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第 71  期

專題論文
Special Issue

  (69)
COVID-19 大流行引發之醫療倫理議題
Ethical Issues Related to the COVID-19 Pandemic
作者 陳祖裕
Author Cho-Yu Chan
關鍵詞 COVID-19 大流行緊急使用授權強制疫苗接種效益最大化個人防護裝備
Keywords COVID-19 pandemic, emergency use authorization, mandatory vaccination, maximizing benefits, personal protective equipment
摘要 COVID-19 造成近世紀以來最嚴重的全球大流行。疫情期間發生許多當今醫護人員從未經歷過的困境,導致許多前所未有的倫理抉擇兩難,也引發以下新的倫理思維:(1)染疫人數遽增引發醫療資源嚴重短缺,「行善」原則從以個人為中心轉向以人群為中心,醫療資源分配以利益最大化為首要,甚至超越「尊重自主」、「不傷害」及「公正」等基本生命倫理原則;(2)疫情重創醫療人員的身、心、靈,在此非常時期醫療人員更需發揮「利他精神」,但同時要給予其充分的個人防護設施。(3)疫苗和新藥研發在前所未有地加快速度的同時,仍須遵循Belmont Report 的倫理原則,對研究參與者須有額外的保護。
Abstract COVID-19 caused the most serious global pandemic in recent century. During this period, many difficult situations that medical staff have never experienced before have caused many unprecedented ethical dilemmas, and also triggered the following new ethical reasoning principles: (1) The rapid increase in the number of infected people has caused a serious shortage of medical resources, and the principle of “beneficence” is changed from individual-centered to population-centered, the distribution of medical resources focuses on the maximization of benefits, and even goes beyond other basic bioethical principles
such as “autonomy”, “non-maleficence”, and “justice”. (2) The pandemic has physically and psychologically spoiled the front-line medical staff. In this extraordinary period, medical staff need to exert their “altruistic spirit”, but at the same time, they must be provided adequate personal protection equipment. (3) While the research and development of vaccines and new drugs is accelerating as never before, the ethical principles of the Belmont Report must still be
followed, and additional protections must be provided for research participants.
二十一世紀新冠肺炎全球流行病之倫理法律社會與政策之意涵 (ELSPI)
/ 李瑞全    Shui-Cheun Lee
1
攸關新冠病毒疫情之治人醫心生命文化反思
/ 蔡篤堅    Duujian Tsai
5
新冠病毒及疫情流行所產生之倫理爭議舉隅
/ 釋昭慧    Chao-Hwei Shih
27
新冠肺炎蔓延期間告別的勇氣與意義
/ 蕭玉霜    Yu-Shuang Hsiao
75
新冠肺炎流行期安寧緩和醫療所面臨的挑戰
/ 釋照量    Zhao-Liang Shi
99
大 COVID 時代的疫苗分配與接種政策倫理考量
/ 葉明叡    Ming-Jui Yeh
119
新冠肺炎疫苗研究倫理探討與公眾信任之建立
/ 陳妤嘉    Yu-Chia Chen
137
從儒家「人文關懷」的觀點反思新冠肺炎疫情對世界的衝擊
/ 金美華    Mei-Hua Chin
161
公共衛生倫理學之基本原則與全球流行病之實踐分析:儒家生命倫理學之效用與應用
/ 李瑞全    Shui-Chuen Lee
183

/     Bunrong Kouy
207
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