Evidence and Effectiveness in Decisionmaking for Quarantine
Identifieur interne : 001923 ( Ncbi/Merge ); précédent : 001922; suivant : 001924Evidence and Effectiveness in Decisionmaking for Quarantine
Auteurs : Cécile M. Bensimon [Canada] ; Ross E. G. Upshur [Canada]Source :
- American Journal of Public Health [ 0090-0036 ] ; 2007.
Abstract
When public health decisionmakers turned to quarantine during the recent severe acute respiratory syndrome (SARS) epidemic, difficult questions were raised about the legitimacy and acceptability of restrictive measures to attain public health goals. SARS also brought to light how scientific uncertainty can permeate public health decisionmaking, leading us to think about the relationship between the adequacy of evidence of the effectiveness of an intervention and its role in the justification of public health action.
In this article, we critically examine the role of evidence and effectiveness in decision-making for quarantine. It is our contention that the effectiveness of a public health intervention should not be defined exclusively in (absolute and objective) scientific terms but rather conceptualized relationally and normatively in public health decisionmaking.
Url:
DOI: 10.2105/AJPH.2005.077305
PubMed: 17413076
PubMed Central: 1854977
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Evidence and Effectiveness in Decisionmaking for Quarantine</title><author><name sortKey="Bensimon, Cecile M" sort="Bensimon, Cecile M" uniqKey="Bensimon C" first="Cécile M." last="Bensimon">Cécile M. Bensimon</name><affiliation wicri:level="4"><nlm:aff id="aff1">Cécile M. Bensimon is with the Joint Centre for Bioethics and Institute of Medical Science, University of Toronto, Toronto, Ontario, and the Primary Care Research Unit at Sunnybrook, Toronto. Ross E. G. Upshur is with the Joint Centre for Bioethics, and the Departments of Family and Community Medicine and Public Health Sciences Bioethics, University of Toronto, Toronto, and the Primary Care Research Unit at Sunnybrook Health Sciences Centre, Toronto.</nlm:aff><orgName type="university">Université de Toronto</orgName><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Upshur, Ross E G" sort="Upshur, Ross E G" uniqKey="Upshur R" first="Ross E. G." last="Upshur">Ross E. G. Upshur</name><affiliation wicri:level="4"><nlm:aff id="aff1">Cécile M. Bensimon is with the Joint Centre for Bioethics and Institute of Medical Science, University of Toronto, Toronto, Ontario, and the Primary Care Research Unit at Sunnybrook, Toronto. Ross E. G. Upshur is with the Joint Centre for Bioethics, and the Departments of Family and Community Medicine and Public Health Sciences Bioethics, University of Toronto, Toronto, and the Primary Care Research Unit at Sunnybrook Health Sciences Centre, Toronto.</nlm:aff><orgName type="university">Université de Toronto</orgName><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">17413076</idno><idno type="pmc">1854977</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1854977</idno><idno type="RBID">PMC:1854977</idno><idno type="doi">10.2105/AJPH.2005.077305</idno><date when="2007">2007</date><idno type="wicri:Area/Pmc/Corpus">000C36</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000C36</idno><idno type="wicri:Area/Pmc/Curation">000C36</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000C36</idno><idno type="wicri:Area/Pmc/Checkpoint">000F64</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000F64</idno><idno type="wicri:Area/Ncbi/Merge">001923</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Evidence and Effectiveness in Decisionmaking for Quarantine</title><author><name sortKey="Bensimon, Cecile M" sort="Bensimon, Cecile M" uniqKey="Bensimon C" first="Cécile M." last="Bensimon">Cécile M. Bensimon</name><affiliation wicri:level="4"><nlm:aff id="aff1">Cécile M. Bensimon is with the Joint Centre for Bioethics and Institute of Medical Science, University of Toronto, Toronto, Ontario, and the Primary Care Research Unit at Sunnybrook, Toronto. Ross E. G. Upshur is with the Joint Centre for Bioethics, and the Departments of Family and Community Medicine and Public Health Sciences Bioethics, University of Toronto, Toronto, and the Primary Care Research Unit at Sunnybrook Health Sciences Centre, Toronto.</nlm:aff><orgName type="university">Université de Toronto</orgName><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author><author><name sortKey="Upshur, Ross E G" sort="Upshur, Ross E G" uniqKey="Upshur R" first="Ross E. G." last="Upshur">Ross E. G. Upshur</name><affiliation wicri:level="4"><nlm:aff id="aff1">Cécile M. Bensimon is with the Joint Centre for Bioethics and Institute of Medical Science, University of Toronto, Toronto, Ontario, and the Primary Care Research Unit at Sunnybrook, Toronto. Ross E. G. Upshur is with the Joint Centre for Bioethics, and the Departments of Family and Community Medicine and Public Health Sciences Bioethics, University of Toronto, Toronto, and the Primary Care Research Unit at Sunnybrook Health Sciences Centre, Toronto.