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Is it ethical for immunisations against human papillomavirus to be mandatory in young people aged 12-13 years old?
Future healthcare journal Pub Date : 2024-10-25 eCollection Date: 2024-12-01 DOI: 10.1016/j.fhj.2024.100204
Frenki Gjika
{"title":"Is it ethical for immunisations against human papillomavirus to be mandatory in young people aged 12-13 years old?","authors":"Frenki Gjika","doi":"10.1016/j.fhj.2024.100204","DOIUrl":"https://doi.org/10.1016/j.fhj.2024.100204","url":null,"abstract":"<p><p>The discussion surrounding the ethics of mandatory HPV vaccination for young adolescents aged 12-13 is complex. The human papillomavirus (HPV) is a prevalent sexually transmitted infection with certain strains linked to cervical and other types of cancers. While screening and behavioural interventions play important roles in prevention, vaccination has been shown to provide superior protection, thus reducing the incidence of HPV-related diseases by up to 90%. The effectiveness of the HPV vaccine, particularly Gardasil9, has led to discussions about making vaccination mandatory to improve public health outcomes. However, this raises ethical concerns about parental rights, individual autonomy and the implications of mandating vaccination in the context of sexual behaviour. This paper explores the ethical implications of a mandatory HPV vaccination programme, focusing on the ethical concerns of parental rights, gender equity and socioeconomic disparities. Additionally, the paper considers barriers to vaccination uptake and emphasises the importance of education and informed consent. It will be further discussed that while mandatory vaccination could lead to substantial public health benefits, it must be balanced by respecting individual freedoms and be accompanied by education campaigns. Ultimately, the ethical justification for mandatory HPV vaccination lies in its potential to prevent significant harm and promote health equity across populations.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"11 4","pages":"100204"},"PeriodicalIF":0.0,"publicationDate":"2024-10-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11607662/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Physician associate preceptorship: Experience of a novel programme in Inverness. 助理医师实习：因弗内斯的一项新计划的经验。
Future healthcare journal Pub Date : 2024-10-24 eCollection Date: 2024-12-01 DOI: 10.1016/j.fhj.2024.100200
Liam Allan, Duncan Scott, Ed Paterson, Tony Golabek
{"title":"Physician associate preceptorship: Experience of a novel programme in Inverness.","authors":"Liam Allan, Duncan Scott, Ed Paterson, Tony Golabek","doi":"10.1016/j.fhj.2024.100200","DOIUrl":"10.1016/j.fhj.2024.100200","url":null,"abstract":"<p><p>Physician associates (PAs) are a developing profession in the UK. The Faculty of Physician Associates (FPA) recommends the establishment of local preceptorship programmes for PAs in the first year of practice who have successfully passed the PA national exam. Limited evidence currently exists around the evaluation of such local programmes and the experience of the intern PAs involved. Over the course of a 12-month period, four intern PAs completed a structured preceptorship comprising clinical supervision, teaching and mentoring. Upon completion of this programme, qualitative data were recorded and analysed to influence the development of the preceptorship in future. In conclusion, a structured preceptorship has been shown to be a useful method of improving clinician confidence and competence while offering a supported working environment for newly qualified PAs.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"11 4","pages":"100200"},"PeriodicalIF":0.0,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11600754/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Conceptualising social prescribing in urgent and emergency care.
Future healthcare journal Pub Date : 2024-10-21 eCollection Date: 2024-12-01 DOI: 10.1016/j.fhj.2024.100199
Matthew Cooper, Hamde Nazar, Darren Flynn, Christoph Redelsteiner, Gina Agarwal, Jason Scott
{"title":"Conceptualising social prescribing in urgent and emergency care.","authors":"Matthew Cooper, Hamde Nazar, Darren Flynn, Christoph Redelsteiner, Gina Agarwal, Jason Scott","doi":"10.1016/j.fhj.2024.100199","DOIUrl":"https://doi.org/10.1016/j.fhj.2024.100199","url":null,"abstract":"<p><p>This paper examines how social prescribing could be implemented across urgent and emergency care (UEC) systems by examining potentially viable referral pathways and the salient challenges and barriers to implementation. In doing so, we consider a range of services involved in the broader UEC system to include emergency departments, emergency medical (ambulance) services, out-of-hours general practitioners, telephony-based urgent care, urgent treatment centres, and community pharmacy. This paper aims to encourage further debate on this topic, including around the nuances of UEC services that may influence implementation of social prescribing.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"11 4","pages":"100199"},"PeriodicalIF":0.0,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11609230/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142775013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sharpening the double-edged sword: Revisiting the evolving role of social media within medical education.
