Ethics, Medicine and Public Health最新文献

{"title":"When father holds first: A call for inclusive Unang Yakap in the Philippines","authors":"C.J.B. Cainday","doi":"10.1016/j.jemep.2025.101232","DOIUrl":"10.1016/j.jemep.2025.101232","url":null,"abstract":"","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101232"},"PeriodicalIF":0.0,"publicationDate":"2025-12-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736693","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}

{"title":"A bibliometric analysis of vulnerable populations publication in health science research","authors":"Elise M.R. Smith ,&nbsp;Diego Kozlowski ,&nbsp;Lorenah E. Vásquez ,&nbsp;Lubna Daraz ,&nbsp;Vincent Larivière","doi":"10.1016/j.jemep.2025.101228","DOIUrl":"10.1016/j.jemep.2025.101228","url":null,"abstract":"<div><h3>Background</h3><div>In biomedical and health research, groups identified as “vulnerable” are often excluded from research resulting in lack of evidence and downstream health disparities. This research aims to map out the landscape of published work about vulnerable populations by analyzing (1) groups that are considered vulnerable in published health research, (2) methods that are used to study them, and (3) external factors (country and dichotomized gender of author) that impact research on vulnerable populations.</div></div><div><h3>Methodology</h3><div>Based on data sourced from PubMed and Web of Science, we used a cross-sectional bibliometric assessment to identify 40,762 publications from 2003 to 2023 that mentioned “vulnerable population” in the abstract, title or keywords. Main outcome measures included the relative frequency of Medical Subject Headings terms in articles about vulnerable populations and all PubMed articles, and distribution of authorships by gender and nationality.</div></div><div><h3>Results</h3><div>Compared to all PubMed articles, manuscripts featuring social and environmental factors (poverty, immigration, health disparities) were over twenty times more likely to be associated with vulnerable populations. Additionally, community-based and qualitative approaches were more than five times more likely to be associated with vulnerable populations compared to all PubMed articles. Women served as first authors in 45.2% of all publications in PubMed, while they authored 51.3% of the publications on vulnerable populations. The countries contributing the most to vulnerable population research include the U.S. (39.4%), Canada (7.1%), Australia (6.5%), and England (5.3%).</div></div><div><h3>Conclusions</h3><div>By exposing the construct of vulnerability in health research, this research helps to understand research gaps and biases.</div></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101228"},"PeriodicalIF":0.0,"publicationDate":"2025-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145681297","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}

{"title":"Can One Health help reduce the environmental impacts of the healthcare system in Switzerland? Insights from an interdisciplinary focus group","authors":"G. Brulé ,&nbsp;P. Boiko ,&nbsp;T. Maillet Mezeray ,&nbsp;D. Nadal ,&nbsp;S. Vuilleumier ,&nbsp;N. Senn ,&nbsp;J. Fehr ,&nbsp;L. Crivelli ,&nbsp;J. Zinsstag ,&nbsp;N. Probst-Hensch","doi":"10.1016/j.jemep.2025.101227","DOIUrl":"10.1016/j.jemep.2025.101227","url":null,"abstract":"<div><h3>Background</h3><div>Healthcare systems contribute to about 5% of the emissions of the greenhouse gases globally when taken together. With 6.7% of its national emissions of greenhouse gases, the Swiss healthcare system is among the biggest contributors worldwide when taken per capita. Although isolated initiatives to reduce environmental impacts have emerged these last years, there is a strong need for better understanding the barriers and the possibilities for a heuristic framework like One Health to facilitate transformation, in particular in the Swiss context.</div></div><div><h3>Objective</h3><div>The main objective is to explore to what extent One Health can facilitate transformation of the Swiss healthcare system and a secondary objective is to examine the role of bioethics in reducing healthcare's environmental impact.</div></div><div><h3>Methods</h3><div>A focus group was conducted with nine experts from different disciplines (medicine, environment, veterinary medicine, public health) at the premises of the Swiss Medical Association in Bern on January 27th, 2025. The discussion lasted 180 min and was audio-recorded. Verbatim was transcribed and analyzed using thematic analysis following COREQ guidelines. Three additional individual interviews were conducted with participants who were not able to attend the focus group.</div></div><div><h3>Results</h3><div>Six key themes emerged: the need to reorganize healthcare delivery, the specificity of the Swiss governance system, the need to adopt solutions that are “good enough”, One Health as a heuristic framework for systemic change, the required expansion of the borders of bioethics to include environmental and animal welfare considerations and the possible tensions between different dimensions within the One Health framework.</div></div><div><h3>Conclusions</h3><div>Integrating environmental perspectives through a One Health approach is a possible solution to reduce the environmental impacts of the Swiss healthcare system. The study identifies both barriers (complexity of the Swiss healthcare system, siloed departments) and opportunities (professional willingness to collaborate, the development of post-Covid initiatives) for implementing sustainable healthcare transformation in Switzerland.</div></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101227"},"PeriodicalIF":0.0,"publicationDate":"2025-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145681298","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}

