Visitor restrictions in hospitals during infectious disease outbreaks: An ethical approach to policy development and requests for exemptions.
Bioethics
; 37(7): 715-724, 2023 09.
Article
em En
| MEDLINE
| ID: mdl-37294417
ABSTRACT
In this paper, we explore the ethics of restricting visitation to hospitals during an infectious disease outbreak. We aim to answer three questions What are the features of an ethically justified hospital visitor restriction policy? Should policies include scope for case-by-case exemptions? How should decisions about exemptions be made? Based on a critical interpretive review of the existing ethical literature on visitor restrictions, we argue that an ethically justified hospital visitor restriction policy has the following features proportionality, comprehensiveness, harm mitigation, exemptions for specific patient populations, visitation decisions made separately from a patient's treating clinicians, transparency, and consistency in application. We also argue that an ethical policy ought to include scope for case-by-case exemptions for individual patients. We propose a process for ethical decision-making that provides a shared language and structure to decrease the risks and burdens of decision-making when clinicians or managers are considering requests for exemptions.
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Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Surtos de Doenças
/
Hospitais
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article
País de afiliação:
Austrália