评价传染性肺结核患者隔离治疗的伦理学框架  

Ethical framework for evaluating isolation treatment of patients with infectious pulmonary tuberculosis

作　　者：张迪[1] 杜莹 高磊[3] Zhang Di;Du Ying;Gao Lei(School of Humanities and Social Sciences,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100730,China;School of Public Health,Capital Medical University,Beijing 100069,China;Institute of Pathogen Biology,Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 102629,China)

机构地区：[1]中国医学科学院北京协和医学院人文和社会科学学院,北京100730 [2]首都医科大学公共卫生学院,北京100069 [3]中国医学科学院北京协和医学院病原生物学研究所,北京102629

出　　处：《中国防痨杂志》2024年第12期1434-1441,共8页Chinese Journal of Antituberculosis

基　　金：首都医科大学科研培育基金(校自然,PYZ23024)。

摘　　要：结核病是全球范围内导致死亡人数最多的传染病,传染性肺结核患者的隔离治疗作为一项公共卫生策略开展实施,可有效阻止肺结核传播,对于实现终结结核病流行目标至关重要。然而,隔离治疗引发了一系列重要的公共卫生伦理问题,其核心是为了保护人群健康而限制个体自由。我国目前启动了隔离治疗的立法工作,妥善解决这些问题可促进有效的隔离治疗法规和政策的制定与实施。本文的目的是构建评价隔离的伦理学框架,以协助立法者、政策制定者和公共卫生实践者应对隔离的伦理学问题,并使隔离治疗符合伦理。Tuberculosis is the infectious disease that causes the largest number of deaths in the world.As a public health policy,the isolation treatment of patients with infectious pulmonary tuberculosis could effectively prevent the spread of tuberculosis and is very important for achieving the global goals of the“END TB”strategy.However,isolation treatment has raised a series of important public health ethical issues,the core of which is to restrict individual freedom in order to protect people’s health.At present,China has started the legislative work of isolation treatment for patients with infectious pulmonary tuberculosis.Properly solving such problems would promote the formulation and implementation of effective isolation treatment regulations and policies.The purpose of this paper is to construct an ethical framework for evaluating isolation,so as to assist legislators,policy makers and public health practitioners to deal with the ethical problems of isolation and make isolation treatment ethical.

关 键 词：结核 肺 病人隔离 伦理学 医学 

分 类 号：R52[医药卫生—内科学] R-052[医药卫生—临床医学]