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Legal Regulation, Financial Incentives and Professional Autonomy in the Prioritisation of Norwegian Specialist Health Services Health Care Anal. (IF 1.8) Pub Date : 2024-09-17 Afsaneh Bjorvatn, Even Nilssen
To study hospital physicians’ awareness and perceptions of the legal and financial regulations, and their impact on professional discretion regarding equity in access to treatment and quality of care. A sample of 637 physicians in the Norwegian specialist healthcare services selected from a survey conducted by the Institute for Studies of the Medical Profession. The paper investigates how legal and
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Cooperation in Return-to-work Interventions for Common Mental Disorders: An Ideal Theory Analysis of Actors, Goals, and Ethical Obstacles Health Care Anal. (IF 1.8) Pub Date : 2024-09-17 Thomas Hartvigsson, Lars Sandman, Gunnar Bergström, Elisabeth Björk Brämberg
The rise in the number of people on sick leave for common mental disorders is a growing concern, both from a societal and individual perspective. One common suggestion to improve the return-to-work process is increased cooperation between the relevant parties, including at least the employer, the social insurance agency and health care. This suggestion is often made on the presumption that all parties
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Choosing to Provide: Early Medical Abortion and Clinician Conscience in Ireland Health Care Anal. (IF 1.8) Pub Date : 2024-09-01 Mary Donnelly, Claire Murray
Providers are essential to the delivery of abortion care. Yet, they often occupy an ambiguous space in political discourse around abortion. The introduction of a new abortion service in Ireland invites us to look afresh at providers. Since the Health (Regulation of Termination of Pregnancy) Act 2018 came into force, by far the most common form of abortion care has been early medical abortion (EMA)
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The Use of a Comprehensive Concept of Capability for Wellbeing Assessment: A Best-Fit Framework Synthesis Health Care Anal. (IF 1.8) Pub Date : 2024-08-19 Jasper Ubels, Karla Hernandez-Villafuerte, Erica Niebauer, Michael Schlander
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Childbirth as Fault Lines: Justifications in Physician–Patient Interactions About Postnatal Rehabilitation Health Care Anal. (IF 1.8) Pub Date : 2024-06-27 Xin Li, Yinong Tian, Yanping Meng, Lanzhong Wang, Yonggang Su
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The Role of Transparency in Digital Contact Tracing During COVID-19: Insights from an Expert Survey Health Care Anal. (IF 1.8) Pub Date : 2024-06-23 Dennis Krämer, Elisabeth Brachem, Lydia Schneider-Reuter, Isabella D’Angelo, Jochen Vollmann, Joschka Haltaufderheide
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Understanding the Normativity of Health Technology Assessment: Ontological, Moral, and Epistemological Commitments Health Care Anal. (IF 1.8) Pub Date : 2024-06-17 Bart Bloemen, Wija Oortwijn, Gert Jan van der Wilt
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Being a Doctor: From Treating Individual Patients to Maximising Community Health and Social Justice Health Care Anal. (IF 1.8) Pub Date : 2024-05-23 Suet Voon Yu, Gerlese S. Åkerlind
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The Ethics of Decentralized Clinical Trials and Informed Consent: Taking Technologies’ Soft Impacts into Account Health Care Anal. (IF 1.8) Pub Date : 2024-05-19 Tessa I. van Rijssel, Ghislaine J. M. W. van Thiel, Johannes J. M. van Delden
Decentralized clinical trials (DCTs) have the potential to advance the conduct of clinical trials, but raise several ethical issues, including obtaining valid informed consent. The debate on the ethical issues resulting from digitalization is predominantly focused on direct risks relating to for example data protection, safety, and data quality. We submit however, that a broader view on ethical aspects
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Recontextualization and Imagination: The Public Health Professional and the U.S. Health Care System Health Care Anal. (IF 1.8) Pub Date : 2024-05-20 William Minter
Based on a qualitative study, this paper explores how United States public health professionals view and think about the existing U.S. healthcare system, while also allowing these study participants to imagine new ways of structuring and practicing public health. Using semi-structured qualitative interviews, I show how public health professionals engage with the concept of “the social” and their personal
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Health-Oriented Environmental Categories, Individual Health Environments, and the Concept of Environment in Public Health Health Care Anal. (IF 1.8) Pub Date : 2024-01-29 Annette K. F. Malsch, Anton Killin, Marie I. Kaiser
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Premature Death as a Normative Concept Health Care Anal. (IF 1.8) Pub Date : 2024-01-26 Preben Sørheim, Mathias Barra, Ole Frithjof Norheim, Espen Gamlund, Carl Tollef Solberg
