Perspectives in Biology and Medicine最新文献_第3页

What Can Medicine Do for Poetry? Poetry in the First Year of the CMAJ. 医学对诗歌有什么帮助？CMAJ第一年的诗歌。

IF 0.8 4区医学

Perspectives in Biology and Medicine Pub Date : 2025-01-01

Shane Neilson

引用次数: 0

The Time We See: ADHD, Neuroqueer Temporality, and Graphic Medicine. 我们看到的时间：多动症，神经酷儿时间性和图像医学。

IF 0.8 4区医学

Perspectives in Biology and Medicine Pub Date : 2025-01-01

Prerna Tolani, Sathyaraj Venkatesan

引用次数: 0

Ethics at the Hinge: health-care organizations and family caregivers during discharge planning. 关键时刻的伦理：出院计划期间的卫生保健组织和家庭照顾者。

IF 0.8 4区医学

Perspectives in Biology and Medicine Pub Date : 2025-01-01 DOI: 10.1353/pbm.2025.a962022

Nancy Berlinger, Alison Reiheld

引用次数: 0

Organizational Accountability for Justice and Health Equity. 司法和卫生公平的组织问责制。

IF 0.8 4区医学

Perspectives in Biology and Medicine Pub Date : 2025-01-01 DOI: 10.1353/pbm.2025.a962019

Jenna Wright, Ellie Tumbuan, Marjorie Stamper-Kurn, Marshall H Chin

{"title":"Organizational Accountability for Justice and Health Equity.","authors":"Jenna Wright, Ellie Tumbuan, Marjorie Stamper-Kurn, Marshall H Chin","doi":"10.1353/pbm.2025.a962019","DOIUrl":"https://doi.org/10.1353/pbm.2025.a962019","url":null,"abstract":"Health-care organizations traditionally view accountability through punitive and performance-metric lenses, failing to address their responsibility to communities most impacted by health inequities. While research exists on organizational accountability in health care, little explores how Black, Indigenous, and People of Color (BIPOC) frameworks might transform health-care delivery toward justice and equity. This article examines how four BIPOC philosophical frameworks-right relations, Seven Generations, calling in versus calling out, and Emergent Strategy-can reimagine organizational accountability to advance health equity. The authors' findings reveal that combining BIPOC accountability frameworks with structural reforms in payment and care delivery systems enables health-care organizations to center relationship-building and long-term community impact. Concrete organizational examples demonstrate successful implementation of these principles through initiatives like the Robert Wood Johnson Foundation Advancing Health Equity program, while personal narratives illustrate their transformative potential in patient care. This work provides practical pathways for health-care organizations to move beyond punishment toward accountability models that prioritize immediate holistic care needs, health equity, and generational community well-being, fostering healing and justice.","PeriodicalId":54627,"journal":{"name":"Perspectives in Biology and Medicine","volume":"68 2","pages":"209-228"},"PeriodicalIF":0.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250907","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Organizational Ethics and a Regional Health-Care Network: navigating surges and shortages in pediatrics. 组织伦理和区域保健网络：儿科激增和短缺的导航。

IF 0.8 4区医学

Perspectives in Biology and Medicine Pub Date : 2025-01-01 DOI: 10.1353/pbm.2025.a962027

Emily Berkman, Douglas Diekema, Mithya Lewis-Newby

{"title":"Organizational Ethics and a Regional Health-Care Network: navigating surges and shortages in pediatrics.","authors":"Emily Berkman, Douglas Diekema, Mithya Lewis-Newby","doi":"10.1353/pbm.2025.a962027","DOIUrl":"https://doi.org/10.1353/pbm.2025.a962027","url":null,"abstract":"Washington state's plans for a public health response to a pandemic or natural disaster were largely untested prior to the COVID-19 pandemic. Individual institutions were unprepared for a crisis of the scale and severity of the pandemic, and they faced a myriad of ethical questions that required expertise and experience. The pandemic also revealed the fundamental need for local, state, and regional collaboration during times of resource scarcity. As individual institutions scrambled to organize and implement strategies for dealing with scarcity in a way that was both effective and fair, the lack of a regional or national system to organize those efforts impaired a timely response and resulted in duplicated efforts and differing approaches. This article describes the authors' pediatric institutional response to the pandemic within the context of a broader cooperative statewide approach. The authors explain the rationale for starting with a utilitarian framework and the ways in which its shortcomings were addressed. The structures and approaches described continue to be utilized and modified for other situations that lead to resource scarcity of all kinds. Although changes at the national level to create a national response would be ideal, collaboration and investment at the state and regional level is both critical and pragmatic in ensuring that all patients can access the health care they need.","PeriodicalId":54627,"journal":{"name":"Perspectives in Biology and Medicine","volume":"68 2","pages":"326-336"},"PeriodicalIF":0.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Getting from "Just Us" to Justice: individual initiatives need organizational support. 从“公正的我们”到正义：个人的主动性需要组织的支持。

IF 0.8 4区医学

Perspectives in Biology and Medicine Pub Date : 2025-01-01 DOI: 10.1353/pbm.2025.a962018

