Covid-19: Eine Ad hoc Public-Health-Ethikberatung

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Zusammenfassung

In diesem Dokument beschreiben wir den Prozess und den Inhalt einer ad hoc Public-Health-Ethikberatung vom 22. März 2020 für eine regionale Gesundheitsbehörde (Bayerisches Landesamt für Gesundheit und Lebensmittelsicherheit) zu Entscheidungen im Zusammenhang mit Covid-19.

Translated abstract

Abstract

In this paper we describe the process and content of our ad hoc public health ethics consultation for a Bavarian health authority in relation to Covid-19.

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Most cited references 10

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An ethics framework for public health.

Nancy Kass (2001)

More than 100 years ago, public health began as an organized discipline, its purpose being to improve the health of populations rather than of individuals. Given its population-based focus, however, public health perennially faces dilemmas concerning the appropriate extent of its reach and whether its activities infringe on individual liberties in ethically troublesome ways. In this article a framework for ethics analysis of public health programs is proposed. To advance traditional public health goals while maximizing individual liberties and furthering social justice, public health interventions should reduce morbidity or mortality; data must substantiate that a program (or the series of programs of which a program is a part) will reduce morbidity or mortality; burdens of the program must be identified and minimized; the program must be implemented fairly and must, at times, minimize preexisting social injustices; and fair procedures must be used to determine which burdens are acceptable to a community.

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Public Health Ethics: Mapping the Terrain

James Childress, Ruth Faden, Ruth D Gaare … (2002)

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Is Open Access

Pandemic influenza preparedness: an ethical framework to guide decision-making

Alison Thompson, Karen Faith, Jennifer L Gibson … (2006)

Background Planning for the next pandemic influenza outbreak is underway in hospitals across the world. The global SARS experience has taught us that ethical frameworks to guide decision-making may help to reduce collateral damage and increase trust and solidarity within and between health care organisations. Good pandemic planning requires reflection on values because science alone cannot tell us how to prepare for a public health crisis. Discussion In this paper, we present an ethical framework for pandemic influenza planning. The ethical framework was developed with expertise from clinical, organisational and public health ethics and validated through a stakeholder engagement process. The ethical framework includes both substantive and procedural elements for ethical pandemic influenza planning. The incorporation of ethics into pandemic planning can be helped by senior hospital administrators sponsoring its use, by having stakeholders vet the framework, and by designing or identifying decision review processes. We discuss the merits and limits of an applied ethical framework for hospital decision-making, as well as the robustness of the framework. Summary The need for reflection on the ethical issues raised by the spectre of a pandemic influenza outbreak is great. Our efforts to address the normative aspects of pandemic planning in hospitals have generated interest from other hospitals and from the governmental sector. The framework will require re-evaluation and refinement and we hope that this paper will generate feedback on how to make it even more robust.

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Author and article information

Journal

Journal ID (nlm-ta): Gesundheitswesen

Journal ID (iso-abbrev): Gesundheitswesen

Journal ID (doi): 10.1055/s-00000022

Title: Gesundheitswesen (Bundesverband Der Arzte Des Offentlichen Gesundheitsdienstes (Germany)

Publisher: © Georg Thieme Verlag KG (Stuttgart · New York )

ISSN (Print): 0941-3790

ISSN (Electronic): 1439-4421

Publication date (Print): June 2020

Publication date (Electronic): 30 June 2020

Volume: 82

Issue: 6

Pages: 507-513

Affiliations

[1 ]Institut für Ethik, Geschichte und Theorie der Medizin, Ludwig-Maximilians-Universität München

[2 ]Institut für Geschichte und Ethik der Medizin, Technische Universität München

[3 ]Institute For Ethics, History, and The Humanities, University of Geneva, Switzerland

[4 ]Department of philosophy, linguistics and theory of science and the Centre for antibiotic resistance research (CARe), University of Gothenburg, Gothenburg, Sweden

[5 ]Department of Bioethics, The Clinical Center, National Institutes of Health, USA, Bethesda, United States

[6 ]Department of International Health, School for Public Health and Primary Care (caphri), Maastricht University, Maastricht, Netherlands

[7 ]Faculty of Human and Health Sciences, University of Bremen

[8 ]QUEST Center – Quality, Ethics, Open Science, Translation, Berlin Institute of Health (BIH)

[9 ]Charité – Universitätsmedizin Berlin

[10 ]Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Canada

Author notes

Korrespondenzadresse PD Dr. Verina Wild Institut für Ethik, Geschichte und Theorie der MedizinLudwig-Maximilians-Universität MünchenLessingstraße 280336 München v.wild@ 123456lmu.de

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Verina Wild http://orcid.org/0000-0003-3012-7662

Article

Publisher ID: gesu2020-04-1148

DOI: 10.1055/a-1174-0086

PMC ID: 7365938

PubMed ID: 32604443

SO-VID: 24c06ed9-2594-488d-bd23-7812bd547370

License:

This article is made available via the PMC Open Access Subset for unrestricted re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the COVID-19 pandemic or until permissions are revoked in writing. Upon expiration of these permissions, PMC is granted a perpetual license to make this article available via PMC and Europe PMC, consistent with existing copyright protections.

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Funding

Funded by: Bundesministerium für Bildung

Award ID: 01GP1791

Funding Teile dieser Arbeit wurden gefördert durch Bundesministerium für Bildung und Forschung, Nr. 01GP1791

Covid-19: Eine Ad hoc Public-Health-Ethikberatung Translated title: Covid-19: An ad hoc public health ethics consultation

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Zusammenfassung

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Novel Coronavirus Disease COVID-19

Most cited references 10

An ethics framework for public health.

Public Health Ethics: Mapping the Terrain

Pandemic influenza preparedness: an ethical framework to guide decision-making

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