Indian journal of medical ethics最新文献

Attitudes and perceptions of undergraduate medical students about sexual harassment and gender discrimination: A survey-based study. 医大学生对性骚扰和性别歧视的态度和认知：一项基于调查的研究。

Indian journal of medical ethics Pub Date : 2024-10-01 DOI: 10.20529/IJME.2024.066

Harleen Kaur, Malhar Hirmukhe, Medha Vaidya, Nishika Patole, Murtuza Ranalawala, Pranava Nande, Anushri Soni, Charmi Bhanushali, Ashni Dharia, Sagar Karia, Avinash De Sousa

{"title":"Attitudes and perceptions of undergraduate medical students about sexual harassment and gender discrimination: A survey-based study.","authors":"Harleen Kaur, Malhar Hirmukhe, Medha Vaidya, Nishika Patole, Murtuza Ranalawala, Pranava Nande, Anushri Soni, Charmi Bhanushali, Ashni Dharia, Sagar Karia, Avinash De Sousa","doi":"10.20529/IJME.2024.066","DOIUrl":"https://doi.org/10.20529/IJME.2024.066","url":null,"abstract":"Background: Sexual harassment (SH) and Gender discrimination (GD) faced by medical students have been neglected areas of study in India. Only a few recent studies could be found, despite frequent media reports on SH and GD. This study aimed to assess the attitudes and perceptions of sexual harassment and gender discrimination and evaluate the forms of SH and GD experienced by them.Methods: A Google form based mixed method survey tool was distributed amongst students of 28 medical colleges in Maharashtra. Participants were assured of confidentiality and anonymity.Results: Of the 308 students who were eligible for the present study, 14.3% (44) and 26.6% (82) reported incidence of sexual harassment and gender discrimination, respectively, while 133 (43.2%) of them reported having experienced some or the other form of SH/GD. A wide range of instances of SH and GD were described by the students.Conclusions: The study highlights the need to create awareness about sexual harassment and gender discrimination amongst medical students, and to create an atmosphere where such abuses do not occur.","PeriodicalId":517372,"journal":{"name":"Indian journal of medical ethics","volume":"IX 4","pages":"271-277"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The dire struggle: India's unfulfilled promise to eliminate tuberculosis. 可怕的斗争：印度没有实现消除结核病的承诺。

Indian journal of medical ethics Pub Date : 2024-10-01 DOI: 10.20529/IJME.2024.060

Prajna Anirvan

引用次数: 0

A typology framework for unethical medical practices under public health insurance schemes in India: Analysis of evidence over the past 12 years. 印度公共医疗保险计划下不道德医疗行为的类型框架：对过去 12 年证据的分析。

Indian journal of medical ethics Pub Date : 2024-10-01 Epub Date: 2024-08-08 DOI: 10.20529/IJME.2024.050

Parul Naib

{"title":"A typology framework for unethical medical practices under public health insurance schemes in India: Analysis of evidence over the past 12 years.","authors":"Parul Naib","doi":"10.20529/IJME.2024.050","DOIUrl":"10.20529/IJME.2024.050","url":null,"abstract":"Background: Unethical provider practices in public healthcare schemes adversely impact beneficiaries' health, result in the loss of public funds, and also bring disrepute to the schemes. There is extensive literature on the typologies of unethical practices in healthcare in developed countries. This study aims to develop a typology framework which is applicable in the Indian context.Methods: In this study, 25 media reports and research studies were analysed on unethical provider practices under public health insurance schemes in India over the past 12 years from 2010 to 2022. The reports were collated from de-empanelment orders issued by state health authorities against various erring entities, and research studies conducted on the abuse of these schemes.Results: Based on the analysis and classification of the cases reported, an \"Unethical Provider Practices\" typology for healthcare fraud has been defined. Additional fraud typologies are found to be prevalent in India in addition to those captured by existing frameworks. These include patient harm, ID theft of beneficiary data to create cards for non-beneficiaries, and collusion between providers and different entities.Conclusions: Fraud control mechanisms leveraging technology such as AI-enabled digital apps for medical audits, biometric technology at the point of care and rigourous checks of ID documents before beneficiary cards are issued as well as having more specific legal provisions in place for healthcare fraud will enable enhanced prevention, detection and deterrence of healthcare fraud.","PeriodicalId":517372,"journal":{"name":"Indian journal of medical ethics","volume":" ","pages":"278-287"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057812","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Advance care planning and the ethical obligation of death literacy as a public health initiative in India. 作为印度的一项公共卫生举措，预先护理计划和死亡扫盲的道德义务。

Indian journal of medical ethics Pub Date : 2024-10-01 Epub Date: 2024-07-31 DOI: 10.20529/IJME.2024.048

Savita Butola, Roop Gursahani

{"title":"Advance care planning and the ethical obligation of death literacy as a public health initiative in India.","authors":"Savita Butola, Roop Gursahani","doi":"10.20529/IJME.2024.048","DOIUrl":"10.20529/IJME.2024.048","url":null,"abstract":"This article highlights the importance of advance care planning (ACP) in good end-of-life care (EOLC). The judgement by the Supreme Court of India legalised Advance Medical Directives in 2018 and in January 2023, amended the procedure to make it easier. The article describes the advantages of ACP, the numerous ethical dilemmas at the end of life that it seeks to address and avoid, the latest legal procedure, the barriers, the need for awareness among healthcare providers, legal professionals as well as the public, and the need for legislation to translate the law into action. Educating citizens about their right to choose the kind of care they want at the end of life, including the right to refuse treatment, is the moral and ethical duty of all health professionals. Making death literacy and ACP a part of a public health initiative would be a major step towards meeting the obligations reflected in the World Health Organization guidelines and National Health Policy 2017, which envisage palliative care and EOLC as an integral part of Universal Health Coverage, requiring support from the government as well as the participation of civil society.","PeriodicalId":517372,"journal":{"name":"Indian journal of medical ethics","volume":" ","pages":"308-312"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142057813","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The healing power of the doctor-patient relationship. 医患关系的治愈力量。