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Women’s and Provider’s Moral Reasoning About the Permissibility of Coercion in Birth: A Descriptive Ethics Study Health Care Anal. (IF 1.8) Pub Date : 2024-01-23 Johanna Eichinger, Andrea Büchler, Louisa Arnold, Michael Rost
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System's Crisis Resilience as a Societal Crisis: Knowledge Structure and Gaze of the Finnish Health Care System Health Care Anal. (IF 1.8) Pub Date : 2024-01-22 Matias Heikkilä, Ossi Heino, Pauli Rautiainen
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The Doctor-Patient Relationship, Partnership Theory, and the Patient as Partner: Finding a Balance Between Domination and Partnership Health Care Anal. (IF 1.8) Pub Date : 2024-01-20 Charles J. Kowalski, Richard W. Redman, Adam J. Mrdjenovich
It is perhaps most useful to approach the Doctor-Patient relationship (DPR) by admitting that it’s complicated. We review some of the strategies that have been employed to mitigate this complexity, zeroing in on one that promises to capture the main features of the DPR without eliminating some of its more important, existential components; pieces of the puzzle that must be retained if we are to avoid
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The Lifeworld of the Complex Care Hospital Doctor: A Complex Adaptive Phenomenological Study Health Care Anal. (IF 1.8) Pub Date : 2024-01-19 Felice Borghmans, Stella Laletas, Harvey Newnham, Venesser Fernandes
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Flourishing, Mental Health Professionals and the Role of Normative Dialogue Health Care Anal. (IF 1.8) Pub Date : 2024-01-12 Hazem Zohny, Julian Savulescu, Gin S. Malhi, Ilina Singh
This paper explores the dilemma faced by mental healthcare professionals in balancing treatment of mental disorders with promoting patient well-being and flourishing. With growing calls for a more explicit focus on patient flourishing in mental healthcare, we address two inter-related challenges: the lack of consensus on defining positive mental health and flourishing, and how professionals should
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A Qualitative Research Survey on Cardiologist’s Ethical Stance in Cases of Moral Dilemmas in Cardiology Clinics Health Care Anal. (IF 1.8) Pub Date : 2024-01-03 Banu Buruk, Perihan Elif Ekmekci, Aksüyek Savaş Çelebi, Begüm Güneş
This study sought to determine cardiologists’ degrees of ethical awareness and preferred courses of action for ethical dilemmas frequently encountered in clinical settings. For this evaluation, an online survey was created and sent to cardiologists affiliated with various academic posts in Ankara, Turkey. The survey included ten cases with various ethical considerations selected from our book, “Clinic
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An Egalitarian Perspective on Information Sharing: The Example of Health Care Priorities Health Care Anal. (IF 1.8) Pub Date : 2023-12-30 Jenny Lindberg, Linus Broström, Mats Johansson
In health care, the provision of pertinent information to patients is not just a moral imperative but also a legal obligation, often articulated through the lens of obtaining informed consent. Codes of medical ethics and many national laws mandate the disclosure of basic information about diagnosis, prognosis, and treatment alternatives. However, within publicly funded health care systems, other kinds
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The Effects of Introducing a Harm Threshold for Medical Treatment Decisions for Children in the Courts of England & Wales: An (Inter)National Case Law Analysis Health Care Anal. (IF 1.8) Pub Date : 2023-12-18 Veronica M. E. Neefjes
The case of Charlie Gard sparked an ongoing public and academic debate whether in court decisions about medical treatment for children in England & Wales the best interests test should be replaced by a harm threshold. However, the literature has scantly considered (1) what the impact of such a replacement would be on future litigation and (2) how a harm threshold should be introduced: for triage or
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What’s Good About Inclusion? An Ethical Analysis of the Ideal of Social Inclusion for People with Profound Intellectual and Multiple Disabilities Health Care Anal. (IF 1.8) Pub Date : 2023-12-11 Simon van der Weele, Femmianne Bredewold
‘Social inclusion’ is the leading ideal in services and care for people with intellectual disabilities in most countries in the Global North. ‘Social inclusion’ can refer simply to full equal rights, but more often it is taken to mean something like ‘community participation’. This narrow version of social inclusion has become so ingrained that it virtually goes unchallenged. The presumption appears
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Patient Knowledge and Trust in Health Care. A Theoretical Discussion on the Relationship Between Patients’ Knowledge and Their Trust in Health Care Personnel in High Modernity Health Care Anal. (IF 1.8) Pub Date : 2023-10-09 Stein Conradsen, Henrik Vardinghus-Nielsen, Helge Skirbekk
