Asian Bioethics Review最新文献_第3页

Navigating the Landscape of Digital Twins in Medicine: A Relational Bioethical Inquiry 探索医学中的数字双胞胎：关系生物伦理探究

IF 1.3

Asian Bioethics Review Pub Date : 2024-04-23 DOI: 10.1007/s41649-024-00280-x

Brandon Ferlito, Michiel De Proost, Seppe Segers

引用次数: 0

Ethics Review of Biomedical Research in Uzbekistan: Policy and Program Gaps 乌兹别克斯坦生物医学研究的伦理审查：政策与计划差距

IF 1.3

Asian Bioethics Review Pub Date : 2024-04-17 DOI: 10.1007/s41649-023-00273-2

Dilfuza Aniyozova, Martin A. Strosberg

引用次数: 0

Transnational Health and Self-care Experiences of Japanese Women who have taken Oral Contraceptives in South Korea, including Over-the-counter Access: Insights from Semi-structured Interviews 在韩国服用口服避孕药（包括非处方药）的日本妇女的跨国健康和自我保健经历：半结构式访谈的启示

IF 1.3

Asian Bioethics Review Pub Date : 2024-04-11 DOI: 10.1007/s41649-024-00293-6

Seongeun Kang, Kazuto Kato

{"title":"Transnational Health and Self-care Experiences of Japanese Women who have taken Oral Contraceptives in South Korea, including Over-the-counter Access: Insights from Semi-structured Interviews","authors":"Seongeun Kang, Kazuto Kato","doi":"10.1007/s41649-024-00293-6","DOIUrl":"10.1007/s41649-024-00293-6","url":null,"abstract":"<div><p>In an increasingly globalized world, the accessibility of healthcare and medication has expanded beyond local healthcare systems and national borders. This study aims to investigate the transnational health and self-care experiences of 11 Japanese women who have resided in South Korea for a minimum of six months and have utilized oral contraceptives, including those that were acquired over-the-counter (OTC). Data were gathered through semi-structured interviews and analyzed by utilizing the NVivo software. The analysis yielded three significant thematic categories, namely (1) experiences and perceptions of obtaining and utilizing contraceptive pills, including OTC access; (2) individual and social perceptions of pills and their accessibility in Japan, insights from actual users; and (3) enhancing pill accessibility, transnational health and self-care experiences and perspectives. Participants acknowledged that oral contraceptives are a global product and experienced communication challenges with healthcare providers as a result of differing understandings of these medications. Additionally, this study identified transnational strategies, such as purchasing an adequate supply of pills just before departure and seeking pills from local families or acquaintances. This study not only highlights the implications of clinical care for transnational patients but also underscores their critical global perspectives on access to oral contraceptives. Furthermore, it proposes two models for improving accessibility within the Japanese healthcare system, even in prescription-only contexts, by introducing OTC options.</p></div>","PeriodicalId":44520,"journal":{"name":"Asian Bioethics Review","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s41649-024-00293-6.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140715266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Assessing Path Dependency in Vietnam’s Healthcare Legal Framework: Exploring Public–Private Collaboration in Ho Chi Minh City during the COVID-19 Crisis 评估越南医疗保健法律框架中的路径依赖：探索 COVID-19 危机期间胡志明市的公私合作

IF 1.3

Asian Bioethics Review Pub Date : 2024-04-08 DOI: 10.1007/s41649-023-00276-z

Tran Viet Dung, Ngo Nguyen Thao Vy

{"title":"Assessing Path Dependency in Vietnam’s Healthcare Legal Framework: Exploring Public–Private Collaboration in Ho Chi Minh City during the COVID-19 Crisis","authors":"Tran Viet Dung, Ngo Nguyen Thao Vy","doi":"10.1007/s41649-023-00276-z","DOIUrl":"10.1007/s41649-023-00276-z","url":null,"abstract":"<div><p>The COVID-19 pandemic prompted a nudge for public–private cooperation in healthcare to rapidly cope with limited resource. However, Vietnam’s historical reliance on a public healthcare system, combined with a traditional emphasis on socialization in the Polanyian sense, hindered the swift integration of the private sector. This research investigates path dependency in Vietnam’s public health sector, using theories including path dependency, Karl Polanyi’s double movement with legal analysis method to analyze the interplay of historical decisions, and socialist policies in healthcare. Recognizing these institutional and market governance flaws, a deeper understanding of the role of law becomes vital in crafting strategies for a more resilient and sustainable healthcare system in Vietnam. In this article, Ho Chi Minh City is chosen as a case study due to its notable mix of public–private healthcare facilities and its status as a leading area in infection cases during the third COVID-19 wave. The article suggests that there should be a change in the way public and private sectors work together, one that is more in line with market-driven solutions which requires solid legal framework for cooperation beyond merely mobilizing resources.</p></div>","PeriodicalId":44520,"journal":{"name":"Asian Bioethics Review","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140730374","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

