Ethique & santePub Date : 2024-03-01DOI: 10.1016/j.etiqe.2023.11.003
D. Sicard
{"title":"Collision morale des discours sur la médecine en situation de crise : le risque d’exproprier la médecine de son histoire clinique entre avancées techniques et politique économique","authors":"D. Sicard","doi":"10.1016/j.etiqe.2023.11.003","DOIUrl":"https://doi.org/10.1016/j.etiqe.2023.11.003","url":null,"abstract":"","PeriodicalId":72955,"journal":{"name":"Ethique & sante","volume":"21 1","pages":"Pages 12-14"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140296003","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}
Ethique & santePub Date : 2024-03-01DOI: 10.1016/j.etiqe.2023.11.004
P. Sabot
{"title":"Enjeux et limites d’une médecine « personnalisée »","authors":"P. Sabot","doi":"10.1016/j.etiqe.2023.11.004","DOIUrl":"https://doi.org/10.1016/j.etiqe.2023.11.004","url":null,"abstract":"<div><p>Dans cette contribution, nous proposons d’identifier quelques enjeux éthiques, politiques et sociaux de la médecine personnalisée et de la forme que lui a donnée ce que l’on nomme désormais la médecine de précision. S’il n’est pas question de remettre en question l’apport d’une telle médecine en termes de recherche et de solutions thérapeutiques innovantes, il importe néanmoins de développer une analyse critique de ses présupposés. Une telle analyse conduit à souligner le rôle qu’on entend lui faire jouer au sein des pratiques médicales disponibles, et même, plus largement, au rôle que l’on accorde aujourd’hui à la médecine au sein des pratiques sociales et dans un marché de la santé qui tend de plus en plus à devenir un marché du risque et de la responsabilité individuelle.</p></div><div><p>In this article, we aim to explore the ethical, political, and social issues that arise from “personalized medicine”, particularly in its current manifestation as “precision medicine”. While there is no question of questioning the contribution of such medicine in terms of research and innovative therapeutic solutions, it is nevertheless important to develop a critical analysis of its presuppositions. Such an analysis emphasizes the role one intends it to play within available medical practices, and even, more broadly, the role medicine assumes today within social practices. This is particularly relevant in a healthcare market that is gradually evolving towards one of individual risk and responsibility.</p></div>","PeriodicalId":72955,"journal":{"name":"Ethique & sante","volume":"21 1","pages":"Pages 101-107"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140296013","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}
Ethique & santePub Date : 2024-03-01DOI: 10.1016/j.etiqe.2023.11.015
G. Belouriez
{"title":"L’engagement relationnel : quel risque pour les soignants ?","authors":"G. Belouriez","doi":"10.1016/j.etiqe.2023.11.015","DOIUrl":"https://doi.org/10.1016/j.etiqe.2023.11.015","url":null,"abstract":"","PeriodicalId":72955,"journal":{"name":"Ethique & sante","volume":"21 1","pages":"Pages 62-67"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140296010","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}
Ethique & santePub Date : 2024-03-01DOI: 10.1016/j.etiqe.2023.11.011
M.-F. Callu
{"title":"Le risque d’une instrumentalisation du droit dans les institutions éthiques","authors":"M.-F. Callu","doi":"10.1016/j.etiqe.2023.11.011","DOIUrl":"https://doi.org/10.1016/j.etiqe.2023.11.011","url":null,"abstract":"<div><p>Aussi bien dans les comités d’éthique que dans les pratiques professionnelles, est-il possible de se questionner sur une situation difficile en utilisant la démarche éthique et les principes juridiques sans que l’une ou l’autre de ces approches intellectuelles ne prenne pas le pas sur l’autre ? L’éthique a-t-elle un véritable intérêt alors que tout (semble-t-il) est prévu par le droit ? Peut-on aborder les aspects juridiques d’une situation dans un comité d’éthique alors que cette instance n’est là que pour réfléchir d’un point de vue philosophique ?</p></div><div><p>Both in ethics committees and in professional practices, is it possible to question a difficult situation using the ethical approach and legal principles without one of these intellectual approaches take over? The other? Does ethics have a real interest when everything (it seems) is provided for by the law? Can we address the legal aspects of a situation in an ethics committee when this body is only there to reflect from a philosophical point of view?</p></div>","PeriodicalId":72955,"journal":{"name":"Ethique & sante","volume":"21 1","pages":"Pages 85-87"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140296011","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}
