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How Old Are You, Actuarily? 你到底多大了？
AMA journal of ethics Pub Date : 2025-12-01 DOI: 10.1001/amajethics.2025.846
Abby Rud, Diya Uberoi
{"title":"How Old Are You, Actuarily?","authors":"Abby Rud, Diya Uberoi","doi":"10.1001/amajethics.2025.846","DOIUrl":"10.1001/amajethics.2025.846","url":null,"abstract":"<p><p>Advances in epigenetic age estimation are now applied in actuarial science to make risk assessment more precise. But such health insurance underwriting practices pose ethical and legal questions about discrimination, privacy, and equity in biological data use. Legal adaptations, such as Canada's Genetic Non-Discrimination Act (GNDA) of 2017, aim to protect persons against genetic discrimination but do not evolve as quickly as epigenetic technology. This article examines the GNDA's regulatory limitations and highlights the need for more adaptable legislative strategies.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 12","pages":"E846-852"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145783220","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
What Makes a Good Physician? Asclepius and the Rhetoric of AI. 怎样才能成为一名好医生？阿斯克勒庇俄斯和人工智能的修辞。
AMA journal of ethics Pub Date : 2025-12-01 DOI: 10.1001/amajethics.2025.884
Audiey C Kao
{"title":"What Makes a Good Physician? Asclepius and the Rhetoric of AI.","authors":"Audiey C Kao","doi":"10.1001/amajethics.2025.884","DOIUrl":"https://doi.org/10.1001/amajethics.2025.884","url":null,"abstract":"","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 12","pages":"E884-901"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145783219","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
Should Slowing Senescence Be Regarded as a Legitimate Enterprise of Health Care? 延缓衰老应该被视为一项合法的医疗事业吗？
AMA journal of ethics Pub Date : 2025-12-01 DOI: 10.1001/amajethics.2025.834
Eric B Larson
{"title":"Should Slowing Senescence Be Regarded as a Legitimate Enterprise of Health Care?","authors":"Eric B Larson","doi":"10.1001/amajethics.2025.834","DOIUrl":"10.1001/amajethics.2025.834","url":null,"abstract":"<p><p>Dementia is one of the most common developments in our increasing human lifespan. Preventing and postponing it have been important projects of health care that rely on the approval and use of interventions, sometimes in the absence of clinical or ethical consensus about what constitutes meaningful clinical improvement, outcomes, or risk factor modification. This commentary on a case considers these variables and proposes how to improve the general health and well-being of older persons.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 12","pages":"E834-840"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145783224","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
Promises and Perils of Electronic Health Records. 电子健康记录的承诺和危险。
AMA journal of ethics Pub Date : 2025-11-01 DOI: 10.1001/amajethics.2025.772
David Oxman
{"title":"Promises and Perils of Electronic Health Records.","authors":"David Oxman","doi":"10.1001/amajethics.2025.772","DOIUrl":"https://doi.org/10.1001/amajethics.2025.772","url":null,"abstract":"","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 11","pages":"E772-773"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145439718","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
How to Teach Good EHR Documentation and Deflate Bloated Chart Notes. 如何教授良好的电子病历文件和减少臃肿的图表笔记。
AMA journal of ethics Pub Date : 2025-11-01 DOI: 10.1001/amajethics.2025.808
Neda Frayha
{"title":"How to Teach Good EHR Documentation and Deflate Bloated Chart Notes.","authors":"Neda Frayha","doi":"10.1001/amajethics.2025.808","DOIUrl":"10.1001/amajethics.2025.808","url":null,"abstract":"<p><p>Since health care organizations implemented widespread adoption of electronic health records (EHRs), clinicians' notes about patients' care have become longer and more cumbersome, a phenomenon colloquially known as \"note bloat.\"&nbsp;Bulky templates and blocks of data take time to sort through, making it difficult for clinicians to discern what is clinically and ethically relevant in prior clinicians' notes about their encounters with a patient. This article considers important consequences of long, dense notes for clinicians, including less time to spend face-to-face with patients. Bloated notes have other consequences for teaching and for clinician well-being, so this article proposes a less-is-more approach to electronic documentation that focuses on making important information about a patient easier to find, illuminating clinical reasoning, and promoting efficiency, concision, and clarity in EHR documentation practices.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 11","pages":"E808-814"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145439707","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
Breaking Bad News. 坏消息。
AMA journal of ethics Pub Date : 2025-11-01 DOI: 10.1001/amajethics.2025.770
