Ethical Standards to Improve Local Response Capacity to Infectious Disease Events

提高当地应对传染病事件能力的道德标准

• 批准号: 8841776
• 负责人: Daniel Jeremy Barnett
• 金额: $ 30.78万
• 依托单位: JOHNS HOPKINS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-08-05 至 2016-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8841776
• 关键词: Acute; Address; Administrator; Adopted; Advisory Committees; Aphorisms; Attitude; Behavior; Behavioral Model; Bioterrorism; Cities; Communicable Diseases; Communities; Conflict (Psychology); Contracts; County; Data; Development; Dimensions; Disasters; Disease Outbreaks; Emergency Situation; Employee; Ensure; Equilibrium; Ethics; Event; Failure; Family; Feedback; Focus Groups; Goals; Health; Health Personnel; Individual; Institute of Medicine (U.S.); Interview; Leadership; Legal; Legal Obligations; Mandatory Reporting; Measures; Modeling; Patient Self-Report; Perception; Plant Roots; Play; Policies; Professional Role; Public Health; Public Policy; Readiness; Research; Research Infrastructure; Rights; Social Welfare; Surveys; System; Time; Work; base; cohort; improved; informant; innovation; man; member; novel; pandemic disease; parallel processing; public health emergency; response; social; sound; tool; willingness

DESCRIPTION (provided by applicant): The local health department workforce sits at the hub of the public health emergency preparedness system. A growing body of research has recently identified troubling attitudinal gaps among this workforce regarding willingness to respond to infectious disease threats, ranging from naturally-occurring pandemics to bioterrorism events. Research conducted by members of our study team has determined that public health workers are more likely to respond to infectious disease events if they perceive their response as mandatory rather than voluntary, and if they believe their agency is taking extra measures to protect them and their families. These findings emphasize the need for a greater understanding among local health department leadership and line staff of the ethical and intersecting legal dimensions of infectious disease response in advance of an outbreak. Guidance is needed to help local health departments address the ethical tensions that arise when balancing the rights of individuals (i.e., their employees) and the public good. The goal of the proposed project is to develop an ethically sound guidance document for local health departments to use in planning for and executing their responses to infectious disease outbreaks. Our aims are to: 1) Describe and characterize perceptions of legal and ethical obligations relevant to willingness to fulfill professional roles during infectious disease outbreaks (manmade or natural) among local health department workers (employers/administrators; employees) and barriers to optimum policy creation, implementation, and enforcement using (a) focus groups with members of the local health department workforce, (b) key informant interviews with local health department administrators and front line staff, and (c) a national survey of the local health department workforce; 2) Develop a guidance document for local health department employers/administrators by (a) Applying appropriate ethical norms and legal considerations to our descriptive findings to identify tensions between ethical obligations and intersecting legal standards and self-reported willingness to respond, including identifying detailed examples of particular concerns; (b) Solicit directed feedback from relevant stakeholders. This project will benefit from the on-going input of an expert Advisory Committee and has the support of the National Association of County and City Health Officials. In this time of fiscal austerity and significant workforce cutbacks in public health agencies, innovative measures are necessary to ensure effective responses to infectious disease outbreaks. Therefore, the need for ethically informed guidance that balances the rights of members of the public health workforce with the public good is especially acute.

描述（由申请人提供）：当地卫生部门的劳动力位于公共卫生应急系统的枢纽。越来越多的研究越来越多地确定了这一劳动力中令人不安的态度差距，愿意应对感染性疾病威胁的意愿，从自然疾病的大流传学到生物恐怖主义事件。我们的研究团队成员进行的研究确定，如果公共卫生工作者认为他们的反应是强制性的，而不是自愿的，那么公共卫生工作者会更有可能对传染病事件做出反应，并且如果他们认为自己的代理机构正在采取额外措施来保护他们及其家人。这些发现强调了在当地卫生部门的领导力和线路人员之间需要更深入的理解，并在爆发前的道德和与传染病反应的法律方面相交。需要指导来帮助当地卫生部门解决平衡个人（即员工）和公共利益时出现的道德紧张局势。拟议项目的目的是为地方卫生部门制定一份道德上合理的指导文件，以计划和执行对传染病暴发的反应。我们的目的是：1）描述和描述和描述与愿意在当地卫生部门工作人员（雇主/行政人员；员工）中履行专业角色的法律和道德义务的看法，以及与当地卫生部门的最佳政策，临界部门（A）成员（a）成员（a）临界人员（a）（a）临界人员（a）（a）行政部门（a）（a）行政人员（a）（a）行政人员（a）（a），（a）障碍（a）（a）行政人员（a）（a）行政管理人员（a）（a）的障碍（a） （c）当地卫生部门劳动力的全国调查； 2）通过（a）对当地卫生部门的雇主/管理人员制定指导文件，以对我们的描述性调查结果应用适当的道德规范和法律考虑，以确定道德义务与相交的法律标准和自我报告的回应意愿之间的紧张关系，包括确定特定问题的详细示例； （b）征求相关利益相关者的指示反馈。该项目将受益于专家咨询委员会的持续投入，并得到全国县和城市卫生官员协会的支持。在这个财政紧缩政策和公共卫生机构中大量劳动力削减时期，必须采取创新措施，以确保对传染病暴发的有效反应。因此，需要道德知情的指导，即平衡公共卫生劳动力成员的权利与公共利益的权利特别严重。