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American Journal of Bioethics最新文献

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Ethical Assessment of Generative AI Tools for Clinical Summarization Tasks. 临床总结任务生成人工智能工具的伦理评估。
IF 20.8 1区 哲学
American Journal of Bioethics Pub Date : 2026-05-06 DOI: 10.1080/15265161.2026.2657875
Danton Char, Norman L Downing, Alaa Youssef, Michelle M Mello
{"title":"Ethical Assessment of Generative AI Tools for Clinical Summarization Tasks.","authors":"Danton Char, Norman L Downing, Alaa Youssef, Michelle M Mello","doi":"10.1080/15265161.2026.2657875","DOIUrl":"https://doi.org/10.1080/15265161.2026.2657875","url":null,"abstract":"<p><p>As healthcare organizations' use of generative AI moves from initial experimentation to scaled deployments, the need to build oversight systems to identify and address ethical challenges assumes greater urgency. Among the AI applications attracting the strongest early interest are clinical summarization tools, which use large language models (LLMs). To assist healthcare organizations weighing adoption of LLMs, we describe an ethical assessment process employed at our healthcare system to identify problems that may affect patient care so problems can be addressed prior to deployment or monitored over time to detect harms. The process uses stakeholder interviewing to explore risks and other concerns arising from integration of AI tools into clinical workflow and identify areas where values and priorities of different stakeholder groups do not align. We describe ethical issues identified in assessments of tools that (1) draft end-of-shift nursing notes and (2) generate clinical notes from conversations between clinicians and patients.</p>","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":" ","pages":"1-9"},"PeriodicalIF":20.8,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Laundering Public Health: Using Autism to Revive Eugenics. 洗白公共卫生：利用自闭症重振优生学。
IF 20.8 1区 哲学
American Journal of Bioethics Pub Date : 2026-05-06 DOI: 10.1080/15265161.2026.2659519
Nanette Elster, Kayhan Parsi, Art Caplan
{"title":"Laundering Public Health: Using Autism to Revive Eugenics.","authors":"Nanette Elster, Kayhan Parsi, Art Caplan","doi":"10.1080/15265161.2026.2659519","DOIUrl":"https://doi.org/10.1080/15265161.2026.2659519","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":" ","pages":"1-3"},"PeriodicalIF":20.8,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147845841","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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 Concept of Personal Utility in Genomic Testing: Three Ethical Tensions. 基因组检测中的个人效用概念：三个伦理张力。
IF 20.8 1区 哲学
American Journal of Bioethics Pub Date : 2026-05-01 Epub Date: 2025-03-18 DOI: 10.1080/15265161.2025.2475015
Gabriel John Watts, Ainsley J Newson
{"title":"The Concept of Personal Utility in Genomic Testing: Three Ethical Tensions.","authors":"Gabriel John Watts, Ainsley J Newson","doi":"10.1080/15265161.2025.2475015","DOIUrl":"10.1080/15265161.2025.2475015","url":null,"abstract":"<p><p>Health Technology Assessment (HTA) has traditionally focused on efficacy, safety, and cost-effectiveness. There has long been concern, however, that this is determined by the goals of healthcare providers/payers, not patients. As a result, HTA arguably fails to reflect the overall value of health technologies-including their \"non-clinical\" or \"personal\" utility to patients and their families. The use of genomic testing in clinical care is one domain where this problem is evident, as the personal utility of results is often especially significant. As such, there are growing calls for HTA frameworks to adopt personal utility as a distinct element of value when assessing clinical genomic tests. We agree that personal utility is important to HTA in clinical genomics. However, against a trend toward comprehensive conceptions of personal utility within HTA, we advocate for a restrictive approach to assessing the value of personal utility in the case of clinical genomic testing.</p>","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":" ","pages":"6-17"},"PeriodicalIF":20.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659696","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Allocation of Treatment Slots in Elective Mental Health Care-Are Waiting Lists the Ethically Most Appropriate Option? 选择性精神卫生保健治疗时段的分配——等候名单是道德上最合适的选择吗？
IF 20.8 1区 哲学
American Journal of Bioethics Pub Date : 2026-05-01 Epub Date: 2026-03-05 DOI: 10.1080/15265161.2026.2637087
Thomas Haustein, Ralf J Jox
{"title":"Allocation of Treatment Slots in Elective Mental Health Care-Are Waiting Lists the Ethically Most Appropriate Option?","authors":"Thomas Haustein, Ralf J Jox","doi":"10.1080/15265161.2026.2637087","DOIUrl":"10.1080/15265161.2026.2637087","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":" ","pages":"W7-W8"},"PeriodicalIF":20.8,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147357388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
AI Ethics 2.0: Why Frontier AI Demands a New Governance Agenda for Healthcare. 人工智能伦理2.0：为什么前沿人工智能需要新的医疗治理议程。
IF 20.8 1区 哲学
American Journal of Bioethics Pub Date : 2026-04-30 DOI: 10.1080/15265161.2026.2659513
S Matthew Liao, Jennifer Blumenthal-Barby
{"title":"AI Ethics 2.0: Why Frontier AI Demands a New Governance Agenda for Healthcare.","authors":"S Matthew Liao, Jennifer Blumenthal-Barby","doi":"10.1080/15265161.2026.2659513","DOIUrl":"https://doi.org/10.1080/15265161.2026.2659513","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":" ","pages":"1-3"},"PeriodicalIF":20.8,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147823053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Losing Caregivers to the Dyad. 把照顾者丢给二人组。