Indian journal of medical ethics Pub Date : 2024-10-01 Epub Date: 2024-08-14 DOI: 10.20529/IJME.2024.051

Ravichandra Karkal

引用次数: 0

On violence against patients. 关于对病人的暴力。

Indian journal of medical ethics Pub Date : 2024-10-01 DOI: 10.20529/IJME.2024.064

Rema Nagarajan

引用次数: 0

Some personal reflections on prison medical care. 关于监狱医疗护理的一些个人思考。

Indian journal of medical ethics Pub Date : 2024-10-01 Epub Date: 2024-03-29 DOI: 10.20529/IJME.2024.021

Vernon Gonsalves

引用次数: 0

Beyond anxiety: Autonomy and harm reduction approaches to DIY Hormone Replacement Therapy. 超越焦虑：自主和减少伤害的DIY激素替代疗法方法。

Indian journal of medical ethics Pub Date : 2024-10-01 DOI: 10.20529/IJME.2024.065

Sayantan Datta

引用次数: 0

Reasons for retraction of clinical research articles in PubMed indexed medical journals from 2012 to 2022. 2012 - 2022年PubMed索引医学期刊临床研究论文撤稿原因分析。

Indian journal of medical ethics Pub Date : 2024-10-01 DOI: 10.20529/IJME.2024.067

Miteshkumar Maurya, Renuka Munshi

{"title":"Reasons for retraction of clinical research articles in PubMed indexed medical journals from 2012 to 2022.","authors":"Miteshkumar Maurya, Renuka Munshi","doi":"10.20529/IJME.2024.067","DOIUrl":"https://doi.org/10.20529/IJME.2024.067","url":null,"abstract":"Background: Misconduct in the publication of research articles is a serious concern for the scientific community. This study was conducted with the objective to assess various reasons for retraction of clinical research articles published in PubMed indexed journals from all over the world since 2012 to 2022.Methods: A search was performed on the PubMed database for retracted research articles using filters for \"retracted publication\". A total of 314 eligible research articles were assessed for studying basic details. The study outcome measures were to evaluate the reasons for the retraction and authors' and journal editors' responses to retractions.Results: Of the original research articles retracted, 150/242 (61.98%) were clinical trial publications. Of the total 314 retracted research articles, the most retractions were in 2014 (47, 14.96%) and 2013 (40, 12.73%) while the fewest retractions were in 2012 (3, 0.95%) and 2022 (9, 2.86%). The most common reasons for retraction were data errors or data analysis errors (120/314, 38.21%) followed by plagiarism (37/314, 11.8%), duplicate publication (35/314, 11.1%), ethical concerns (23/314, 7.3%) and methodological flaws (22/314, 7%). These concerns were raised mainly by the editor or editor-in-chief (228/314, 72.61%), followed by authors (29/314, 9.23%). Out of 228 editorial concerns on publications, authors of only 91/228 (39.91%) agreed and 17/228 (7.45%) completely disagreed with the editorial decision.Conclusion: Authors need to be more careful about data analysis errors, fabricated or falsified data, and plagiarism while submitting their research papers. On the part of editors, detecting misconduct at the submission and peer review stages will help lower the retraction rate and avoid citation of such articles by other authors.","PeriodicalId":517372,"journal":{"name":"Indian journal of medical ethics","volume":"IX 4","pages":"296-300"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A quasi-experimental study of trigger films for teaching the doctor-patient relationship. 触发影片在医患关系教学中的准实验研究。

Indian journal of medical ethics Pub Date : 2024-10-01 DOI: 10.20529/IJME.2024.057

Farah Khaliq, Nonita Gangwani, Satendra Singh

{"title":"A quasi-experimental study of trigger films for teaching the doctor-patient relationship.","authors":"Farah Khaliq, Nonita Gangwani, Satendra Singh","doi":"10.20529/IJME.2024.057","DOIUrl":"https://doi.org/10.20529/IJME.2024.057","url":null,"abstract":"Background: It is challenging to teach the complexity of the doctor-patient relationship through attitude, ethics, and communication (AETCOM) modules, particularly without being formally trained and especially to first-year medical students who do not interact directly with patients. The present study was undertaken to assess the effectiveness of trigger films (TFs) or short movie clips as a teaching-learning tool to train undergraduate medical students on various aspects of doctor-patient relationships.Methods: Two modules on various aspects of the doctor-patient relationship were developed using TFs and written case studies and implemented on Phase Ⅰ medical students. Quantitative and qualitative feedback were collected from learners. Perception, understanding, and knowledge were assessed using pre- and post-questionnaires. The results of the feedback and questionnaires collected after using TFs were compared with those collected after using written case studies.Results: There was a gain in knowledge and understanding after TF sessions, and TF sessions were rated much higher by the students than traditional methods. Most students found TFs to be an innovative and interesting tool. The satisfaction index calculated for TFs from the feedback of both students and teachers was above 96%.Conclusions: TFs engaged the students' affective domain, promoted reflective attitudes, and linked their learning to experiences. It was reported not only to be interesting and engaging but also effective as a teaching tool.","PeriodicalId":517372,"journal":{"name":"Indian journal of medical ethics","volume":"IX 4","pages":"288-295"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143019510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0