Hec Forum最新文献_第2页

Does Bioethics Pay Sufficient Attention to Issues Related to Chronic Disease? A Survey of Articles Published in Top Bioethics Journals from 2001 to 2024. 生命伦理学是否对慢性病相关问题给予了足够的重视？2001 ~ 2024年生物伦理学重点期刊发表文章调查

IF 1.6 4区哲学

Hec Forum Pub Date : 2026-09-01 Epub Date: 2026-02-24 DOI: 10.1007/s10730-026-09580-1

David Resnik, Bryan Conston, Monona Zhou, Chloe Balin, Justin Zou, Matthew DeCamp, J Clint Parker, Min Shi

引用次数: 0

Prescription for Change: Structural Reforms for Documenting and Operationalizing Patient Values in Clinical Care. 改变的处方：临床护理中记录和操作病人价值的结构性改革。

IF 1.6 4区哲学

Hec Forum Pub Date : 2026-09-01 Epub Date: 2026-04-01 DOI: 10.1007/s10730-026-09585-w

Chelsey Patten, Gianna Morales

引用次数: 0

Review of Adult Ethics Consultations at a Statewide Health System in 2023. 2023年全州卫生系统成人伦理咨询审查。

IF 1.6 4区哲学

Hec Forum Pub Date : 2026-09-01 Epub Date: 2025-12-07 DOI: 10.1007/s10730-025-09573-6

Kelsey Miller, Matthew Fields, Kristie Espinal, Emily Holmes, Robyn Axel-Adams, Amy S Martin

{"title":"Review of Adult Ethics Consultations at a Statewide Health System in 2023.","authors":"Kelsey Miller, Matthew Fields, Kristie Espinal, Emily Holmes, Robyn Axel-Adams, Amy S Martin","doi":"10.1007/s10730-025-09573-6","DOIUrl":"10.1007/s10730-025-09573-6","url":null,"abstract":"Limited data exists that examines the reasons clinical ethics consultations in the healthcare industry are requested. To add to the literature, we have evaluated the reasons clinic ethics consults were requested at Indiana Health University (IUH) in 2023 to improve future patient care, identify quality improvement opportunities, educate fellow team members at IUH, as well as to inform research and address institutional policy changes. This information was identified through data collected using the REDCap Database and Cerner, the electronic medical record that is used at IUH. Our results show 170 ethics consultations were requested between the dates of January 1, 2023, to December 31, 2023, for adult patients, including inpatient and outpatient locations. Provider moral distress was identified to be the most frequent ethics issue that arose, along with patient best interest and decision-making capacity. The ethics consultation service at IUH has reviewed the data collected in this study and is actively working to improve ethics education opportunities for bedside team members, identifying recurrent ethical dilemmas, and improving the overall function of the ethics consultation service.","PeriodicalId":46160,"journal":{"name":"Hec Forum","volume":" ","pages":"301-314"},"PeriodicalIF":1.6,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145702274","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Neither Salve nor Solution: Clinical Ethics and the Struggle to Discover the Moral Life of Medicine. 既非治疗也非解决：临床伦理学与发现医学道德生活的斗争。

IF 1.6 4区哲学

Hec Forum Pub Date : 2026-09-01 Epub Date: 2026-01-14 DOI: 10.1007/s10730-025-09576-3

Jordan Mason, Ashley Moyse

引用次数: 0

Navigating Ethical Challenges in CAR-T Treatment. CAR-T治疗中的伦理挑战

IF 1.6 4区哲学

Hec Forum Pub Date : 2026-09-01 Epub Date: 2026-02-12 DOI: 10.1007/s10730-025-09574-5

Elise R A Pennings, Anne M Spanjaart, Anne Ruth Schaaphok, Marjolein A van Maanen, Sanne H Tonino, Maria T Kuipers, Marie José Kersten, Suzanne Metselaar

引用次数: 0

"No BLT": The Rise and Risk of Acronyms in the Medical Record. “不要BLT”：医疗记录中缩略语的兴起和风险。

IF 1.6 4区哲学

Hec Forum Pub Date : 2026-09-01 Epub Date: 2026-02-25 DOI: 10.1007/s10730-026-09581-0

