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  1.  10
    Evaluating the Effectiveness of Clinical Ethics Committees: A Systematic Review.Chiara Crico, Virginia Sanchini, Paolo Giovanni Casali & Gabriella Pravettoni - 2021 - Medicine, Health Care and Philosophy 24 (1):135-151.
    Clinical Ethics Committees, as distinct from Research Ethics Committees, were originally established with the aim of supporting healthcare professionals in managing controversial clinical ethical issues. However, it is still unclear whether they manage to accomplish this task and what is their impact on clinical practice. This systematic review aims to collect available assessments of CECs’ performance as reported in literature, in order to evaluate CECs’ effectiveness. We retrieved all literature published up to November 2019 in six databases, following PRISMA guidelines. (...)
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  2.  8
    Why Visiting One’s Ageing Mother is Not Enough: On Filial Duties to Prevent and Alleviate Parental Loneliness.Bouke de Vries - 2021 - Medicine, Health Care and Philosophy 24 (1):127-133.
    As people grow old, many risk becoming chronically lonely which is associated with e.g. depression, dementia, and increased mortality. Whoever else should help to protect them from this risk, various philosophers have argued that any children that they might have will often be among them. Proceeding on this assumption, this article considers what filial duties to protect ageing parents from loneliness consist of, or might consist of. I develop my answer by showing that a view that may be intuitively plausible, (...)
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  3.  3
    “Finding Oneself After Critical Illness”: Voices From the Remission Society.S. Ellingsen, A. L. Moi, E. Gjengedal, S. I. Flinterud, E. Natvik, M. Råheim, R. Sviland & R. J. T. Sekse - 2021 - Medicine, Health Care and Philosophy 24 (1):35-44.
    The number of people who survive critical illness is increasing. In parallel, a growing body of literature reveals a broad range of side-effects following intensive care treatment. Today, more attention is needed to improve the quality of survival. Based on nine individual stories of illness experiences given by participants in two focus groups and one individual interview, this paper elaborates how former critically ill patients craft and recraft their personal stories throughout their illness trajectory. The analysis was conducted from a (...)
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  4.  3
    The Epidemiology of Moral Bioenhancement.R. B. Gibson - 2021 - Medicine, Health Care and Philosophy 24 (1):45-54.
    In their 2008 paper, Persson and Savulescu suggest that for moral bioenhancement to be effective at eliminating the danger of ‘ultimate harm’ the intervention would need to be compulsory. This is because those most in need of MBE would be least likely to undergo the intervention voluntarily. By drawing on concepts and theories from epidemiology, this paper will suggest that MBE may not need to be universal and compulsory to be effective at significantly improving the collective moral standing of a (...)
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  5.  5
    COVID-19 and the Ethics of Human Challenge Trials.Bert Gordijn & Henk ten Have - 2021 - Medicine, Health Care and Philosophy 24 (1):1-2.
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  6.  3
    Neonates as Intrinsically Worthy Recipients of Pain Management in Neonatal Intensive Care.Emre Ilhan, Verity Pacey, Laura Brown, Kaye Spence, Kelly Gray, Jennifer E. Rowland, Karolyn White & Julia M. Hush - 2021 - Medicine, Health Care and Philosophy 24 (1):65-72.
    One barrier to optimal pain management in the neonatal intensive care unit is how the healthcare community perceives, and therefore manages, neonatal pain. In this paper, we emphasise that healthcare professionals not only have a professional obligation to care for neonates in the NICU, but that these patients are intrinsically worthy of care. We discuss the conditions that make neonates worthy recipients of pain management by highlighting how neonates are vulnerable to pain and harm, and completely dependent on others for (...)
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  7.  4
    Healing Time: The Experience of Body and Temporality When Coping with Illness and Incapacity.Drew Leder - 2021 - Medicine, Health Care and Philosophy 24 (1):99-111.
    The lived body has structures of ability built up over time through habit. Serious illness, injury, and incapacity can disrupt these capacities, and thereby, one’s relationship to the body, and to time itself. This paper focuses attention on a series of healing strategies individuals then employ on the “chessboard” of possibilities intrinsic to lived embodiment. This can include restoring past abilities ; and/or transforming one’s bodily structure or use-patterns, or the external environment, to compensate. With many conditions, including progressive aging, (...)
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  8.  8
    Resilience Beyond Reductionism: Ethical and Social Dimensions of an Emerging Concept in the Neurosciences.Nikolai Münch, Hamideh Mahdiani, Klaus Lieb & Norbert W. Paul - 2021 - Medicine, Health Care and Philosophy 24 (1):55-63.
    Since a number of years, popular and scientific interest in resilience is rapidly increasing. More recently, also neuroscientific research in resilience and the associated neurobiological findings is gaining more attention. Some of these neuroscientific findings might open up new measures to foster personal resilience, ranging from magnetic stimulation to pharmaceutical interventions and awareness-based techniques. Therefore, bioethics should also take a closer look at resilience and resilience research, which are today philosophically under-theorized. In this paper, we analyze different conceptualizations of resilience (...)
