Medicine Health Care and Philosophy最新文献

Correction: The impact of digital health technologies on moral responsibility: a scoping review.

IF 2.3 2区哲学

Medicine Health Care and Philosophy Pub Date : 2025-01-28 DOI: 10.1007/s11019-024-10248-1

E Meier, T Rigter, M P Schijven, M van den Hoven, M A R Bak

引用次数: 0

Healthcare exceptionalism: should healthcare be treated differently when it comes to reducing greenhouse gas emissions?

IF 2.3 2区哲学

Medicine Health Care and Philosophy Pub Date : 2025-01-25 DOI: 10.1007/s11019-025-10254-x

Joshua Parker

{"title":"Healthcare exceptionalism: should healthcare be treated differently when it comes to reducing greenhouse gas emissions?","authors":"Joshua Parker","doi":"10.1007/s11019-025-10254-x","DOIUrl":"https://doi.org/10.1007/s11019-025-10254-x","url":null,"abstract":"Healthcare systems produce significant greenhouse gas emissions, raising an important question: should healthcare be treated like any other polluter when it comes to reducing its emissions, or is healthcare special because of its essential societal role? On one hand, reducing emissions is critical to combat climate change. On the other, healthcare depends on emissions to deliver vital services. The resulting tension surrounds an idea of healthcare exceptionalism and leads to the question I consider in this paper: to what extent (if any) should the valuable goals of healthcare form an exception to the burdens of reducing greenhouse gas emissions? The goals of this paper are twofold. One is to think about how to address the issue of healthcare exceptionalism. Second is to discuss the extent of healthcare's climatic responsibilities. I examine two perspectives on healthcare exceptionalism. The first treats a responsibility to reduce emissions and the delivery of healthcare as separate issues, each governed by its own principle. I reject this view, proposing instead that we consider healthcare's environmental responsibilities in conjunction with its essential functions. I defend an \"inability to pay\" principle, suggesting that while healthcare should indeed contribute to mitigating climate change, its obligations should be constrained by the necessity of maintaining its core goals like protecting health and preventing disease. Healthcare should be treated differently from other sectors, but not to the extent that it is entirely exempt from efforts to reduce emissions.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143042106","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Dual-roles and beyond: values, ethics, and practices in forensic mental health decision-making.

IF 2.3 2区哲学

Medicine Health Care and Philosophy Pub Date : 2025-01-25 DOI: 10.1007/s11019-024-10247-2

Sven H Pedersen, Susanna Radovic, Thomas Nilsson, Lena Eriksson

{"title":"Dual-roles and beyond: values, ethics, and practices in forensic mental health decision-making.","authors":"Sven H Pedersen, Susanna Radovic, Thomas Nilsson, Lena Eriksson","doi":"10.1007/s11019-024-10247-2","DOIUrl":"https://doi.org/10.1007/s11019-024-10247-2","url":null,"abstract":"Forensic mental health services (FMHS) involve restricting certain individual rights to uphold or promote other ethical values - the restriction of liberty in various forms is justified with reference to health and safety of the individual and the community. The tension that arises from this has been construed as a hallmark of the practice and an ever-present quandary for practitioners. Stating this ethical dilemma upfront is a common point of departure for many texts discussing FMHS. But do we run the risk of missing something important if setting the ethical scene rather than exploring it? This paper draws on interviews with three types of interested parties in mental health law proceedings - patients, psychiatrists and public defenders, and seeks to tease out what values are enacted when they describe and discuss experiences of FMHS and court proceedings. In doing so, we find emphasized values such as acceptance, telling it like it is, atonement, normality, and ensuring the future. We find that well-delineated and separate values are not necessarily the basis for decisions. We also find potential for explanation and guidance in bringing ethical discourse closer to everyday practice.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143042104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Correction: The role of social justice in triage revisited: a threshold conception.

IF 2.3 2区哲学

Medicine Health Care and Philosophy Pub Date : 2025-01-25 DOI: 10.1007/s11019-025-10250-1

Felicitas Holzer, Nikola Biller-Andorno, Holger Baumann

引用次数: 0

Multi-professional healthcare teams, medical dominance, and institutional epistemic injustice.

IF 2.3 2区哲学

Medicine Health Care and Philosophy Pub Date : 2025-01-23 DOI: 10.1007/s11019-025-10252-z

Anke Bueter, Saana Jukola

{"title":"Multi-professional healthcare teams, medical dominance, and institutional epistemic injustice.","authors":"Anke Bueter, Saana Jukola","doi":"10.1007/s11019-025-10252-z","DOIUrl":"https://doi.org/10.1007/s11019-025-10252-z","url":null,"abstract":"Multi-professional teams have become increasingly common in healthcare. Collaboration within such teams aims to enable knowledge amalgamation across specializations and to thereby improve standards of care for patients with complex health issues. However, multi-professional teamwork comes with certain challenges, as it requires successful communication across disciplinary and professional frameworks. In addition, work in multi-professional teams is often characterized by medical dominance, i.e., the perspective of physicians is prioritized over those of nurses, social workers, or other professionals. We argue that medical dominance in multi-professional teams can lead to institutional epistemic injustice, which affects both providers and patients negatively. Firstly, it codifies and promotes a systematic and unfair credibility deflation of the perspectives of professionals other than physicians. Secondly, it indirectly promotes epistemic injustice towards patients via leading to institutional opacity; i.e., via creating an intransparent system of credibility norms that is difficult to navigate. To overcome these problems, multi-professional teamwork requires institutional settings that promote epistemic equity of team members.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143025123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