In this paper we aim to discuss a theoretical explanation for the positive relationship between patients’ knowledge and their trust in healthcare personnel. Our approach is based on John Dewey’s notion of continuity. This notion entails that the individual’s experiences are interpreted as interrelated to each other, and that knowledge is related to future experience, not merely a record of the past
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Moral Distress and Nursing Education: Curricular and Pedagogical Strategies for a Complex Phenomenon Health Care Anal. (IF 1.8) Pub Date : 2023-09-04 Sadie Deschenes, Cathryn van Kessel
Moral distress is a common phenomenon among nurses and is related to the complicated work environments and complex nature of ethical situations in day-to-day nursing practice. Moral distress impacts nurses as well as patient care and the health care system. Few strategies have been identified for instructors to effectively engage with learners when communicating about moral distress. We discuss two
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Sustainability as an Intrinsic Moral Concern for Solidaristic Health Care Health Care Anal. (IF 1.8) Pub Date : 2023-09-04 Marcel Verweij, Hans Ossebaard
Environmental pollution and greenhouse gas emissions that contribute to climate change have adverse impacts on global health. Somewhat paradoxically, health care systems that aim to prevent and cure disease are themselves major emitters and polluters. In this paper we develop a justification for the claim that solidaristic health care systems should include sustainability as one of the criteria for
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Consent for Medical Treatment: What is ‘Reasonable’? Health Care Anal. (IF 1.8) Pub Date : 2023-08-19 Abeezar Ismail Sarela
The General Medical Council (GMC) instructs doctors to act ‘reasonably’ in obtaining consent from patients. However, the GMC does not explain what it means to be reasonable: it is left to doctors to figure out the substance of this instruction. The GMC relies on the Supreme Court’s judgment in Montgomery v Lanarkshire Health Board; and it can be assumed that the judges’ idea of reasonability is adopted
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Uninformed Origins: Should We Be Advising Parents on the Source of Medicines and Therapies? Health Care Anal. (IF 1.8) Pub Date : 2023-08-03 Tara E. Ness, Zachary J. Tabb, Janet Malek, Frank X. Placencia
Respecting patient autonomy through the process of soliciting informed consent is a cornerstone of clinical ethics. In pediatrics, until a child becomes an adult or legally emancipated, that ethical tenet takes the form of respect for parental decision-making authority. In instances of respecting religious beliefs, doing so is not always apparent and sometimes the challenge lies not only in the healthcare
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Should Severity Assessments in Healthcare Priority Setting be Risk- and Time-Sensitive? Health Care Anal. (IF 1.8) Pub Date : 2023-08-01 Lars Sandman, Jan Liliemark
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Blacklisting Health Insurance Premium Defaulters: Is Denial of Medical Care Ethically Justifiable? Health Care Anal. (IF 1.8) Pub Date : 2023-07-27 Hanna Glaus, Daniel Drewniak, Julian W. März, Nikola Biller-Andorno
Rising health insurance costs and the cost of living crisis are likely leading to an increase in unpaid health insurance bills in many countries. In Switzerland, a particularly drastic measure to sanction defaulting insurance payers is employed. Since 2012, Swiss cantons – who have to cover most of the bills of defaulting payers - are allowed by federal law to blacklist them and to restrict their access
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Gendering the Pandemic: Women’s Health Disparities From a Human Rights Perspective Health Care Anal. (IF 1.8) Pub Date : 2023-07-21 JhuCin Rita Jhang, Po-Han Lee
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Why Health-enhancing Nudges Fail Health Care Anal. (IF 1.8) Pub Date : 2023-07-21 Thomas Schramme
Nudges are means to influence the will formation of people to make specific choices more likely. My focus is on nudges that are supposed to improve the health condition of individuals and populations over and above the direct prevention of disease. I point out epistemic and moral problems with these types of nudges, which lead to my conclusion that health-enhancing nudges fail. They fail because we
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Exploring the Decision-Making Process of People Living with HIV Enrolled in Antiretroviral Clinical Trials: A Qualitative Study of Decisions Guided by Trust and Emotions Health Care Anal. (IF 1.8) Pub Date : 2023-07-21 Maria Feijoo-Cid, Antonia Arreciado Marañón, Ariadna Huertas, Amado Rivero-Santana, Carina Cesar, Valeria Fink, María Isabel Fernández-Cano, Omar Sued
