Journal of Bioethical Inquiry最新文献

No Special Treatment for Healthcare : A Reply to Ameresekere. 医疗保健没有特殊待遇：对Ameresekere的回复。

IF 1.5 3区哲学

Journal of Bioethical Inquiry Pub Date : 2026-04-15 DOI: 10.1007/s11673-025-10541-5

Albert Didriksen

引用次数: 0

Ethics under Fire: War, Rhetoric, and Moral Reasoning : Response to Lingis and Komesaroff and Abbasian. 战火中的伦理：战争、修辞和道德推理：对林吉斯、科梅萨罗夫和阿巴什安的回应。

IF 1.5 3区哲学

Journal of Bioethical Inquiry Pub Date : 2026-04-14 DOI: 10.1007/s11673-025-10545-1

Simon Lucas

引用次数: 0

Ethical Preparedness for U.S. Biocontainment Units. 美国生物防护单位的道德准备。

IF 1.5 3区哲学

Journal of Bioethical Inquiry Pub Date : 2026-04-14 DOI: 10.1007/s11673-025-10525-5

Abigail E Lowe, Jocelyn J Herstein, Angel N Desai, Nahid Bhadelia, Christina F Yen, Preeti Mehrotra, Lauren M Sauer

{"title":"Ethical Preparedness for U.S. Biocontainment Units.","authors":"Abigail E Lowe, Jocelyn J Herstein, Angel N Desai, Nahid Bhadelia, Christina F Yen, Preeti Mehrotra, Lauren M Sauer","doi":"10.1007/s11673-025-10525-5","DOIUrl":"https://doi.org/10.1007/s11673-025-10525-5","url":null,"abstract":"Biocontainment units (BCU) are purpose-built to provide medical care for patients with high consequence infectious diseases (e.g., viral haemorrhagic fevers, Middle East respiratory syndrome) and to contain the risk of disease spread. In the United States, high consequence infectious diseases (HCID) are often quarantinable diseases designated by the Centers for Disease Control and Prevention and state and local health departments, and BCU play a prominent role when public health faces an HCID threat. Patients admitted to a BCU have access to a high resource healthcare setting, but admission to the unit comes with restrictions to the rights and liberties of patients. This article begins with an introduction to BCUs and the preparedness activities that ensure the units are ready to respond. Next, it explores the significance of public health ethics for two public health interventions-quarantine and isolation care and diagnostic testing-that may place burdens on patients in a BCU. Finally, we make recommendations for integrating ethical considerations into preparedness activities to develop, formulate, and justify plans and protocols before the need to implement them in a BCU arises.","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678404","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

Selective Reduction, the Substance View, and the Doctrines of Necessity and Self-Defence: A Legal-Philosophical Response to Prabhpal Singh. 选择性还原、实体观、必然性和自卫学说：对普拉帕尔·辛格的法哲学回应。

IF 1.5 3区哲学

Journal of Bioethical Inquiry Pub Date : 2026-04-13 DOI: 10.1007/s11673-025-10546-0

J Sakr

引用次数: 0

Altruism or Exploitation? Rethinking the Ethics of Unpaid Lay Community Health Workers in Sub- Saharan Africa. The Case of Zambia. 利他主义还是剥削主义？重新思考撒哈拉以南非洲无薪社区卫生工作者的伦理。赞比亚案例。

IF 1.5 3区哲学

Journal of Bioethical Inquiry Pub Date : 2026-04-08 DOI: 10.1007/s11673-025-10536-2

