COVID-19;
ethics;
philosophy;
health care economics and organizations;
FRAMEWORK;
VACCINES;
D O I:
10.1136/jme-2022-108384
中图分类号:
B82 [伦理学(道德学)];
学科分类号:
摘要:
A comprehensive understanding of the ethics of the COVID-19 pandemic priorities must be sensitive to the influence of social inequality. We distinguish between ex-ante and ex-post relevance of social inequality for COVID-19 disadvantage. Ex-ante relevance refers to the distribution of risks of exposure. Ex-post relevance refers to the effect of inequality on how patients respond to infection. In the case of COVID-19, both ex-ante and ex-post effects suggest a distribution which is sensitive to the prevalence social inequality. On this basis, we provide a generic fairness argument for the claim that welfare states ought to favour a healthcare priority scheme that gives particular weight to protecting the socially disadvantaged.
机构:
Iran Univ Med Sci, Sch Med, Dept Med Eth, Tehran, IranIran Univ Med Sci, Sch Med, Dept Med Eth, Tehran, Iran
Bahmani, Fatemeh
Parsapour, Alireza
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机构:
Univ Tehran Med Sci, Med Eth & Hist Med Res Ctr, Tehran, IranIran Univ Med Sci, Sch Med, Dept Med Eth, Tehran, Iran
Parsapour, Alireza
Abbasi, Nasrin
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机构:Iran Univ Med Sci, Sch Med, Dept Med Eth, Tehran, Iran
Abbasi, Nasrin
Zahraei, Seyyed
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机构:
Minist Hlth & Med Educ, Ctr Communicable Dis Control, Tehran, IranIran Univ Med Sci, Sch Med, Dept Med Eth, Tehran, Iran
Zahraei, Seyyed
Tavakoli, Nader
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h-index: 0
机构:
Iran Univ Med Sci, Trauma & Injury Res Ctr, Tehran, Iran
Shahid Beheshti Univ Med Sci, Sch Tradit Med, Med Eth Dept, Tehran, IranIran Univ Med Sci, Sch Med, Dept Med Eth, Tehran, Iran
Tavakoli, Nader
Shamsi-Gooshki, Ehsan
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h-index: 0
机构:
Univ Tehran Med Sci, Med Eth & Hist Med Res Ctr, Tehran, IranIran Univ Med Sci, Sch Med, Dept Med Eth, Tehran, Iran
机构:
South African Med Res Council, Hlth Syst Res Unit, Cape Town, South Africa
Univ Cape Town, Fac Hlth Sci, Sch Publ Hlth & Family Med, Hlth Econ Unit, Cape Town, South Africa
NMG Consultants & Actuaries, Cape Town, South AfricaSouth African Med Res Council, Hlth Syst Res Unit, Cape Town, South Africa
Solanki, G. C.
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机构:
Wilkinson, T.
Daviaud, E.
论文数: 0引用数: 0
h-index: 0
机构:
South African Med Res Council, Hlth Syst Res Unit, Cape Town, South AfricaSouth African Med Res Council, Hlth Syst Res Unit, Cape Town, South Africa
Daviaud, E.
Besada, D.
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h-index: 0
机构:
South African Med Res Council, Hlth Syst Res Unit, Cape Town, South AfricaSouth African Med Res Council, Hlth Syst Res Unit, Cape Town, South Africa
Besada, D.
Tchuem, C. R. Tamandjou
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h-index: 0
机构:
Univ Cape Town, Fac Hlth Sci, Sch Publ Hlth & Family Med, Hlth Econ Unit, Cape Town, South AfricaSouth African Med Res Council, Hlth Syst Res Unit, Cape Town, South Africa
Tchuem, C. R. Tamandjou
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Docrat, S.
Cleary, S. M.
论文数: 0引用数: 0
h-index: 0
机构:
Univ Cape Town, Fac Hlth Sci, Sch Publ Hlth & Family Med, Hlth Econ Unit, Cape Town, South AfricaSouth African Med Res Council, Hlth Syst Res Unit, Cape Town, South Africa
Cleary, S. M.
SAMJ SOUTH AFRICAN MEDICAL JOURNAL,
2021,
111
(01):
: 20
-
22