Isha Harshe, Rebecca Soistmann, Kenneth Goodman

引用次数: 0

Characteristics and Timing of Dual Pediatric Palliative Care and Ethics Consultations. 双重儿科姑息治疗和伦理咨询的特点和时机。

IF 1.6 4区哲学

Hec Forum Pub Date : 2026-08-29 DOI: 10.1007/s10730-026-09609-5

Faisal Alshamaa, Olivia Charlier, Cara Humphrey, Laura Taylor, Janice I Firn

{"title":"Characteristics and Timing of Dual Pediatric Palliative Care and Ethics Consultations.","authors":"Faisal Alshamaa, Olivia Charlier, Cara Humphrey, Laura Taylor, Janice I Firn","doi":"10.1007/s10730-026-09609-5","DOIUrl":"https://doi.org/10.1007/s10730-026-09609-5","url":null,"abstract":"Patients with serious illness hospitalized in the pediatric setting can receive support from Pediatric Palliative Care (PPC) and Ethics Consultation (EC). However, empirical data on dual PPC-EC involvement in pediatrics is limited. Therefore, we characterized ethical issues, contextual features, palliative care domains, and consultation timing for inpatients with dual PPC-EC involvement. We reviewed 135 EC from 2016 to 2023 at an academic children's hospital to identify cases with PPC involvement. PPC notes, demographics, and admission, consultation and discharge dates were extracted from the medical record. Ethical issues, contextual features, and palliative domains were deductively coded using established frameworks. Analyses used descriptive statistics and compared EC-first, PPC-first, and combined cases. Sixty-two inpatients had dual PPC-EC involvement: of these, 33 (53%) were infants < 1 year, 52 (84%) in the Intensive Care Unit (ICU), and 21 (34%) were discharged alive. The primary ethical issue was Beneficence/Best-Interest Concerns (14; 23%), and the most common contextual feature was Communication Dispute/Conflict (25; 40%). Most PPC consultations addressed Communication of Treatment Goals/Plans (47; 76%). PPC was consulted first in 50 patients (81%). Median EC-to-PPC interval was six days, while PPC-to-EC was fifteen days. Dual PPC-EC involvement represents a distinct patient population, primarily infants in the ICU with high mortality, facing medical and ethical challenges with communication support from both services. PPC was usually consulted first, possibly from more familiarity of PPC and PPC's role in proactive ethics. Later EC involvement indicates an area for further study for when EC is most beneficial in collaborative care.","PeriodicalId":46160,"journal":{"name":"Hec Forum","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148857606","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Has the Pendulum Swung Too Far? Ethical Issues in the Conservative Use of Prescription Opioids. 钟摆摆得太远了吗？处方阿片类药物保守使用的伦理问题。

IF 1.6 4区哲学

Hec Forum Pub Date : 2026-08-22 DOI: 10.1007/s10730-026-09607-7

Connor Wirth, Jenna Mustafa, Stanley R Terlecky, Bryan Pilkington

{"title":"Has the Pendulum Swung Too Far? Ethical Issues in the Conservative Use of Prescription Opioids.","authors":"Connor Wirth, Jenna Mustafa, Stanley R Terlecky, Bryan Pilkington","doi":"10.1007/s10730-026-09607-7","DOIUrl":"https://doi.org/10.1007/s10730-026-09607-7","url":null,"abstract":"The opioid crisis is an undeniable public health emergency that has impacted far too many for far too long. The irresponsible prescription and use of opioids has caused, and continues to create, harm to a large number of people; yet what irresponsible means in this situation has been insufficiently examined. One especially pressing concern is that the efforts put in place to combat the opioid epidemic have yielded a new problem: leaving patients unnecessarily in pain due to exceedingly defensive prescribing practices. We argue that the overly conservative use of opioid drugs following the opioid epidemic, though rooted in good intentions, often crosses the line of nonmaleficence, causing undue pain to the patient when means of prevention are readily available. In following the core medical tenet of beneficence, providers should not feel guilty about prescribing these therapeutics, because in preventing undue pain, a physician is acting for the benefit of their patient. In this paper, we consider the ethical implications of conservative opioid prescription, arguing that it is in violation of those core medical ethical principles. In doing so, we rely on empirical data and ethical theory in support of our claims, offering a multimodal solution to aid both providers, and the public health system as a whole that ultimately aims to avoid harm and benefit the patient in opioid related circumstances.","PeriodicalId":46160,"journal":{"name":"Hec Forum","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799316","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

