Health Care Analysis最新文献_第2页

"Low Risk, High Happiness": A Review of Openly Declared Ethical and Legal Practices in Voice Biomarker Health-Tech Start-Ups. “低风险，高幸福”：语音生物标志物健康技术初创企业公开宣布的伦理和法律实践综述。

IF 1.4 3区哲学

Health Care Analysis Pub Date : 2026-09-01 Epub Date: 2025-10-15 DOI: 10.1007/s10728-025-00539-w

Hortense Gallois, Luka Ivkovic, Emily Evangelista, Yael Bensoussan, Jean-Christophe Bélisle-Pipon

{"title":"\"Low Risk, High Happiness\": A Review of Openly Declared Ethical and Legal Practices in Voice Biomarker Health-Tech Start-Ups.","authors":"Hortense Gallois, Luka Ivkovic, Emily Evangelista, Yael Bensoussan, Jean-Christophe Bélisle-Pipon","doi":"10.1007/s10728-025-00539-w","DOIUrl":"10.1007/s10728-025-00539-w","url":null,"abstract":"Voice biomarker research is fueling a growing health-tech market, largely driven by start-ups. Yet, there is limited scholarship on how start-ups navigate the legal uncertainty surrounding voice data protection and the rising expectations for responsible AI. This study reviews the ethical, legal and regulatory practices as stated on the websites of 27 start-ups using voice as a biomarker in health-tech. The review reveals substantial disparities in the availability, readability and content of the information disclosed, especially regarding privacy policies, with only a few websites offering product-specific, transparent, and comprehensive privacy policies. Significant differences also emerged in the start-ups' terms of use and regulatory compliance statements, likely reflecting the novelty of the field, disparity in legal and regulatory requirements, and the absence of sector-specific ethical guidance. For example, while most start-ups reference compliance with data protection frameworks (e.g., HIPAA, GDPR), many fall short of best practices for transparency, accountability, and user-centered communication. We argue that the success of start-ups in health-tech depends on their capacity to capture and retain the attention of potential end-users and investors. By adopting accessible, transparent and forward-looking communication on how they frame their legal and ethical responsibilities in practice, start-ups can not only ensure legal and regulatory compliance but build trust and support sustainable innovation. This work identifies key best practices for voice AI start-ups to consider and lays the foundation for future research, including surveys and longitudinal tracking, to better understand the evolving landscape of ethical and legal practices in voice biomarker and voice AI health-tech.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":"744-782"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145293784","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

Relationships Among Cancer Screening Participation, E-Health Literacy, and Healthy Lifestyle Behaviors in a Group of Turkish Women: A Structural Equation Modeling Analysis. 一组土耳其妇女癌症筛查参与、电子健康素养和健康生活方式行为之间的关系：结构方程模型分析

IF 1.4 3区哲学

Health Care Analysis Pub Date : 2026-09-01 Epub Date: 2025-06-03 DOI: 10.1007/s10728-025-00525-2

Mine Gökduman Keleş, Eylem Toker

{"title":"Relationships Among Cancer Screening Participation, E-Health Literacy, and Healthy Lifestyle Behaviors in a Group of Turkish Women: A Structural Equation Modeling Analysis.","authors":"Mine Gökduman Keleş, Eylem Toker","doi":"10.1007/s10728-025-00525-2","DOIUrl":"10.1007/s10728-025-00525-2","url":null,"abstract":"One in five people worldwide is expected to develop cancer during their lifetime. This study aimed to examine the effect of women's E-health literacy levels on their healthy lifestyle behaviors about their cancer screening status, within the scope of preventive cancer healthcare services in Türkiye. This cross-sectional analytical study involved 392 women, and a structural equation model (SEM) was used to identify the causal relationships between variables. Data were collected using the \"E-health literacy scale\" and the \"healthy lifestyle behavior scale\". A structural equation model (SEM) was developed to examine the causal relationships among the variables, and the model's fit indices and test values were analyzed and interpreted. Results showed that both E-health literacy and healthy lifestyle behavior scores were significantly higher among women who had undergone cancer screening. Additionally, women who had been screened for breast and cervical cancer demonstrated higher healthy lifestyle behavior scores. The SEM analysis indicated that E-health literacy had a positive effect on healthy lifestyle behaviors. Based on these findings, enhancing women's E-health literacy may promote healthier lifestyle behaviors and encourage more consistent participation in preventive screenings such as cancer screenings.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":"529-543"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13675276/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217261","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

