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Organizational Trustworthiness: A Commitment Account 组织诚信：一个承诺账户
The American Journal of Bioethics Pub Date : 2026-10-12 DOI: 10.1080/15265161.2026.2741310
Laura Specker Sullivan,Ava Randel,Hannah Scotch,Lauren Taylor
{"title":"Organizational Trustworthiness: A Commitment Account","authors":"Laura Specker Sullivan,Ava Randel,Hannah Scotch,Lauren Taylor","doi":"10.1080/15265161.2026.2741310","DOIUrl":"https://doi.org/10.1080/15265161.2026.2741310","url":null,"abstract":"This paper proposes a commitment account of organizational trustworthiness and describes its application to healthcare organizations. On this account, a trustworthy organization makes commitments it is competent to keep and it has a track record of keeping them. We argue that, unlike other conceptions of trustworthiness, the commitment account best fits the impersonal, diffuse nature of healthcare organizations.","PeriodicalId":501008,"journal":{"name":"The American Journal of Bioethics","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149152764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Federation Opacity Makes Medical Machine Learning’s Failures Harder to Detect and Correct 联邦不透明使得医疗机器学习的故障更难检测和纠正
The American Journal of Bioethics Pub Date : 2026-10-12 DOI: 10.1080/15265161.2026.2741283
Joshua Hatherley,Anders Søgaard,Angela Ballantyne,Ruben Pauwels
{"title":"Federation Opacity Makes Medical Machine Learning’s Failures Harder to Detect and Correct","authors":"Joshua Hatherley,Anders Søgaard,Angela Ballantyne,Ruben Pauwels","doi":"10.1080/15265161.2026.2741283","DOIUrl":"https://doi.org/10.1080/15265161.2026.2741283","url":null,"abstract":"","PeriodicalId":501008,"journal":{"name":"The American Journal of Bioethics","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149152761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Provision of Appropriate Care as a Source of Clinician Distress 提供适当的护理是临床医生苦恼的一个来源
The American Journal of Bioethics Pub Date : 2026-10-12 DOI: 10.1080/15265161.2026.2741294
Anessa M. Foxwell,Christine Grady,Connie M. Ulrich,David Wendler
{"title":"Provision of Appropriate Care as a Source of Clinician Distress","authors":"Anessa M. Foxwell,Christine Grady,Connie M. Ulrich,David Wendler","doi":"10.1080/15265161.2026.2741294","DOIUrl":"https://doi.org/10.1080/15265161.2026.2741294","url":null,"abstract":"Clinicians are dedicated to helping others, healing the sick, and protecting the healthy from becoming sick. Obviously, clinicians would prefer to help others without causing them any distress. But, appropriate care includes procedures and interventions that can cause pain, distress, and sometimes even suffering. Clinicians must therefore accept that they frequently have to cause their patients to experience pain and distress. Because patients’ distress tends to be short-lived, the resulting distress on the treating clinicians is typically minimal. However, when provision of appropriate care requires clinicians to cause their patients to suffer, the clinicians themselves can experience significant distress. This distress can reduce team cohesion, increase clinician burnout, and undermine clinicians’ confidence in the care they provide. In this essay, we describe this source of clinician distress, assess its implications for clinical practice, and begin to consider ways to address it.","PeriodicalId":501008,"journal":{"name":"The American Journal of Bioethics","volume":"232 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149152762","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ambient Digital Scribes as Educational Mirrors: Closing the Feedback Gap in Physician Communication 环境数字抄写员作为教育镜子：缩小医生沟通中的反馈差距
The American Journal of Bioethics Pub Date : 2026-10-12 DOI: 10.1080/15265161.2026.2741285
Joshua Jonghyeon Park,Ashley Serin Park
{"title":"Ambient Digital Scribes as Educational Mirrors: Closing the Feedback Gap in Physician Communication","authors":"Joshua Jonghyeon Park,Ashley Serin Park","doi":"10.1080/15265161.2026.2741285","DOIUrl":"https://doi.org/10.1080/15265161.2026.2741285","url":null,"abstract":"Healthcare systems are rapidly adopting ambient digital scribe (ADS) technologies to reduce documentation burden and improve efficiency in clinical care. Although these systems are typically framed as technical tools that listen to patient dialogue, they also capture physician speech, creating an underexplored opportunity for ethical and pedagogical innovation. At present, everyday patient-physician interactions largely occur without systematic reflection, producing a persistent ‘feedback gap’ in which deleterious communication often goes unnoticed. This paper