Triage in public health emergencies: ethical issues
- 19 February 2010
- journal article
- review article
- Published by Springer Science and Business Media LLC in Internal and Emergency Medicine
- Vol. 5 (2), 137-144
- https://doi.org/10.1007/s11739-010-0362-0
Abstract
General concepts about medical disasters, public health and triage are outlined. Triage is described in the context of public health emergencies and disaster settings, and the main ethical values at stake in triage are discussed. Possible conflicts between competing values are outlined. Special attention is given to possible conflicts between the protection of individual interests (typical of clinical ethics), and the pursuit of collective interests (typical of public health and triage). Hippocratic ethics is compared to utilitarian ethics and to perspectives that emphasize the principle of justice. Three ethical attitudes are suggested that may contribute to a resolution of competing values: protection of human dignity, precaution and, especially, solidarity. Personalism promotes the collective good by safeguarding and giving value to the well-being of each individual. A personalistic perspective is suggested as a way to deepen the concept of solidarity as a pillar both of clinical and public health ethics.Keywords
This publication has 32 references indexed in Scilit:
- The elderly in the emergency department: a critical review of problems and solutionsInternal and Emergency Medicine, 2007
- Ethical Triage and Scarce Resource Allocation During Public Health Emergencies: Tenets and ProceduresHospital Topics, 2007
- Ethics in a Pandemic: A Survey of the State Pandemic Influenza PlansAmerican Journal of Public Health, 2007
- Disaster medicineInternal and Emergency Medicine, 2006
- Public health and human valuesJournal of Medical Ethics, 2006
- Oversimplifications II: Public Health Ethics Ignores Individual RightsAmerican Journal of Bioethics, 2005
- What is the Role of the Precautionary Principle in the Philosophy of Medicine and Bioethics?Journal of Medicine and Philosophy, 2004
- Precaution, Prevention, and Public Health EthicsJournal of Medicine and Philosophy, 2004
- Teaching Ethics in Schools of Public HealthPublic Health Reports, 2003
- IntroductionAmerican Behavioral Scientist, 1998