New frontiers in the moral responsibility debate. 道德责任辩论的新领域。

IF 2.3 2区哲学

Medicine Health Care and Philosophy Pub Date : 2025-01-21 DOI: 10.1007/s11019-025-10255-w

Bert Gordijn, Henk Ten Have

引用次数: 0

Well-being and enhancement: reassessing the welfarist account. 福祉与提升：重新评估福利主义账户。

IF 2.3 2区哲学

Medicine Health Care and Philosophy Pub Date : 2025-01-10 DOI: 10.1007/s11019-024-10246-3

Anna Hirsch

{"title":"Well-being and enhancement: reassessing the welfarist account.","authors":"Anna Hirsch","doi":"10.1007/s11019-024-10246-3","DOIUrl":"https://doi.org/10.1007/s11019-024-10246-3","url":null,"abstract":"There are an increasing number of ways to enhance human abilities, characteristics, and performance. In recent years, the ethical debate on enhancement has focused mainly on the ethical evaluation of new enhancement technologies. Yet, the search for an adequate and shared understanding of enhancement has always remained an important part of the debate. It was initially undertaken with the intention of defining the ethical boundaries of enhancement, often by attempting to distinguish enhancements from medical treatments. One of the more recent approaches comes from Julian Savulescu, Anders Sandberg, and Guy Kahane. With their welfarist account, they define enhancement in terms of its contribution to individual well-being: as any state of a person that increases the chances of living a good life in the given set of circumstances. The account aims to contribute both to a shared and clear understanding of enhancement and to answering the question of whether we should enhance in certain ways or not. I will argue that it cannot live up to either claim, in particular because of its inherent normativity and its failure to adequately define well-being. Nevertheless, it can make a valuable contribution to an ethics of enhancement. As I will show, the welfarist account refocuses the debate on a central value in health care: well-being, which can be a relevant aspect in assessing the permissibility of biomedical interventions - especially against the background of new bioethical challenges. To fulfil this function, however, a more differentiated understanding of well-being is needed.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Correction: Applied humanities as the antidote for the malaise of bioethics. 更正：应用人文学科是治疗生命伦理问题的解药。

IF 2.3 2区哲学

Medicine Health Care and Philosophy Pub Date : 2025-01-10 DOI: 10.1007/s11019-025-10249-8

Monica Consolandi, Renzo Pegoraro

引用次数: 0

Borderline personality disorder and moral responsibility. 边缘型人格障碍与道德责任

IF 2.3 2区哲学

Medicine Health Care and Philosophy Pub Date : 2025-01-04 DOI: 10.1007/s11019-024-10243-6

Agnès Baehni

{"title":"Borderline personality disorder and moral responsibility.","authors":"Agnès Baehni","doi":"10.1007/s11019-024-10243-6","DOIUrl":"https://doi.org/10.1007/s11019-024-10243-6","url":null,"abstract":"This paper seeks to determine the extent to which individuals with borderline personality disorders can be held morally responsible for a particular subset of their actions: disproportionate anger, aggressions and displays of temper. The rationale for focusing on these aspects lies in their widespread acknowledgment in the literature and their plausible primary association with blame directed at BPD patients. BPD individuals are indeed typically perceived as \"difficult patients\" (Sulzer 2015:82; Bodner et al. 2011), significantly more so than schizophrenic or depressive patients (Markam 2003). The \"responsibility question\" for patients with BPD has already been raised (Martin 2010; Zachar and Potter 2009; Bray 2003), but this paper tackles it from a novel perspective. First, I narrow down the category of things for which the responsibility question is specific to individual with BPD. After that, I argue that some of the diagnosis criteria of BPD such as emotional instability or impulsivity might serve as excusing factors targeting the \"control condition\" on moral responsibility. Second, this paper also considers another widely accepted condition on moral responsibility: the epistemic condition. The view defended in the paper is that the answer to the responsibility question for individuals with BPD, concerning both the control condition and the epistemic condition, hinges on an understanding of their epistemic profile.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142928143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Bodies as communication systems. The relevance of Michel Serres's philosophy of science for health care. 身体作为交流系统。米歇尔·塞雷斯的医疗保健科学哲学的相关性。

IF 2.3 2区哲学

Medicine Health Care and Philosophy Pub Date : 2024-12-26 DOI: 10.1007/s11019-024-10244-5

Aldo Houterman

引用次数: 0