管理和社会正义:使用预防原则来证明负担重重的抗菌药物管理措施的含义
Tess Johnson1,2
1Ethox Centre, Nuffield Department of Population Health, University of Oxford, Oxford, UK. tess.johnson@ethox.ox.ac.uk.
Monash bioethics review
|December 5, 2024
概括
抗菌素耐药性是一个严重的威胁. 虽然预防原则指导干预,但它必须包括社会正义,以避免伤害弱势群体.
科学领域:
- 公共卫生 公共卫生
- 生物伦理学生物伦理学
- 环境科学 环境科学
背景情况:
- 抗菌素耐药性 (AMR) 是一个重大的全球威胁,通常被称为"沉默的流行病"或"隐藏的杀手".
- 耐药微生物可能造成严重的,不确定的伤害,需要采取积极的措施.
- 预防原则提供了一个通过管理干预来解决AMR的框架.
研究的目的:
- 评估在抗微生物药物管理中的预防原则的伦理应用.
- 在处理AMR时确定预防原则的局限性.
- 为AMR管理提出一个综合的伦理方法.
主要方法:
- 对预防原则应用于AMR的伦理分析.
- 审查管理干预措施,包括处方上限和农业使用限制.
- 社会正义概念与预防原则的整合.
主要成果:
- 预防原则对抗药物耐药性管理有价值,但也有局限性.
- 它充分考虑了危害的程度,但忽视了危害的分布.
- 过度依赖预防原则可能会加剧社会不公正.
结论:
- 预防原则不应单独用于AMR管理.
- 伦理框架必须纳入社会正义方面的考虑,如互惠和利益共享.
- 公正的过渡至关重要,以确保AMR缓解工作的公平结果.
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