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COVID and beyond : the ethical challenges of resetting health services during and after public health emergencies
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Baines, Paul, Draper, Heather, Chiumento, Anna , Fovargue, Sara and Frith, Lucy (2020) COVID and beyond : the ethical challenges of resetting health services during and after public health emergencies. Journal of Medical Ethics, 46 (11). pp. 715-716. doi:10.1136/medethics-2020-106965
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Official URL: http://dx.doi.org/10.1136/medethics-2020-106965
Abstract
Covid-19 continues to dominate 2020 and is likely to be a feature of our lives for some time to come. Given this, how should health systems respond ethically to the persistent challenges of responding to the ongoing impact of the pandemic? Relatedly, what ethical values should underpin the resetting of health services after the initial wave, knowing that local spikes and further waves now seem inevitable? In this editorial we outline some of the ethical challenges confronting those running health services as they try to resume non-Covid related services, and the downstream ethical implications these have for healthcare professionals’ day-to-day decision-making. This is a phase of recovery, resumption and renewal; a form of reset for health services. 1 This reset phase will define the ‘new normal' for healthcare delivery, and also offers an opportunity to reimagine and change services for the better. There are difficulties, however. Healthcare systems are already weakened by austerity and the first wave of Covid, and remain under stress as the pandemic continues. The reset period is operating alongside, rather than at the end, of the pandemic and this creates difficult ethical choices.
| Item Type: | Journal Item | ||||||||
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| Alternative Title: | |||||||||
| Subjects: | R Medicine > R Medicine (General) R Medicine > RA Public aspects of medicine |
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| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School | ||||||||
| Library of Congress Subject Headings (LCSH): | Epidemics, Health planning, Medical care -- Evaluation, Medical ethics, COVID-19 (Disease) | ||||||||
| Journal or Publication Title: | Journal of Medical Ethics | ||||||||
| Publisher: | BMJ Group | ||||||||
| ISSN: | 0306-6800 | ||||||||
| Official Date: | 28 October 2020 | ||||||||
| Dates: |
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| Volume: | 46 | ||||||||
| Number: | 11 | ||||||||
| Page Range: | pp. 715-716 | ||||||||
| DOI: | 10.1136/medethics-2020-106965 | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Open Access (Creative Commons) | ||||||||
| Date of first compliant deposit: | 9 October 2020 | ||||||||
| Date of first compliant Open Access: | 13 October 2020 | ||||||||
| RIOXX Funder/Project Grant: |
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