David N Sontag

{"title":"Getting from \"Just Us\" to Justice: individual initiatives need organizational support.","authors":"David N Sontag","doi":"10.1353/pbm.2025.a962018","DOIUrl":"https://doi.org/10.1353/pbm.2025.a962018","url":null,"abstract":"As health-care systems increase in complexity, how do they ensure ethical practices, with a specific focus on addressing persistent health disparities and advancing justice? This essay contemplates the role of a system-level ethics committee in supporting organizational efforts toward justice, drawing on the author's experiences leading ethics efforts at Beth Israel Medical Deaconess Medical Center and now developing a system-level ethics committee for the broader Beth Israel Lahey Health system. Although the author's experiences largely demonstrate the rich potential for a grassroots, bottom-up approach centered around individual employee initiative to create a justice-oriented organizational ethic, there is also a benefit to top-down support from the organization's leadership to formalize and articulate the mission and values that should drive the actions of the organization and its individual employees. Arguing that neither a bottom-up nor top-down approach is independently sufficient, the essay suggests a combined approach to further the organization's mission and, in particular, health-care justice. Insights from this analysis are translated into five recommendations for the role and contributions of a system-level ethics committee to ethics- and justice-oriented practice within a complex health system.","PeriodicalId":54627,"journal":{"name":"Perspectives in Biology and Medicine","volume":"68 2","pages":"194-208"},"PeriodicalIF":0.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Participatory Practice in Pursuit of Social Justice. 追求社会正义的参与式实践。

IF 0.8 4区医学

Perspectives in Biology and Medicine Pub Date : 2025-01-01 DOI: 10.1353/pbm.2025.a962017

Erika Blacksher, Jonathan M Marron, Basel Tarab, Julius Yang

{"title":"Participatory Practice in Pursuit of Social Justice.","authors":"Erika Blacksher, Jonathan M Marron, Basel Tarab, Julius Yang","doi":"10.1353/pbm.2025.a962017","DOIUrl":"https://doi.org/10.1353/pbm.2025.a962017","url":null,"abstract":"The idea that people should have a voice in decisions that affect them is now widely accepted in the US health sector. Practices such as patient and family advisory boards, community-based participatory research, patient-centered research, and public deliberation are becoming commonplace. The appeal of public participation turns on a number of purported benefits, including the potential for more inclusive and transparent decision-making, equitable interventions and outcomes, and public trust in institutions. Considerable conceptual work has refined definitions and frameworks of participatory processes, and ample experimentation is underway. Yet participation remains an ambiguous concept and highly variable in practice. Drawing on the authors' collective experiences in life and work, this article clarifies what participatory processes are, describes how they might support varied goals of justice, and identifies opportunities and considerations for their use in health-care organizations. Although participatory processes alone cannot solve the erosion of trust in American health care or remedy marked US health inequities, they can be an important tool for health-care leaders who wish to work toward building fairer health systems, services, and outcomes.","PeriodicalId":54627,"journal":{"name":"Perspectives in Biology and Medicine","volume":"68 2","pages":"174-193"},"PeriodicalIF":0.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250909","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The "Young Birth-Helpers": Obstetrical Education at the Chicago Maternity Center, 1934-1971. “年轻的助产员”：1934-1971年芝加哥妇产中心的产科教育。

IF 0.7 4区医学

Perspectives in Biology and Medicine Pub Date : 2025-01-01 DOI: 10.1353/pbm.2025.a968849

Raymond H Curry

{"title":"The \"Young Birth-Helpers\": Obstetrical Education at the Chicago Maternity Center, 1934-1971.","authors":"Raymond H Curry","doi":"10.1353/pbm.2025.a968849","DOIUrl":"https://doi.org/10.1353/pbm.2025.a968849","url":null,"abstract":"The Chicago Maternity Center provided obstetrical services for the medically underserved on Chicago's Near West Side for nearly eight decades (1895-1974). While its founder's vision, its outreach to underserved communities, the reasons for its decline, and the perceived abandonment of the community when it closed have been well documented, less attention has been paid to the role of trainees in providing obstetrical care. Medical students and residents routinely delivered babies in patients' homes, often without adequate supervision. This aspect of the center's history can help illustrate the evolution of experiential education in clinical medicine, along with emerging concepts of equitable access and quality of care. This work explores the center's role in medical education in light of contemporary perceptions of some participants-trainees, faculty, and institutional leadership-and through analysis of scholarly and popular publications, institutional archives, and communications with alumni and retired faculty. The popularity of the experience with trainees and its constituents, segregation of the center's activities from those of the sponsoring medical center, and its well-respected history led to the persistence of a model for clinical medical education that was an anachronistic remnant of earlier approaches to education and to care for the poor and disenfranchised.","PeriodicalId":54627,"journal":{"name":"Perspectives in Biology and Medicine","volume":"68 3","pages":"427-443"},"PeriodicalIF":0.7,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145014489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Anti-Social US Health-Care System: A Case for Socially Oriented Reform. 反社会的美国医疗保健制度：以社会为导向的改革案例。

IF 0.7 4区医学

Perspectives in Biology and Medicine Pub Date : 2025-01-01 DOI: 10.1353/pbm.2025.a968850

Aimee Milliken, Olaf Dammann

引用次数: 0

Margin, Mission, and the Sociology of Profession: a conversation. 边际、使命与职业社会学：一次对话。

IF 0.8 4区医学

Perspectives in Biology and Medicine Pub Date : 2025-01-01 DOI: 10.1353/pbm.2025.a962026

Frederic W Hafferty, Lauren Taylor

引用次数: 0