在住院医院环境中减少伤害:伦理学 (原则学) 分析
Katherine Birkness1, Cheryl Forchuk2,3, Jonathan Serrato4
1Queen's University, Kingston, Canada.
概括
减少危害为阿片类药物危机提供了一种伦理替代品,而不是仅仅禁欲的政策. 这种方法可以减少耻辱感,并改善药物使用障碍患者获得医疗保健的机会.
科学领域:
- 公共卫生 公共卫生
- 生物伦理学生物伦理学
- 成 药物 药物 药物 药物
背景情况:
- 阿片类药物流行继续成为北美重大危机.
- 医院的禁欲政策面临诸如戒断,保密和提供者知识差距等挑战.
- 围绕物质使用的耻辱感阻碍了有效的医疗保健服务.
研究的目的:
- 评价降低危害作为一个道德框架,以支持患有物质使用障碍的个人.
- 通过使用生物伦理原则,将减少危害与以禁欲为基础的方法进行比较.
主要方法:
- 通过原则主义 (自治,公益,正义,非恶性) 的镜头来分析减少危害.
- 减少伤害与基于禁欲的医疗保健模型的伦理比较.
主要成果:
- 减少伤害的做法被认为是一种比纯粹戒断更符合伦理的医疗保健方法.
- 减少伤害可以促进一个更公平的系统,减少耻辱,并鼓励寻求帮助.
结论:
- 减少危害为阿片类药物危机提供了一种可行的,在道德上优越的替代品,而不是基于戒断的护理.
- 建议在不同的环境中进行进一步的实证研究,并使用额外的伦理框架.
- 未来的研究应该探索对话式生物伦理学,护理伦理学和能力方法.
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