Management Of The Covid-19 Pandemic Around Public Health: Ethical Perspectives
Author(s)
Alcayaga C1, Loor-Sánchez V2, Oyarce-Hormazábal N2, Riveros-Riveros MP2, Reynaldos-Grandón K3
1Andrés Bello University, Santiago, RM, Chile, 2Andrés Bello University, Santiago, Chile, 3Andres Bello University, Santiago, RM, Chile
Presentation Documents
OBJECTIVES: To analyze the ethical perspectives in the management of the COVID-19 pandemic around public health. METHODS: A literature review conducted between August and October 2020, using databases: PubMed/MEDLINE, Scielo, Scopus and Cochrane with the search engines: "Ethics", "Pandemic", "COVID-19" and "Public Health", and the Boolean operators "AND" and "OR". Publications made between January and October 2020, in English and Spanish. Theses and conference abstracts were excluded. The analysis and synthesis were made in a descriptive way, using a spreadsheet. Forty-three articles were selected according to the methodological quality. RESULTS: The analysis was made by continent according to the development of the pandemic. In Asia, individual rights, privacy and human dignity were respected, but in African countries, basic needs were affected, generating major ethical dilemmas. In Europe, the principle of charity was violated by not being able to follow up on patients. The principle of autonomy was transgressed due to the mourning process. The principle of non-maleficence is linked to futility. The principle of justice has been questioned in the face of the dilemma of scarcity and allocation of resources. In addition, in North America, aggression against social justice was identified as an exacerbation of social inequalities. In Latin America, all articles mention the vulnerability of all ethical principles CONCLUSIONS: It highlights the conflict between individual rights and collective health protection. Worldwide, there have been similarities in ethical conflicts. Social, cultural, political and economic differences have had an impact on the management of the pandemic. It is fundamental to generate global ethical entities in accordance with the culture and health system of each country, which allow for the discussion of measures to preserve the ethical aspects of the population.
Conference/Value in Health Info
2021-05, ISPOR 2021, Montreal, Canada
Value in Health, Volume 24, Issue 5, S1 (May 2021)
Code
PRS32
Topic
Epidemiology & Public Health, Health Service Delivery & Process of Care, Organizational Practices
Topic Subcategory
Ethical, Hospital and Clinical Practices, Public Health
Disease
Respiratory-Related Disorders