Health Care Analysis最新文献

Between Postmodernism and Medical Populism: Cultural Determinants of Conspiracy Theories on Vaccination After Experience of the COVID-19 Pandemic. 在后现代主义与医学民粹主义之间：新冠肺炎大流行后疫苗接种阴谋论的文化决定因素

IF 1.4 3区哲学

Health Care Analysis Pub Date : 2026-10-13 DOI: 10.1007/s10728-026-00602-0

Piotr Żuk, Paweł Żuk

{"title":"Between Postmodernism and Medical Populism: Cultural Determinants of Conspiracy Theories on Vaccination After Experience of the COVID-19 Pandemic.","authors":"Piotr Żuk, Paweł Żuk","doi":"10.1007/s10728-026-00602-0","DOIUrl":"https://doi.org/10.1007/s10728-026-00602-0","url":null,"abstract":"The primary objective of the study was to analyse the correlations between belief in and acceptance of vaccine-related conspiracy theories and prevailing cultural models. The authors emphasise that not only right-wing populism and fundamentalist beliefs, but also postmodern relativism, may contribute to the rejection of established medical knowledge and practices. Drawing on a survey conducted among a representative sample of 1000 members of the Polish population using random-quota sampling, the authors offer an analysis at the level of preferred models of knowledge and the epistemological conditions that contribute to the rejection of contemporary medical knowledge on vaccination in the aftermath of the COVID-19 pandemic. The article is inspired by the theoretical concepts of Ernest Gellner. This cultural and epistemological analysis of knowledge models that support the rise of vaccine hesitancy across different societies may contribute to a better understanding of the anti-vaccination movement and cultural trends that fuel belief in conspiracy theories and medical populism. The authors argue that the principles of Enlightenment rationalism - grounded in knowledge verified through transparent and testable procedures - provide essential cognitive support in countering vaccine-related myths, rumours, and conspiracy theories.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149184901","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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 Moral Foundations of Health Sector Solidarity in Taiwan. 台湾卫生部门团结的道德基础。

IF 1.4 3区哲学

Health Care Analysis Pub Date : 2026-10-03 DOI: 10.1007/s10728-026-00601-1

Yu-Chun Hsieh, Ming-Jui Yeh

{"title":"The Moral Foundations of Health Sector Solidarity in Taiwan.","authors":"Yu-Chun Hsieh, Ming-Jui Yeh","doi":"10.1007/s10728-026-00601-1","DOIUrl":"https://doi.org/10.1007/s10728-026-00601-1","url":null,"abstract":"People's supportive attitudes towards the publicly funded health system are crucial for ensuring the system's sustainability through crises and maintaining its core functions of funding and providing health services for all. In the literature, this supportive attitude is considered a form of health sector solidarity. Existing explanations for health sector solidarity focus on individuals' feedback to the health system-such as satisfaction and performance evaluation-but pay scant attention to the moral judgements underlying this solidaristic attitude. This study aims to investigate the moral foundations of health sector solidarity in Taiwan. Using the Taiwan Society Political and Moral Values Survey 2025 data, the study examines the relationships between health sector solidarity and moral foundations. The findings indicate that, after controlling for respondents' socio-demographic characteristics and health system-related attitudes, solidarity is positively associated with beliefs in mutual assistance, reciprocity, the human right to health, and self-interest, and negatively associated with meritocracy. National sentiment is not significantly associated with health sector solidarity. By including the moral foundations, this study provides a more comprehensive examination of the factors influencing health sector solidarity in Taiwan and informs future health reform agendas.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149116509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Ethical Governance of Open Data Across Biomedical Research, Healthcare, and Public Health: Privacy, Equity, Trust, and Controlled Access. 生物医学研究、医疗保健和公共卫生领域开放数据的伦理治理：隐私、公平、信任和受控访问。

IF 1.4 3区哲学

Health Care Analysis Pub Date : 2026-09-17 DOI: 10.1007/s10728-026-00598-7

Ali Msheik, Ruben Peralta, Zeinab Al Mokdad, Nasser Alsaad, Kazim Mohammed, Ghaya Al-Rumaihi

