Asian Bioethics Review最新文献_第7页

Clinical Ethics Consultation in Japan: What does it Mean to have a Functioning Ethics Consultation? 日本的临床伦理咨询：有效的伦理咨询意味着什么？

IF 1.3

Asian Bioethics Review Pub Date : 2023-09-06 DOI: 10.1007/s41649-023-00257-2

Noriko Nagao, Yoshiyuki Takimoto

{"title":"Clinical Ethics Consultation in Japan: What does it Mean to have a Functioning Ethics Consultation?","authors":"Noriko Nagao, Yoshiyuki Takimoto","doi":"10.1007/s41649-023-00257-2","DOIUrl":"10.1007/s41649-023-00257-2","url":null,"abstract":"<div><p>This research examines the current status of clinical ethics consultation (CEC) in Japan through a nationwide study conducted with chairs of ethics committees and clinical ethics committees among 1028 post-graduate clinical teaching hospitals. We also qualitatively analyzed their viewpoints of the CEC’s benefits and problems related to hospital consultation services to identify the critical points for CEC and inform the development of a correctly functioning system. The questionnaire included structured questions about hospital CEC organization and service purpose and operation and open-ended questions about the benefits and problems of initiating CEC. The questionnaire comprised the presence/absence of an ethics committee, CEC services and membership when services were implemented, users, and the number of cases handled since inception. In addition, the respondents also provided their impressions of the CEC system’s impact on their hospital by describing (a) the benefits of CEC services and (b) the ineffectual or harmful aspects of the CEC system. Qualitative data were examined using qualitative content analysis to determine the impact of establishing a CEC and the difficulties of practice. One hundred twenty-five questionnaires were returned from either the chair of the ethics committee or clinical ethics committee in teaching hospitals. Of these, 90 (72%) reported they provided CEC services. Additionally, 36 respondents (34.6%) reported that their existing research and clinical ethics committees had conducted CEC services, and 35 (33.7%) reported having a newly established clinical ethics committee conducting CEC services. Three positive effects of establishing and four challenges in managing CEC were also identified.</p></div>","PeriodicalId":44520,"journal":{"name":"Asian Bioethics Review","volume":"16 1","pages":"15 - 31"},"PeriodicalIF":1.3,"publicationDate":"2023-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10776510/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80774954","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

Bioethics in Northeast Asia 东北亚的生物伦理学。

IF 2.9

Asian Bioethics Review Pub Date : 2023-09-04 DOI: 10.1007/s41649-023-00260-7

Graeme T. Laurie

引用次数: 0

Remote Technologies and Filial Obligations at a Distance: New Opportunities and Ethical Challenges 远程技术与远距离的孝道义务：新的机遇和伦理挑战。

IF 2.9

Asian Bioethics Review Pub Date : 2023-09-01 DOI: 10.1007/s41649-023-00256-3

Yi Jiao (Angelina) Tian, Fabrice Jotterand, Tenzin Wangmo

{"title":"Remote Technologies and Filial Obligations at a Distance: New Opportunities and Ethical Challenges","authors":"Yi Jiao (Angelina) Tian, Fabrice Jotterand, Tenzin Wangmo","doi":"10.1007/s41649-023-00256-3","DOIUrl":"10.1007/s41649-023-00256-3","url":null,"abstract":"<div><p>The coupled growth of population aging and international migration warrants attention on the methods and solutions available to adult children living overseas to provide distance caregiving for their aging parents. Despite living apart from their parents, the transnational informal care literature has indicated that first-generation immigrants remain committed to carry out their filial caregiving obligations in extensive and creative ways. With functions to remotely access health information enabled by emergency, wearable, motion, and video sensors, remote monitoring technologies (RMTs) may thus also allow these international migrants to be alerted in sudden changes and remain informed of their parent’s state of health. As technological solutions for caregiving, RMTs could allow independent living for older persons while any unusual deviations from normal health patterns are detected and appropriately supported. With a vignette of a distance care arrangement, we engage with concepts such as filial piety, in-absentia caregiving distress, and the social exchange theory, as well as the upholding of shifting cultural ideals to illustrate the complex dynamic of the satisfaction and quality of the informal caregiving relationship. This paper extends the traditional ethical issues in technology-aided caregiving, such as autonomy, privacy, and justice, to be considered within the context of distance care. We also posit newer ethical considerations such as consent in power imbalances, harm to caregivers, and stigma. These known and new ethical issues aim to encourage further ethically conscious design and use of RMTs to support distance care for older persons.</p></div>","PeriodicalId":44520,"journal":{"name":"Asian Bioethics Review","volume":"15 4","pages":"479 - 504"},"PeriodicalIF":2.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s41649-023-00256-3.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41147626","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

Assisted Reproductive Technology (Regulation) Act 2021: Critique and Contestations 2021 年辅助生殖技术（监管）法案》：批判与争议。

