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Public-Health-Ethik ist Partnerschaftsethik

Public health ethics is partnership ethics

  • Leitthema: Public-Health-Ethik
  • Published:
Bundesgesundheitsblatt - Gesundheitsforschung - Gesundheitsschutz Aims and scope

Zusammenfassung

Sicherung und Sicherstellung der Gesundheit von Bürgern sind zentrale staatliche Verpflichtungen und kulturelle wie ethische Aufgaben, die ohne Partnerschaft mit privaten und öffentlichen Serviceanbietern und mit gesundheitsmündigen Bürgern ordnungspolitisch und ordnungsethisch weder begründbar noch erfolgreich sind. Auftrag, Strategie, Taktik und Ethik von Public Health können daher nur im Rahmen einer Partnerschaftsethik entwickelt, durchgeführt und bewertet werden. Prinzipienkataloge aus Bioethik und Klinischer Ethik eignen sich nicht zum Ausmessen des ethischen Rahmens, des genuinen Auftrages und der besonderen Konflikt- und Risikosituationen von Public Health. Das SEMPER-Modell versucht die Bedeutung der 6 Prinzipien Sicherheit, Erziehung, Minimax, Partnerschaft, Ergebnisorientierung, Review im Einzelnen und in ihrer Interaktion untereinander als Rahmen von Public Health in der Sicherung und Förderung von Gesundheit und Lebensqualität zu verdeutlichen.

Abstract

Securing and safeguarding the health of citizens are preeminent governmental obligations and cultural as well as ethical responsibilities. Public health needs to be developed, implemented and reviewed in partnership with existing private and public market forces and with health-literate citizens; mission, strategy, tactics and ethics of public health depend on partnership ethics. Traditional sets of principles in bioethics, research ethics, or clinical ethics are not useful to delineate the framework, the mandate, and the specific conflicts and risks in public health. The SEMPER model exemplifies the role of the principles of safety, education, minimax, partnership, efficiency, review and their interactions for public health in securing and promoting health and quality of life.

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Authors and Affiliations

  1. Ruhr-Universität Bochum, BRD

    H.-M. Sass

  2. Kennedy Institute of Ethics, Georgetown University, Washington, USA

    H.-M. Sass

  3. Zentrum für Medizinische Ethik, Ruhr-Universität Gebäude GA, Ebene 3, 44780, Bochum, BRD

    H.-M. Sass

  4. Kennedy Institute of Ethics, Georgetown University, Washington, DC, 20057, USA

    H.-M. Sass

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  1. H.-M. Sass
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Correspondence to H.-M. Sass.

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Sass, HM. Public-Health-Ethik ist Partnerschaftsethik. Bundesgesundheitsbl. 51, 164–174 (2008). https://doi.org/10.1007/s00103-008-0445-5

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