Deconstructing the Self-Other Binary in Care Networks by Unravelling Professional' Perspectives through an Intersectional Lens. 通过交叉镜头揭示专业人士的观点，解构护理网络中的自我-他者二元。

IF 1.4 3区哲学

Health Care Analysis Pub Date : 2026-09-01 Epub Date: 2025-01-03 DOI: 10.1007/s10728-024-00504-z

Aldiene Henrieke Hengelaar, Margo van Hartingsveldt, Tineke Abma, Petra Verdonk

{"title":"Deconstructing the Self-Other Binary in Care Networks by Unravelling Professional' Perspectives through an Intersectional Lens.","authors":"Aldiene Henrieke Hengelaar, Margo van Hartingsveldt, Tineke Abma, Petra Verdonk","doi":"10.1007/s10728-024-00504-z","DOIUrl":"10.1007/s10728-024-00504-z","url":null,"abstract":"In many western countries informal care is conceived as the answer to the increasing care demand. Little is known how formal and informal caregivers collaborate in the context of an diverse ageing population. The aim of this study was to gain insight in how professionals' perspectives regarding the collaboration with informal carers with a migration background are framed and shaped by intersecting aspects of diversity. We used an intersectionality informed qualitative design with informal conversations (N = 12) and semi-structured interviews (N = 17) with healthcare professionals working with clients with Acquired Brain Injury. Two critical friends were involved in the analysis which was substantiated by a participatory analysis with a community of practice. We identified four interrelated themes: (a) 'The difficult Other' in which professionals reflected on carers with a migration background causing 'difficulties'; (b) 'The dependent Other' refers to professionals' realization that 'difficulties' are intensified by the context in which care takes place; (c) in 'The uncomfortable self' professionals describe how feelings of insecurities evoked by the Other are associated with an inability to act 'professionally', and; (d) 'The reflexive self' shows how some professionals reflect on their own identities and identify their blind spots in collaboration within a care network. These themes demonstrate the tensions, biases and power imbalances between carers and professionals, which may explain some of the existing health disparities perpetuated through care networks.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":"408-428"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13675305/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923470","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

Design and Validation of an Instrument to Evaluate Cognitive-Physiological Repercussions and Coping Strategies in a Pandemic Situation. 大流行情况下认知生理反应和应对策略评估工具的设计与验证。

IF 1.4 3区哲学

Health Care Analysis Pub Date : 2026-09-01 Epub Date: 2025-06-10 DOI: 10.1007/s10728-025-00528-z

Noelia Gallego-Ausín, María-Camino Escolar-Llamazares, Sandra Corral-Puente, María-Yolanda González-Alonso, Diego Serrano-Gómez, Andrea-Liliana Ortiz-González, Isabel Serrano-Pintado, María-Ángeles Martínez-Martín

{"title":"Design and Validation of an Instrument to Evaluate Cognitive-Physiological Repercussions and Coping Strategies in a Pandemic Situation.","authors":"Noelia Gallego-Ausín, María-Camino Escolar-Llamazares, Sandra Corral-Puente, María-Yolanda González-Alonso, Diego Serrano-Gómez, Andrea-Liliana Ortiz-González, Isabel Serrano-Pintado, María-Ángeles Martínez-Martín","doi":"10.1007/s10728-025-00528-z","DOIUrl":"10.1007/s10728-025-00528-z","url":null,"abstract":"The coronavirus disease (COVID-19) pandemic has significantly affected mental health worldwide, highlighting the need for reliable tools to assess emotional impact (cognitive-psysiological repercusiones) and coping strategies. To validate the psychometric properties of an evaluation instrument with an ad hoc design, called the Evaluation Inventory of Cognitive-Physiological Repercussions and Coping Strategies in a Pandemic Situation (EICPCP), which has two scales: \"Cognitive and Physiological repercussions arising from the pandemic due to COVID-19\" (RCFPC19-13) and \"Coping strategies during the pandemic due to COVID-19\" (EAPC19-15). A total of 1,629 participants (students, teachers, and healthcare professionals) from Spain and Colombia completed the instrument. Exploratory and confirmatory factor analyses were conducted to assess their structure and reliability. Both exploratory and confirmatory factor analyses supported the five proposed dimensions: cognitive and physiological impacts on the RCFPC19-13 scale, and adaptation, support, and organization on the EAPC19-15 scale. In addition, satisfactory internal consistency, reliability indices, and temporal stability were obtained for both scales. The EICPCP is a valid and reliable tool for evaluating the cognitive-physiological impact of the pandemic and coping strategies employed. This instrument provides valuable insights for clinical research and psychological interventions in pandemic-related mental-health studies..","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":"544-574"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13675350/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259105","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

