issues of autonomy in public health ethics: a discussion in the context of the covid-19 pandemic

ABSTRACT

In the field of public health ethics, the COVID-19 pandemic has highlighted the tension between autonomy and public health. Using CiteSpace 6.1 software and information visualization analysis, we performed a search of literature in the Web of Science core collection database using thematic words such as "public health", "ethics" and "autonomy", we found that from January 1, 2020 to May 14, 2022, discussions on the concept of "autonomy" within the field of bioethics/public health ethics were generally focused on the following topics "informed consent", "health care policy", "health quality", "information technology", "ageism" and "elderly group". In this paper, we distill and analyze four controversial issues how can we avoid excessive restrictions on autonomy in the name of public health/public interest? How can we protect autonomy when using digital technology? How can we protect the autonomy and rights of the elderly? How can we advance the goals of public health by promoting autonomy? The COVID-19 pandemic is a unique historical opportunity to reshape the concept of autonomy within the field of public health ethics. Although the virus has bound the fate of humanity together, a reinvented concept of autonomy based on care and community ethics holds the promise of bringing solidarity, comfort, and hope to the world in the midst of the pandemic.