Secondary Use of Health Data for Medical AI: A Cross-Regional Examination of Taiwan and the EU 将健康数据二次用于医疗人工智能：台湾和欧盟的跨区域研究

IF 1.3

Asian Bioethics Review Pub Date : 2024-04-06 DOI: 10.1007/s41649-024-00279-4

Chih-hsing Ho

{"title":"Secondary Use of Health Data for Medical AI: A Cross-Regional Examination of Taiwan and the EU","authors":"Chih-hsing Ho","doi":"10.1007/s41649-024-00279-4","DOIUrl":"10.1007/s41649-024-00279-4","url":null,"abstract":"<div><p>This paper conducts a comparative analysis of data governance mechanisms concerning the secondary use of health data in Taiwan and the European Union (EU). Both regions have adopted distinctive approaches and regulations for utilizing health data beyond primary care, encompassing areas such as medical research and healthcare system enhancement. Through an examination of these models, this study seeks to elucidate the strategies, frameworks, and legal structures employed by Taiwan and the EU to strike a delicate balance between the imperative of data-driven healthcare innovation and the safeguarding of individual privacy rights. This paper examines and compares several key aspects of the secondary use of health data in Taiwan and the EU. These aspects include data governance frameworks, legal and regulatory frameworks, data access and sharing mechanisms, and privacy and security considerations. This comparative exploration offers invaluable insights into the evolving global landscape of health data governance. It provides a deeper understanding of the strategies implemented by these regions to harness the potential of health data while upholding the ethical and legal considerations surrounding its secondary use. The findings aim to inform best practices for responsible and effective health data utilization, particularly in the context of medical AI applications.</p></div>","PeriodicalId":44520,"journal":{"name":"Asian Bioethics Review","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s41649-024-00279-4.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140735191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Tempered Rationalism for a Tempered Yuck Factor—Using Disgust in Bioethics 有节制的理性主义促进有节制的 "恶心因子"--在生物伦理学中使用 "恶心 "一词

IF 1.3

Asian Bioethics Review Pub Date : 2024-03-28 DOI: 10.1007/s41649-023-00278-x

Konstantin Eckl, Konstantin Deininger

{"title":"A Tempered Rationalism for a Tempered Yuck Factor—Using Disgust in Bioethics","authors":"Konstantin Eckl, Konstantin Deininger","doi":"10.1007/s41649-023-00278-x","DOIUrl":"10.1007/s41649-023-00278-x","url":null,"abstract":"<div><p>When it comes to invasive manipulation of animals on the biological level, reactions of disgust are common and often influential on people’s moral judgments. As a case in point, the Belgian Blue, a breed of hyper-enhanced cattle which will serve as a case study for the present article, has historically been met with revulsion. Traditionally, in bio- and animal ethics, this ‘yuck factor,’ has been denied any productive role in proper moral justification, since rationalism is still a dominant paradigm in those disciplines. This is not surprising since rationalism offers the fulfilment of certain expectations we have of morality, like universality, intersubjective communicability, and objectivity. Increasingly, however, the preconceptions of rationalism have been brought into question, both through empirical as well as philosophical insights. In this paper, we will explore a way in which researchers who are, accordingly, critical of rationalism, and who wish to take seriously the role disgust plays in the formation of moral judgments when it comes to biological manipulation of animals, can do so without abandoning those virtues of rationalism which make it such an appealing position. We will do so by offering what we call a ‘tempered’ kind of rationalism, that is, one which conceives of rationality in the terms of Mary Midgley, not as distinct from, but as a possible function of, well-ordered emotion.</p></div>","PeriodicalId":44520,"journal":{"name":"Asian Bioethics Review","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s41649-023-00278-x.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140369750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Developing a Framework for Self-regulatory Governance in Healthcare AI Research: Insights from South Korea 制定医疗人工智能研究自律治理框架：韩国的启示

