Moral problems in the use of coercion in dealing with nonadherence in the diagnosis and treatment of tuberculosis
Moral problems in the use of coercion in dealing with nonadherence in the diagnosis and treatment of tuberculosis
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DOI：
10.1111/j.1749-6632.2001.tb11379.x
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发表时间：
2001-01-01
期刊：
影响因子：
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通讯作者：
Doyal, L
中科院分区：
文献类型：
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作者：
Doyal, L
胁迫和拘留可以是一种道德上可以接受的防止结核病传播的战略，但这些措施需要置于比其短期潜在效力更广泛的背景下。应通过充分承认我们都对结核病的长期存在负有责任来消除结核病的污名。在强制和拘留是必要的情况下，它们应包含一种最佳保护战略，以尽量减少对自治的侵犯。国家和国际卫生保健计划应该为结核病和其他相关疾病（如艾滋病毒）提供有效和无威胁的治疗，并应制定政策来解决结核病的环境原因，并为脆弱的受害者提供支持。必须削弱企业继续施加的世界贫困压力。
Coercion and detainment can be a morally acceptable strategy to fight the spread of tuberculosis, but these measures need to be placed into a much broader context than that of their short-term potential effectiveness. TB should be de-stigmatized by full acknowledgment that we all share the blame for its perpetuation. When coercion and detention are necessary, they should incorporate a strategy of optimum protection for minimum violation of autonomy. National and international health care programs should provide effective and nonthreatening treatments for TB and other related illnesses such as HIV and should develop policies to tackle the environmental causes of TB and provide support for vulnerable victims. Corporate pressures to continue world poverty must be undermined.