Le médecin militaire entre impératifs militaires et exigences éthiques

Barbier, Olivier; Racle, Maelle; Montleau, Franck de

doi:10.1016/j.etiqe.2015.09.003

Cited by 2 publications

(3 citation statements)

References 7 publications

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“…4 Emergency Medical Department, Paris Fire Brigade, 1, Place Jules Renard, 75017 Paris, France. 5 Neurosciences and Cognitive Sciences, French Armed Forces Biomedical Research Institute, D19, 91220 Brétigny-sur-Orge, France. 6 French Military Health Service Academy, Ecole du Val de Grâce, 1 Place Alphonse Laveran, 75005 Paris, France.…”

Section: Authors' Contributionsmentioning

confidence: 99%

“…dressings) and 718 surgical interventions for civilian patients in the Sahel. It is delivered free of charge and is a component of civilmilitary cooperation, to make the military's presence more acceptable to civilians by establishing links with local actors, thereby contributing to rebuilding the country and restoring peace [5]. Chad and Mali, where most French military operations are conducted, have two of the weakest health systems in the world.…”

Section: Introductionmentioning

confidence: 99%

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Ethical challenges faced by French military doctors deployed in the Sahel (Operation Barkhane): a qualitative study

et al. 2021

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Background French military doctors are currently deployed in the Sahel to support the armed forces of Operation Barkhane, in medical or surgical units. As well as supporting French soldiers, their other missions are diverse and complex: medical assistance to civilians and persons under control (PUC), advice to commanding officers. These tasks can create ethical dilemmas when decisions are forced upon doctors that may be in conflict with medical values or fundamental principles. Little is known about the specific dilemmas experienced by French military doctors in overseas operations. We therefore conducted a qualitative study among doctors and surgeons recently deployed to the Sahel to explore and better understand this question. Method Semi-structured, face-to-face interviews were conducted with 20 French military doctors or surgeons deployed since January 2016 in medical or surgical facilities in Mali and Chad. Results All interviewed doctors reported having faced several ethical dilemmas during missions. All reported dilemmas involved the treatment of civilians (while delivering community medical assistance) or of PUC. The dilemmas involved choices as to which patients to treat, the use of care as a means to an end by military authorities, and the level of care attainable in the absence of any possible hospital follow-up. Questions of delivering care at the risk of their own safety or the mission’s and of treating openly hostile patients were also brought up. Several dilemmas stemmed from the dual loyalty problem, namely the conflict between military doctors’ duty of care to patients and to the military institution, but this was not the only factor involved. Contextual factors (restricted resources and security constraints) and psychological factors (especially hostility towards the enemy) were also associated with many of the reported dilemmas. Conclusion This is the first reported study focusing on the ethical dilemmas encountered by French military doctors in overseas operations. It provides unique insights into their ethical experiences and should prove useful in improving operational training for healthcare personnel deployed on overseas missions.

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Section: Authors' Contributionsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Ethical challenges faced by French military doctors deployed in the Sahel (Operation Barkhane): a qualitative study

et al. 2021

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“…MAC represents a considerable part of medical teams' activities and accounts for more than 85% of SSA expenses [4]. It is delivered free of charge and is a component of civil-military cooperation, to make the military's presence more acceptable to civilians by establishing links with local actors, thereby contributing to rebuilding the country and restoring peace [5].…”

Section: Introductionmentioning

confidence: 99%

Ethical challenges faced by French military doctors deployed in the Sahel (Operation Barkhane): a qualitative study.

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Derkenne

Trousselard

et al. 2021

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Background French military doctors are currently deployed in the Sahel to support the armed forces of Operation Barkhane, in medical or surgical units. As well as supporting French soldiers, their other missions are diverse and complex: medical assistance to civilians and persons under control (PUC), advice to commanding officers. These tasks can create ethical dilemmas when decisions are forced upon doctors that may be in conflict with medical values or fundamental principles. Little is known about the specific dilemmas experienced by French military doctors in overseas operations. We therefore conducted a qualitative study among doctors and surgeons recently deployed to the Sahel to explore and better understand this question.Method Semi-structured, face-to-face interviews were conducted with 20 French military doctors or surgeons deployed since January 2016 in medical or surgical facilities in Mali and Chad. Results All interviewed doctors reported having faced several ethical dilemmas during missions. All reported dilemmas involved the treatment of civilians (while delivering community medical assistance) or of PUC. The dilemmas involved choices as to which patients to treat, the use of care as a means to an end by military authorities, and the level of care attainable in the absence of any possible hospital follow-up. Questions of delivering care at the risk of their own safety or the mission’s and of treating openly hostile patients were also brought up. Most dilemmas stemmed from the dual loyalty problem, namely the conflict between military doctors’ duty of care to patients and to the military institution. Contextual factors (restricted resources and security constraints) were also associated with many of the reported dilemmas. Conclusion This is the first reported study focusing on the ethical dilemmas encountered by French military doctors in overseas operations. It provides unique insights into their ethical experiences and should prove useful in improving operational training for healthcare personnel deployed on overseas missions.

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Le médecin militaire entre impératifs militaires et exigences éthiques

Cited by 2 publications

References 7 publications

Ethical challenges faced by French military doctors deployed in the Sahel (Operation Barkhane): a qualitative study

Ethical challenges faced by French military doctors deployed in the Sahel (Operation Barkhane): a qualitative study

Ethical challenges faced by French military doctors deployed in the Sahel (Operation Barkhane): a qualitative study.

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