The Quota-Allocation Formula: A Thought Experiment Integrating Wealth-Based Prioritisation into Organ Allocation. 配额分配公式：将基于财富的优先次序整合到器官分配中的思想实验。

IF 1.6 4区哲学

Hec Forum Pub Date : 2026-08-22 DOI: 10.1007/s10730-026-09612-w

Leandro Loriga

{"title":"The Quota-Allocation Formula: A Thought Experiment Integrating Wealth-Based Prioritisation into Organ Allocation.","authors":"Leandro Loriga","doi":"10.1007/s10730-026-09612-w","DOIUrl":"https://doi.org/10.1007/s10730-026-09612-w","url":null,"abstract":"The ethics of organ transplantation spans three broad areas: the criteria that mark the end of life, the procurement of organs, and their distribution. The purpose of the present paper is to address this latter aspect. The task is to reconcile the idea of a paid system with organ allocation. Two jurisdictions are considered as points of reference: the United States and the Italian Republic. Both systems are primarily based on the principles of equity and medical urgency, albeit implemented through distinct frameworks. These two distinct sociocultural settings will be used to depict how organ allocation works today. Subsequently the idea of a market for organs will be analysed and a new device is introduced: the quota-allocation formula, which uses a randomised, fee-based quota system to balance fairness and utility by permitting a strictly bounded paid priority advantage only within medically equivalent categories, while pairing each paid advantage with a cost-free priority award for another patient and reinvesting the resulting revenue into the transplant system. Such a proposition illustrates how integrating market dynamics into organ transplantation could offer practical benefits, challenging the assumption that monetary incentives are inherently incompatible with ethical and equitable allocation systems.","PeriodicalId":46160,"journal":{"name":"Hec Forum","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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

Is the Request for Medical Assistance in Dying the Quintessential Example of Shared Decision-Making? Ethical, Medical and Historical Issues in a Heated Debate in France. 临终请求医疗救助是共同决策的典型例子吗？法国激烈辩论中的伦理、医学和历史问题。

IF 1.6 4区哲学

Hec Forum Pub Date : 2026-08-20 DOI: 10.1007/s10730-026-09605-9

François Blot

{"title":"Is the Request for Medical Assistance in Dying the Quintessential Example of Shared Decision-Making? Ethical, Medical and Historical Issues in a Heated Debate in France.","authors":"François Blot","doi":"10.1007/s10730-026-09605-9","DOIUrl":"https://doi.org/10.1007/s10730-026-09605-9","url":null,"abstract":"Shared decision-making (SDM) is a structured negotiation process, that seeks to strike a balance between the physician and the patient. This deliberative model, in which the expertise, values and preferences of both parties are pre-eminent, is well suited to a vast majority of clinical settings, including palliative care and end-of-life contexts. Could SDM also be used in cases where a request is made for medical assistance in dying (MAiD: physician-assisted suicide or euthanasia) by a person with an advanced illness and intractable suffering? To date, MAiD remains illegal in France and has sparked a heated national debate. The main points of controversy are to what degree the health professional should be involved, and how autonomous the patient actually is when they make the request. Apart from these concerns, it is reasonable to suppose that, were legalization to occur, the request for MAiD would be an ideal field for SDM. This kind of deliberative process would allow the patient's wishes to be listened to, their requests carefully assessed and medical professionals to take part in the entire process. However, many physicians in France continue to deny any obvious role for SDM in the final stages of life, above all in the context of MAiD. This paper examines this French paradox by discussing health laws concerning patients' rights, the specific characteristics of medical practices -particularly regarding ethical principles and SDM-, and the various arguments advanced in the debate over the roles of patients and professionals who are facing a request for MAiD.","PeriodicalId":46160,"journal":{"name":"Hec Forum","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799269","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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