A personalist approach to public-health ethics.
First we give an overview of the historical development of public health. Then we present some public-health deontology codes and some ethical principles. We highlight difficulties in defining ethics for public health, with specific reference to three of them that concern: (i) the adaptability to public health of the classical principles of bioethics; (ii) the duty to respect and safeguard the individual while acting within the community perspective that is typical of public health; and (iii) the application-oriented nature of public health and the general lack of attention towards the ethical implications of collective interventions (compared with research). We then mention some proposals drafted from North American bioethics "principles" and utilitarian, liberal and communitarian views. Drawing from other approaches, personalism is outlined as being the theory that offers a consistent set of values and alternative principles that are relevant for public health.
Petrini
Carlo
C
Office of the President, National Institute of Health, Rome, Italy. carlo.petrini@iss.it
Gainotti
Sabina
S
D001675:Bioethics; D032781:Codes of Ethics; D016265:Conflict of Interest; D028781:Ethical Relativism; D028663:Ethical Theory; D014943:Global Health; D006801:Humans; D028681:Moral Obligations; D026684:Personal Autonomy; D010817:Physician-Patient Relations / Q000941:ethics; D011057:Politics; D017410:Practice Guidelines as Topic; D011634:Public Health / Q000941:ethics* / Q000639:trends; D012945:Social Values
J Epidemiol Community Health. 1994 Feb;48(1):1-3
8138758
Lancet. 2002 Mar 23;359(9311):1055-9
11937202
J Med Philos. 2004 Jun;29(3):313-32
15512975
Theor Med Bioeth. 2003;24(3):199-214
12948046
J R Soc Med. 1993 Apr;86(4):194-5
8505723
Lancet. 2004 Jun 19;363(9426):2084-6
15207962
Eur J Public Health. 2006 Apr;16(2):118
16524935
Annu Rev Public Health. 1993;14:469-90
8323599
Int J Epidemiol. 2003 Oct;32(5):684-6
14559728
Ann Ist Super Sanita. 2004;40(3):363-71
15637413
JAMA. 2003 Dec 24;290(24):3229-37
14693876