Department of Emergency Medicine, LKS Medical Faculty, University of Hong Kong, Hong Kong, Hong Kong.
Assuta Samson Hospital, Ashdod, Israel.
Med Health Care Philos. 2024 Mar;27(1):81-91. doi: 10.1007/s11019-023-10186-4. Epub 2024 Jan 5.
Vaccine hesitancy or refusal has been one of the major obstacles to herd immunity against Covid-19 in high-income countries and one of the causes for the emergence of variants. The refusal of people who are eligible for vaccination to receive vaccination creates an ethical dilemma between the duty of healthcare professionals (HCPs) to care for patients and their right to be taken care of. This paper argues for an extended social contract between patients and society wherein vaccination against Covid-19 is conceived as essential for the protection of the right of healthcare providers to be taken care of. Thus, a duty of care is only valid when those who can receive vaccination actually receive it. Whenever that is not the case, the continuing functioning of HCPs can only be perceived as supererogatory and not obligatory.
疫苗犹豫或拒绝是高收入国家实现群体免疫以预防新冠病毒以及变异株出现的主要障碍之一。有资格接种疫苗的人拒绝接种疫苗,这在医疗保健专业人员(HCPs)照顾患者的职责与其被照顾的权利之间造成了伦理困境。本文主张在患者和社会之间建立一个扩展的社会契约,将接种新冠病毒疫苗视为保护医疗保健提供者被照顾权利的必要条件。因此,只有在能够接种疫苗的人实际接种疫苗的情况下,关怀义务才有效。只要情况并非如此,那么医疗保健专业人员的持续运作就只能被视为是分外的,而不是强制性的。