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Towards Universal Health Coverage — A contribution to the debate 实现全民医保--对辩论的贡献
Indian journal of medical ethics Pub Date : 2024-07-26 DOI: 10.20529/ijme.2024.046
Ravi Duggal
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引用次数: 0
Dr Marthanda Varma Sankaran Valiathan (1934-2024) 马坦达-瓦尔马-桑卡兰-瓦利亚坦博士（1934-2024 年）
Indian journal of medical ethics Pub Date : 2024-07-22 DOI: 10.20529/ijme.2024.045
Sunil K Pandya
{"title":"Dr Marthanda Varma Sankaran Valiathan (1934-2024)","authors":"Sunil K Pandya","doi":"10.20529/ijme.2024.045","DOIUrl":"https://doi.org/10.20529/ijme.2024.045","url":null,"abstract":"","PeriodicalId":35523,"journal":{"name":"Indian journal of medical ethics","volume":"22 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141816056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
KPHA 2023 should explicitly include state accountability: Response to Fernandez et al KPHA 2023 应明确包括州问责制：对 Fernandez 等人的回应
Indian journal of medical ethics Pub Date : 2024-07-17 DOI: 10.20529/ijme.2024.044
Sylvia Karpagam
{"title":"KPHA 2023 should explicitly include state accountability: Response to Fernandez et al","authors":"Sylvia Karpagam","doi":"10.20529/ijme.2024.044","DOIUrl":"https://doi.org/10.20529/ijme.2024.044","url":null,"abstract":"The commentary “Public health ethics and the Kerala Public Health Act, 2023\" published on January 27, 2024 in the Indian Journal of Medical Ethics (IJME) has received a response from members of the State Health Systems Resource Centre and Government Medical College, Malappuram, Kerala. They explain that the Kerala Public Health Act (KPHA) is a legal document and not required to explicitly include accountability mechanisms and social obligations of the state. Given the very real danger of state over-reach as was evident during the Covid pandemic, these checks and balances should, in fact, be non-negotiable. The position of KPHA on healthcare of migrant workers and patients with tuberculosis goes against existing public healthcare principles. There is therefore a need to revisit the Act to explicitly include state accountability.","PeriodicalId":35523,"journal":{"name":"Indian journal of medical ethics","volume":" 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141830623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Kaala Paani and epidemic ethics: hit or miss? Kaala Paani 和流行病伦理：成功还是失败？
Indian journal of medical ethics Pub Date : 2024-07-17 DOI: 10.20529/ijme.2023.079
V. Gopichandran
{"title":"Kaala Paani and epidemic ethics: hit or miss?","authors":"V. Gopichandran","doi":"10.20529/ijme.2023.079","DOIUrl":"https://doi.org/10.20529/ijme.2023.079","url":null,"abstract":"","PeriodicalId":35523,"journal":{"name":"Indian journal of medical ethics","volume":" 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141827672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Injuries and deaths following Covid-19 vaccination: The ethical and legal case for compensation 接种 Covid-19 疫苗后的伤亡：赔偿的伦理和法律依据
Indian journal of medical ethics Pub Date : 2024-07-17 DOI: 10.20529/ijme.2024.041
Veena Johari, Sandhya Srinivasan
{"title":"Injuries and deaths following Covid-19 vaccination: The ethical and legal case for compensation","authors":"Veena Johari, Sandhya Srinivasan","doi":"10.20529/ijme.2024.041","DOIUrl":"https://doi.org/10.20529/ijme.2024.041","url":null,"abstract":"","PeriodicalId":35523,"journal":{"name":"Indian journal of medical ethics","volume":" 11","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141831073","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Surfactants and the importance of informed consent: Nurturing culturally competent care in healthcare settings 表面活性物质和知情同意的重要性：在医疗保健环境中培养文化适宜性护理
Indian journal of medical ethics Pub Date : 2024-07-17 DOI: 10.20529/ijme.2024.042
Priyanka Gupta, Vishwajeet Singh, Prince Pareek
{"title":"Surfactants and the importance of informed consent: Nurturing culturally competent care in healthcare settings","authors":"Priyanka Gupta, Vishwajeet Singh, Prince Pareek","doi":"10.20529/ijme.2024.042","DOIUrl":"https://doi.org/10.20529/ijme.2024.042","url":null,"abstract":"Background: Culturally competent healthcare improves patient satisfaction and clinical outcomes. Many drugs, dressings and implants have human or animal-derived content which may conflict with patients’ religious beliefs, and may even have medicolegal implications. Methods: This cross-sectional study (anonymous web-based survey) was done to understand the informed consent process followed by paediatricians and neonatologists in India, their views regarding disclosure pertaining to the animal origin of exogenous surfactants to patients’ families, and their willingness and ability to provide alternative surfactants based on parental preferences. Results: A total of 114 neonatologists/paediatricians involved in neonatal care and using surfactants in their practice responded to the survey. Although 61(53.5%) neonatal care units stocked two or more brands of surfactant in their inventory, only 38(33.3%) units had both bovine and porcine preparations. Most (104, 91.2%) of the doctors always take parental consent before administering surfactants; but only a few (12,10.5%) said they always inform parents about its animal origin. None of the respondents offer parents a choice between bovine or porcine-origin surfactants, most (73, 64%) presuming that it would be irrelevant for the parents. However, many respondents (27, 23.7%) mentioned that they want to offer the choice to parents but are unable to do so because they do not stock both bovine and porcine preparations. Conclusion: Although most parents might agree to a life-saving medicine in emergency situations, this does not mean they do not want to be informed. Healthcare professionals should not have a dismissive attitude to parental belief systems. They must use the antenatal period to take the cultural/spiritual history and the necessary consent.","PeriodicalId":35523,"journal":{"name":"Indian journal of medical ethics","volume":" 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141829235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Reflections on the Kerala Public Health Act 2023: A response to Dr Karpagam’s commentary 对《2023 年喀拉拉邦公共卫生法》的思考：对 Karpagam 博士评论的回应
Indian journal of medical ethics Pub Date : 2024-07-17 DOI: 10.20529/ijme.2024.043
B. Fernandez, Veetilakath Jithesh, Anish Ts
{"title":"Reflections on the Kerala Public Health Act 2023: A response to Dr Karpagam’s commentary","authors":"B. Fernandez, Veetilakath Jithesh, Anish Ts","doi":"10.20529/ijme.2024.043","DOIUrl":"https://doi.org/10.20529/ijme.2024.043","url":null,"abstract":"In this response, we seek to analyse and rebut the observations of Karpagam S using an understanding of the Kerala Health system and the general purpose of the Kerala Public Health Act (KPHA). The KPHA was crafted with a greater focus on a one-health and preventive approach. It does not seek to interfere in an individual’s preferred choice of treatment, except in the case of public health emergencies. KPHA is not a standalone document, but a supporting tool to the existing Kerala Health Policy and various other health policies and programmes instrumental in improving the health and quality of life of the people of the State. The KPHA is intended to be an enforcement tool for legal provisions to ensure welfare maximisation of the society at large, and thus detailed discussions regarding actions to be taken beyond these legal provisions do not fall within the purview of the Act.","PeriodicalId":35523,"journal":{"name":"Indian journal of medical ethics","volume":" 20","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141830382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Beauty under the blade 刀锋下的美丽
Indian journal of medical ethics Pub Date : 2024-07-05 DOI: 10.20529/ijme.2024.040
Sneha Mehta
{"title":"Beauty under the blade","authors":"Sneha Mehta","doi":"10.20529/ijme.2024.040","DOIUrl":"https://doi.org/10.20529/ijme.2024.040","url":null,"abstract":"","PeriodicalId":35523,"journal":{"name":"Indian journal of medical ethics","volume":" 26","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141676054","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
I’d like to die only once 我只想死一次
Indian journal of medical ethics Pub Date : 2024-05-22 DOI: 10.20529/ijme.2024.032
Vasundhara Rangaswamy
{"title":"I’d like to die only once","authors":"Vasundhara Rangaswamy","doi":"10.20529/ijme.2024.032","DOIUrl":"https://doi.org/10.20529/ijme.2024.032","url":null,"abstract":"","PeriodicalId":35523,"journal":{"name":"Indian journal of medical ethics","volume":"56 7","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141108111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Occasional Human Sacrifice: A testament to moral courage 偶尔的人类牺牲：道德勇气的见证
Indian journal of medical ethics Pub Date : 2024-05-21 DOI: 10.20529/ijme.2024.031
J. W. Boyd
{"title":"The Occasional Human Sacrifice: A testament to moral courage","authors":"J. W. Boyd","doi":"10.20529/ijme.2024.031","DOIUrl":"https://doi.org/10.20529/ijme.2024.031","url":null,"abstract":"","PeriodicalId":35523,"journal":{"name":"Indian journal of medical ethics","volume":"28 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141118040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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