G L Mwinsa, F Griffiths, B Ferguson

{"title":"Altruism or Exploitation? Rethinking the Ethics of Unpaid Lay Community Health Workers in Sub- Saharan Africa. The Case of Zambia.","authors":"G L Mwinsa, F Griffiths, B Ferguson","doi":"10.1007/s11673-025-10536-2","DOIUrl":"https://doi.org/10.1007/s11673-025-10536-2","url":null,"abstract":"Introduction While there is a global consensus that Lay Community Health Workers (CHWs) should be formally remunerated for their time and effort, they remain unsalaried in most Sub-Saharan African countries, including Zambia. Does this constitute exploitation? To answer this question, we conducted a qualitative study in Lusaka province of Zambia where we interviewed Lay CHWs attached to government healthcare facilities. We juxtaposed the Sub-Saharan African Communitarian (Ubuntu) ethical system and Western ethics to discuss the findings. Study Methods We conducted qualitative interviews with thirty-five Lay Community Health Workers in three districts of Lusaka province in Zambia. We adapted the Braun and Clarke (2006) six-step framework of thematic analysis and NVivo computer software to analyse data. Study Findings Lay CHWs were motivated by both the intrinsic Ubuntu altruism and economic benefits as they provided community health services in their respective localities. Although they complained about low and inconsistent stipends, as well as a lack of equipment, that did not stop them from serving their communities because of their intrinsic Ubuntu motivation to care for others. Conclusion Our study found no evidence that paying Lay CHWs undermined their intrinsic Ubuntu motivation to aid other people, as they continued to serve their communities whether they received stipends or not. It is also our considered view that Lay CHWs are exploited due to their vulnerable positionality, and to avoid that, they should be formally remunerated in line with the WHO recommendation.","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147634972","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

Reconceptualizing Informed Consent as the Objective Activity of Real Person. 将知情同意重新定义为自然人的客观活动。

IF 1.5 3区哲学

Journal of Bioethical Inquiry Pub Date : 2026-04-02 DOI: 10.1007/s11673-025-10528-2

Cong Pang

{"title":"Reconceptualizing Informed Consent as the Objective Activity of Real Person.","authors":"Cong Pang","doi":"10.1007/s11673-025-10528-2","DOIUrl":"https://doi.org/10.1007/s11673-025-10528-2","url":null,"abstract":"This paper argues that viewing informed consent as an autonomous action is problematic because it is based on an idealized conception of the person and of autonomy. Instead, informed consent should be viewed as the objective activity of real, concrete persons. In this activity, an individual, acting as a subject, authorizes a specific object for a particular purpose. A person's choice is fundamentally constrained by the reality of both the object and the subject (the individual themselves). Accordingly, individuals must understand the nature of the object and its relevance to their own situation in order to make appropriate decisions. However, since cognitive activity is fundamentally constrained by practical conditions, there is no assurance that individuals can achieve sufficient understanding when making a consent decision. Therefore, the cognitive goal of informed consent should not be to ensure complete understanding in advance but to maximize the likelihood that sufficient understanding will be achieved. The appropriate cognitive threshold must also vary according to the actual circumstances of each individual. On this basis, the paper proposes a more complete informed consent process consisting of three stages: pre-consent communication, post-consent verification, and consent process optimization.","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147596199","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

Evolving Paradigms in China's Human Genetic Resource Regulation : From Biopiracy Prevention to Bridging National Interests and Global Collaboration. 中国人类遗传资源监管的演进范式：从防止生物剽窃到衔接国家利益与全球合作。

IF 1.5 3区哲学

Journal of Bioethical Inquiry Pub Date : 2026-04-02 DOI: 10.1007/s11673-025-10524-6

Jiajia Yu

引用次数: 0

Mapping the Momentum : Evaluating Research Productivity and Collaborative Networks in Bioethics Across the Eastern Mediterranean Region. 绘制势头：评估整个东地中海地区生物伦理学的研究生产力和协作网络。

IF 1.5 3区哲学

Journal of Bioethical Inquiry Pub Date : 2026-03-30 DOI: 10.1007/s11673-025-10532-6

Amirhossein Mardani, Abdalsamd Keramatfar, Mahshad Noroozi, Alireza Parsapoor, Ahmed Mandil, Arash Rashidian, Ehsan Shamsi Gooshki

{"title":"Mapping the Momentum : Evaluating Research Productivity and Collaborative Networks in Bioethics Across the Eastern Mediterranean Region.","authors":"Amirhossein Mardani, Abdalsamd Keramatfar, Mahshad Noroozi, Alireza Parsapoor, Ahmed Mandil, Arash Rashidian, Ehsan Shamsi Gooshki","doi":"10.1007/s11673-025-10532-6","DOIUrl":"https://doi.org/10.1007/s11673-025-10532-6","url":null,"abstract":"Identifying the trends and patterns of bioethics research in the Eastern Mediterranean Region provides valuable insights into research interests and productivity. This study aimed to evaluate the region's bioethics research outputs between 1974-2022 using a bibliometric approach. Publications from countries in the region indexed in Web of Science, Scopus, and PubMed were analysed. The results showed a clear upward trend, with an average annual growth rate of 39 per cent in bioethics publications, while the growth rate of citations was nearly twice as high. Iran was identified as the most prolific country, followed by Saudi Arabia and Pakistan. However, intra-regional and extra-regional co-authorships accounted for only 7 per cent and 17 per cent of publications, respectively, indicating limited research collaboration. The main non-regional collaborators were the United States, Canada, and the United Kingdom. Further development of bioethics research in the region requires strengthened capacity building at both national and regional levels.","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576223","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