Future healthcare journal Pub Date : 2024-10-21 eCollection Date: 2024-12-01 DOI: 10.1016/j.fhj.2024.100194
Jonathan Guckian, Éabha Lynn, Sarah Edwards
{"title":"Sharpening the double-edged sword: Revisiting the evolving role of social media within medical education.","authors":"Jonathan Guckian, Éabha Lynn, Sarah Edwards","doi":"10.1016/j.fhj.2024.100194","DOIUrl":"10.1016/j.fhj.2024.100194","url":null,"abstract":"","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"11 4","pages":"100194"},"PeriodicalIF":0.0,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11602584/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Practical implementation of generative artificial intelligence systems in healthcare: A United States perspective. 生成式人工智能系统在医疗保健领域的实际应用：美国的视角。
Future healthcare journal Pub Date : 2024-09-19 eCollection Date: 2024-09-01 DOI: 10.1016/j.fhj.2024.100166
Barclay Burns, Bo Nemelka, Anmol Arora
{"title":"Practical implementation of generative artificial intelligence systems in healthcare: A United States perspective.","authors":"Barclay Burns, Bo Nemelka, Anmol Arora","doi":"10.1016/j.fhj.2024.100166","DOIUrl":"10.1016/j.fhj.2024.100166","url":null,"abstract":"","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"11 3","pages":"100166"},"PeriodicalIF":0.0,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11452830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Artificial intelligence: The good, the bad and the beautifiable. A patient's view. 人工智能：好的、坏的和可美化的。病人的观点。
Future healthcare journal Pub Date : 2024-09-19 eCollection Date: 2024-09-01 DOI: 10.1016/j.fhj.2024.100167
Marlene Winfield
{"title":"Artificial intelligence: The good, the bad and the beautifiable. A patient's view.","authors":"Marlene Winfield","doi":"10.1016/j.fhj.2024.100167","DOIUrl":"10.1016/j.fhj.2024.100167","url":null,"abstract":"","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"11 3","pages":"100167"},"PeriodicalIF":0.0,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11452826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Artificial intelligence: friend or foe? 人工智能：是敌是友？
Future healthcare journal Pub Date : 2024-09-19 eCollection Date: 2024-09-01 DOI: 10.1016/j.fhj.2024.100184
Andrew Duncombe
{"title":"Artificial intelligence: friend or foe?","authors":"Andrew Duncombe","doi":"10.1016/j.fhj.2024.100184","DOIUrl":"10.1016/j.fhj.2024.100184","url":null,"abstract":"","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"11 3","pages":"100184"},"PeriodicalIF":0.0,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11452833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Democratising artificial intelligence in healthcare: community-driven approaches for ethical solutions. 医疗保健领域的人工智能民主化：社区驱动的伦理解决方案。
Future healthcare journal Pub Date : 2024-09-19 eCollection Date: 2024-09-01 DOI: 10.1016/j.fhj.2024.100165
Ceilidh Welsh, Susana Román García, Gillian C Barnett, Raj Jena
{"title":"Democratising artificial intelligence in healthcare: community-driven approaches for ethical solutions.","authors":"Ceilidh Welsh, Susana Román García, Gillian C Barnett, Raj Jena","doi":"10.1016/j.fhj.2024.100165","DOIUrl":"10.1016/j.fhj.2024.100165","url":null,"abstract":"<p><p>The rapid advancement and widespread adoption of artificial intelligence (AI) has ushered in a new era of possibilities in healthcare, ranging from clinical task automation to disease detection. AI algorithms have the potential to analyse medical data, enhance diagnostic accuracy, personalise treatment plans and predict patient outcomes among other possibilities. With a surge in AI's popularity, its developments are outpacing policy and regulatory frameworks, leading to concerns about ethical considerations and collaborative development. Healthcare faces its own ethical challenges, including biased datasets, under-representation and inequitable access to resources, all contributing to mistrust in medical systems. To address these issues in the context of AI healthcare solutions and prevent perpetuating existing inequities, it is crucial to involve communities and stakeholders in the AI lifecycle. This article discusses four community-driven approaches for co-developing ethical AI healthcare solutions, including understanding and prioritising needs, defining a shared language, promoting mutual learning and co-creation, and democratising AI. These approaches emphasise bottom-up decision-making to reflect and centre impacted communities' needs and values. These collaborative approaches provide actionable considerations for creating equitable AI solutions in healthcare, fostering a more just and effective healthcare system that serves patient and community needs.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"11 3","pages":"100165"},"PeriodicalIF":0.0,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11452836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Artificial intelligence in the NHS: Moving from ideation to implementation. 国家医疗服务系统中的人工智能：从构想到实施。
Future healthcare journal Pub Date : 2024-09-19 eCollection Date: 2024-09-01 DOI: 10.1016/j.fhj.2024.100183
Anmol Arora, Tom Lawton
{"title":"Artificial intelligence in the NHS: Moving from ideation to implementation.","authors":"Anmol Arora, Tom Lawton","doi":"10.1016/j.fhj.2024.100183","DOIUrl":"10.1016/j.fhj.2024.100183","url":null,"abstract":"","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"11 3","pages":"100183"},"PeriodicalIF":0.0,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11452829/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Fairness in AI for healthcare. 医疗保健人工智能的公平性。
Future healthcare journal Pub Date : 2024-09-19 eCollection Date: 2024-09-01 DOI: 10.1016/j.fhj.2024.100177
Siân Carey, Allan Pang, Marc de Kamps
{"title":"Fairness in AI for healthcare.","authors":"Siân Carey, Allan Pang, Marc de Kamps","doi":"10.1016/j.fhj.2024.100177","DOIUrl":"10.1016/j.fhj.2024.100177","url":null,"abstract":"<p><p>Artificial intelligence (AI) is a technology that enables computers to simulate human intelligence and has the potential to improve healthcare in a multitude of ways. However, there are also possibilities that it may continue, or exacerbate, current disparities. We discuss the problem of bias in healthcare and AI, and go on to highlight some of the ongoing and future solutions that are being researched in the area.</p>","PeriodicalId":73125,"journal":{"name":"Future healthcare journal","volume":"11 3","pages":"100177"},"PeriodicalIF":0.0,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11452831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142382630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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