</nlm:aff><orgName type="university">Université de Toronto</orgName><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName></affiliation></author></analytic><series><title level="j">American Journal of Public Health</title><idno type="ISSN">0090-0036</idno><idno type="eISSN">1541-0048</idno><imprint><date when="2007">2007</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>When public health decisionmakers turned to quarantine during the recent severe acute respiratory syndrome (SARS) epidemic, difficult questions were raised about the legitimacy and acceptability of restrictive measures to attain public health goals. SARS also brought to light how scientific uncertainty can permeate public health decisionmaking, leading us to think about the relationship between the adequacy of evidence of the effectiveness of an intervention and its role in the justification of public health action.</p><p>In this article, we critically examine the role of evidence and effectiveness in decision-making for quarantine. It is our contention that the effectiveness of a public health intervention should not be defined exclusively in (absolute and objective) scientific terms but rather conceptualized relationally and normatively in public health decisionmaking.</p></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Am J Public Health</journal-id><journal-id journal-id-type="iso-abbrev">Am J Public Health</journal-id><journal-id journal-id-type="publisher-id">amjph</journal-id><journal-title-group><journal-title>American Journal of Public Health</journal-title></journal-title-group><issn pub-type="ppub">0090-0036</issn><issn pub-type="epub">1541-0048</issn><publisher><publisher-name>American Public Health Association</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">17413076</article-id><article-id pub-id-type="pmc">1854977</article-id><article-id pub-id-type="publisher-id">0970044</article-id><article-id pub-id-type="doi">10.2105/AJPH.2005.077305</article-id><article-categories><subj-group subj-group-type="heading"><subject>Government, Politics, and Law</subject></subj-group></article-categories><title-group><article-title>Evidence and Effectiveness in Decisionmaking for Quarantine</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Bensimon</surname><given-names>Cécile M.</given-names></name><degrees>PhD, MA</degrees><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Upshur</surname><given-names>Ross E.G.</given-names></name><degrees>MD, MA, MSc, FRCPC</degrees><xref ref-type="aff" rid="aff1"></xref></contrib></contrib-group><aff id="aff1">Cécile M. Bensimon is with the Joint Centre for Bioethics and Institute of Medical Science, University of Toronto, Toronto, Ontario, and the Primary Care Research Unit at Sunnybrook, Toronto. Ross E. G. Upshur is with the Joint Centre for Bioethics, and the Departments of Family and Community Medicine and Public Health Sciences Bioethics, University of Toronto, Toronto, and the Primary Care Research Unit at Sunnybrook Health Sciences Centre, Toronto.</aff><author-notes><corresp><italic>Requests for reprints should be sent to Ross Upshur, Primary Care Research Unit at Sunnybrook Health Sciences Centre, 2075 Bayview Ave, Room E3-49, Toronto, Ontario, M4N 3N5 Canada (e-mail: <email>ross.upshur@sunnybrook.ca</email>)</italic></corresp></author-notes><pub-date pub-type="ppub"><month>4</month><year>2007</year></pub-date><volume>97</volume><issue>Suppl 1</issue><fpage>S44</fpage><lpage>S48</lpage><history><date date-type="accepted"><day>2</day><month>12</month><year>2005</year></date></history><permissions><copyright-statement>© American Journal of Public Health 2007</copyright-statement><copyright-year>2007</copyright-year></permissions><self-uri xlink:title="pdf" xlink:href="S044.pdf"></self-uri><abstract><p>When public health decisionmakers turned to quarantine during the recent severe acute respiratory syndrome (SARS) epidemic, difficult questions were raised about the legitimacy and acceptability of restrictive measures to attain public health goals. SARS also brought to light how scientific uncertainty can permeate public health decisionmaking, leading us to think about the relationship between the adequacy of evidence of the effectiveness of an intervention and its role in the justification of public health action.</p><p>In this article, we critically examine the role of evidence and effectiveness in decision-making for quarantine. It is our contention that the effectiveness of a public health intervention should not be defined exclusively in (absolute and objective) scientific terms but rather conceptualized relationally and normatively in public health decisionmaking.</p></abstract></article-meta><notes><fn-group><fn><p>Peer Reviewed</p></fn><fn><p><bold>Contributors</bold>Ross Upshur originated the study (Ethical Challenges in the Preparedness and Response for SARS: An Interdisciplinary Research Study) from which this article originated. Cécile Bensimon led the writing of the article. Both authors conceptualized ideas and reviewed drafts of the article.</p></fn></fn-group></notes></front></pmc><affiliations><list><country><li>Canada</li></country><region><li>Ontario</li></region><settlement><li>Toronto</li></settlement><orgName><li>Université de Toronto</li></orgName></list><tree><country name="Canada"><region name="Ontario"><name sortKey="Bensimon, Cecile M" sort="Bensimon, Cecile M" uniqKey="Bensimon C" first="Cécile M." last="Bensimon">Cécile M. Bensimon</name></region><name sortKey="Upshur, Ross E G" sort="Upshur, Ross E G" uniqKey="Upshur R" first="Ross E. G." last="Upshur">Ross E. G. Upshur</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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