A Two-Level, Multidimensional Framework for Understanding and Treating Clinician Fatigue. 理解和治疗临床医生疲劳的两层次、多维框架。

IF 1.4 3区哲学

Health Care Analysis Pub Date : 2026-09-01 Epub Date: 2026-02-25 DOI: 10.1007/s10728-026-00560-7

Stephen Buetow

引用次数: 0

Response to a Critique: Errors with Acri's Opinion Piece Defending IP, While Premature Deaths Pile Up from Patents. 对一篇评论的回应：Acri的观点文章错误地捍卫知识产权，而专利却使过早死亡堆积。

IF 1.4 3区哲学

Health Care Analysis Pub Date : 2026-09-01 DOI: 10.1007/s10728-026-00586-x

Joshua M Pearce

引用次数: 0

Harm Reduction in Inpatient Hospital Settings: An Ethics (Principlist) Analysis. 减少住院病人的伤害：伦理（原则）分析。

IF 1.4 3区哲学

Health Care Analysis Pub Date : 2026-09-01 Epub Date: 2025-06-14 DOI: 10.1007/s10728-025-00530-5

Katherine Birkness, Cheryl Forchuk, Jonathan Serrato, Abraham Rudnick

{"title":"Harm Reduction in Inpatient Hospital Settings: An Ethics (Principlist) Analysis.","authors":"Katherine Birkness, Cheryl Forchuk, Jonathan Serrato, Abraham Rudnick","doi":"10.1007/s10728-025-00530-5","DOIUrl":"10.1007/s10728-025-00530-5","url":null,"abstract":"The opioid epidemic continues to be a prevalent crisis in North America. How best to address this challenge has long been debated. Abstinence is currently the preferred policy within the inpatient hospital setting, however, this is fraught with difficulties such as withdrawal and using substances in secrecy. It can also result in stigma and a lack of knowledge on substance use among health care providers. The concept of harm reduction could provide an ethical approach to supporting people with substance use disorder. Through Principlism and the principles of Autonomy, Beneficence, Justice and Non-Maleficence, this paper suggests that harm reduction practices represent a viable and more ethically sound approach to health care compared to abstinence-based approaches. Harm reduction practices could result in a more equitable health care system that reduces stigma and increases help-seeking behaviour. More empirical research in other jurisdictions or other settings such as long-term care is needed. Future research should address additional theoretical frameworks such as dialogical bioethics, care ethics and the capabilities approach.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":"589-603"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295106","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 Function of Non-invasive Prenatal Testing (NIPT) Request Forms in the Australian Context. 非侵入性产前检测（NIPT）申请表在澳大利亚的功能。

IF 1.4 3区哲学

Health Care Analysis Pub Date : 2026-09-01 Epub Date: 2025-10-24 DOI: 10.1007/s10728-025-00543-0

Hilary Bowman-Smart, Molly Johnston, Michelle Taylor-Sands, Lisa Hui, Catherine Mills

{"title":"The Function of Non-invasive Prenatal Testing (NIPT) Request Forms in the Australian Context.","authors":"Hilary Bowman-Smart, Molly Johnston, Michelle Taylor-Sands, Lisa Hui, Catherine Mills","doi":"10.1007/s10728-025-00543-0","DOIUrl":"10.1007/s10728-025-00543-0","url":null,"abstract":"Non-invasive prenatal testing (NIPT) is offered on a user-pays basis in Australia, with a range of providers and services available. A key concern raised about NIPT provision is the impact on informed consent of possible routinization of testing. Given these concerns, the documents, forms and informational material used in clinical practice are of critical importance. Test-specific request forms produced by commercial providers are frequently used in Australia, but there is a lack of clarity about the function or role of these forms. Some are labelled as \"request forms\", while others include references to \"informed consent\". Our aim in this study was to assess the range of functions that these forms may serve. We performed an online search for forms available from Australian providers in 2024 and applied a modified version of the Evaluative Linguistic Framework to a final list of eight forms. Our findings indicate significant heterogeneity and ambiguity in the function of these forms. We suggest these forms play a role in the performance of informed consent as a clinical ritual. Documents and forms can play a supportive role in counselling related to NIPT, but this supportive role should be recognized and articulated. These findings can inform the way healthcare professionals in Australia and other settings approach NIPT provision.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":"783-807"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13675290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145356336","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

