Leaving the Bedside to Mend the Bedside: Influencing Public Policy.

IF 1.9 3区心理学 Q3 PSYCHOLOGY, CLINICAL

Journal of Clinical Psychology in Medical Settings Pub Date : 2025-10-15 DOI:10.1007/s10880-025-10107-y

Lori Bruce

引用次数: 0

Abstract

Informed consent laws allow patients to decide what happens to their bodies within a medical setting, but medical practices within academic teaching hospitals do not always live up to ethical standards or align with the values and wishes of clinicians, patients, and families. Bioethics often helps to resolve these conflicts through collaboration and dialogue. However, when conflicts persist and are resistant to change, it may be necessary to pursue regulatory or legislative solutions. This paper discusses the role of bioethics in strengthening federal regulations on explicit consent for sensitive (pelvic, prostate, rectal, and breast) exams. Since psychologists within academic health centers may also wish to influence policy, this paper concludes with practical, achievable guidance for psychologists to gain an understanding of the public policymaking process, develop relationships with policymakers, and take steps to exert influence on the policymaking process.

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离开病床去修补病床：影响公共政策。

知情同意法允许患者在医疗环境中决定他们的身体会发生什么，但学术教学医院的医疗实践并不总是符合道德标准，也不符合临床医生、患者和家属的价值观和愿望。生物伦理学往往有助于通过合作和对话来解决这些冲突。然而，当冲突持续存在并且抗拒改变时，可能有必要寻求监管或立法解决方案。本文讨论了生物伦理在加强联邦法规明确同意敏感（骨盆，前列腺，直肠和乳房）检查中的作用。由于学术卫生中心的心理学家也可能希望影响政策，本文总结了实用的、可实现的指导，以帮助心理学家了解公共政策制定过程，发展与政策制定者的关系，并采取措施对政策制定过程施加影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Psychology in Medical Settings PSYCHOLOGY, CLINICAL-

CiteScore

4.00

自引率

4.50%

发文量

期刊介绍： Journal of Clinical Psychology in Medical Settings is an international forum for the publication of peer-reviewed original papers related to all areas of the science and practice of psychologists in medical settings. Manuscripts are chosen that have a broad appeal across psychology as well as other health care disciplines, reflecting varying backgrounds, interests, and specializations. The journal publishes original research, treatment outcome trials, meta-analyses, literature reviews, conceptual papers, brief scientific reports, and scholarly case studies. Papers accepted address clinical matters in medical settings; integrated care; health disparities; education and training of the future psychology workforce; interdisciplinary collaboration, training, and professionalism; licensing, credentialing, and privileging in hospital practice; research and practice ethics; professional development of psychologists in academic health centers; professional practice matters in medical settings; and cultural, economic, political, regulatory, and systems factors in health care. In summary, the journal provides a forum for papers predicted to have significant theoretical or practical importance for the application of psychology in medical settings.