Principios bio#233;ticos en salud p#250;blica limitaciones strongystrong pro p u.pdfVIP

A RTIGO A RT I C L E 9 4 9 Principios bioéticos en salud pública: limitaciones y pro p u e s t a s Bioethical principles in public health: limitations and pro p o s a l s Fermin Roland Schramm 1 Miguel Ko t t ow 2 , 3 1 De p a rtamento de Ci ê n c i a s Abstract We propose to analyze the specificity of ethical problems in public health issues and S o c i a i s , Escola Nacional to elucidate the applicability of principlism as a problem-solving stra t e gy in this r e a l m . Al- de Saúde Pública, Fundação Oswaldo Cruz. though well-established in clinical ethics, principlism is not an adequate model to be used in Rua Leopoldo Bulhoes 1480, public health, since it is basically intended to serve as a moral guide in the physician-patient en- sala 914, Rio de Ja n e i ro, R J c o u n t e r. We discuss the possible adequacy of principles like “s o l i d a r i t y”, “ontic re s p o n s i b i l i t y” ( a s 2 1 0 4 1 - 2 1 0 , Br a s i l r o l a n d @ e n s p. f i o c r u z . b r p roposed by Jo n a s ) , and “caring or diaconal re s p o n s i b i l i t y” as presented by Lévinas. S o l i d a r i t y ro l a n d s c h ra m @ y a h o o. c o m . b r appears to be insufficiently specified, w h e reas the other two perspectives may be adapted to pub- 2 Facultad de Me d i c i n a , lic health issues by bringing together Jonas´ ontological and Lévinas´ transcendental concerns to Un i versidad de Chile. Av. Independencia 1027, form a principle of protection that might better serve the purposes of such an ethics. This princi- S a n t i a g o, C h i l e . ple would