Attitudes About NIPT Routinisation: A Report from a Qualitative Study of 20 UK Healthcare Professionals. 对NIPT常规化的态度：一份来自20名英国医疗保健专业人员的定性研究报告。

IF 1.4 3区哲学

Health Care Analysis Pub Date : 2026-09-01 Epub Date: 2025-02-21 DOI: 10.1007/s10728-025-00513-6

Peter D Young

{"title":"Attitudes About NIPT Routinisation: A Report from a Qualitative Study of 20 UK Healthcare Professionals.","authors":"Peter D Young","doi":"10.1007/s10728-025-00513-6","DOIUrl":"10.1007/s10728-025-00513-6","url":null,"abstract":"All healthcare professionals (HCPs) have responsibilities to provide information to patients according to the duties found within UK decision-making guidance and with regards to theory about the doctor-patient relationship. While routinisation can be understood in a number of different ways, this paper is concerned with how routines might negatively affect patients in the decision-making process. Therefore, in this manuscript, medical decision making is understood as problematically routine when a medical test or procedure is framed as a standard one and-given the way options are presented-it is implied that someone can decide to use that test or treatment without being given sufficient opportunities to think through their choices. Routinisation, when understood in this way, can affect the quality and amount of information provided to patients and the ways in which patients reflect upon their choices when making decisions. With the introduction of non-invasive prenatal testing (NIPT) into the UK healthcare system, bioethicists have questioned whether this new technology will be routinised and what the implications of routinisation on the decision-making process might be. While there have been numerous studies investigating the views and attitudes of pregnant women who use NIPT, there are fewer studies that look at the views and attitudes of healthcare professionals (HCPs). This study interviewed 20 UK-based HCPs who either offer NIPT or counselled pregnant women on the use of NIPT. One important finding was that many HCPs held the attitude that the NIPT decision-making process had become routine, however there was disagreement about whether routine NIPT was problematic or not. This study provides insights about the context that surrounds decision making for NIPT, and it raises important questions about how NIPT routinisation might be evaluated.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":"453-471"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13675319/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469560","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

Layperson and Healthcare Professional Experiences of Medical Misinformation About Masks on Social Media During the Covid-19 Pandemic: A Thematic Framework Analysis. Covid-19大流行期间社交媒体上关于口罩的医疗错误信息的外行人和医疗保健专业人员的经验：专题框架分析。

IF 1.4 3区哲学

Health Care Analysis Pub Date : 2026-09-01 Epub Date: 2025-11-03 DOI: 10.1007/s10728-025-00546-x

Daniel Robinson, Steven Agius, Alistair Warren

{"title":"Layperson and Healthcare Professional Experiences of Medical Misinformation About Masks on Social Media During the Covid-19 Pandemic: A Thematic Framework Analysis.","authors":"Daniel Robinson, Steven Agius, Alistair Warren","doi":"10.1007/s10728-025-00546-x","DOIUrl":"10.1007/s10728-025-00546-x","url":null,"abstract":"This study aimed to compare how healthcare professionals and laypeople from the UK engaged with and confronted misinformation about masks on social media and some of the barriers encountered, applying connectivism as a theoretical lens to interpret findings. Using thematic framework analysis, 12 in-depth interviews were conducted with participants consisting of seven healthcare professionals and five laypeople who actively use the social media website Twitter (now known as X). Interviews were recorded, transcribed verbatim and analysed iteratively using constant comparison and line-by-line coding. After coding of the first few interviews a working analytical framework was developed by comparing codes and grouping them together into categories. This was later applied to the subsequent interview transcripts. Analysis revealed six key categories: social capital (e.g., celebrity status), emotion (e.g., fear, anger, and burnout), culture (e.g., politics and toxic social media culture), social media dynamics (e.g., information overload), communication (e.g., managing cognitive load), and belief (e.g., beliefs being fixed and difficult to change). Our study suggests that healthcare professionals must actively engage with the public on social media by providing clear, evidence-based information, correcting false claims, and fostering trust through transparent communication. Interpreting our findings through a connectivist perspective highlights how digital networks shape trust and learning in online health discourse. Wider society, including tech companies and policymakers, should implement stronger fact-checking mechanisms, promote digital literacy, and support regulations that curb the spread of harmful health misinformation.","PeriodicalId":46740,"journal":{"name":"Health Care Analysis","volume":" ","pages":"808-838"},"PeriodicalIF":1.4,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13675347/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145439431","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