从COVID-19患者访问限制中吸取教训:六个考虑因素有助于制定道德的患者访问政策
Tracy Beth Høeg1,2,3, Benjamin Knudsen4, Vinay Prasad5
1Sloan School of Management, Massachusetts Institute of Technology, Office E62-562. 100 Main St., Cambridge, MA, 02142, USA. tbhoeg@mit.edu.
Monash bioethics review
|February 8, 2025
概括
由于COVID-19的访客限制损害了患者和家属,缺乏益处的证据. 该分析回顾了有害的政策,并提出了一个保护患者权利和福祉的框架.
科学领域:
- 医学伦理 医学伦理
- 公共卫生政策 公共卫生政策
- 患者权利 患者权利
背景情况:
- 随着COVID-19大流行,患者访问者受到前所未有的限制,包括禁止对临终患者的访问者进行访问,并将母亲与婴儿分开.
- 这些严格的措施在没有强有力的有效证据的情况下实施,并经常对患者,家庭和医疗人员造成直接伤害.
- 积累的证据表明,与这些严格的访客政策相关的长期个人和社会后果.
研究的目的:
- 批判性地检查COVID-19大流行期间实施的患者访问限制的性质和影响.
- 要突出具体的限制例子,其中一些仍然有效.
- 概述关于这些访客政策的实施和影响的六个关键问题.
主要方法:
- 在COVID-19大流行期间颁布的患者访问限制政策的审查和分析.
- 限制性措施的具体例子的识别和记录.
- 基于伦理和科学考虑的框架的开发.
主要成果:
- 在COVID-19大流行期间,确定了许多患者访问限制的例子,其中一些政策仍然存在.
- 这些限制的实施往往缺乏高质量的支持证据.
- 经常观察到对患者,家庭和医务人员的重大伤害,以及长期的负面后果.
结论:
- 在COVID-19大流行期间,患者访问限制经常在没有足够的证据的情况下实施,并造成了相当大的伤害.
- 已经确定了关于这些限制的性质和影响的六个具体问题.
- 拟议的以伦理和科学为基础的框架旨在在未来的医疗保健政策中保障患者和家庭的权利和福祉.
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