PMC:7537094 / 126046-128400
Annnotations
{"target":"https://pubannotation.org/docs/sourcedb/PMC/sourceid/7537094","sourcedb":"PMC","sourceid":"7537094","source_url":"https://www.ncbi.nlm.nih.gov/pmc/7537094","text":"We see the entirety of the telehealth movement as a paradigm of how response measures ought to be characterized. It uses advanced technology to promote access by the underprivileged to the most important healthcare services. It listens to patients and gives them an opportunity to participate in their own care. What it is trying to do in the course of the current pandemic is something that is only a part of what it should aim to accomplish in the long term. Thus, it should be part of a sustained effort that can have a good chance to narrow the gap between the economically privileged and the economically challenged. It exists in sharp contrast with measures meant to address the lack of isolation spaces in many people’s dwellings. The isolation and quarantine facilities that have been set up are clearly temporary facilities that cannot be retained beyond the period of the emergency. The people currently using them will be going back to their informal settlements without any prospects of having their living conditions improved. Learning from these comparisons, we see the need to observe a number of criteria for evaluating COVID‐19 response options consistent with the principles of equality, equity and the prioritization of the worst off: Showing equal respect for all stakeholders by:\ninvolving them in consultations prior to the finalization of decisions and their implementation, consistent with what we have said about the relationship between the carer and the cared for\nupholding human rights, e.g. the right to health\nbeing mindful of the differences among individuals and groups that can render people more vulnerable to the impact of the pandemic\nPromoting equity by giving priority to those who lack the means to cope with possibly traumatic impact on their own ‐‐ the underprivileged and vulnerable\nEnhancing sustainability ‐‐ giving preference to measures that can be maintained beyond the period of the current pandemic in anticipation of future emergencies\nPutting a premium on healthcare that tends to improve the conditions of the worst off.189 Kelly, M. (2020, May 14). An Appeal for Practical Social Justice in the COVID‐19 Global Response in Low‐Income and Middle‐Income Countries. The Lancet Global Health. Retrieved May 20, 2020, from 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