2020
DOI: 10.1136/medethics-2020-106965
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COVID-19 and beyond: the ethical challenges of resetting health services during and after public health emergencies

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Cited by 20 publications
(26 citation statements)
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“…Ethical dilemmas [e.g., (24,25)] and moral injury [e.g., (26,27)] are other issues that healthcare workers are faced with while providing care within challenging healthcare contexts. Moral injury is defined as the psychological distress that results from actions, or their absence, that violate someone's moral or ethical code (28).…”
Section: Stress Burnout and Mental Health Challenges Among Healthcare Workersmentioning
confidence: 99%
“…Ethical dilemmas [e.g., (24,25)] and moral injury [e.g., (26,27)] are other issues that healthcare workers are faced with while providing care within challenging healthcare contexts. Moral injury is defined as the psychological distress that results from actions, or their absence, that violate someone's moral or ethical code (28).…”
Section: Stress Burnout and Mental Health Challenges Among Healthcare Workersmentioning
confidence: 99%
“…These contingency measures are designed to ensure continuity of an organization's operations to support its capacity to respond to another crisis phase, or to move into the recovery phase. As Alfandre et al, and we have noted (Baines et al 2020), discussions of the ethical issues raised by crisis and response phases have been extensive, whilst less attention has been paid to the contingency and reset phases of a pandemic, and Alfandre et al's paper is a welcome addition to the literature.…”
Section: Reset and Contingency Phases Of Pandemicsmentioning
confidence: 81%
“…In light of these tensions between patient-centered care, underpinned by clinical ethics, and public health concerns, underpinned by public health ethics, different ethical principles and balancing strategies are needed when care is neither "crisis light" nor "business as usual." "Pandemics-and public health emergencies more generally-reinforce approaches to ethics that emphasize or derive from the interests of communities, rather than those grounded in the claims of the autonomous individual" (Baines et al 2020). Our rapid review of ethical values guiding decision-making in resetting non-COVID-19 pediatric surgery and maternity services in the NHS (Chiumento et al 2021) found that the values of relationality and equity came to the fore in the reset period.…”
Section: Balancing Principlesmentioning
confidence: 96%
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“…This indicates that in the post-pandemic era, ethical concerns have been prominent, especially at the time of implementing AI-driven decisions. 54 …”
Section: Discussionmentioning
confidence: 99%