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Journal of Bioethical Inquiry最新文献

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Religion Welcome Here: A Pluriversal Approach to Religion and Global Bioethics.
IF 1.8 3区 哲学
Journal of Bioethical Inquiry Pub Date : 2024-12-16 DOI: 10.1007/s11673-024-10410-7
N S Jecker, C A Atuire, V Ravitsky, M Ghaly, V Vaswani, T C Voo
{"title":"Religion Welcome Here: A Pluriversal Approach to Religion and Global Bioethics.","authors":"N S Jecker, C A Atuire, V Ravitsky, M Ghaly, V Vaswani, T C Voo","doi":"10.1007/s11673-024-10410-7","DOIUrl":"https://doi.org/10.1007/s11673-024-10410-7","url":null,"abstract":"<p><p>This paper sets forth and defends a pluriversal approach to religion in the context of an increasingly global bioethics. Section I introduces a pluriversal view as a normative technique for engaging across difference. A normative pluriversal approach sets five constraints: civility, change from within, justice, non-domination, and tolerance. Section II applies a pluriversal approach to religion. It argues that this approach is epistemically just, recognizes diverse standpoints, and represents a productive, preferred, way to tackle global bioethics concerns. Section II also considers an opposing viewpoint, which holds that religious perspectives have no place in bioethics. We show that this viewpoint would have adverse effects on bioethics publishing, conferencing, and training programmes. The paper concludes (in Section III) that bioethicists should engage with people who hold different worldviews, including religious worldviews, and should do so in accordance with pluriversal ethical constraints.</p>","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830609","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
Towards an Ethical Analysis of Research in One Health (EAROH). 实现统一健康研究伦理分析 (EAROH)。
IF 1.8 3区 哲学
Journal of Bioethical Inquiry Pub Date : 2024-12-13 DOI: 10.1007/s11673-024-10406-3
Zohar Lederman
{"title":"Towards an Ethical Analysis of Research in One Health (EAROH).","authors":"Zohar Lederman","doi":"10.1007/s11673-024-10406-3","DOIUrl":"https://doi.org/10.1007/s11673-024-10406-3","url":null,"abstract":"<p><p>The COVID-19 and Monkeypox pandemics and the ongoing Marburg outbreak in Rwanda provide a stark reminder of the importance of espousing a One Health (OH) approach to zoonoses as well as other public health and global health issues. Recent years have in fact seen an exponential rise in biomedical and public health journals and publications explicitly adopting the name of OH. Not all research that pertains to be OH however is indeed OH research, insofar as it does not comply with the proclaimed OH goals of benefiting humans, animals, and the environment. Thus, to ensure such compliance a checklist or toolkit for an ethical analysis of research in OH (EAROH) should be required prior to publication in scientific journals or grant applications. Such a toolkit should be developed by a working group of scholars with expertise in OH ethics, animal ethics, and environmental ethics.</p>","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142819602","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 Analysis of Australia's Legal Framework for Access to More Affordable but Unapproved Medicines and Biologics. 对澳大利亚获取价格更低但未经批准的药品和生物制剂的法律框架的分析。
IF 1.8 3区 哲学
Journal of Bioethical Inquiry Pub Date : 2024-11-27 DOI: 10.1007/s11673-024-10392-6
N Ghinea
{"title":"An Analysis of Australia's Legal Framework for Access to More Affordable but Unapproved Medicines and Biologics.","authors":"N Ghinea","doi":"10.1007/s11673-024-10392-6","DOIUrl":"https://doi.org/10.1007/s11673-024-10392-6","url":null,"abstract":"<p><strong>Objective: </strong>Approved medicines are not always sufficient to address the needs of patients so several legal pathways exist to enable access to unapproved medicines for treatment purposes. This article is the first to provide an in-depth analysis of this regulatory framework that governs access to unapproved medicines in Australia with a specific focus on affordability-motivated access.</p><p><strong>Methods: </strong>Legislation, regulations, and guidelines were critically analysed to identify the de jure basis for importation and supply of unapproved medicines in Australia.</p><p><strong>Results: </strong>Most pathways for accessing unapproved medicines do not permit importation or supply for non-clinical justifications such as affordability. This is problematic as it fails to recognize that a medicine being unavailable is equivalent to a medicine being unaffordable for a patient. Better alignment can be achieved by permitting importation and supply of unapproved medicines if justified by good medical practice, which includes considerations of equity and access. It is also shown that the provisions of the Special Access Scheme Category A could be interpreted broadly to expand its use.</p><p><strong>Conclusions: </strong>As medicines become more expensive and cost-barriers to treatment are more prevalent, ignoring affordability as a valid criterion for importing medicines is a significant oversight of current regulation.</p>","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142734397","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
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
{"title":"Reflections from the Editors-in-Chief.","authors":"Lynley Anderson, Christopher Jordens, Jing-Bao Nie, Leigh E Rich, Michael A Ashby, Bronwen Morrell","doi":"10.1007/s11673-024-10403-6","DOIUrl":"https://doi.org/10.1007/s11673-024-10403-6","url":null,"abstract":"","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142631805","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 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
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