亚洲拥有世界第二大国际移民人口。在东南亚(SEA),迁移的主要类型是劳动力迁移,强迫迁移,和环境迁移。本范围审查旨在确定当前关于SEA中流动和边缘化人群的医疗保健伦理研究的关键主题和差距,以及涉及这些人群的研究伦理。
■我们使用三个广泛的概念进行了范围审查:人口(无状态人口,移民,难民,寻求庇护者,国内流离失所者),问题(医疗保健和道德),和背景(SEA中的11个国家)。三个数据库(PubMed,CINAHL,和WebofScience)从2000年到2023年5月进行了为期四个月(2023年2月至2023年5月)的搜索。通过引文搜索确定了其他相关出版物,手工搜索了六本生物伦理学期刊。所有的搜索都是用英语进行的,并根据纳入和排除标准筛选相关出版物.随后将数据导入NVivo14,并进行专题分析。
■我们确定了18篇具有大量生物伦理分析的论文。指导分析的伦理概念是能力,agency,尊严\',\'漏洞\',\'不稳定,同谋,和结构性暴力(n=7)。从研究伦理的角度讨论了伦理问题(n=9),临床伦理(n=1)和公共卫生伦理(n=1)。所有出版物均来自新加坡的研究人员,泰国,和马来西亚。发现的研究差距包括需要更多涉及移民儿童的研究,来自移民输出国的研究,关于移民医疗质量的研究,参与式健康研究,和研究内部移民。
■有必要进行更多的实证研究,以更好地了解研究领域中存在的伦理问题,临床护理,和公共卫生。对移民之间相互作用的严格审查,考虑到所涉及的多种因素和环境的健康和道德对于提高SEA中的移民健康道德至关重要。
UNASSIGNED: Asia hosts the second-largest international migrant population in the world. In Southeast Asia (SEA), key types of migration are labour migration, forced migration, and environmental migration. This scoping
review seeks to identify key themes and gaps in current research on the ethics of healthcare for mobile and marginalised populations in SEA, and the ethics of research involving these populations.
UNASSIGNED: We performed a scoping
review using three broad concepts: population (stateless population, migrants, refugees, asylum seekers, internally displaced people), issues (healthcare and ethics), and context (11 countries in SEA). Three databases (PubMed, CINAHL, and Web of Science) were searched from 2000 until May 2023 over a period of four months (February 2023 to May 2023). Other relevant publications were identified through citation searches, and six bioethics journals were hand searched. All searches were conducted in English, and relevant publications were screened against the inclusion and exclusion criteria. Data were subsequently imported into NVivo 14, and thematic analysis was conducted.
UNASSIGNED: We identified 18 papers with substantial bioethical analysis. Ethical concepts that guide the analysis were \'capability, agency, dignity\', \'vulnerability\', \'precarity, complicity, and structural violence\' (n=7). Ethical issues were discussed from the perspective of research ethics (n=9), clinical ethics (n=1) and public health ethics (n=1). All publications are from researchers based in Singapore, Thailand, and Malaysia. Research gaps identified include the need for more research involving migrant children, research from migrant-sending countries, studies on quality of migrant healthcare, participatory health research, and research with internal migrants.
UNASSIGNED: More empirical research is necessary to better understand the ethical issues that exist in the domains of research, clinical care, and public health. Critical examination of the interplay between migration, health and ethics with consideration of the diverse factors and contexts involved is crucial for the advancement of migration health ethics in SEA.