Ethical Obligations of Physicians Participating in Public Health Quarantine and Isolation Measures

Bostick, Nathan A.; Levine, Mark; Sade, Robert M.

doi:10.1177/003335490812300102

Cited by 16 publications

(11 citation statements)

References 12 publications

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“…66 Indeed, it is widely acknowledged that clinicians' responsibilities in public health contexts include discussion with patients to explain the risks to the public that arise from non-compliance with medical recommendations. 67 Where patients' requests or decisions about treatment implicate cost concerns, physicians might also exercise their ethical responsibility to promote justice by raising issues of resource stewardship with patients. The Choosing Wisely campaign explicitly recognizes the value of such conversations, and many commentators have suggested similar discussions in the context of marginally beneficial diagnostic and treatment techniques.…”

Section: The Argument From Justicementioning

confidence: 99%

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Informed Consent as Societal Stewardship

Sawicki

2017

J. Law. Med. Ethics

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Section: The Argument From Justicementioning

confidence: 99%

“…]” 66 Indeed, it is widely acknowledged that clinicians' responsibilities in public health contexts include discussion with patients to explain the risks to the public that arise from non-compliance with medical recommendations. 67…”

Section: Engaging Patients In Conversations About Societal Stewardshipmentioning

confidence: 99%

Informed Consent as Societal Stewardship

Sawicki

2017

J. Law. Med. Ethics

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“…[ 140 ] The use of quarantine and isolation of the infectious individual was a basic pillar of public health in seaports in centuries past. [ 141 ] However, its use as an effective tool since the latter part of the twentieth century has come into question. There is probably less resistance by professionals and politicians in this Ebola epidemic to the isolation of infected patients, as compared to the use of quarantine for healthy exposed individuals, although it must be acknowledged that isolation itself can be an emotionally traumatic experience.…”

Section: Quarantine and Isolationmentioning

confidence: 99%

The emergence of Ebola as a global health security threat: From ′lessons learned′ to coordinated multilateral containment efforts

Kalra

Kelkar

Galwankar

et al. 2014

J Global Infect Dis

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First reported in remote villages of Africa in the 1970s, the Ebolavirus was originally believed to be transmitted to people from wild animals. Ebolavirus (EBOV) causes a severe, frequently fatal hemorrhagic syndrome in humans. Each outbreak of the Ebolavirus over the last three decades has perpetuated fear and economic turmoil among the local and regional populations in Africa. Until now it has been considered a tragic malady confined largely to the isolated regions of the African continent, but it is no longer so. The frequency of outbreaks has increased since the 1970s. The 2014 Ebola outbreak in Western Africa has been the most severe in history and was declared a public health emergency by the World Health Organization. Given the widespread use of modern transportation and global travel, the EBOV is now a risk to the entire Global Village, with intercontinental transmission only an airplane flight away. Clinically, symptoms typically appear after an incubation period of approximately 11 days. A flu-like syndrome can progress to full hemorrhagic fever with multiorgan failure, and frequently, death. Diagnosis is confirmed by detection of viral antigens or Ribonucleic acid (RNA) in the blood or other body fluids. Although historically the mortality of this infection exceeded 80%, modern medicine and public health measures have been able to lower this figure and reduce the impact of EBOV on individuals and communities. The treatment involves early, aggressive supportive care with rehydration. Core interventions, including contact tracing, preventive initiatives, active surveillance, effective isolation and quarantine procedures, and timely response to patients, are essential for a successful outbreak control. These measures, combined with public health education, point-of-care diagnostics, promising new vaccine and pharmaceutical efforts, and coordinated efforts of the international community, give new hope to the Global effort to eliminate Ebola as a public health threat. Here we present a review of EBOV infection in an effort to further educate medical and political communities on what the Ebolavirus disease entails, and what efforts are recommended to treat, isolate, and eventually eliminate it.

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“…Isolation and home care are actions that must be taken to control the spread of a pandemic. However, in areas with widespread outbreaks, healthcare facilities find it challenging to offer proper isolation and conduct monitoring of all affected [ 9 , 10 , 11 ]. One effective way of monitoring and providing vital healthcare services to the isolated, without exposing additional individuals to the risk of infection, is through remote communication [ 12 , 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

Attitudes of the Public to Receiving Medical Care during Emergencies through Remote Physician–Patient Communications

Hamlin

Steingrímsson

Cohen

et al. 2020

IJERPH

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Providing health services through remote communications for sub-acute health issues during emergencies may help reduce the burden of the health care system and increase availability of care. This study aimed to investigate the attitudes of the public towards receiving medical services and providing medical information through remote communication in times of emergencies. During the pandemic outbreak of the novel coronavirus (COVID-19), pandemic outbreak, 507 participants answered a structured online survey, rating their mean willingness to receive medical care and provide medical information, on a four-point Likert scale. Furthermore, demographic characteristics, social media use, and trust in data protection was collected. The mean willingness to receive medical services was 3.1 ± 0.6 and the mean willingness to provide medical information was 3.0 ± 0.7, with a strong significant correlation between the two (r = 0.76). The multiple regression model identified higher trust in data protection, level of education, and social media use as statistically significant predictors for a higher willingness to receive medical information while the first two predicted willingness to provide information. The findings suggest an overall positive attitude to receive medical care through remote communications.

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Ethical Obligations of Physicians Participating in Public Health Quarantine and Isolation Measures

Cited by 16 publications

References 12 publications

Informed Consent as Societal Stewardship

Informed Consent as Societal Stewardship

The emergence of Ebola as a global health security threat: From ′lessons learned′ to coordinated multilateral containment efforts

Attitudes of the Public to Receiving Medical Care during Emergencies through Remote Physician–Patient Communications

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