IF 1.3

Asian Bioethics Review Pub Date : 2024-03-25 DOI: 10.1007/s41649-024-00281-w

Junhewk Kim, So Yoon Kim, Eun-Ae Kim, Jin-Ah Sim, Yuri Lee, Hannah Kim

{"title":"Developing a Framework for Self-regulatory Governance in Healthcare AI Research: Insights from South Korea","authors":"Junhewk Kim, So Yoon Kim, Eun-Ae Kim, Jin-Ah Sim, Yuri Lee, Hannah Kim","doi":"10.1007/s41649-024-00281-w","DOIUrl":"10.1007/s41649-024-00281-w","url":null,"abstract":"<div><p>This paper elucidates and rationalizes the ethical governance system for healthcare AI research, as outlined in the ‘Research Ethics Guidelines for AI Researchers in Healthcare’ published by the South Korean government in August 2023. In developing the guidelines, a four-phase clinical trial process was expanded to six stages for healthcare AI research: preliminary ethics review (stage 1); creating datasets (stage 2); model development (stage 3); training, validation, and evaluation (stage 4); application (stage 5); and post-deployment monitoring (stage 6). Researchers identified similarities between clinical trials and healthcare AI research, particularly in research subjects, management and regulations, and application of research results. In the step-by-step articulation of ethical requirements, this similarity benefits from a reliable and flexible use of existing research ethics governance resources, research management, and regulatory functions. In contrast to clinical trials, this procedural approach to healthcare AI research governance effectively highlights the distinct characteristics of healthcare AI research in research and development process, evaluation of results, and modifiability of findings. The model exhibits limitations, primarily in its reliance on self-regulation and lack of clear delineation of responsibilities. While formulated through multidisciplinary deliberations, its application in the research field remains untested. To overcome the limitations, the researchers’ ongoing efforts for educating AI researchers and public and the revision of the guidelines are expected to contribute to establish an ethical research governance framework for healthcare AI research in the South Korean context in the future.</p></div>","PeriodicalId":44520,"journal":{"name":"Asian Bioethics Review","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s41649-024-00281-w.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140383235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Law and Ethics of Reproduction: Experiences and Perspectives from Asia 生殖的法律与伦理：亚洲的经验与观点

IF 1.3

Asian Bioethics Review Pub Date : 2024-03-25 DOI: 10.1007/s41649-024-00286-5

Graeme T. Laurie

引用次数: 0

Advancing Bioethical Standards: Charting the Course of the Inaugural Malaysian Paediatric Association Bioethics Task Force 推进生物伦理标准：马来西亚儿科协会首届生物伦理特别工作组的工作规划

IF 2.9

Asian Bioethics Review Pub Date : 2024-03-23 DOI: 10.1007/s41649-024-00287-4

E. J. Khoo

引用次数: 0

Support for the Right to Life among Neonatal Intensive Care Nurses in Korea 韩国新生儿重症监护护士对生命权的支持

IF 1.3

Asian Bioethics Review Pub Date : 2024-02-24 DOI: 10.1007/s41649-023-00277-y

Somin Kim, Sunhee Lee

{"title":"Support for the Right to Life among Neonatal Intensive Care Nurses in Korea","authors":"Somin Kim, Sunhee Lee","doi":"10.1007/s41649-023-00277-y","DOIUrl":"10.1007/s41649-023-00277-y","url":null,"abstract":"<div><p>The increase of high-risk newborns due to societal changes has presented neonatal intensive care unit nurses with more ethical challenges and heightened their perception of neonatal palliative care. Therefore, this study was a descriptive survey exploring the perceptions of neonatal intensive care unit nurse regarding biomedical ethics and neonatal palliative care in neonatal intensive care units. The research participants were 97 neonatal intensive care unit nurses who had been directly involved with end-of-life care for high-risk babies. Data were collected from November to December 2021 through an online survey. The Korean version of Neonatal Palliative Care Attitude Scale and the tool of biomedical ethics were used. The collected data were analyzed using the <i>T</i>-test, ANOVA, Scheffé test, Pearson correlation coefficient, and multiple regression analysis. The mean score for perception of biomedical ethics in neonatal intensive care unit nurses was 2.89 of 4, and that of neonatal palliative care in neonatal intensive care unit nurses was 3.10 of 5. Existence of a protocol of neonatal palliative care, the experience of patients dying, and the right to life of neonates were factors influencing the perception of neonatal palliative care. The explanatory power was 12.5%. The data support the importance of guidelines regarding systematic neonatal palliative care. Also, developing programs for sharing and supporting experiences of patients dying among colleagues and persistent education about the right to life of neonates for neonatal intensive care unit nurses can improve perception of neonatal palliative care.</p></div>","PeriodicalId":44520,"journal":{"name":"Asian Bioethics Review","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2024-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140435070","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