{"title":"Womb for rent: The deep ethical fault lines of commercial surrogacy","authors":"R.A. Arceño ,&nbsp;C.J.N. Ong ,&nbsp;M.M. Ahmed ,&nbsp;R. Nazari ,&nbsp;D.E. Lucero-Prisno III","doi":"10.1016/j.jemep.2025.101226","DOIUrl":"10.1016/j.jemep.2025.101226","url":null,"abstract":"","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101226"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145681299","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}

{"title":"Silent ethnicization and ethical tensions in French hospitals: Towards an alterity-inclusive public health system","authors":"P. Ahtoy","doi":"10.1016/j.jemep.2025.101225","DOIUrl":"10.1016/j.jemep.2025.101225","url":null,"abstract":"<div><h3>Introduction</h3><div>This article examines the insidious effects of silent ethnicization in French hospitals, taking a sociolinguistic, postcolonial and feminist approach to medical practices. Based on a corpus of participant observations, qualitative interviews, life stories and experiences of racialized patients, it sheds light on the implicit racial biases that permeate healthcare relationships, influence diagnoses, and contribute to a hierarchization of pain.</div></div><div><h3>Results</h3><div>Drawing on the works of Frantz Fanon¹, as well as that of Joëlle Palmieri²on algology and « <em>la douleur impensée</em> » (pain which has not been considered), the article shows how certain types of sufferings - particularly those of racialized women - are systematically disqualified, downplayed or psychologized. This factory of ignorance, inherited from a long sexist and colonial medical past, still fuels unequal care practices today, often invisible to institutions which may even lead to deaths.</div></div><div><h3>Discussion</h3><div>The analysis also looks at healthcare professionals from diasporas, who find themselves caring for patients who resemble them, while having to deal with the dominant norms of the hospital institution. This paradox highlights the need to rethink medical training and dominant biomedical reading grids, in order to decolonize healthcare knowledge and recognize minoritized pain as legitimate, politically situated signals.</div></div><div><h3>Conclusion</h3><div>The article concludes with a call for a situated ethic of care. Like the pioneering Sorbonne University course recently featured in <em>Le Monde</em> (« <em>Quand la médecine s'interroge sur ses ‘biais implicites raciaux</em> » - « When medicine questions its « implicit racial bias »), 20243, it argues for an in-depth transformation of medical practices towards a public health inclusive of otherness, emancipated from the prejudices that kill in silence.</div></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101225"},"PeriodicalIF":0.0,"publicationDate":"2025-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145614478","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}

{"title":"Hitler's DNA? The perfect example of what not to do in molecular genetics","authors":"P. Charlier","doi":"10.1016/j.jemep.2025.101224","DOIUrl":"10.1016/j.jemep.2025.101224","url":null,"abstract":"","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101224"},"PeriodicalIF":0.0,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145614479","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}

{"title":"Death, and after? An anthropology of post-mortem digital health data","authors":"P. Charlier","doi":"10.1016/j.jemep.2025.101211","DOIUrl":"10.1016/j.jemep.2025.101211","url":null,"abstract":"","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101211"},"PeriodicalIF":0.0,"publicationDate":"2025-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145614477","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}

{"title":"From ‘exceptionalism’ to authors’ rights: Fairer publishing policies for more impactful science","authors":"J.A. Teixeira da Silva ,&nbsp;Y. Yamada ,&nbsp;J.C. Türp ,&nbsp;T. Daly","doi":"10.1016/j.jemep.2025.101219","DOIUrl":"10.1016/j.jemep.2025.101219","url":null,"abstract":"<div><div>Public mistrust in science is exacerbated by ethical inconsistencies within academic publishing. Despite their role as the primary generators of knowledge, authors seem to occupy the lowest tier of a hierarchical system that is dominated by publishers and editors. The observed discordance between public perception and the internal academic power structures contributes to a distorted understanding of responsibility and accountability. This review draws from indexed literature, including PubMed, Scopus, and Web of Science, as well as case studies from the authors' professional experience. We define the concept of ethical exceptionalism—the unequal application of ethical standards based on power or status—and examine it. Our analysis delineates a publishing hierarchy in which authors are subject to more stringent ethical scrutiny than editors or publishers, despite their comparatively limited influence. Examples of such disparities include discrepancies in the disclosure of conflicts of interest, the ramifications of misconduct, and the accessibility of publication opportunities. Conversely, editors and publishers may not be held to the same standards of accountability. This ethical imbalance (ethical exceptionalism) is shown to reinforce systemic injustices and erode the credibility of academic publishing, and has the potential to erode the foundations of fairness and trust in scholarly communication. As a result, we propose four key reforms: recognition of ethical exceptionalism as a category for scholarly analysis; encouragement for researchers to publish case studies that document inequitable practices; development of a formal charter to establish shared standards; promotion of post-publication peer review as a means of decentralizing power and increasing transparency.</div></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101219"},"PeriodicalIF":0.0,"publicationDate":"2025-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145614476","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}

