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首页> 外文期刊>Journal of Epidemiology & Community Health >Ethical issues in public health: a qualitative study of public health practice in Scotland.
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Ethical issues in public health: a qualitative study of public health practice in Scotland.

机译：公共卫生中的伦理问题：对苏格兰公共卫生实践的定性研究。

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摘要

STUDY OBJECTIVE: To identify ethical issues encountered by staff in the development and implementation of public health activities at two sites in Scotland. DESIGN: Qualitative research study involving face to face semi-structured interviews with participants. SETTING: A public health directorate in a National Health Service Trust, and a public health demonstration project in child health. PARTICIPANTS: Health promotion specialists, managers, nurses, public health consultants and specialists, researchers, trainees, and other public health staff. MAIN RESULTS: Three main categories of ethical issues were identified: paternalism, responsibilities, and ethical decision making. Consulting with the community and sharing information raised issues of paternalism and honesty. Participants identified multiple and sometimes conflicting responsibilities. Barriers to fulfilling responsibilities included meeting targets, working with partners, and political influences. Defining the limits of responsibilities posed challenges. Participants identified values for ideal decision making, but lack of time often led to a more pragmatic approach. CONCLUSION: These empirical findings complement and extend existing discussions of public health ethics, emphasising the complex nature of ethical issues in public health. The implications for public health policy and future research are discussed.
机译：研究目的：确定在苏格兰两个地点开展和实施公共卫生活动中工作人员遇到的道德问题。设计：定性研究，涉及与参与者面对面的半结构化访谈。地点：国家卫生服务基金会的公共卫生局，以及儿童健康的公共卫生示范项目。参与者：健康促进专家，经理，护士，公共卫生顾问和专家，研究人员，受训人员和其他公共卫生人员。主要结果：确定了三大类道德问题：家长式，责任和道德决策。与社区协商并共享信息引发了家长式和诚实的问题。参与者确定了多重职责，有时是相互矛盾的。履行职责的障碍包括实现目标，与合作伙伴合作以及政治影响。界定责任范围提出了挑战。参与者确定了理想决策的价值，但是时间的缺乏常常导致更加务实的方法。结论：这些实证研究结果补充并扩展了有关公共卫生伦理的现有讨论，强调了公共卫生中伦理问题的复杂性。讨论了对公共卫生政策和未来研究的影响。

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