argues for a reframing of ADS as ‘educational mirrors’, using AI-generated annotations and transcripts to provide physicians with formative feedback on communicative patterns and language that shape patient experience. We theorize the benefits of this reframing on a stakeholder-specific basis, analyze central ethical concerns, and propose governance safeguards and careful implementation to minimize potential harms. With appropriate consent, validation, and equity-centered design, reframing ADS technologies could help close the feedback gap and promote more ethical clinical care.","PeriodicalId":501008,"journal":{"name":"The American Journal of Bioethics","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149152763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Non-Anthropocentric Research Ethics? A Reply to the Commentaries 非人类中心研究伦理？对评注的答复
The American Journal of Bioethics Pub Date : 2026-10-12 DOI: 10.1080/15265161.2026.2741314
Sabine Salloch
{"title":"Non-Anthropocentric Research Ethics? A Reply to the Commentaries","authors":"Sabine Salloch","doi":"10.1080/15265161.2026.2741314","DOIUrl":"https://doi.org/10.1080/15265161.2026.2741314","url":null,"abstract":"","PeriodicalId":501008,"journal":{"name":"The American Journal of Bioethics","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149152769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Reasonable Researcher, Not the Reasonable Person: Relocating the Burden of Disclosure 理性的研究者，而不是理性的人：信息披露责任的重新定位
The American Journal of Bioethics Pub Date : 2026-09-18 DOI: 10.1080/15265161.2026.2717143
Y. Tony Yang
{"title":"The Reasonable Researcher, Not the Reasonable Person: Relocating the Burden of Disclosure","authors":"Y. Tony Yang","doi":"10.1080/15265161.2026.2717143","DOIUrl":"https://doi.org/10.1080/15265161.2026.2717143","url":null,"abstract":"","PeriodicalId":501008,"journal":{"name":"The American Journal of Bioethics","volume":"58 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148993898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ageism, Ableism, and Agency 年龄歧视、残疾歧视和能动性
The American Journal of Bioethics Pub Date : 2026-09-18 DOI: 10.1080/15265161.2026.2717105
Vanessa Carbonell
{"title":"Ageism, Ableism, and Agency","authors":"Vanessa Carbonell","doi":"10.1080/15265161.2026.2717105","DOIUrl":"https://doi.org/10.1080/15265161.2026.2717105","url":null,"abstract":"","PeriodicalId":501008,"journal":{"name":"The American Journal of Bioethics","volume":"76 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148993899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Employment-Related Risk Is Reasonable to Disclose—Even to the Unemployed 与就业有关的风险是合理的披露，即使是失业者
The American Journal of Bioethics Pub Date : 2026-09-18 DOI: 10.1080/15265161.2026.2717113
Michelle Bach
{"title":"Employment-Related Risk Is Reasonable to Disclose—Even to the Unemployed","authors":"Michelle Bach","doi":"10.1080/15265161.2026.2717113","DOIUrl":"https://doi.org/10.1080/15265161.2026.2717113","url":null,"abstract":"","PeriodicalId":501008,"journal":{"name":"The American Journal of Bioethics","volume":"84 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148993918","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors for Assessing Employment-Based Risks of Participation in Psychedelic Research 评估参与致幻剂研究的就业风险因素
The American Journal of Bioethics Pub Date : 2026-09-18 DOI: 10.1080/15265161.2026.2717100
Rachel J. Topazian,Michael J. DiStefano,Gianna Morales,Matthew DeCamp
{"title":"Factors for Assessing Employment-Based Risks of Participation in Psychedelic Research","authors":"Rachel J. Topazian,Michael J. DiStefano,Gianna Morales,Matthew DeCamp","doi":"10.1080/15265161.2026.2717100","DOIUrl":"https://doi.org/10.1080/15265161.2026.2717100","url":null,"abstract":"","PeriodicalId":501008,"journal":{"name":"The American Journal of Bioethics","volume":"58 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148993892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
From Absence to Corrective Trust: Repairing Ageist-Ableist Epistemic Injustice in Healthcare 从缺位到矫正信任：修复医疗保健中的老年人-残疾人认知不公
The American Journal of Bioethics Pub Date : 2026-09-18 DOI: 10.1080/15265161.2026.2717150
Ju Zhang
{"title":"From Absence to Corrective Trust: Repairing Ageist-Ableist Epistemic Injustice in Healthcare","authors":"Ju Zhang","doi":"10.1080/15265161.2026.2717150","DOIUrl":"https://doi.org/10.1080/15265161.2026.2717150","url":null,"abstract":"","PeriodicalId":501008,"journal":{"name":"The American Journal of Bioethics","volume":"157 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148993894","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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