{"title":"Bringing death into the conversation: Communication strategies for discussing assisted dying in palliative care","authors":"A. Avakian ,&nbsp;K. Avakian ,&nbsp;A. Singh","doi":"10.1016/j.jemep.2025.101223","DOIUrl":"10.1016/j.jemep.2025.101223","url":null,"abstract":"<div><h3>Background and Objective</h3><div>In palliative care, promoting comfort, dignity, and autonomy often requires sensitive conversations about end-of-life options, including assisted dying. Despite the increasing legalization of Medical Aid in Dying (MAID), many clinicians remain hesitant or underprepared to initiate these discussions. This narrative review clarifies how barriers to these discussions have been identified and integrates evidence-based strategies from interdisciplinary literature. This study examines the ethical imperatives and clinical significance of assisted dying communication and aims to provide practical strategies for clinicians.</div></div><div><h3>Methods</h3><div>A narrative literature review was conducted using PubMed, Scopus, and Google Scholar databases for publications from 2010 to 2025. Search combinations included “assisted dying,” “medical aid in dying,” “physician-assisted death,” “communication,” “palliative care,” “ethics,” and “end-of-life discussion.” Studies were included if they examined clinician–patient communication about assisted dying, associated ethical considerations, or strategies for end-of-life dialogue. Findings were synthesized thematically to identify recurring barriers and communication approaches. This review analyzed previously published data and ethical analyses; no patient or identifying information was used, and ethical approval was therefore not applicable.</div></div><div><h3>Results</h3><div>Findings reveal persistent barriers, including legal uncertainties, cultural and religious sensitivities, clinician discomfort, and limited training in end-of-life communication. Evidence indicates that interdisciplinary team collaboration and structured communication frameworks improve confidence and patient satisfaction. These approaches improved clinician confidence, facilitated alignment of care with patient values, and increased patient satisfaction. Ethical analyses further underscore that avoiding or inadequately addressing assisted dying undermines autonomy and may compromise quality of care.</div></div><div><h3>Conclusions</h3><div>Engaging in open discussions about assisted dying is both a clinical responsibility and an ethical duty in palliative care. Addressing barriers through targeted training and structured communication strategies enables clinicians to approach these conversations with greater confidence and compassion. Such dialogue ensures that patient values and preferences are respected, ultimately fostering more dignified and patient-centered end-of-life care.</div></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101223"},"PeriodicalIF":0.0,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145579395","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}

{"title":"Biobanks in open-access scientific research","authors":"A. Valverde ,&nbsp;J.A. González ,&nbsp;F. Sevilla ,&nbsp;M. Calderón-Ferrey ,&nbsp;G. Jiménez ,&nbsp;S. Monge-Ureña ,&nbsp;I. Araya-Zúñiga ,&nbsp;R. González","doi":"10.1016/j.jemep.2025.101222","DOIUrl":"10.1016/j.jemep.2025.101222","url":null,"abstract":"<div><h3>Introduction</h3><div>Biobanks are repositories of biological samples and data used to generate new knowledge through research basic and applied to address societal issues.</div></div><div><h3>Aim</h3><div>This paper analyzes the bioethical principles associated with biobanks and open-access scientific information. <em>Methods:</em> We reviewed bioethical analyses, laws, and regulations on biobanks—facilities storing human or non-human specimens with linked data—and their intersection with open-access practices. We mapped governance, consent, privacy, data sharing, benefit-risk, and justice domains. Ethical constructs guided abstraction. Multidisciplinary searches (PubMed, Scopus, Web of Science, CAB, grey literature) plus cross-references captured sector-specific challenges in veterinary, agricultural, and public-health contexts, informing policy.</div></div><div><h3>Results</h3><div>Various classes of biomedical studies use biological samples and genetic data from donors stored in biobanks. Ethical and legal concerns arise, nonetheless, regarding the operation of these repositories. Biobanks have at their disposal multiple ways of handling and storing biomaterials, for example, genetic information security measures and informed consent. Moreover, an international regulatory framework of biobanks, supports the development of bio-legal standards to regulate these facilities worldwide. Data and biomaterial sharing drives reproducibility and innovation, despite barriers to competition, intellectual property ownership claims, and reduced access to technology in countries with fewer economic resources.</div></div><div><h3>Conclusion</h3><div>Sharing data/biomaterials under beneficence, justice, and honesty speeds reproducibility and innovation. Competition, intellectual property, technology hinder progress; robust governance, consent, privacy, regulation uphold autonomy, trust, and global collaboration for societal benefit. Biobanks, guided by ethical principles and clear established policies, strengthen trust, and promote scientific collaboration and social well-being.</div></div>","PeriodicalId":37707,"journal":{"name":"Ethics, Medicine and Public Health","volume":"34 ","pages":"Article 101222"},"PeriodicalIF":0.0,"publicationDate":"2025-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145579398","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}