Journal of Medical Ethics最新文献_第3页

This little piggy can't leave the open market. 这只小猪不能离开公开市场。

IF 3.3 2区哲学

Journal of Medical Ethics Pub Date : 2024-10-22 DOI: 10.1136/jme-2024-110199

Richard B Gibson

引用次数: 0

Advance directives for oral feeding in dementia: a response to Shelton and Geppert. 痴呆症患者口喂预嘱：对 Shelton 和 Geppert 的回应。

IF 3.3 2区哲学

Journal of Medical Ethics Pub Date : 2024-10-22 DOI: 10.1136/jme-2024-109909

Paul T Menzel

引用次数: 0

Jiren (): Daoism, healthcare and atypical bodies. 集人():道教、保健和非典型体。

IF 3.3 2区哲学

Journal of Medical Ethics Pub Date : 2024-10-22 DOI: 10.1136/jme-2023-109590

Luís Cordeiro-Rodrigues, Qian Zhang, Lei Pang, Zhibin Chen

引用次数: 0

Consent with complications in mind. 同意时要考虑到并发症。

IF 3.3 2区哲学

Journal of Medical Ethics Pub Date : 2024-10-22 DOI: 10.1136/jme-2023-109731

Edwin Jesudason

{"title":"Consent with complications in mind.","authors":"Edwin Jesudason","doi":"10.1136/jme-2023-109731","DOIUrl":"10.1136/jme-2023-109731","url":null,"abstract":"Parity of esteem describes an aspiration to see mental health valued as much as physical. Proponents point to poorer funding of mental health services, greater stigma and poorer physical health for those with mental illness. Stubborn persistence of such disparities suggests a need to do more than stipulate ethical and legal obligations toward justice or fairness. Here, I propose that we should rely more on our legal obligations toward informed consent. The latter requires clinicians to disclose information about risks in a way that is sufficient to satisfy what a prudent patient would reasonably want to understand in their circumstances. I argue that inadequate disclosure of the mental health complications of common surgeries risks exposing the craft specialists performing them to clinical negligence claims. Patients could argue they were counselled about said risks, improperly or not at all: improperly, if advised by a craft specialist lacking sufficient expertise in mental health; not at all, if mental health complications were simply forgotten. From this, I argue that a prudent approach for craft specialists would be to support and fund 'integrative' specialists (from rehabilitation medicine, liaison psychiatry and health psychology), more often to work alongside them within a multidisciplinary team that is better placed to navigate consent (via a prehabilitation process, for example). Based on duties toward consent, the extension of this type of coworking is another way to improve the resource and understanding accorded to mental health-but by starting within the citadels of physical health.","PeriodicalId":16317,"journal":{"name":"Journal of Medical Ethics","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139520917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ethically defensible executions? A reply to Daniel Rodger and coauthors. 伦理上站得住脚的处决？答复丹尼尔-罗杰和共同作者。

IF 3.3 2区哲学

Journal of Medical Ethics Pub Date : 2024-10-22 DOI: 10.1136/jme-2024-110187

David Benatar

引用次数: 0

COVID-19 and the vaccine tax: an egalitarian, market-based approach to the global vaccine inequality. COVID-19 和疫苗税：以市场为基础的平等主义方法解决全球疫苗不平等问题。

IF 3.3 2区哲学

Journal of Medical Ethics Pub Date : 2024-10-22 DOI: 10.1136/jme-2024-110109

Andreas Albertsen

引用次数: 0

Reproduction misconceived: why there is no right to reproduce and the implications for ART access. 生殖误解：为什么没有生殖权以及对获得抗逆转录病毒疗法的影响。

IF 3.3 2区哲学

Journal of Medical Ethics Pub Date : 2024-10-22 DOI: 10.1136/jme-2022-108512

Georgina Antonia Hall

{"title":"Reproduction misconceived: why there is no right to reproduce and the implications for ART access.","authors":"Georgina Antonia Hall","doi":"10.1136/jme-2022-108512","DOIUrl":"10.1136/jme-2022-108512","url":null,"abstract":"Reproduction is broadly recognised as fundamental to human flourishing. The presumptive priority of reproductive freedom forms the predominant position in the literature, translating in the non-sexual reproductive realm as an almost inviolable right to access assisted reproductive technology (ART). This position largely condemns refusal or restriction of ART by clinicians or the state as discriminatory. In this paper, I critically analyse the moral rights individuals assert in reproductive pursuit to explore whether reproductive rights entitle hopeful parents to ART. I demonstrate that none of the protected actions performed, or entitlements generated are sui generis 'reproductive' rights, leading to the claim that there is no such thing as a right to reproduce. Under scrutiny, the reproductive right is a far narrower and weaker rights assertion than is recognised in the literature. I argue that the predominant position is grounded in a fundamental misunderstanding of the scope and strength of reproductive claims.I also highlight a significant conceptual inconsistency in the literature. On one hand, there is broad consensus that reproductive rights are predominantly negative, yet access to fertility treatment is framed as a component of the right. This wrongly contorts the negative nature of reproductive rights into a positive claim-right to ART. I conclude that this mistakenly frames ART access as sitting within the scope of reproductive freedom. I offer a revised conceptual paradigm of reproductive rights that has important clinical and policy implications for the provision and regulation of ART.","PeriodicalId":16317,"journal":{"name":"Journal of Medical Ethics","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40451738","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Allowing for open debate in medical ethics. 允许公开辩论医学伦理。

IF 3.3 2区哲学

Journal of Medical Ethics Pub Date : 2024-10-22 DOI: 10.1136/jme-2024-110495

Cressida Auckland

引用次数: 0

Hope pluralism in antenatal palliative care. 产前姑息治疗中的希望多元化。

IF 3.3 2区哲学

Journal of Medical Ethics Pub Date : 2024-10-14 DOI: 10.1136/jme-2024-110120

Sophie Bertaud, Mehrunisha Suleman, Dominic Wilkinson

{"title":"Hope pluralism in antenatal palliative care.","authors":"Sophie Bertaud, Mehrunisha Suleman, Dominic Wilkinson","doi":"10.1136/jme-2024-110120","DOIUrl":"https://doi.org/10.1136/jme-2024-110120","url":null,"abstract":"When parents face the distressing news during pregnancy that their baby is affected by a serious medical condition that will likely lead to the baby's death before or soon after birth, they experience a range of complex emotions. Perhaps paradoxically, one common response is that of hope. Navigating such hope in antenatal interactions with parents can be difficult for healthcare professionals. That can stem from a desire to accurately communicate prognostic information and a fear of conveying 'false hope' to families. In this paper, we examine the role that hope plays when parents and healthcare professionals are grappling with a confirmed antenatal diagnosis of a life-limiting condition. We assess what it means to hope in this context and consider the different types of hopes held by both parents and healthcare professionals as well as why hopeful thinking might be helpful and not harmful. We propose 'hope pluralism' as a concept that might allow healthcare professionals to accommodate a multitude of parental and professional hopes, even where these conflict. Finally, we offer some practical suggestions for how professionals should evaluate and respond to hope in situations that might (from the outside) appear hopeless.","PeriodicalId":16317,"journal":{"name":"Journal of Medical Ethics","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2024-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142467763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Algorithms advise, humans decide: the evidential role of the patient preference predictor. 算法建议，人类决定：患者偏好预测器的证据作用。

IF 3.3 2区哲学

Journal of Medical Ethics Pub Date : 2024-10-09 DOI: 10.1136/jme-2024-110175

Nicholas Makins

引用次数: 0