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Institute of Biomedical Ethics and History of Medicine (IBME)

New publication: The PHERCC Matrix. An Ethical Framework for Planning, Governing, and Evaluating Risk and Crisis Communication in the Context of Public Health Emergencies

Giovanni Spitale, Federico Germani, and Nikola Biller-Andorno published a new paper on the American journal of Bioethics. The paper, titled “The PHERCC Matrix. An Ethical Framework for Planning, Governing, and Evaluating Risk and Crisis Communication in the Context of Public Health Emergencies” proposes a framework for planning, deploying, and evaluating ethical actions in PHERCC (public health emergency risk and crisis communication) processes.

Abstract:
Risk and crisis communication (RCC) is a current ethical issue subject to controversy, mainly due to the tension between individual liberty (a core component of fairness) and effectiveness. In this paper we propose a consistent definition of the RCC process in public health emergencies (PHERCC), which comprises six key elements: evidence, initiator, channel, publics, message, and feedback. Based on these elements and on a detailed analysis of their role in PHERCC, we present an ethical framework to help design, govern and evaluate PHERCC strategies. The framework aims to facilitate RCC, incorporating effectiveness, autonomy, and fairness. It comprises five operational ethical principles: openness, transparency, inclusivity, understandability, and privacy. The resulting matrix helps understanding the interplay between the PHERCC process and the principles of the framework. The paper includes suggestions and recommendations for the implementation of the PHERCC matrix.

This is a target article. Scholars with expertise and research interest in this area are invited to submit OPCs (Open Peer Commentaries) to provide substantive criticism, interpretation, and elaboration of the target article.