Hec Forum最新文献_第9页

Correction: Medical Assistance in Dying (MAiD) Care Coordination: Navigating Ethics and Access in the Emergence of a New Health Profession. 修正:医疗协助死亡(女佣)护理协调:导航伦理和获取在一个新的健康职业的出现。

IF 1.5 4区哲学

Hec Forum Pub Date : 2022-12-01 DOI: 10.1007/s10730-022-09493-9

Marta Simpson-Tirone, Samantha Jansen, Marilyn Swinton

引用次数: 0

Medical Assistance in Dying (MAiD) Care Coordination: Navigating Ethics and Access in the Emergence of a New Health Profession. 死亡医疗援助(女佣)护理协调:导航伦理和获取在一个新的健康职业的出现。

IF 1.5 4区哲学

Hec Forum Pub Date : 2022-12-01 Epub Date: 2022-07-23 DOI: 10.1007/s10730-022-09489-5

Marta Simpson-Tirone, Samantha Jansen, Marilyn Swinton

{"title":"Medical Assistance in Dying (MAiD) Care Coordination: Navigating Ethics and Access in the Emergence of a New Health Profession.","authors":"Marta Simpson-Tirone, Samantha Jansen, Marilyn Swinton","doi":"10.1007/s10730-022-09489-5","DOIUrl":"https://doi.org/10.1007/s10730-022-09489-5","url":null,"abstract":"Medical assistance in dying (MAiD) in Canada is a complex, novel interprofessional practice governed by stringent legal criteria. Often, patients need assistance navigating the system, and MAiD providers/assessors struggle with the administrative challenges of MAiD. Resultantly, the role of the MAiD care coordinator has emerged across the country as a novel practice dedicated to supporting access to MAiD and ensuring compliance with regulatory requirements. However, variability in the roles and responsibilities of MAiD care coordinators across Canada has highlighted the need for accountability and standardization for this practice. This manuscript constitutes a first attempt to describe this emerging role, through discussion of proposed standards of practice, as well as roles and responsibilities, and ethical duties of this emergent professional practice. We detail the core commitments of MAiD care coordinators to patients, providers/assessors and institutions involved in the MAiD process. We address the core competencies that inform the unique skillset required by MAiD care coordinators to facilitate high-quality care, while highlighting the moral and ethical considerations embedded in this work. To illustrate the complexity of the MAiD care coordinator role, case examples involving ethical dilemmas encountered in practice are included. Finally, a code of ethics is proposed to serve as a guide for appropriate professional practice and conduct. This manuscript is intended to illustrate the importance of transparency and accountability for this new role that provides service to vulnerable patients and families; this is especially critical as the ethical complexity of MAiD is likely to increase with future changes in legislation opening MAiD access to new populations.","PeriodicalId":46160,"journal":{"name":"Hec Forum","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9308109/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40639901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Access Isn't Enough: Evaluating the Quality of a Hospital Medical Assistance in Dying Program. 准入不够:评估医院临终医疗援助项目的质量。

IF 1.5 4区哲学

Hec Forum Pub Date : 2022-12-01 Epub Date: 2022-08-26 DOI: 10.1007/s10730-022-09486-8

Andrea Frolic, Marilyn Swinton, Allyson Oliphant, Leslie Murray, Paul Miller

{"title":"Access Isn't Enough: Evaluating the Quality of a Hospital Medical Assistance in Dying Program.","authors":"Andrea Frolic, Marilyn Swinton, Allyson Oliphant, Leslie Murray, Paul Miller","doi":"10.1007/s10730-022-09486-8","DOIUrl":"https://doi.org/10.1007/s10730-022-09486-8","url":null,"abstract":"Following an initial study of the needs of healthcare providers (HCP) regarding the introduction of Medical Assistance in Dying (MAiD), and the subsequent development of an assisted dying program, this study sought to determine the efficacy and impact of MAiD services following the first two years of implementation. The first of three aims of this research was to understand if the needs, concerns and hopes of stakeholders related to patient requests for MAiD were addressed appropriately. Assessing how HCPs and families perceived the quality of MAiD services, and determining if the program successfully accommodated the diverse needs and perspectives of HCPs, rounded out this quality evaluation. This research implemented a mixed-methods design incorporative of an online survey with Likert scale and open-ended questions, as well as focus groups and interviews with staff and physicians, and interviews with MAiD-involved family members. There were 356 online surveys, as well as 39 participants in six focus groups with HCP, as well as fourteen interviews with MAiD-involved family members. Participants indicated that high-quality MAiD care could only be provided with enabling resources such as policies and guidelines to ensure safe, evidence-based, standardized care, as well as a specialized, trained MAiD team. Both focus group and survey data from HCPs suggest the infrastructure developed by the hospital was effective in delivering high-quality MAiD care that supports the diverse needs of various stakeholders. This study may serve as a model for evaluating the impact and quality of services when novel and ethically-contentious clinical practices are introduced to healthcare organizations.","PeriodicalId":46160,"journal":{"name":"Hec Forum","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2022-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9671975/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33438961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"哲学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