The informed consent is an ethical and legal requirement for potential participants to enroll in a study. There is ample of evidence that understanding consent information and enrollment is challenging for participants in clinical trials. On the other hand, the reasoning process behind decision-making in HIV clinical trials remains mostly unexplored. This study aims to examine the decision-making process
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Balancing Intellectual Property Protection and Legal Risk Assessment in Registration of Covid-19 Vaccines in Malaysia Health Care Anal. (IF 1.8) Pub Date : 2023-07-21 Haniff Ahamat, Hairanie Sa’ban, Nazura Abdul Manap
The seriousness of the COVID-19 pandemic requires a look into the implementation of drug registration rules for COVID-19 vaccines. Amidst the surrounding exigencies, vaccines being a biological product, require comprehensive and continuing pre and post registration rules to ensure their safety and efficacy. The study focuses on Malaysia which has rules on drug registration that have been successfully
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The Ethics of Population Policy for the Two Worlds of Population Conditions Health Care Anal. (IF 1.8) Pub Date : 2023-07-21 Ming-Jui Yeh, Po-Han Lee
Population policy has taken two divergent trajectories. In the developing part of the world, controlling population growth has been a major tune of the debate more than a half-century ago. In the more developed part of the world, an inverse pattern results in the discussion over the facilitation of population growth. The ethical debates on population policy have primarily focused on the former and
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A Principled Account of AMR Global Governance Solidarity, Subsidiarity, and Stewardship Health Care Anal. (IF 1.8) Pub Date : 2023-02-25 Thana C. de Campos-Rudinsky
This commentary defines what shared yet differentiated ethical responsibilities to tackle antimicrobial resistance (AMR) mean, by introducing a threefold principled account of AMR global governance. It argues that the principles of solidarity, subsidiarity, and stewardship can be especially helpful for further justifying some of the universal, differentiated, and individual responsibilities that Van
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More Carrots, Less Sticks: Encouraging Good Stewardship in the Global Antimicrobial Commons Health Care Anal. (IF 1.8) Pub Date : 2023-02-13 Cristian Timmermann
Time-tested commons characterize by having instituted sanctioning mechanisms that are sensitive to the circumstances and motivations of non-compliers. As a proposed Global Antimicrobial Commons cannot cost-effectively develop sanctioning mechanisms that are consistently sensitive to the circumstances of the global poor, I suggest concentrating on establishing a wider set of incentives that encourages
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Regulating the Global Antimicrobial Commons: Climate Agreements and Beyond Health Care Anal. (IF 1.8) Pub Date : 2023-02-09 Philippe Cullet
A treaty to regulate the global antimicrobial commons can be appropriately framed around the model provided by multilateral environmental agreements. At the same time, it is not clear that a comprehensive treaty is the only possible entry point and other options, such as an agreement on technology transfer or funding may be apt starting points. Any legal instrument adopted to regulate the global antimicrobial
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Policy Narratives on Palliative Care in Sweden 1974–2018 Health Care Anal. (IF 1.8) Pub Date : 2023-01-18 Axel Ågren, Barbro Krevers, Elisabet Cedersund, Ann-Charlotte Nedlund
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Improvidence, Precaution, and the Logical-Empirical Disconnect in UK Health Policy Health Care Anal. (IF 1.8) Pub Date : 2022-12-26 Jordan A. Parsons
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Shared Decision Making in Psychiatry: Dissolving the Responsibility Problem Health Care Anal. (IF 1.8) Pub Date : 2022-12-03 Leila El-Alti
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Development of the Inclination Toward Conscientious Objection Scale for Physicians Health Care Anal. (IF 1.8) Pub Date : 2022-12-01 Şükrü Keleş, Osman Dağ, Murat Aksu, Gizem Gülpinar, Neyyire Yasemin Yalım
This study aims to develop a valid and reliable scale to assess whether a physician is inclined to take conscientious objection when asked to perform medical services that clash with his/her personal beliefs. The scale, named the Inclination toward Conscientious Objection Scale, was developed for physicians in Turkey. Face validity, content validity, criterion-related validity, and construct validity
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Altruistic Vaccination: Insights from Two Focus Group Studies Health Care Anal. (IF 1.8) Pub Date : 2022-12-01 Steven R. Kraaijeveld, Bob C. Mulder
