Medicine Health Care and Philosophy最新文献_第10页

Kidney stone disease: phenomenological perspectives. 肾结石疾病：现象学观点。

IF 3.6 2区哲学

Medicine Health Care and Philosophy Pub Date : 2026-03-01 Epub Date: 2025-10-10 DOI: 10.1007/s11019-025-10301-7

Chris A Suijker, Corijn van Mazijk, Stijn Roemeling

{"title":"Kidney stone disease: phenomenological perspectives.","authors":"Chris A Suijker, Corijn van Mazijk, Stijn Roemeling","doi":"10.1007/s11019-025-10301-7","DOIUrl":"10.1007/s11019-025-10301-7","url":null,"abstract":"Kidney stone disease is a highly prevalent condition, and has received significant attention in medical research due to its substantial impact on quality of life and the strain it places on healthcare systems. Despite its prominence, philosophical perspectives on kidney stone disease remain underexplored. This paper presents the first comprehensive phenomenological analysis of kidney stone disease, integrating both classical and contemporary phenomenological approaches with insights from qualitative and quantitative studies. We examine the lived experience of renal colic, the role of medical imaging, the diverse methods of treatment, and the challenges posed by recurrent chronic kidney stone disease, providing philosophical depth to these medical issues. We argue that kidney stone disease, along with its treatment, can deeply affect the patient's relationship with their own body, sense of self, environment, and interpersonal connections. We conclude by discussing the practical implications of our phenomenological analysis for clinical care, advocating a more holistic, humanistic approach to kidney stone disease and its treatment. This approach recognizes not only the physical, but also the lived aspects of the condition, thereby enhancing patient care and well-being.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"39-53"},"PeriodicalIF":3.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12960312/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276219","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Relational rehabilitation: competencies and qualities needed in psychosocial rehabilitation when responding to hope and hopelessness. 关系康复：心理社会康复在应对希望和绝望时所需要的能力和素质。

IF 3.1 2区哲学

Medicine Health Care and Philosophy Pub Date : 2026-03-01 Epub Date: 2025-12-08 DOI: 10.1007/s11019-025-10310-6

Camilla Højgaard Nejst, Femmianne Bredewold, Andries Baart, Chalotte Glintborg

{"title":"Relational rehabilitation: competencies and qualities needed in psychosocial rehabilitation when responding to hope and hopelessness.","authors":"Camilla Højgaard Nejst, Femmianne Bredewold, Andries Baart, Chalotte Glintborg","doi":"10.1007/s11019-025-10310-6","DOIUrl":"10.1007/s11019-025-10310-6","url":null,"abstract":"This study explores how rehabilitation professionals engage with the dynamic nature of hope in acquired brain injury rehabilitation, identifying the qualities and competencies needed to respond with care. Using a qualitative design, data were collected through focus groups and individual interviews with cross-disciplinary professionals at a Danish rehabilitation centre. Reflexive thematic analysis revealed four distinct episodes of hope, each demanding a different response. Drawing on the concepts of 'relational caring' and 'practicing presence', and engaging with empirical data, essential qualities and competencies were revealed: being present, attuned, giving and sharing time, moving along, faithfully staying with, and embracing powerlessness and uncertainty. We conclude that current rehabilitation competency frameworks, such as Wade (Clin Rehabil 34(8):995-1003, 2020) and the Rehabilitation Competency Framework as reported by World Health Organization (Rehabilitation Competency Framework, World Health Organization, Geneva, 2020), fail to capture the more nuanced competencies required to address hopelessness in rehabilitation practice. This indicates that acknowledging and validating the full dynamics of hope and hopelessness within the frameworks shaping rehabilitation practice is essential to recognising the comprehensive range of qualities and competencies needed by rehabilitation professionals. This encompasses the capacity to navigate the shifting nature of hope as well as endure and 'stay with' the person in need during hardship. Specifically, education of rehabilitation professionals could gain from integrating the theoretical framework from relational caring and presence theory as a supplement to the International Classification of Functioning, disability and Health (ICF), enabling professionals to effectively navigate the psychosocial and existential dimensions of hope in their practice.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"133-146"},"PeriodicalIF":3.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145702422","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

Navigating autistic empathy: phenomenological perspectives and debates. 引导自闭症共情：现象学的观点和辩论。

IF 3.1 2区哲学

Medicine Health Care and Philosophy Pub Date : 2026-03-01 Epub Date: 2025-10-18 DOI: 10.1007/s11019-025-10303-5

Junguo Zhang

引用次数: 0

Open-ended eudemonism in healthcare: epistemological and procedural challenges. 医疗保健中的开放式幸福主义：认识论和程序挑战。

IF 3.1 2区哲学

Medicine Health Care and Philosophy Pub Date : 2026-03-01 Epub Date: 2025-12-09 DOI: 10.1007/s11019-025-10314-2

