Journal of Bioethical Inquiry最新文献

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Reflections from the Editors-in-Chief. 主编的思考。
IF 1.8 3区 哲学
Journal of Bioethical Inquiry Pub Date : 2024-11-13 DOI: 10.1007/s11673-024-10403-6
Lynley Anderson, Christopher Jordens, Jing-Bao Nie, Leigh E Rich, Michael A Ashby, Bronwen Morrell
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引用次数: 0
The Role of Ethics Committees in Charity Care Allocation. 伦理委员会在慈善护理分配中的作用。
IF 1.8 3区 哲学
Journal of Bioethical Inquiry Pub Date : 2024-11-11 DOI: 10.1007/s11673-024-10394-4
Richard Bui, Mary Majumder
{"title":"The Role of Ethics Committees in Charity Care Allocation.","authors":"Richard Bui, Mary Majumder","doi":"10.1007/s11673-024-10394-4","DOIUrl":"https://doi.org/10.1007/s11673-024-10394-4","url":null,"abstract":"<p><p>Hospital ethics committees (HECs) traditionally focus on clinical ethics but are increasingly recognized for their potential role in addressing organizational ethics, particularly in the allocation of charity care resources. This commentary explores the expanded role of HECs in charity care allocation, emphasizing the core ethical principles of justice, transparency, and accountability. We discuss the need for HECs to develop expertise in organizational ethics, differentiate between emergency and chronic resource allocation, and apply value-based insurance design principles to set service boundaries. By adopting an egalitarian approach to justice, HECs can help reduce health disparities and ensure equitable access to charity care. Enhanced transparency and accountability through clear criteria, regular audits, and public reporting are also vital. This paper underscores the importance of integrating these ethical principles into healthcare resource allocation to promote health equity and maintain the financial sustainability of healthcare institutions.</p>","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631823","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
Meaningful and Successful Ethical Enactments: A Proposal from Deliberative Wisdom Theory. 有意义和成功的道德行为:慎思智慧理论的建议。
IF 1.8 3区 哲学
Journal of Bioethical Inquiry Pub Date : 2024-11-05 DOI: 10.1007/s11673-024-10391-7
E Racine
{"title":"Meaningful and Successful Ethical Enactments: A Proposal from Deliberative Wisdom Theory.","authors":"E Racine","doi":"10.1007/s11673-024-10391-7","DOIUrl":"https://doi.org/10.1007/s11673-024-10391-7","url":null,"abstract":"<p><p>As a field, ethics is driven by the desire to help guide human life and human activities. Yet, what are the standards or guideposts indicating that a given policy or practice change actually contributes meaningfully to such desires and aspirations? In other words, how do we know if we have achieved meaningful ethical outcomes and enactment processes? Unfortunately, there are many examples of ethically oriented actions that were well intentioned but carried out in a way that undermined some of the values they intended on promoting or led to unexpected undesirable outcomes. In this paper, building on an account of ethics as a pragmatist pursuit of deliberative wisdom, I identify and discuss four procedural guideposts which can help evaluate if a process of inquiry is an ethical one oriented toward human flourishing. First, situational awareness and continuity designates the need to keep in sight the nature of the situation at stake to ensure that the enactment process does not derail from a cardinal human flourishing orientation. Second, a meaningful ethical enactment should distribute opportunities for participation such that it is not only one's autonomy (e.g., the ethicist) that is developed and exercised but that positive relationships are also fostered through the growth of others. Third, enactments must strive for more than simple avoidance of encroachment of wrongs but aim for the promotion of praiseworthy practices that pursue what is envisioned as being the better and most compelling vision. Fourth, an ethics process should be conducive of personal growth and mutual learning.</p>","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142584881","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
Priorities in the Protection of Citizens Who Have Fallen into Enemy Hands. 保护落入敌手公民的优先事项。
IF 1.8 3区 哲学
Journal of Bioethical Inquiry Pub Date : 2024-11-01 DOI: 10.1007/s11673-024-10398-0
Asa Kasher
{"title":"Priorities in the Protection of Citizens Who Have Fallen into Enemy Hands.","authors":"Asa Kasher","doi":"10.1007/s11673-024-10398-0","DOIUrl":"https://doi.org/10.1007/s11673-024-10398-0","url":null,"abstract":"","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142562992","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
"Expensive Sisters". "昂贵的姐妹
IF 1.8 3区 哲学
Journal of Bioethical Inquiry Pub Date : 2024-10-31 DOI: 10.1007/s11673-024-10393-5
Fawad Javed, Zain Uddin Ahmed
{"title":"\"Expensive Sisters\".","authors":"Fawad Javed, Zain Uddin Ahmed","doi":"10.1007/s11673-024-10393-5","DOIUrl":"10.1007/s11673-024-10393-5","url":null,"abstract":"<p><p>This perspective highlights a growing and concerning trend within the scientific publishing community: the increasing incidence of manuscript rejections within twenty-four hours of submission without peer review, followed by offers of transfer to a sister journal with a high article processing fee. Recommendations to address such issues, including increased transparency in the manuscript review process, the establishment of more robust editorial guidelines, and the promotion of equitable publishing opportunities regardless of financial capability have also been proposed.</p>","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142559188","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