Ethique & santePub Date : 2024-03-01DOI: 10.1016/j.etiqe.2023.09.008
A. de Broca
{"title":"À l’épreuve du risque en SANTÉ ? Vers une perte de SENS ?","authors":"A. de Broca","doi":"10.1016/j.etiqe.2023.09.008","DOIUrl":"10.1016/j.etiqe.2023.09.008","url":null,"abstract":"<div><p>Le XXI<sup>e</sup> siècle est un siècle de ruptures. Les évolutions technologiques depuis quelques dizaines d’années donnent une impression de toute puissance au point que l’humain se sent soit démiurge soit dépassé. Nous parcourrons dans ce texte quelques-uns des enjeux actuels technologiques avec leurs risques et leurs points positifs. Dans un second temps, sont abordés les deux risques majeurs pour l’humain que ces nouveaux pouvoirs peuvent entraîner, à savoir la perte du sens et la perte de sa dimension historique.</p></div><div><p>The 21st century is a century of disruption. Technological developments over the past few decades have given the impression of omnipotence to the point where humans feel either demiurge or overwhelmed. In this text, we will explore some of the current technological issues with their risks and their positive points. Secondly, we discussed the two major risks for humans that these new powers can bring, namely the loss of meaning and the loss of its historical dimension.</p></div>","PeriodicalId":72955,"journal":{"name":"Ethique & sante","volume":"21 1","pages":"Pages 7-11"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136160554","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}
Ethique & santePub Date : 2024-03-01DOI: 10.1016/j.etiqe.2023.11.007
V. Avérous
{"title":"La construction du sentiment dramatique face à la situation des hôpitaux : perception d’un début de catastrophe. L’épreuve du risque en santé","authors":"V. Avérous","doi":"10.1016/j.etiqe.2023.11.007","DOIUrl":"10.1016/j.etiqe.2023.11.007","url":null,"abstract":"","PeriodicalId":72955,"journal":{"name":"Ethique & sante","volume":"21 1","pages":"Pages 37-40"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139966186","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}
Ethique & santePub Date : 2024-03-01DOI: 10.1016/j.etiqe.2023.12.001
N. Carlin
{"title":"Risques et confiance dans la relation de soin","authors":"N. Carlin","doi":"10.1016/j.etiqe.2023.12.001","DOIUrl":"https://doi.org/10.1016/j.etiqe.2023.12.001","url":null,"abstract":"<div><p>L’homme s’est toujours avancé dans le monde avec le souci de maîtriser les dangers, par la connaissance, l’anticipation et la prévision. La notion de risque a permis de mesurer la fréquence et les conséquences d’un dommage dans l’objectif de les éviter ou d’en limiter les impacts. Mais cette vision probabiliste se heurte à bien des niveaux à l’incertitude et l’imprécision, notamment dans la relation de soin. La confiance, qui s’affranchit de l’incertitude et table sur la bienveillance d’autrui, dans un mouvement de réduction de la complexité du monde, s’invite en médiation du risque. La décision partagée est notamment un moment clef où incertitude, risques et confiance cohabitent. L’ambivalence de la notion de risque, à la fois danger et chance, fait opportunément écho à l’ambivalence du patient entre craintes et espoir, car si le pire peut arriver, le meilleur peut également advenir. Sinon, personne jamais ne ferait confiance.</p></div><div><p>Human has always moved forward in the world with the aim of mastering dangers, through knowledge, anticipation and forecasting. The notion of risk has made it possible to measure the frequency and consequences of damage, with the aim of avoiding them or limiting their impact. But this probabilistic vision comes up against uncertainty and imprecision at many levels, particularly in the healthcare relationship. Trust, which frees us from uncertainty and relies on the benevolence of others, in a move to reduce the complexity of the world, is invited to mediate risk. Shared decision-making is a key moment when uncertainty, risk and trust coexist. The ambivalence of the notion of risk, both danger and chance, is aptly echoed in the patient's ambivalence between fear and hope, for if the worst can happen, the best can also happen. Otherwise, no one would ever trust them.</p></div>","PeriodicalId":72955,"journal":{"name":"Ethique & sante","volume":"21 1","pages":"Pages 23-27"},"PeriodicalIF":0.0,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140295952","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}
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