Eric Racine

{"title":"Open-ended eudemonism in healthcare: epistemological and procedural challenges.","authors":"Eric Racine","doi":"10.1007/s11019-025-10314-2","DOIUrl":"10.1007/s11019-025-10314-2","url":null,"abstract":"There is considerable interest in moving ethics theory and methods in healthcare and biomedical research settings toward more engaging practices. This is the chief goal of contemporary open eudemonism which calls for a focus on human flourishing and encourages the use of participatory and dialogical methods to support progress in this direction. This is notably taking the form of diverse approaches and interventions inspired by pragmatism and hermeneutics where ethics grows more organically, and moral learning is valued beyond mere ethical compliance. However, open eudemonism faces numerous epistemological and procedural challenges. The former concern potential challenges with the idea of open and participatory accounts of human flourishing (e.g., ethics agreement on human flourishing is unachievable; skepticism about the contribution of ethics to human flourishing) itself while the latter concern the actual ability to enact such an orientation in practice (e.g., motivation for human flourishing; ethics leadership and the role of the ethicist in open-ended eudemonism). Both sets of challenges require attention and responses in a fuller defense of the promises of this orientation in healthcare, in biomedical research settings, and beyond.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"167-185"},"PeriodicalIF":3.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145709961","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

Intergenerational healthcare ethics: considering conceptualizations of generations and their collective and temporal dimensions. 代际医疗伦理：考虑代际概念及其集体和时间维度。

IF 3.6 2区哲学

Medicine Health Care and Philosophy Pub Date : 2026-03-01 Epub Date: 2025-12-15 DOI: 10.1007/s11019-025-10297-0

Niklas Ellerich-Groppe, Claudia Bozzaro, Dominik Koesling, Christoph Rehmann-Sutter, Silke Schicktanz, Mark Schweda

{"title":"Intergenerational healthcare ethics: considering conceptualizations of generations and their collective and temporal dimensions.","authors":"Niklas Ellerich-Groppe, Claudia Bozzaro, Dominik Koesling, Christoph Rehmann-Sutter, Silke Schicktanz, Mark Schweda","doi":"10.1007/s11019-025-10297-0","DOIUrl":"10.1007/s11019-025-10297-0","url":null,"abstract":"Current challenges in medicine and healthcare raise new questions regarding the moral relations between generations, thus highlighting the increasing relevance of intergenerational perspectives in healthcare ethics. However, the underlying notions of generations often remain vague and heterogeneous. This contribution aims to clarify the scope of conceptual meanings of 'generation' through explication and differentiation in order to advance the analytical potential of intergenerational perspectives in healthcare ethics. We argue that the concept of generations needs theoretical elaboration with regard to the dimensions of collectivity and temporality. We first introduce three approaches towards the theoretical conceptualization of generations: a genealogical, a chronological, and a socio-cultural approach. Regardless of their differences, all three essentially share an understanding of generations as collectives situated in time. Accordingly, we then examine the scope of underlying notions of collectivity and temporality, touching upon fundamental ontological, epistemological, and moral philosophical implications. We distinguish a skeptical individualist, an aggregationist, and an entity view of collectivity, as well as a formal, linear, a subjective, existential-narrative, and a socio-cultural understanding of temporality. The combination of these dimensions allows the development of a systematic matrix of conceptions of generations and intergenerational relations in healthcare ethics whose analytical potential we illustrate with regard to three paradigmatic examples. We provide a systematic summary of our considerations and outline a research agenda that addresses desiderata for intergenerational perspectives in healthcare ethics, encompassing clinical ethics, research ethics, and public health ethics, as well as meta-ethical questions.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"225-241"},"PeriodicalIF":3.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12960384/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145757984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Pandemic vaccines and 'The Global Public Good': a call for distributive justice. 大流行性流感疫苗与“全球公益”：呼吁分配正义。

IF 3.1 2区哲学

Medicine Health Care and Philosophy Pub Date : 2026-03-01 Epub Date: 2025-09-27 DOI: 10.1007/s11019-025-10299-y

Norman K Swazo, Md Munir Hossain Talukder, Mohammad Kamrul Ahsan

引用次数: 0

Threshold of understanding: disease as the interface of lifeworld and science. 理解的门槛：疾病作为生命世界和科学的界面。

IF 3.1 2区哲学

Medicine Health Care and Philosophy Pub Date : 2026-03-01 Epub Date: 2025-10-21 DOI: 10.1007/s11019-025-10304-4

C Galli

引用次数: 0

The ethics of Wegovy: promoting autonomy in pediatric care. 韦格维伦理：促进儿科护理的自主性。

IF 3.6 2区哲学

Medicine Health Care and Philosophy Pub Date : 2026-03-01 Epub Date: 2025-10-09 DOI: 10.1007/s11019-025-10300-8