Clinicians' Perspectives and an Ethical Analysis of Safer Supply Opioid Prescribing. 临床医生的观点和更安全供应阿片类药物处方的伦理分析。
IF 1.8 3区 哲学
Journal of Bioethical Inquiry Pub Date : 2024-10-28 DOI: 10.1007/s11673-024-10387-3
Kathleen Bird, Quentin Genuis, Sarah Ickowicz
{"title":"Clinicians' Perspectives and an Ethical Analysis of Safer Supply Opioid Prescribing.","authors":"Kathleen Bird, Quentin Genuis, Sarah Ickowicz","doi":"10.1007/s11673-024-10387-3","DOIUrl":"https://doi.org/10.1007/s11673-024-10387-3","url":null,"abstract":"<p><p>In British Columbia, Canada, many physicians providing care to individuals with high-risk opioid use disorder adopted safer supply (SS) opioid prescribing in the spring of 2020 with the goal of facilitating public health measures for COVID-19. This prescribing practice continued after measures were lifted. This study aimed to explore prescribers' perspectives following several years of local experience in prescribing SS opioids, primarily in the form of hydromorphone tablets, and to apply ethical concepts to explore current challenges and ongoing sources of provider distress. Addiction medicine SS prescribers participated in individual or small group semi-structured interviews. Each interview was transcribed and analysed for recurrent themes. Themes were then integrated into a narrative ethics discussion. Eleven addiction medicine physicians practicing in various settings within Vancouver participated in this study. Six themes were identified: clinical assessment, clinician distress, gaps in care, models of safer supply, research, and special populations. Ethical dilemmas in prescribing SS are identified and explored through a discussion of biomedical ethics principles and the physician role.</p>","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523482","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
A Response to "Humanities Beyond the Disciplines: Imaginative Activism". 对 "学科之外的人文学科:富有想象力的行动主义"。
IF 1.8 3区 哲学
Journal of Bioethical Inquiry Pub Date : 2024-10-25 DOI: 10.1007/s11673-024-10400-9
Sally Gardner
{"title":"A Response to \"Humanities Beyond the Disciplines: Imaginative Activism\".","authors":"Sally Gardner","doi":"10.1007/s11673-024-10400-9","DOIUrl":"https://doi.org/10.1007/s11673-024-10400-9","url":null,"abstract":"","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512208","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
Re-imagining and Remembering in Gaza: A Response to Spivak's Humanities Beyond the Disciplines: Imaginative Activism. 加沙的重新想象与记忆:对斯皮瓦克《学科之外的人文科学》的回应:想象的行动主义。
IF 1.8 3区 哲学
Journal of Bioethical Inquiry Pub Date : 2024-10-24 DOI: 10.1007/s11673-024-10399-z
Rachel Busbridge
{"title":"Re-imagining and Remembering in Gaza: A Response to Spivak's Humanities Beyond the Disciplines: Imaginative Activism.","authors":"Rachel Busbridge","doi":"10.1007/s11673-024-10399-z","DOIUrl":"https://doi.org/10.1007/s11673-024-10399-z","url":null,"abstract":"<p><p>Spivak's contribution to this symposium invites us to think beyond ethics in the abstract and instead to ground it in the \"epistemology of the subaltern,\" placing emphasis on a \"humanities-style education\" in thinking precisely from those margins in the interests of \"social justice for all.\" In my response to her essay, I take up her invitation to \"abstract up\" my reading of her intervention through the specifics of Gaza.</p>","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512218","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
Developments in Advance Care Planning in Australia: Potential Opportunities and Roadblocks for an Increasingly Digital World. 澳大利亚预先护理规划的发展:澳大利亚预先护理规划的发展:日益数字化世界的潜在机遇与障碍》。
IF 1.8 3区 哲学
Journal of Bioethical Inquiry Pub Date : 2024-10-23 DOI: 10.1007/s11673-024-10396-2
Casey M Haining
{"title":"Developments in Advance Care Planning in Australia: Potential Opportunities and Roadblocks for an Increasingly Digital World.","authors":"Casey M Haining","doi":"10.1007/s11673-024-10396-2","DOIUrl":"https://doi.org/10.1007/s11673-024-10396-2","url":null,"abstract":"<p><p>Australia is committed to looking at ways to modernize its healthcare delivery further by integrating digital health. Advance Care Planning (ACP) is an area of healthcare that would likely benefit from further digitalization. However, while greater integration of technology in the delivery of ACP could help improve practices and lead to increased uptake, the extent to which this is achievable will be influenced, in part, by current approaches to ACP regulation. This article canvasses recent developments and trends in Australian law relevant to ACP and reflects on how these developments may impact the further digitalization of ACP.</p>","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142512209","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
An Ethical Project: The Journal of Bioethical Inquiry After Twenty Years. 伦理项目:二十年后的《生物伦理探索杂志》。
IF 1.8 3区 哲学
Journal of Bioethical Inquiry Pub Date : 2024-10-22 DOI: 10.1007/s11673-024-10402-7
Paul A Komesaroff
{"title":"An Ethical Project: The Journal of Bioethical Inquiry After Twenty Years.","authors":"Paul A Komesaroff","doi":"10.1007/s11673-024-10402-7","DOIUrl":"https://doi.org/10.1007/s11673-024-10402-7","url":null,"abstract":"","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479607","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
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