Vaccination can protect vaccinated individuals and often also prevent them from spreading disease to other people. This opens up the possibility of getting vaccinated for the sake of others. In fact, altruistic vaccination has recently been conceptualized as a kind of vaccination that is undertaken primary for the benefit of others. In order to better understand the potential role of altruistic motives
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The Invisible Patient: Concerns about Donor Exploitation in Stem Cell Research Health Care Anal. (IF 1.8) Pub Date : 2022-11-25 Pär Segerdahl
As embryonic stem cell research is commercialized, the stem cell debate may shift focus from concerns about embryo destruction to concerns about exploitation of the women who donate eggs and embryos for research. Uncomfortable with the polarization of the embryo debate, this paper proposes a more “contemplative” approach than intellectual debate to concerns about exploitation. After examining pitfalls
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Taming Wickedness: Towards an Implementation Framework for Medical Ethics Health Care Anal. (IF 1.8) Pub Date : 2022-06-06 Erin Taylor
“Wicked” problems are characterized by intractable complexity, uncertainty, and conflict between individuals or institutions, and they inhabit almost every corner of medical ethics. Despite wide acceptance of the same ethical principles, we nevertheless disagree about how to formulate such problems, how to solve them, what would count as solving them, or even what the possible solutions are. That is
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Epistemic Injustice in Incident Investigations: A Qualitative Study Health Care Anal. (IF 1.8) Pub Date : 2022-05-31 Josje Kok, David de Kam, Ian Leistikow, Kor Grit, Roland Bal
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Doctors as Resource Stewards? Translating High-Value, Cost-Conscious Care to the Consulting Room Health Care Anal. (IF 1.8) Pub Date : 2022-05-13 Marjolein Moleman, Teun Zuiderent-Jerak, Marianne Lageweg, Gianni L. van den Braak, Tjerk Jan Schuitmaker-Warnaar
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Pharmaceutical Sales Representatives in the United States and China: The Need for Professional Public Space Health Care Anal. (IF 1.8) Pub Date : 2021-11-11 Xiaoying Chen
Pharmaceutical sales representatives (PSRs) are one of the most frequently used drug information sources for physicians in both the United States and China. During face-to-face interactions, PSRs use various promotional strategies to impact the prescribing behavior. In the United States, PSRs provide physicians small gifts, free drug samples, and “sincere friendships”, whereas in China, they played
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Pharmaceutical Sales Representatives in the United States and China: The Need for Professional Public Space. Health Care Anal. (IF 1.8) Pub Date : 2021-11-11 Xiaoying Chen
Pharmaceutical sales representatives (PSRs) are one of the most frequently used drug information sources for physicians in both the United States and China. During face-to-face interactions, PSRs use various promotional strategies to impact the prescribing behavior. In the United States, PSRs provide physicians small gifts, free drug samples, and "sincere friendships", whereas in China, they played
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Trust and The Acquisition and Use of Public Health Information Health Care Anal. (IF 1.8) Pub Date : 2021-11-09 Stephen Holland, Jamie Cawthra, Tamara Schloemer, Peter Schröder-Bäck
Information is clearly vital to public health, but the acquisition and use of public health data elicit serious privacy concerns. One strategy for navigating this dilemma is to build 'trust' in institutions responsible for health information, thereby reducing privacy concerns and increasing willingness to contribute personal data. This strategy, as currently presented in public health literature, has
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Trust and The Acquisition and Use of Public Health Information. Health Care Anal. (IF 1.8) Pub Date : 2021-11-09 Stephen Holland,Jamie Cawthra,Tamara Schloemer,Peter Schröder-Bäck
Information is clearly vital to public health, but the acquisition and use of public health data elicit serious privacy concerns. One strategy for navigating this dilemma is to build 'trust' in institutions responsible for health information, thereby reducing privacy concerns and increasing willingness to contribute personal data. This strategy, as currently presented in public health literature, has
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Justice, Transparency and the Guiding Principles of the UK’s National Institute for Health and Care Excellence Health Care Anal. (IF 1.8) Pub Date : 2021-11-08 Victoria Charlton
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Three Harm-Based Arguments for a Moral Obligation to Vaccinate Health Care Anal. (IF 1.8) Pub Date : 2021-11-05 Viktor Ivanković, Lovro Savić
A particularly strong reason to vaccinate against transmittable diseases, based on considerations of harm, is to contribute to the realization of population-level herd immunity. We argue, however, that herd immunity alone is insufficient for deriving a strong harm-based moral obligation to vaccinate in all circumstances, since the obligation significantly weakens well above and well below the herd
