Heroes or cowards: healthcare workers’ autonomy right versus patient care duties during the COVID-19 pandemic

  • Sina Azadnajafabad ORCID Mail Researcher, Non-Communicable Diseases Research Center, Endocrinology and Metabolism Population Sciences Institute, Tehran University of Medical Sciences, Tehran, Iran.
Health care workers; COVID-19; Professional autonomy; Professionalism; Medical ethics.


Ćurković M, Košec A, Ćurković D. Medical professionalism in times of COVID-19 pandemic: is economic logic trumping medical ethics? Intern Emerg Med. 2020;15: 1585-6.

Anonymous. World Health Organization: Coronavirus disease (COVID-19): weekly epidemiological update. [cited December 2020]; available from: https://reliefweb.int/report/world/coronavirus-disease-covid-19-weekly-epidemiological-update-8-december-2020

Malm H, May T, Francis LP, et al. Ethics, pandemics, and the duty to treat. The American Journal of Bioethics: 2008; 8(8): 4-19.

Papoutsi E, Giannakoulis VG, Ntella V, Pappa S, Katsaounou P. Global burden of COVID-19 pandemic on healthcare workers. ERJ Open Res. 2020; 6(2): 00195-2020.

Wang J, Zhou M, Liu F. Reasons for healthcare workers becoming infected with novel coronavirus disease 2019 (COVID-19) in China. J Hosp Infect. 2020; 105(1): 100-1.

Kannampallil TG, Goss CW, Evanoff BA, Strickland JR, McAlister RP, Duncan J. Exposure to COVID-19 patients increases physician trainee stress and burnout. PloS one. 2020;15(8): e0237301.

Salazar de Pablo G, Vaquerizo-Serrano J, Catalan A, et al. Impact of coronavirus syndromes on physical and mental health of health care workers: Systematic review and meta-analysis. Journal of affective disorders. 2020; 275: 48-57.

Tai DYH. SARS plague: duty of care or medical heroism? Ann Acad Med Singap. 2006; 35(5): 374-8.

Zhu J, Stone T, Petrini M. The ethics of refusing to care for patients during the coronavirus pandemic: a Chinese perspective. Nurs Inq. 2020: e12380.

Cox CL. 'Healthcare Heroes': problems with media focus on heroism from healthcare workers during the COVID-19 pandemic. Journal of medical ethics. 2020; 46(8): 510-3.

Hsin DHC, Macer DRJ. Heroes of SARS: professional roles and ethics of health care workers. J Infect. 2004; 49(3): 210-5.

Ruderman C, Tracy CS, Bensimon CM, et al. On pandemics and the duty to care: whose duty? who cares? BMC Medical Ethics. 2006; 7: E5.

Clark CC. In harm's way: AMA physicians and the duty to treat. J Med Philos. 2005; 30(1): 65-87.

Iserson KV, Heine CE, Larkin GL, Moskop JC, Baruch J, Aswegan AL. Fight or flight: the ethics of emergency physician disaster response. Ann Emerg Med. 2008; 51(4): 345-53.

Iserson KV. Healthcare ethics during a pandemic. Western J Emerg Med. 2020; 21(3): 477-83.

Veil S, Reynolds B, Sellnow TL, Seeger MW. CERC as a theoretical framework for research and practice. Health Promot Prac. 2008; 9(4 Suppl.): 26S-34S.

Garrett AL, Park YS, Redlener I. Mitigating absenteeism in hospital workers during a pandemic. Disaster Med Public Health Prep. 2009; 3(Suppl.2): S141-7.

Gershon RRM, Magda LA, Qureshi KA, et al. Factors associated with the ability and willingness of essential workers to report to duty during a pandemic. J Occup Environ Med. 2010; 52(10): 995-1003.

Dhai A, Veller M, Ballot D, Mokhachane M. Pandemics, professionalism and the duty of care: Concerns from the coalface. S Afr Med J. 2020; 110(6): 450-2.

Feldman MD. Altruism and medical practice. J Gen Intern Med. 2017; 32(7): 719-20.

Singer PA. The Cambridge Textbook of Bioethics, 1st ed. UK: Cambridge University Press; 2008.

How to Cite
Azadnajafabad S. Heroes or cowards: healthcare workers’ autonomy right versus patient care duties during the COVID-19 pandemic. J Med Ethics Hist Med. 13.