Manuscript Rejection on the Pretext of "Limited Space": An Ethical and Economic Dilemma. 以“有限空间”为借口的退稿：伦理与经济困境。

IF 1.5 3区哲学

Journal of Bioethical Inquiry Pub Date : 2026-03-23 DOI: 10.1007/s11673-025-10537-1

Fawad Javed, Zain Uddin Ahmed, Fernanda Oliveira Bello Correa, Khalid Almas

{"title":"Manuscript Rejection on the Pretext of \"Limited Space\": An Ethical and Economic Dilemma.","authors":"Fawad Javed, Zain Uddin Ahmed, Fernanda Oliveira Bello Correa, Khalid Almas","doi":"10.1007/s11673-025-10537-1","DOIUrl":"https://doi.org/10.1007/s11673-025-10537-1","url":null,"abstract":"In the digital age, where physical space constraints in scholarly publishing have largely diminished, the recurring editorial justification of \"limited space\" for manuscript rejection appears increasingly indefensible. This commentary critically examines the ethical and economic dimensions of this rationale, particularly when it results in redirection to fee-based open access (OA) sister journals. While peer-reviewed publication decisions are ideally grounded in scientific merit, novelty, and methodological rigor, the authors argue that the space limitation rationale may function as a pretext to curate journal branding or steer submissions toward revenue-generating platforms. The expansion of OA publishing, though intended to democratize knowledge dissemination, has in some cases evolved into a profit-driven model that imposes article processing charges on authors. Such practices risk compromising editorial transparency, fairness, and academic equity. The authors advocate for clearer editorial policies, increased transparency in decision-making, and the adoption of mechanisms such as dynamic submission dashboards to inform authors of real-time publication capacity. Rejections should be based on scholarly merit rather than logistical or commercial interests. This article calls for reinforcing the ethical foundations of academic publishing to ensure that decisions reflect genuine scholarly standards and not economic expediency.","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505395","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 Justification of Health Workers' Strikes in Zimbabwe during COVID-19 : A Perspective Based on African Partiality and Ubuntu. COVID-19期间津巴布韦卫生工作者罢工的道德理由：基于非洲偏见和乌班图的视角

IF 1.5 3区哲学

Journal of Bioethical Inquiry Pub Date : 2026-03-23 DOI: 10.1007/s11673-025-10526-4

Luis Cordeiro-Rodrigues, Cornelius Ewuoso

{"title":"An Ethical Justification of Health Workers' Strikes in Zimbabwe during COVID-19 : A Perspective Based on African Partiality and Ubuntu.","authors":"Luis Cordeiro-Rodrigues, Cornelius Ewuoso","doi":"10.1007/s11673-025-10526-4","DOIUrl":"https://doi.org/10.1007/s11673-025-10526-4","url":null,"abstract":"The COVID-19 pandemic has exacerbated health resource scarcity in many countries. Due to the shortage of medical equipment, some health workers in Zimbabwe refused to provide health services until these needs were addressed. In this article, we analyse the case of withdrawal of services by health workers in Zimbabwe and contend that they were morally justified in doing this. To forward this thesis, we try for the first time to use the African values of partiality and social harmony to evaluate the morality of health workers striking during a pandemic. The first set of arguments, based on the African ethics of partiality, is divided into two sub-arguments: namely, that the health workers were justified in withdrawing medical services because they held special duties to their families which could be violated if they had provided health services without the use of protection, and that it is psychologically unrealistic to demand that health workers put their families at risk. The second set of arguments upholds that the actions of the health workers are grounded in the idea of Ubuntu/social harmony and, therefore, are morally justified. Finally, we contend that although our thesis implies some hierarchies, not only may these be morally justified, but they are also not necessarily incompatible with the ethical standards of equality, universality, and non-favouritism. Although the case of Zimbabwe serves as an illuminating example, the way we formulate this thesis indicates that the arguments can be generalized to similar settings.","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505402","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