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Ethical Guidance for Hard Decisions: A Critical Review of Early International COVID-19 ICU Triage Guidelines Health Care Anal. (IF 1.8) Pub Date : 2021-10-26 Yves Saint James Aquino, Wendy A. Rogers, Jackie Leach Scully, Farah Magrabi, Stacy M. Carter
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Should Digital Contact Tracing Technologies be used to Control COVID-19? Perspectives from an Australian Public Deliberation Health Care Anal. (IF 1.8) Pub Date : 2021-10-26 Chris Degeling, Julie Hall, Jane Johnson, Roba Abbas, Shopna Bag, Gwendolyn L. Gilbert
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Pandemic Risk and Standpoint Epistemology: A Matter of Solidarity Health Care Anal. (IF 1.8) Pub Date : 2021-10-25 Katrien Schaubroeck, Kristien Hens
Current and past pandemics have several aspects in common. It is expected that all members of society contribute to beat it. But it is also clear that the risks associated with the pandemic are different for different groups. This makes that appeals to solidarity based on technocratic risk calculations are only partially successful. Objective ‘risks of transmission’ may, for example, be trumped by
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The Case for Telemedical Early Medical Abortion in England: Dispelling Adult Safeguarding Concerns Health Care Anal. (IF 1.8) Pub Date : 2021-10-23 Jordan A. Parsons, Elizabeth Chloe Romanis
Access to abortion care has been hugely affected by the COVID-19 pandemic. This has prompted several governments to permit the use of telemedicine for fully remote care pathways, thereby ensuring pregnant people are still able to access services. One such government is that of England, where these new care pathways have been publicly scrutinised. Those opposed to telemedical early medical abortion
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Maternal–Fetal Surgery: Does Recognising Fetal Patienthood Pose a Threat to Pregnant Women’s Autonomy? Health Care Anal. (IF 1.8) Pub Date : 2021-10-21 Dunja Begović
Maternal–fetal surgery (MFS) encompasses a range of innovative procedures aiming to treat fetal illnesses and anomalies during pregnancy. Their development and gradual introduction into healthcare raise important ethical issues concerning respect for pregnant women’s bodily integrity and autonomy. This paper asks what kind of ethical framework should be employed to best regulate the practice of MFS
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From ‘Consent or Anonymise’ to ‘Share and Protect’: Facilitating Access to Surplus Tissue for Research Whilst Safeguarding Donor Interests Health Care Anal. (IF 1.8) Pub Date : 2021-07-14 Catherine Blewett
There is significant research value in the secondary use of surplus human tissue which has been removed during clinical care and is stored in diagnostic archives. However, this value is limited without access to information about the person from whom the tissue was removed. As the research value of surplus tissue is often not realised until after the patient’s episode of care, it is often the case
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Gender Transition: Is There a Right to Be Forgotten? Health Care Anal. (IF 1.8) Pub Date : 2021-05-02 Mónica Correia, Guilhermina Rêgo, Rui Nunes
The European Union (EU) faced high risks from personal data proliferation to individuals’ privacy. Legislation has emerged that seeks to articulate all interests at stake, balancing the need for data flow from EU countries with protecting personal data: the General Data Protection Regulation. One of the mechanisms established by this new law to strengthen the individual’s control over their data is
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How to Draw the Line Between Health and Disease? Start with Suffering Health Care Anal. (IF 1.8) Pub Date : 2021-04-29 Bjørn Hofmann
How can we draw the line between health and disease? This crucial question of demarcation has immense practical implications and has troubled scholars for ages. The question will be addressed in three steps. First, I will present an important contribution by Rogers and Walker who argue forcefully that no line can be drawn between health and disease. However, a closer analysis of their argument reveals
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The Doctor as Parent, Partner, Provider… or Comrade? Distribution of Power in Past and Present Models of the Doctor–Patient Relationship Health Care Anal. (IF 1.8) Pub Date : 2021-04-27 Mani Shutzberg
The commonly occurring metaphors and models of the doctor–patient relationship can be divided into three clusters, depending on what distribution of power they represent: in the paternalist cluster, power resides with the physician; in the consumer model, power resides with the patient; in the partnership model, power is distributed equally between doctor and patient. Often, this tripartite division