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  9.  5
    Is Routine Prenatal Screening and Testing Fundamentally Incompatible with a Commitment to Reproductive Choice? Learning From the Historical Context.Panagiota Nakou - 2021 - Medicine, Health Care and Philosophy 24 (1):73-83.
    An enduring ethical dispute accompanies prenatal screening and testing technologies. This ethical debate focuses on notions of reproductive choice. On one side of the dispute are those who have supported PST as a way to empower women’s reproductive choice, while on the other side are those who argue that PST, particularly when made a routine part of prenatal care, limits deliberate choice. Empirical research does not resolve this ethical debate with evidence both of women for whom PST enhances their choices (...)
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  10.  3
    Committing to Endangerment: Medical Teams in the Age of Corona in Jewish Ethics.Tsuriel Rashi - 2021 - Medicine, Health Care and Philosophy 24 (1):27-34.
    Doctors have been treating infectious diseases for hundreds of years, but the risk they and other medical professionals are exposed to in an epidemic has always been high. At the front line of the present war against COVID-19, medical teams are endangering their lives as they continue to treat patients suffering from the disease. What is the degree of danger that a medical team must accept in the face of a pandemic? What are the theoretical justifications for these risks? This (...)
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  11.  3
    Social Dignity for Marginalized People in Public Healthcare: An Interpretive Review and Building Blocks for a Non-Ideal Theory.Jante Schmidt, Margo Trappenburg & Evelien Tonkens - 2021 - Medicine, Health Care and Philosophy 24 (1):85-97.
    Jacobson finds two distinct meanings of “dignity” in the literature on dignity and health: intrinsic human dignity and social dignity constituted through interactions with caregivers. Especially the latter has been central in empirical health research and warrants further exploration. This article focuses on the social dignity of people marginalized by mental illness, substance abuse and comparable conditions in extramural settings. 35 studies published between 2007 and 2017 have addressed this issue, most of them identifying norms for social dignity: civilized interactions, (...)
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  12.  6
    Back to WHAT? The Role of Research Ethics in Pandemic Times.Jan Helge Solbakk, Heidi Beate Bentzen, Søren Holm, Anne Kari Tolo Heggestad, Bjørn Hofmann, Annette Robertsen, Anne Hambro Alnæs, Shereen Cox, Reidar Pedersen & Rose Bernabe - 2021 - Medicine, Health Care and Philosophy 24 (1):3-20.
    The Covid-19 pandemic creates an unprecedented threatening situation worldwide with an urgent need for critical reflection and new knowledge production, but also a need for imminent action despite prevailing knowledge gaps and multilevel uncertainty. With regard to the role of research ethics in these pandemic times some argue in favor of exceptionalism, others, including the authors of this paper, emphasize the urgent need to remain committed to core ethical principles and fundamental human rights obligations all reflected in research regulations and (...)
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  13.  4
    Optimizing Peer Review to Minimize the Risk of Retracting COVID-19-Related Literature.Jaime A. Teixeira da Silva, Helmar Bornemann-Cimenti & Panagiotis Tsigaris - 2021 - Medicine, Health Care and Philosophy 24 (1):21-26.
    Retractions of COVID-19 literature in both preprints and the peer-reviewed literature serve as a reminder that there are still challenging issues underlying the integrity of the biomedical literature. The risks to academia become larger when such retractions take place in high-ranking biomedical journals. In some cases, retractions result from unreliable or nonexistent data, an issue that could easily be avoided by having open data policies, but there have also been retractions due to oversight in peer review and editorial verification. As (...)
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  14.  2
    The Group Home as Moral Laboratory: Tracing the Ethic of Autonomy in Dutch Intellectual Disability Care.Simon van der Weele, Femmianne Bredewold, Carlo Leget & Evelien Tonkens - 2021 - Medicine, Health Care and Philosophy 24 (1):113-125.
    This paper examines the prevalence of the ideal of “independence” in intellectual disability care in the Netherlands. It responds to a number of scholars who have interrogated this ideal through the lens of Michel Foucault’s vocabulary of governmentality. Such analyses hold that the goal of “becoming independent” subjects people with intellectual disabilities to various constraints and limitations that ensure their continued oppression. As a result, these authors contend, the commitment to the ideal of “independence” – the “ethic of autonomy” – (...)
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  15.  20
    Nudging to Donate Organs: Do What You Like or Like What We Do?Sergio Beraldo & Jurgis Karpus - 2021 - Medicine, Health Care and Philosophy.
    An effective method to increase the number of potential cadaveric organ donors is to make people donors by default with the option to opt out. This non-coercive public policy tool to influence people’s choices is often justified on the basis of the as-judged-by-themselves principle: people are nudged into choosing what they themselves truly want. We review three often hypothesized reasons for why defaults work and argue that the as-judged-by-themselves principle may hold only in two of these cases. We specify further (...)
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