Occupational Dermatology: Ethical Aspects
摘要
Occupational dermatology is a professional field that must manage four intersecting ethics-relevant realms: the individual as patient and employee, the business, the medical profession, and the wider social context. The well-established principles of human dignity and human rights provide the fundamental ethics framework for navigating these contexts and grounding occupational health ethics guidelines. Legal regimen and ethics guidelines are similar in building upon consensus social valuesValues, insuring legitimacy and effectiveness in occupational medicine practice. This is because practitioners have obligations to workers and employers. And practitioners have obligations to the medical profession and wider society, i.e., to the principles and standards that have established the well-earned respect for medical care, and to the values and laws of the societies where the business is located. The “International Code of Ethics for Occupational Health Professionals” (ICOH Code, International code of ethics for occupational health professionals. http://www.icohweb.org/site/multimedia/code_of_ethics/code-of-ethics-en.pdf . Last accessed 28 June 2018, 2014) provides resources for an adequate ethics approach to occupational dermatology. Though contexts are intersecting, transparent guidelines and rigorous clarity of duties are needed to maintain proper health surveillance and the needed flow of information between medical professionals and workers. Medical officials should be able to attain the information they need to ensure the safest possible workplace, and workers should be assured that their rights and privacy are not violated. Medical professionals have the duty to refrain from revealing information from employers when that revelation is a violation of workers’ informed consent or when such an action would endanger the trust in their integrity and impartiality. Workers have the duty to share responsibilities for their health. Two examples below help show how this can function (genetic predisposition, exposure to UV radiation).