{"title":"Ethical Governance of Open Data Across Biomedical Research, Healthcare, and Public Health: Privacy, Equity, Trust, and Controlled Access.","authors":"Ali Msheik, Ruben Peralta, Zeinab Al Mokdad, Nasser Alsaad, Kazim Mohammed, Ghaya Al-Rumaihi","doi":"10.1007/s10728-026-00598-7","DOIUrl":"https://doi.org/10.1007/s10728-026-00598-7","url":null,"abstract":"Open data has become central to biomedical research and public health, but health information is uniquely sensitive and difficult to share responsibly. In this narrative review, open data is considered as a spectrum of health-data sharing arrangements, ranging from public aggregate datasets to controlled-access repositories, federated analysis, and synthetic data. This narrative review synthesizes the scientific and societal rationale for greater openness with the ethical, legal, and governance constraints that shape what \"open\" can realistically mean in healthcare. We examine how data sharing supports reproducibility, machine learning, and more efficient research, while also enabling public health surveillance and learning health systems. Against these benefits, we analyze privacy and re-identification risks, consent challenges in large-scale secondary use, inequities including data colonialism, and tensions introduced by commercialization. We integrate lessons from prominent case examples spanning pandemic data sharing, genomic initiatives, population registries, patient-led rare disease infrastructures, and regional data spaces. Across these domains, experience suggests that durable progress depends less on unrestricted openness than on calibrated access, privacy-preserving architectures, clear accountability, and sustained public engagement. We conclude by proposing a pragmatic ethical orientation for healthcare open data: treat openness as a spectrum of controlled sharing arrangements, embed equity and reciprocity into governance, and institutionalize trust-building measures that can persist beyond emergencies and political cycles.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Early Clinical Mediation in End-of-Life Disputes: A Procedural Justice Analysis. 临终纠纷的早期临床调解：程序正义分析。

IF 1.4 3区哲学

Health Care Analysis Pub Date : 2026-09-17 DOI: 10.1007/s10728-026-00599-6

Olympia Lioupi

{"title":"Early Clinical Mediation in End-of-Life Disputes: A Procedural Justice Analysis.","authors":"Olympia Lioupi","doi":"10.1007/s10728-026-00599-6","DOIUrl":"https://doi.org/10.1007/s10728-026-00599-6","url":null,"abstract":"Conflicts arise when surrogates request life-sustaining treatments that clinicians consider medically futile. This article proposes that early presumptive medical mediation with opt-out provisions should become the default initial offer for resolving such disputes. Grounded in Rawlsian procedural justice and the virtue of epistemic humility, and informed by limited and indirect evidence from healthcare mediation and ICU communication-facilitation programs, this approach offers a fair-process dialogue that can support patient-centered deliberation and clinician integrity when embedded within appropriate legal and ethical safeguards. Mediation offers four procedural advantages: (a) protected and appropriately inclusive voice, (b) confidential caucus, (c) interest-based framing, and (d) outcome ownership. Unlike arbitration or ethics committee determinations, mediation is structured around voluntary participation, mediator neutrality and confidentiality. It does not impose a binding outcome or reallocate legal decision-making authority. These procedural features distinguish mediation from adjudicative or advisory processes, although their comparative effectiveness is context-dependent. Statutory \"safe-harbor\" models, such as the Texas Advance Directives Act, illustrate how structured dispute-resolution frameworks can be embedded in policy, although they do not themselves constitute mediation. Embedding an early, structured offer of mediation in end-of-life policy may reduce escalation and strengthen the procedural legitimacy and acceptability of decision-making when voluntariness and appropriate clinical, ethical and legal safeguards are maintained. However, it cannot guarantee agreement, shorter ICU stays, reduced litigation, or substantively correct ethical outcomes.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148991750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Staying Connected? Revaluing 'Relationship Goods' in Digital Health Ecologies. 保持联系吗?重新评估数字健康生态中的“关系产品”。

IF 1.4 3区哲学

Health Care Analysis Pub Date : 2026-09-08 DOI: 10.1007/s10728-026-00600-2

Alan Cribb, Vikki Entwistle

{"title":"Staying Connected? Revaluing 'Relationship Goods' in Digital Health Ecologies.","authors":"Alan Cribb, Vikki Entwistle","doi":"10.1007/s10728-026-00600-2","DOIUrl":"https://doi.org/10.1007/s10728-026-00600-2","url":null,"abstract":"As the use of digital information technologies has grown and transformed health care practices and ecologies, concerns have been raised about the implications for health care relationships. But it is no simple matter to pin down what makes health care relationships good and valuable, nor to assess whether and how digitalisation changes this. 'Relationship goods' such as care, compassion and respect are conceptually and practically complex. Longstanding models based on assumptions of dyadic relationships between individual health care practitioners and patients are no longer fully fit for purpose. This paper makes a case for re-thinking health care relationships to reflect the ongoing shift to digital health care ecologies. It outlines some of the key questions and considerations that will need to be addressed to support more rigorous evaluations of the implications of digital technologies and to better guide future design and health care improvement work. It illustrates some of the resources that exist within contemporary philosophy and ethics to support this agenda and calls for collaborative interdisciplinary working to investigate and help preserve the value of health care relationships through ongoing change.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":""},"PeriodicalIF":1.4,"publicationDate":"2026-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148913817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Ethical, Legal and Social Issues in Utilizing In Vitro Gametogenesis (IVG) and Stem Cell-Based Embryo Models (SCBEMs) for Human Reproduction in Singapore. 新加坡利用体外配子发生（IVG）和干细胞胚胎模型（SCBEMs）进行人类生殖的伦理、法律和社会问题。

