Facing the challenges of influenza in healthcare settings: the ethical rationale for mandatory seasonal influenza vaccination and its implications for future pandemics.
Facing the challenges of influenza in healthcare settings: the ethical rationale for mandatory seasonal influenza vaccination and its implications for future pandemics.
复制标题
面对医疗保健环境中流感的挑战：强制季节性流感疫苗接种的伦理原理及其对未来大流行的影响。
DOI：
10.1016/j.vaccine.2008.07.068
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发表时间：
2008
期刊：
影响因子：
5.5
通讯作者：
Koenig,BarbaraA
中科院分区：
文献类型：
--
作者：
Tilburt,JonC;Mueller,PaulS;Ottenberg,AbigaleL;Poland,GregoryA;Koenig,BarbaraA
季节性流感医院传播的威胁是真实的，并且有据可查。尽管几十年来在自愿接种方面做出了协调一致和持续的努力，但医疗机构未能实现持续的高水平年接种率。通过考虑生物医学伦理学的基本原则，其中福利问题超过了对自主权的关注，并通过研究医疗行业的美德和衍生机构的义务，我们认为，医疗机构有义务实现足够的疫苗接种率，包括必要时，强制接种疫苗。我们还讨论了这一论点对实施此类政策的实际影响，并触及了此类政策对未来大流行防范的潜力。
The threat of nosocomial transmission of seasonal flu is real and well documented. Despite decades of concerted and sustained efforts at voluntary vaccination, healthcare institutions have failed to achieve sustained high-level annual vaccination rates. By considering basic principles of biomedical ethics in which welfare concerns outweigh concerns about autonomy, and by examining the virtues of the healing professions and the derivative institutional obligations we argue that healthcare institutions have an obligation to achieve adequate vaccination rates including, if necessary, mandatory vaccination. We also discuss the practical implications of this argument for implementing such policies and touch on the potential that such policies have for future pandemic preparedness.