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COVID-19疫苗接种和知情同意的作用:英格兰作为一个案例研究
1Robinson College, University of Cambridge 61455 Grange Road, Cambridge CB3 9AN UK.
European journal of health law
|August 15, 2023
概括
在英格兰为成年人推出COVID-19疫苗的过程中,知情同意 (IC) 获得了有限的保护,只保障了最低限度的同意. 需要新的方法来加强患者的自主权和医疗伙伴关系,以应对未来的流行病.
科学领域:
- 医疗法 法律 医疗法
- 公共卫生道德 公共卫生道德
- 生物伦理学生物伦理学
背景情况:
- 最高法院在"蒙哥马利诉兰克郡卫生委员会" (2015) 判决中确定了知情同意 (IC) 是患者的基本权利.
- 现有的文献广泛涵盖了医疗保健中知情同意的重要性.
- 在英格兰的COVID-19疫苗分发期间,IC的特定作用和保护仍未得到充分探索.
研究的目的:
- 分析在英格兰成年人COVID-19疫苗接种的背景下,对知情同意所提供的保护程度.
- 评估当前的实践是否与优先考虑患者自主权和医疗伙伴关系的蒙哥马利合规方法保持一致.
- 为加强在公共卫生紧急情况和未来的流行病中的知情同意提出新的战略.
主要方法:
- 案例研究分析,重点关注英格兰成人COVID-19疫苗接种计划.
- 审查英国管理知情同意的法律和道德框架.
- 批判性评估疫苗接种运动期间知情同意的实际实施情况.
主要成果:
- 在英格兰成年人群的COVID-19疫苗接种期间,知情同意获得了有限的保护.
- 目前的做法在很大程度上支持极简主义的方法,保护"同意"而不是全面的知情同意.
- 患者自主权的知情同意的理想与在大规模疫苗接种环境中其应用的现实之间存在很大的差距.
结论:
- 根据蒙哥马利原则,英格兰的COVID-19疫苗接种计划没有完全保障知情同意.
- 加强方法是必要的,以确保真正的患者自主权和医疗伙伴关系,特别是在公共卫生危机期间.
- 积极开发强大的知情同意模型对于准备和应对未来的流行病至关重要.
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