Balancing burdens of infection control : Norwegian district medical officers' ethical challenges during the COVID-19 pandemic

© 2023. The Author(s)..

BACKGROUND: In several countries, district medical officers (DMOs) are public health experts with duties including infection control measures. The Norwegian DMOs have been key actors in the local handling of the COVID-19 pandemic.

METHODS: The aim of the study was to explore the ethical challenges experienced by Norwegian DMOs during the COVID-19 pandemic, and how the DMOs have handled these challenges. 15 in-depth individual research interviews were performed and analyzed with a manifest approach.

RESULTS: Norwegian DMOs have had to handle a large range of significant ethical problems during the COVID-19 pandemic. Often, a common denominator has been the need to balance burdens of the contagion control measures for different individuals and groups. In another large set of issues, the challenge was to achieve a balance between safety understood as effective contagion prevention on the one hand, and freedom, autonomy and quality of life for the same individuals on the other.

CONCLUSIONS: The DMOs have a central role in the municipality's handling of the pandemic, and they wield significant influence. Thus, there is a need for support in decision-making, both from national authorities and regulations, and from discussions with colleagues.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:23

Enthalten in:

BMC health services research - 23(2023), 1 vom: 07. Juni, Seite 590

Sprache:

Englisch

Beteiligte Personen:

Brøderud, Linn [VerfasserIn]
Pedersen, Reidar [VerfasserIn]
Magelssen, Morten [VerfasserIn]

Links:

Volltext

Themen:

COVID-19
District medical officer
Journal Article
Municipal health care services
Norway
Public health ethics
Qualitative interview study

Anmerkungen:

Date Completed 09.06.2023

Date Revised 10.06.2023

published: Electronic

Citation Status MEDLINE

doi:

10.1186/s12913-023-09573-7

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM357888413