的反应总体上是积极的，但也有令人不安的经历。医学实践是一种与人类的社会契约。挑战已经出现，因为患者既是冠状病毒的受害者，又是病毒的传播者。所有人都应该有一种自然的本能，去关心那些需要帮助的人。从道德和法律上讲，不能指望医疗保健专业人员承担重大和不合理的伤害风险。虽然恐惧是可以理解的，但利他主义和为病人服务的兴趣体现了团结的价值。耻辱和歧视等社会危害可能会发生。有人对保护隐私权和尊重受感染者的权利表示关切。在新冠肺炎时代，恐惧、错误信息和脱离使命对专业精神提出了强烈的考验。
It is likely that the SARS-CoV-2 pandemic will affect a large part of the world's population and will last for several years. Many critical ethical issues have arisen in the healthcare context. While response from healthcare professionals to participating in the care of patients in the era of COVID-19 has generally been positive, there have also been disturbing experiences on the ground. The practice of medicine is a social contract with humanity. Challenges have arisen because the patient is both a victim and a vector of the coronavirus. All humans should have a natural instinct to care for those in need. Ethically and legally, healthcare professionals cannot be expected to assume a significant and unreasonable risk of harm. While fear is understandable, altruism and interest in serving the sick exemplify the value of solidarity. Social harms like stigmatisation and discrimination can occur. Concerns have been raised regarding protection of privacy and respect for rights of infected individuals. In the era of COVID-19, fear, misinformation and a detachment from one's calling put professionalism strongly to the test.