Audiey C Kao
{"title":"Breaking Bad News.","authors":"Audiey C Kao","doi":"10.1001/amajethics.2025.770","DOIUrl":"https://doi.org/10.1001/amajethics.2025.770","url":null,"abstract":"","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 11","pages":"E770-771"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145439704","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
What Are Ethical Merits and Drawbacks of a Patient's Open and Direct Access to Clinical Information in Their EHRs During a Hospital Stay? 病人在住院期间在电子病历中公开和直接获取临床信息的道德优点和缺点是什么？
AMA journal of ethics Pub Date : 2025-11-01 DOI: 10.1001/amajethics.2025.774
Ibrahim Nawaz Khan, Lauren B Smith
{"title":"What Are Ethical Merits and Drawbacks of a Patient's Open and Direct Access to Clinical Information in Their EHRs During a Hospital Stay?","authors":"Ibrahim Nawaz Khan, Lauren B Smith","doi":"10.1001/amajethics.2025.774","DOIUrl":"10.1001/amajethics.2025.774","url":null,"abstract":"<p><p>Electronic health records (EHRs) now generally offer patients immediate access to a broad swath of health information and data they are often not fully prepared to interpret or review. This commentary on a case considers risks and benefits of open access to EHRs and strategies for mitigating patient anxiety caused by immediate access, including improving patient understanding of data, tools to promote health literacy, and customizable EHR information access options.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 11","pages":"E774-779"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145439745","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
EHRs, iPatients, and Clinician Well-Being. 电子病历，病人和临床医生的健康。
AMA journal of ethics Pub Date : 2025-11-01 DOI: 10.1001/amajethics.2025.796
Kimberly Ho, Marissa Dulas, Zi-Yi Choo, Ali Rahman, Maria Alcocer Alkureishi
{"title":"EHRs, iPatients, and Clinician Well-Being.","authors":"Kimberly Ho, Marissa Dulas, Zi-Yi Choo, Ali Rahman, Maria Alcocer Alkureishi","doi":"10.1001/amajethics.2025.796","DOIUrl":"10.1001/amajethics.2025.796","url":null,"abstract":"<p><p>Electronic health records are now critical in day-to-day health care operations. A drawback to using them, however, is that they tend to divert clinicians' focus from patients to a screen. This phenomenon has generated a colloquial reference to patient-screen pairings as an \"iPatient.\" This commentary on a case suggests key points of ethical and clinical relevance about this trend in patient-clinician relationships and clinical encounters.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 11","pages":"E796-807"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145439694","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
How Should We Think About Ambient Listening and Transcription Technologies' Influences on EHR Documentation and Patient-Clinician Conversations? 我们应该如何考虑环境听力和转录技术对电子病历记录和医患对话的影响？
AMA journal of ethics Pub Date : 2025-11-01 DOI: 10.1001/amajethics.2025.787
Sara Gerke, David A Simon
{"title":"How Should We Think About Ambient Listening and Transcription Technologies' Influences on EHR Documentation and Patient-Clinician Conversations?","authors":"Sara Gerke, David A Simon","doi":"10.1001/amajethics.2025.787","DOIUrl":"10.1001/amajethics.2025.787","url":null,"abstract":"<p><p>This commentary on a case analyzes how integrating ambient listening and transcription technologies powered by artificial intelligence into the electronic health record documentation process influences documentation practices and clinical encounters. The commentary offers best-practice recommendations for informed consent processes and patient-clinician relationship formation.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 11","pages":"E787-795"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145439701","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
Whom Should We Regard as a Legitimate Stakeholder in the Accuracy of Information in a Patient's EHR? 我们应该将谁视为患者电子病历信息准确性的合法利益相关者？
AMA journal of ethics Pub Date : 2025-11-01 DOI: 10.1001/amajethics.2025.780
Steve O'Neill, Catherine M DesRoches
{"title":"Whom Should We Regard as a Legitimate Stakeholder in the Accuracy of Information in a Patient's EHR?","authors":"Steve O'Neill, Catherine M DesRoches","doi":"10.1001/amajethics.2025.780","DOIUrl":"10.1001/amajethics.2025.780","url":null,"abstract":"<p><p>This commentary on a case canvasses federal and some organizational rules applicable to health record keeping and considers these in light of \"open notes.\" Accuracy of information in health records, accountability for remediating inaccuracies, and ownership are considered as key areas of ethics investigation.</p>","PeriodicalId":38034,"journal":{"name":"AMA journal of ethics","volume":"27 11","pages":"E780-786"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145439724","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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