Nanette Ryan, Julian Savulescu

{"title":"The ethics of Wegovy: promoting autonomy in pediatric care.","authors":"Nanette Ryan, Julian Savulescu","doi":"10.1007/s11019-025-10300-8","DOIUrl":"10.1007/s11019-025-10300-8","url":null,"abstract":"Semaglutide, marketed as Wegovy, Ozempic, and Rybelsus, is a glucagon-like peptide-1 receptor agonist (GLP-1 RA) that has attracted significant global attention for its appetite-suppressing and weight-loss effects. Approved for pediatric use in children aged 12 and older, Wegovy has been described as a \"miracle drug\" and hailed as a potential solution to the so-called \"obesity epidemic.\" However, prescribing medication to children raises complex ethical questions, including how best to respect young patients' autonomy and promote their well-being. This paper focuses on one such concern: the \"argument from virtue.\" According to this view, Wegovy represents a morally problematic approach to weight loss because it circumvents the development of character traits-such as self-control and resilience-that are seen as integral to autonomy. We critically examine this argument, rejecting the claim that there is a single morally \"right way\" to lose weight, and argue that Wegovy, when prescribed within a supportive framework, may help children build and exercise autonomy. We review the drug's function and efficacy, analyze how it might promote or hinder autonomy, and offer recommendations to support ethical prescribing practices that align with respect for children's agency.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"243-255"},"PeriodicalIF":3.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12960309/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145253227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Epistemic authority and medical AI: epistemological differences and challenges in medical practice. 认知权威与医学人工智能：医学实践中的认识论差异与挑战。

IF 3.6 2区哲学

Medicine Health Care and Philosophy Pub Date : 2026-03-01 Epub Date: 2025-11-01 DOI: 10.1007/s11019-025-10306-2

Angeliki Kerasidou, Charalampia Xaroula Kerasidou

{"title":"Epistemic authority and medical AI: epistemological differences and challenges in medical practice.","authors":"Angeliki Kerasidou, Charalampia Xaroula Kerasidou","doi":"10.1007/s11019-025-10306-2","DOIUrl":"10.1007/s11019-025-10306-2","url":null,"abstract":"Recent and ongoing advances in medical AI promise to revolutionise medicine by improving the accuracy, speed, and efficiency of clinical care. These promises are responses to the continuous quest of modern medicine to eliminate uncertainty and find answers to crucial questions of diagnosis, prognosis and treatment, while the impressive reported results of medical AI have raised the question of whether medical AI can be perceived as an epistemic authority that challenges the authority of doctors. In this paper, we examine this question by approaching it from the standpoint of what epistemic goods medical AI can offer, or else, what medical AI can claim to \"know\". Using Popowicz' account of epistemic authority in medical practice, which he locates in the scientific method that underpins the practice, we argue that medical AI uses a different scientific method to the one that has given rise and forms the epistemic foundations of traditional western medicine, and this presents a problem. As long as we are seeking not only statistically accurate correlations, but empirically grounded causations in medicine, AI cannot be treated as an epistemic authority in this field. We conclude that until medical practice finds ways to successfully incorporate such epistemological differences, medical AI should submit to the epistemic authority of medical practice and take its place on the long list of important and useful epistemic tools doctors can use to improve the health of patients.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"89-95"},"PeriodicalIF":3.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12960419/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145427092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Precision prevention and the temporal disruption of evidence: the case of heart rate notifications from wearables. 精确预防和证据的暂时中断：以可穿戴设备的心率通知为例。

IF 3.6 2区哲学

Medicine Health Care and Philosophy Pub Date : 2026-03-01 Epub Date: 2025-11-01 DOI: 10.1007/s11019-025-10308-0

Sara Green, Christoffer Bjerre Haase, Olivia Spalletta

{"title":"Precision prevention and the temporal disruption of evidence: the case of heart rate notifications from wearables.","authors":"Sara Green, Christoffer Bjerre Haase, Olivia Spalletta","doi":"10.1007/s11019-025-10308-0","DOIUrl":"10.1007/s11019-025-10308-0","url":null,"abstract":"Precision prevention refers to the use of data-intensive technologies to detect early indicators of disease and risk factors at the individual level. Precision prevention is not just a policy vision for a distant future but a development currently gaining momentum through wearables and self-tests marketed directly to consumers. We critically analyze one of the applications already on the market, namely detection of asymptomatic atrial fibrillation via smartwatches. We examine the promises made by manufacturers of smartwatches in relation to perspectives of general practitioners (GPs) in Denmark, who experience that new opportunities for disease prevention often come with new challenges. As one informant termed it, heart rate notifications are a form of \"unauthorized screening\" with uncertain benefits for individual patients and the healthcare system. The case of device-detected asymptomatic atrial fibrillation illustrates how precision prevention, via wellness technologies, can lead to a temporal disruption of evidence. We use this term to highlight the concern that evidence becomes the result of implementation, rather than the basis for it, thus turning consumers into experimental research subjects. The case of heart rate notifications also illustrates how the proactive approach to disease prevention, promoted by the wellness technology industry, drives a need for reactive research evaluating the benefits and harms of detection after the fact. We call for more attention to how big tech expansionism impacts the organization of health care and health research, as well as how the wellness technology industry shapes our understanding of disease and health.","PeriodicalId":47449,"journal":{"name":"Medicine Health Care and Philosophy","volume":" ","pages":"111-124"},"PeriodicalIF":3.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12960311/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145427125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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