On Flanigan's Pharmaceutical Freedom. 论弗拉尼根的药品自由。

IF 1.5 4区哲学

Hec Forum Pub Date : 2022-09-01 DOI: 10.1007/s10730-020-09419-3

Jonathan Quong

引用次数: 2

It Only Affects Me: Pharmaceutical Regulation and Harm to Others. 它只影响我:药品监管和对他人的伤害。

IF 1.5 4区哲学

Hec Forum Pub Date : 2022-09-01 DOI: 10.1007/s10730-020-09409-5

Connor K Kianpour

{"title":"It Only Affects Me: Pharmaceutical Regulation and Harm to Others.","authors":"Connor K Kianpour","doi":"10.1007/s10730-020-09409-5","DOIUrl":"https://doi.org/10.1007/s10730-020-09409-5","url":null,"abstract":"In her Pharmaceutical Freedom, Jessica Flanigan argues that antibiotics can be regulated consistent with her otherwise largely deregulatory view with respect to pharmaceuticals and recreational drugs. I contend in this essay that the reasons for justifying antibiotic regulation are reasons that can be offered to justify the regulation of many other drugs, both pharmaceutical and recreational. After laying out the specifics of Flanigan's view, I suggest that it is amenable to the regulation of drugs like varenicline. Though such drugs can legitimately improve the quality of a patient's life by helping them quit smoking, they could be permissibly regulated if they expose others to impermissible risks. I then argue that recreational drugs like alcohol could be regulated using the same reasoning. In the penultimate section of this essay, I anticipate objections that one might have to my extension of arguments favoring antibiotic regulation to drugs correlated with aggression. Flanigan might find my extrapolation of her view as entirely plausible and accept that her view is relatively friendly to these regulations, or she might reconsider her antibiotic caveat if these regulations are overly paternalistic on her understanding. I conclude by briefly considering the benefits and drawbacks of adopting each view.","PeriodicalId":46160,"journal":{"name":"Hec Forum","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10730-020-09409-5","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"37824285","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: 3

How to Regulate the Right to Self-Medicate. 如何规范自我用药的权利。

IF 1.5 4区哲学

Hec Forum Pub Date : 2022-09-01 DOI: 10.1007/s10730-020-09415-7

Joseph T F Roberts

引用次数: 4

Special Issue on Jessica Flanigan's Pharmaceutical Freedom: Why Patients Have a Right to Selfmedicate. 杰西卡·弗拉尼根的《药品自由:为什么病人有权自我用药》特刊。

IF 1.5 4区哲学

Hec Forum Pub Date : 2022-09-01 Epub Date: 2022-07-20 DOI: 10.1007/s10730-022-09480-0

James Stacey Taylor

引用次数: 0

Revisiting Pharmaceutical Freedom. 重新审视药品自由。

IF 1.5 4区哲学

Hec Forum Pub Date : 2022-09-01 Epub Date: 2022-07-17 DOI: 10.1007/s10730-022-09483-x

Jessica Flanigan

引用次数: 1

Is Visiting the Pharmacy Like Voting at the Poll? Behavioral Asymmetry in Pharmaceutical Freedom. 去药店就像在投票站投票吗?药物自由中的行为不对称。

IF 1.5 4区哲学

Hec Forum Pub Date : 2022-09-01 DOI: 10.1007/s10730-020-09414-8

Jeffrey Carroll

{"title":"Is Visiting the Pharmacy Like Voting at the Poll? Behavioral Asymmetry in Pharmaceutical Freedom.","authors":"Jeffrey Carroll","doi":"10.1007/s10730-020-09414-8","DOIUrl":"https://doi.org/10.1007/s10730-020-09414-8","url":null,"abstract":"Jessica Flanigan argues that individuals have the right to self-medicate. Flanigan presents two arguments in defense of this right. The first she calls the epistemic argument and the second she calls the rights-based argument. I argue that the right to self-medicate hangs and falls on the rights-based argument. This is because for the epistemic argument to be sound agents must be assumed to be epistemically competent. But, Flanigan's argument for a constitutionally mandated right to self-medicate models agents as epistemically incompetent. For Flanigan, agents are different at the pharmacy than they are at the polls. I identify this behavioral asymmetry and advocate a symmetric and realistic behavioral postulate for both arguments. The result, however, is that the success of the epistemic argument becomes contingent which fails to justify a constitutionally mandated right. I proceed to raise skepticism about the rights-based argument as well. I conclude that there is reason to be skeptical that these arguments can justify a constitutionally mandated right to self-medicate. Ultimately, a bottom-up approach to pharmaceutical ethics is preferable.","PeriodicalId":46160,"journal":{"name":"Hec Forum","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1007/s10730-020-09414-8","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38015698","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: 2

Responsibility Considerations and the Design of Health Care Policies: A Survey Study of the Norwegian Population. 责任考虑和卫生保健政策的设计:挪威人口调查研究。

IF 1.5 4区哲学

Hec Forum Pub Date : 2022-06-01 Epub Date: 2020-11-29 DOI: 10.1007/s10730-020-09430-8

Cornelius Cappelen, Tor Midtbø, Kristine Bærøe

引用次数: 2