IF 20.8 1区 哲学
American Journal of Bioethics Pub Date : 2026-04-01 Epub Date: 2026-04-08 DOI: 10.1080/15265161.2026.2637078
Camryn Barnett, Matthew Aaron Turner, Medha Somayaji, Kennedy O Onuoha, Joseph J Kotva
{"title":"Losing Caregivers to the Dyad.","authors":"Camryn Barnett, Matthew Aaron Turner, Medha Somayaji, Kennedy O Onuoha, Joseph J Kotva","doi":"10.1080/15265161.2026.2637078","DOIUrl":"https://doi.org/10.1080/15265161.2026.2637078","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"26 4","pages":"75-77"},"PeriodicalIF":20.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Abortion and Embodiment. 流产和化身。
IF 20.8 1区 哲学
American Journal of Bioethics Pub Date : 2026-04-01 Epub Date: 2025-02-06 DOI: 10.1080/15265161.2025.2457714
Laura Hermer
{"title":"Abortion and Embodiment.","authors":"Laura Hermer","doi":"10.1080/15265161.2025.2457714","DOIUrl":"10.1080/15265161.2025.2457714","url":null,"abstract":"<p><p>Each of us is embodied. Our relationships are reinforced and swayed by physiological processes. States that impose unwanted childbirth on women also force them into unwanted bonds of care. While most people who have given birth understand this because they experienced it, this formative experience is alien to cisgender men. Yet the physiological changes that birthing people undergo are points that few commentators on abortion raise. There are several possible reasons for this, including concerns about reifying biological processes that have been used to assert alleged truths about the \"natural\" role of women in society and culture. I discuss the physiological underpinnings of maternal/neonate bonds, the importance of this issue in the abortion debate, and the role it ought to play, while keeping in mind the valid critiques of historical and current appeals to biology as a means of subjugating women socially and culturally.</p>","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":" ","pages":"3-9"},"PeriodicalIF":20.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143365539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Embodiment, Medicalization, and Morality. 化身、医疗化和道德。
IF 20.8 1区 哲学
American Journal of Bioethics Pub Date : 2026-04-01 Epub Date: 2026-04-08 DOI: 10.1080/15265161.2026.2637103
Jessie Hill
{"title":"Embodiment, Medicalization, and Morality.","authors":"Jessie Hill","doi":"10.1080/15265161.2026.2637103","DOIUrl":"https://doi.org/10.1080/15265161.2026.2637103","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"26 4","pages":"29-31"},"PeriodicalIF":20.8,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147640454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Reasonable to Whom? Rethinking Informed Consent Disclosures in Light of the Research Related Concerns of the Autistic Community. 对谁合理？根据自闭症社区的研究相关问题重新思考知情同意披露。
IF 20.8 1区 哲学
American Journal of Bioethics Pub Date : 2026-03-02 DOI: 10.1080/15265161.2026.2632012
Manisha Khatiwada, Dana Howard, Tema Krempley, Katherine Walton, Crystal Williams, Abraham David Graber
{"title":"Reasonable to Whom? Rethinking Informed Consent Disclosures in Light of the Research Related Concerns of the Autistic Community.","authors":"Manisha Khatiwada, Dana Howard, Tema Krempley, Katherine Walton, Crystal Williams, Abraham David Graber","doi":"10.1080/15265161.2026.2632012","DOIUrl":"https://doi.org/10.1080/15265161.2026.2632012","url":null,"abstract":"<p><p>Information disclosure during the informed consent process presents a dilemma. If too little information is presented, participants are unable to make an informed decision. Exhaustive disclosure is, however, a practical impossibility. In the United States, this dilemma was historically navigated in the research context by requiring that disclosure include enumerated items: the purpose of the research, potential risks, etc. In 2018, federal guidelines were updated to require that disclosure adhere to the reasonable person standard, whereby participants must be given all information that an \"average\" person would want to know. Drawing on the Autistic community's unique concerns regarding research, we argue that, because of its emphasis on the informational wants of the \"average\" person, the reasonable person standard systematically fails to meet the informational needs of (many) people from minoritized populations. We argue for an individualized understanding of the reasonable person standard and provide recommendations for research teams.</p>","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":" ","pages":"1-14"},"PeriodicalIF":20.8,"publicationDate":"2026-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147328048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Beyond Consent Waivers: A Governance-First Model for Learning Health Systems. 超越同意弃权：学习卫生系统的治理优先模式。
IF 20.8 1区 哲学
American Journal of Bioethics Pub Date : 2026-03-01 Epub Date: 2026-03-12 DOI: 10.1080/15265161.2026.2623848
Y Tony Yang
{"title":"Beyond Consent Waivers: A Governance-First Model for Learning Health Systems.","authors":"Y Tony Yang","doi":"10.1080/15265161.2026.2623848","DOIUrl":"https://doi.org/10.1080/15265161.2026.2623848","url":null,"abstract":"","PeriodicalId":50962,"journal":{"name":"American Journal of Bioethics","volume":"26 3","pages":"87-90"},"PeriodicalIF":20.8,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147437463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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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