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Journal of Bioethical Inquiry最新文献

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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
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
Ethical Issues in Memory Modification Technology: A Scoping Review. 记忆修改技术的伦理问题：范围审查。
IF 1.8 3区 哲学
Journal of Bioethical Inquiry Pub Date : 2024-10-17 DOI: 10.1007/s11673-024-10371-x
Junjie Yang
{"title":"Ethical Issues in Memory Modification Technology: A Scoping Review.","authors":"Junjie Yang","doi":"10.1007/s11673-024-10371-x","DOIUrl":"https://doi.org/10.1007/s11673-024-10371-x","url":null,"abstract":"<p><p>Memory modification technology (MMT) refers to the use of neurotechnologies to intervene in memories. Many scholars have reflected on the ethical issues in MMT, but a comprehensive review of this topic has not been seen. This article presents the first scoping review study of ethical issues in MMT using a bibliometric and systematic approach. After thorough examination, 133 records of key literature are included in this scoping review. Six core ethical themes are extracted: (1) self, identity, and authenticity; (2) autonomy and informed consent; (3) welfare and happiness; (4) safety and risks; (5) responsibility and obligation; (6) social and legal justice. More detailed analyses are conducted on the moral stances and reasons held by different scholars concerning these ethical themes. As can be seen, current debates exhibit certain shortcomings, including ambiguous ethical concepts and a restricted scope of analysis. Therefore, we call for deeper reflections on the philosophical foundations, more precise definitions of ethical terms, and more comprehensive examinations of neurotechnological applications, in order to better address the ethical challenges in the future.</p>","PeriodicalId":50252,"journal":{"name":"Journal of Bioethical Inquiry","volume":" ","pages":""},"PeriodicalIF":1.8,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479608","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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