IF 1.4 3区哲学

Health Care Analysis Pub Date : 2026-09-01 Epub Date: 2025-06-12 DOI: 10.1007/s10728-025-00521-6

Alexis Heng Boon Chin, Ido Alon, Timothy Anand Weerasekera, Jean Didier Bosenge-Nguma, Ningyu Sun

{"title":"Ethical, Legal and Social Issues in Utilizing In Vitro Gametogenesis (IVG) and Stem Cell-Based Embryo Models (SCBEMs) for Human Reproduction in Singapore.","authors":"Alexis Heng Boon Chin, Ido Alon, Timothy Anand Weerasekera, Jean Didier Bosenge-Nguma, Ningyu Sun","doi":"10.1007/s10728-025-00521-6","DOIUrl":"10.1007/s10728-025-00521-6","url":null,"abstract":"Singapore is a small, affluent and technologically advanced city-state located in Southeast Asia. Due to its lack of natural resources, this country relies heavily on its highly educated and skilled workforce to drive its economic engine. However, in recent years, Singapore has been facing a demographic crunch due to its ultra-low fertility rate and rapidly aging population, which poses an existential threat to its survival as a nation-state. The advent of new reproductive technologies such as In Vitro Gametogenesis (IVG) and Stem Cell-Based Embryo Models (SCBEMs) may thus provide novel fertility treatment options for local patients, which may possibly alleviate Singapore's ultra-low birthrate. Nevertheless, these new technology platforms also raise various controversial ethical, legal and social issues. It is anticipated that the application of SCBEMs (also known as synthetic embryos) in human reproduction will likely be banned because these entities are viewed as human clones. Conversely, IVG technology is expected to receive approval in Singapore for a narrow range of applications in human clinical assisted reproduction, as it seeks to recapitulate the natural process of human sexual reproduction and is more aligned with Singapore's family laws and sociocultural values. It is anticipated that IVG will be permitted for the treatments of primary infertility and age-related female infertility, facilitating transgender and intersex parenthood and preventing the transmission of genetic diseases. However, the applications of IVG in posthumous reproduction, mass production of donor gametes, genetic enhancement of offspring, same-sex, solo- and multiplex-parenthood, will likely be banned.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":"497-528"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276154","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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

Data Privacy in Medical Informatics and Electronic Health Records: A Bibliometric Analysis. 医学信息学和电子健康记录中的数据隐私：文献计量学分析。

IF 1.4 3区哲学

Health Care Analysis Pub Date : 2026-09-01 Epub Date: 2025-05-14 DOI: 10.1007/s10728-025-00519-0

Kemal Hakan Gulkesen, Esra Tokur Sonuvar

{"title":"Data Privacy in Medical Informatics and Electronic Health Records: A Bibliometric Analysis.","authors":"Kemal Hakan Gulkesen, Esra Tokur Sonuvar","doi":"10.1007/s10728-025-00519-0","DOIUrl":"10.1007/s10728-025-00519-0","url":null,"abstract":"This study aims to evaluate scientific publications on \"Medical Informatics\" and \"Data Privacy\" using a bibliometric approach to identify research trends, the most studied topics, and the countries and institutions with the highest publication output. The search was carried out utilizing the WoS Clarivate Analytics tool across SCIE journals. Subsequently, text mining, keyword clustering, and data visualization were applied through the use of VOSviewer and Tableau Desktop software. Between 1975 and 2023, a total of 7,165 articles were published on the topic of data privacy. The number of articles has been increasing each year. The text mining and clustering analysis identified eight main clusters in the literature: (1) Mobile Health/Telemedicine/IOT, (2) Security/Encryption/Authentication, (3) Big Data/AI/Data Science, (4) Anonymization/Digital Phenotyping, (5) Genomics/Biobank, (6) Ethics, (7) Legal Issues, (8) Cloud Computing. On a country basis, the United States was identified as the most active country in this field, producing the most publications and receiving the highest number of citations. China, the United Kingdom, Canada, and Australia also emerged as significant countries. Among these clusters, \"Mobile Health/Telemedicine/IOT,\" \"Security/Encryption/Authentication,\" and \"Cloud Computing\" technologies stood out as the most prominent and extensively studied topics in the intersection of medical informatics and data privacy.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":"484-496"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13675154/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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: 0