IF 1.3

Asian Bioethics Review Pub Date : 2023-07-11 DOI: 10.1007/s41649-023-00253-6

Soumya Kashyap, Priyanka Tripathi

引用次数: 0

Supporting a Member Secretary of an Ethics Committee 支持道德委员会的成员秘书。

IF 2.9

Asian Bioethics Review Pub Date : 2023-07-10 DOI: 10.1007/s41649-023-00255-4

Salik Ansari

引用次数: 0

The Duty to Care is Not Dead Yet 关心的责任还没有死。

IF 2.9

Asian Bioethics Review Pub Date : 2023-06-23 DOI: 10.1007/s41649-023-00254-5

Yali Cong, James Dwyer

{"title":"The Duty to Care is Not Dead Yet","authors":"Yali Cong, James Dwyer","doi":"10.1007/s41649-023-00254-5","DOIUrl":"10.1007/s41649-023-00254-5","url":null,"abstract":"<div><p>The COVID-19 pandemic exposed social shortcomings and ethical failures, but it also revealed strengths and successes. In this perspective article, we examine and discuss one strength: the duty to care. We understand this duty in a broad sense, as more than a duty to treat individual patients who could infect health care workers. We understand it as a prima facie duty to work to provide care and promote health in the face of risks, obstacles, and inconveniences. Although at least one survey suggested that health care workers would not respond to a SARS-like outbreak according to a duty to care, we give reasons to show that the response was better than expected. The reasons we discuss lead us to consider normative accounts of the duty to care based on the adoption of social roles. Then, we consider one view of the relationship between empirical claims and normative claims about the duty to care in the COVID-19 pandemic. Here, we draw insight from Mengzi, with an emendation from Dewey. Our perspective leaves many question to research, but one point seems clear: there will be future pandemics and the need for health care workers who respond.</p></div>","PeriodicalId":44520,"journal":{"name":"Asian Bioethics Review","volume":"15 4","pages":"505 - 515"},"PeriodicalIF":2.9,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s41649-023-00254-5.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41137150","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

Inclusion and Exclusion in Bioethics 生物伦理学中的包容与排斥。

IF 2.9

Asian Bioethics Review Pub Date : 2023-06-16 DOI: 10.1007/s41649-023-00252-7

Graeme T. Laurie

引用次数: 0

Stakeholder Involvement in the Governance of Human Genome Editing in Japan 利益相关者参与日本人类基因组编辑治理。

IF 2.9

Asian Bioethics Review Pub Date : 2023-04-26 DOI: 10.1007/s41649-023-00251-8

Tatsuki Aikyo, Atsushi Kogetsu, Kazuto Kato

{"title":"Stakeholder Involvement in the Governance of Human Genome Editing in Japan","authors":"Tatsuki Aikyo, Atsushi Kogetsu, Kazuto Kato","doi":"10.1007/s41649-023-00251-8","DOIUrl":"10.1007/s41649-023-00251-8","url":null,"abstract":"<div><h2>Abstract\u0000</h2><div><p>\u0000Genome editing is a technology that can accurately and efficiently modify the genome of organisms, including the human genome. Although human genome editing (HGE) has many benefits, it also involves technical risks and ethical, legal, and social issues. Thus, the pros and cons of using this technology have been actively debated since 2015. Notably, the research community has taken an interest in the issue and has discussed it internationally. However, for the governance of HGE, the roles of government agencies and the general public are also important for an effective regulatory system. Here, we examine the roles of the research community, government, and public in the governance of HGE through an analysis of discussions in the Japanese Expert Panel on Bioethics. During the discussion of the research ethics review system, the professionalism of the research community and the pros and cons of state oversight have become issues for debate. Furthermore, through an examination of the overall policy-making process, three stakeholders are clearly involved in the governance of emerging medical technologies in the Expert Panel on Bioethics, a discussion forum established by government agencies. The contrast among these roles provides insight into the positive roles of government agencies and the research community and the conditions under which these roles are played. We also note that there are diverse actors in the public, which may have an impact on their participation. Our results may serve as a guide for countries and organizations to establish governance on emerging medical technologies.</p></div></div>","PeriodicalId":44520,"journal":{"name":"Asian Bioethics Review","volume":"15 4","pages":"431 - 455"},"PeriodicalIF":2.9,"publicationDate":"2023-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s41649-023-00251-8.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41154276","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: 1

Undue Influence from the Family in Declining COVID-19 Vaccination and Treatment for the Elderly Patient 家庭对拒绝老年患者接种新冠肺炎疫苗和治疗的不当影响。

IF 1.3

Asian Bioethics Review Pub Date : 2023-04-11 DOI: 10.1007/s41649-023-00249-2

See Muah Lee, Neal Ryan Friets, Irene Tirtajana, Gerard Porter

{"title":"Undue Influence from the Family in Declining COVID-19 Vaccination and Treatment for the Elderly Patient","authors":"See Muah Lee, Neal Ryan Friets, Irene Tirtajana, Gerard Porter","doi":"10.1007/s41649-023-00249-2","DOIUrl":"10.1007/s41649-023-00249-2","url":null,"abstract":"<div><p>This paper examines a patient with borderline mental capacity, where the healthcare team is conflicted about how to proceed. This case demonstrates the complicated intersection between undue influence and mental capacity, allowing us to explore how the law is applied in clinical practice. Patients have the right to decline or accept medical treatments offered to them. In Singapore, family members perceive a right to be involved in the decision-making process for sick and elderly patients. Elderly patients, dependent on mainly family members for care and support, sometimes submit to their overbearing influence resulting in decisions that fail to protect the patients’ own best interests. However, the clinicians’ own well-intentioned influence, driven by a desire for the best medical outcome can also be undue, and neither influence should seek to be a substitution for the patient’s decision. Following Re BKR [2015] SGCA 26, we are now obliged to examine how mental capacity can be affected by undue influence. A lack of capacity can be found when a patient fails to appreciate the presence of undue influence or is susceptible to undue influence due to their mental impairment causing their will to be overborne. This then paves the way for the health care team to decide based on best interests, because the patient is determined to be lacking in mental capacity.</p></div>","PeriodicalId":44520,"journal":{"name":"Asian Bioethics Review","volume":"16 1","pages":"131 - 142"},"PeriodicalIF":1.3,"publicationDate":"2023-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9707592","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

Ethical Data Collection for Medical Image Analysis: a Structured Approach 医学图像分析的伦理数据收集：一种结构化方法。

IF 1.3

Asian Bioethics Review Pub Date : 2023-04-10 DOI: 10.1007/s41649-023-00250-9

S. T. Padmapriya, Sudhaman Parthasarathy

引用次数: 0