The Moral Justifications of Disability Discrimination in Health Care Allocation: An Experimental Assessment. 医疗服务分配中残疾歧视的道德正当性：一项实验评估。

IF 1.4 3区哲学

Health Care Analysis Pub Date : 2026-09-01 Epub Date: 2025-08-22 DOI: 10.1007/s10728-025-00535-0

Andreas Albertsen, Bjørn Gunnar Hallsson, Lasse Nielsen

{"title":"The Moral Justifications of Disability Discrimination in Health Care Allocation: An Experimental Assessment.","authors":"Andreas Albertsen, Bjørn Gunnar Hallsson, Lasse Nielsen","doi":"10.1007/s10728-025-00535-0","DOIUrl":"10.1007/s10728-025-00535-0","url":null,"abstract":"Cost-effectiveness analysis (CEA) is a mainstay of contemporary health care priority setting. However, priority setting in reference to cost-effectiveness may discriminate against people with disabilities. The ethical literature on priority setting suggests that the permissibility of such discrimination varies with the reason why people with disabilities receive lower priority. In a vignette-based survey experiment (N = 1100) in the UK, we tested whether five justifications for prioritizing people without disabilities affect the views of the broader public on priority setting based on CEA. In our vignettes, a hospital denies a person with a disability treatment for a disease based on CEA, and respondents were asked to assess the moral permissibility of this. The vignettes varied in terms of the reason the hospital emphasized in the decision. We tested vignettes emphasizing lower expected lifespan, lower quality of life, higher costs of treatment due to disability, less efficient treatment due to disability, and lower productivity due to infrequent labor-market participation. Our study is an initial exploratory survey experiment, exploring participant's responses to CEA with respect to disability. Discrimination against the patient with a disability was deemed impermissible across all experimental conditions, and there were no significant differences between the various reasons. This suggests a discrepancy between folk intuitions and those of many ethicists.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":"666-680"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13675370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144973664","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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: 0

Navigating Healthcare AI Governance: the Comprehensive Algorithmic Oversight and Stewardship Framework for Risk and Equity. 导航医疗保健人工智能治理：风险和公平的综合算法监督和管理框架。

IF 1.4 3区哲学

Health Care Analysis Pub Date : 2026-09-01 Epub Date: 2025-08-13 DOI: 10.1007/s10728-025-00537-y

Rahul Kumar, Kyle Sporn, Ethan Waisberg, Joshua Ong, Phani Paladugu, Amar S Vadhera, Dylan Amiri, Alex Ngo, Ram Jagadeesan, Alireza Tavakkoli, Timothy Loftus, Andrew G Lee

引用次数: 0

Price Transparency and Patient Empowerment. 价格透明度和患者赋权。

IF 1.4 3区哲学

Health Care Analysis Pub Date : 2026-09-01 Epub Date: 2025-11-27 DOI: 10.1007/s10728-025-00550-1

Alicia Hall

{"title":"Price Transparency and Patient Empowerment.","authors":"Alicia Hall","doi":"10.1007/s10728-025-00550-1","DOIUrl":"10.1007/s10728-025-00550-1","url":null,"abstract":"Health care price transparency tools have proliferated across the United States in recent years. While these tools are primarily intended to help control rising healthcare costs, they are also frequently described as empowering patients by providing the financial information needed to make more fully informed decisions about medical care. If these tools do empower patients, then the money and time invested in developing and maintaining them could plausibly be justified even if price transparency proves largely ineffective at cost-containment. Using Nancy Kass's public health ethics framework, I explore whether price transparency can rightly be seen as achieving the aim of empowering patients. In examining this issue, I distinguish between what I call passive price transparency initiatives (where the information is made available for patients to find, should they choose to look for it) from active price transparency initiatives (where information about costs is given directly to patients). Most existing price transparency initiatives are passive, and I argue that these programs, rather than empowering patients, instead risk increasing patient burdens in a way that is most significant for those who are already worse off. Only active price transparency (in other words, price disclosure) can be seen as empowering patients in a fair and not overly burdensome way.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":"858-878"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13675353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145641337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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: 0