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Challenging Pennsylvania's Firearm Preemption Law as a Public Health Danger: The Case of Philadelphia. 将宾夕法尼亚州的《枪支优先权法》视为公共健康危险而提出质疑:费城案例。
IF 1.6 4区 哲学 Q2 ETHICS Pub Date : 2024-01-01 Epub Date: 2024-07-12 DOI: 10.1017/jme.2024.66
Sami Jarrah, Benjamin Geffen, Giselle Babiarz, Benjamin Hartung, Amy Cook, Megan Todd

Firearm violence has soared in American cities, but most states statutorily preempt municipal firearm regulation. This article describes a unique collaboration in Philadelphia among elected officials, public health researchers, and attorneys that has led to litigation based on original quantitative analyses and grounded in innovative constitutional theories and statutory interpretation.

美国城市中的枪支暴力事件激增,但大多数州的法规都规定市级枪支管制无效。本文介绍了费城民选官员、公共卫生研究人员和律师之间的独特合作,这种合作基于原创的定量分析,并以创新的宪法理论和法律解释为基础,促成了诉讼。
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引用次数: 0
Breaking Free From the "War on Drugs": Examples From Three Leader States. 摆脱 "禁毒战争":三个领导国的实例。
IF 1.6 4区 哲学 Q2 ETHICS Pub Date : 2024-01-01 Epub Date: 2024-07-12 DOI: 10.1017/jme.2024.68
Corey Davis, Amy Judd Lieberman

While the federal government continues to pursue a punitive "War on Drugs," some states have adopted evidence-based, human-focused approaches to reducing drug-related harm. This article discusses recent legal changes in three states that can serve as models for others interested in reducing, rather than increasing, individual and community harm.

在联邦政府继续推行惩罚性 "禁毒战争 "的同时,一些州已经采用了以证据为基础、以人为本的方法来减少与毒品有关的危害。本文讨论了三个州最近的法律变革,这些变革可以为其他有志于减少而非增加个人和社区伤害的州提供借鉴。
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引用次数: 0
A Federally Qualified Health Center-led Ethics & Equity Framework & Workflow Checklist: An Invited Commentary in Response to a Relational Public Health Framing of FQHCs During COVID-19. 联邦合格医疗中心主导的伦理与公平框架及工作流程清单:针对 COVID-19 期间对联邦合格医疗中心的关系公共卫生框架的特邀评论。
IF 2.1 4区 哲学 Q2 Medicine Pub Date : 2024-01-01 Epub Date: 2024-05-31 DOI: 10.1017/jme.2024.73
Cristina Huebner Torres, Sylvia Baedorf Kassis, Sadath Sayeed, Barbara E Bierer, Karen M Emmons

With disparate rates of morbidity and mortality among minoritized communities, COVID-19 illuminated the need for equity-informed practices in public health. Pacia et al posit FQHCs as entities that addressed inequity when others failed. This commentary further situates how FQHCs address the public health crisis of institutional racism and related health inequities every day and presents a FQHC-led Ethics and Equity Framework and Workflow Checklist to guide ethical and equitable engagement with FQHCs.

由于少数民族社区的发病率和死亡率存在差异,COVID-19 显示了在公共卫生领域采取公平做法的必要性。Pacia 等人认为,联邦合格健康中心是在其他机构失败时解决不平等问题的实体。这篇评论进一步阐述了 FQHC 每天如何应对制度性种族主义和相关健康不平等的公共卫生危机,并提出了一个由 FQHC 主导的伦理与公平框架和工作流程清单,以指导与 FQHC 的伦理与公平合作。
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引用次数: 0
Church Against State: How Industry Groups Lead the Religious Liberty Assault on Civil Rights, Healthcare Policy, and the Administrative State. 教会对抗国家:行业组织如何领导宗教自由对民权、医疗政策和行政国家的攻击。
IF 2.1 4区 哲学 Q2 Medicine Pub Date : 2024-01-01 Epub Date: 2024-05-31 DOI: 10.1017/jme.2024.65
Joanna Wuest, Briana S Last

Industry-funded religious liberty legal groups have sought to undermine healthcare policy and law while simultaneously attacking the rights of sexual and gender minorities. Whereas past scholarship has tracked religiously-affiliated healthcare providers' growing political power and attendant transformations to legal doctrine, our account emphasizes the political donors and visionaries who have leveraged religious providers and the U.S. healthcare system's delegated structure to transform social policy and bureaucratic agencies more generally.

由行业资助的宗教自由法律团体试图破坏医疗政策和法律,同时侵犯性少数群体和性别少数群体的权利。过去的学术研究追踪的是隶属于宗教的医疗服务提供者日益增长的政治力量和随之而来的法律理论变革,而我们的研究强调的是政治捐赠者和有远见的人,他们利用宗教服务提供者和美国医疗保健系统的授权结构,对社会政策和官僚机构进行了更广泛的变革。
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引用次数: 0
Understanding Local Alcohol Control in Wisconsin: Building a Database of Local Municipal Alcohol Policies. 了解威斯康星州的地方酒类管制:建立地方市政酒精政策数据库。
IF 1.6 4区 哲学 Q2 ETHICS Pub Date : 2024-01-01 Epub Date: 2024-07-12 DOI: 10.1017/jme.2024.35
Felice F Borisy-Rudin, Robert MacKenzie, Maureen Busalacchi, Constance Kostelac

In Wisconsin, many alcohol policies are regulated at the local level. To examine the relationship between local policies, alcohol use and health outcomes, our team developed a database to collect local alcohol policies. Initial results highlight differences in how policies are defined, enforced, and made available to the public.

在威斯康星州,许多饮酒政策都是在地方一级制定的。为了研究地方政策、酒精使用和健康结果之间的关系,我们的团队开发了一个数据库来收集地方酒精政策。初步结果凸显了政策在定义、执行和向公众提供方面的差异。
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引用次数: 0
Unlocking Public Health Data: Navigating New Legal Guardrails and Emerging AI Challenges. 解锁公共卫生数据:驾驭新的法律护栏和新出现的人工智能挑战。
IF 1.6 4区 哲学 Q2 ETHICS Pub Date : 2024-01-01 Epub Date: 2024-07-12 DOI: 10.1017/jme.2024.40
Fallon J Cochlin, Charles D Curran, Cason D Schmit

Here, we analyze the public health implications of recent legal developments - including privacy legislation, intergovernmental data exchange, and artificial intelligence governance - with a view toward the future of public health informatics and the potential of diverse data to inform public health actions and drive population health outcomes.

在此,我们将分析近期法律发展(包括隐私立法、政府间数据交换和人工智能治理)对公共卫生的影响,展望公共卫生信息学的未来,以及多样化数据为公共卫生行动提供信息和推动人口健康成果的潜力。
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引用次数: 0
Scalable, Coordinated Strategies Leveraging Community Health Workers in Addressing the Adverse and Inequitable Health Effects of Climate Change. 利用社区卫生工作者应对气候变化对健康的不利和不公平影响的可扩展协调战略。
IF 1.6 4区 哲学 Q2 ETHICS Pub Date : 2024-01-01 Epub Date: 2024-07-12 DOI: 10.1017/jme.2024.48
Massoud Agahi, Erika Bartlett, Betsy Lawton, Cameron Salehi

Effective climate change resilience in local communities must center each community's unique challenges and essential role in developing climate resilience strategies. This article will discuss recent developments by the federal government that align with a community-centered approach, and how Community Health Workers can influence the outcomes.

地方社区要有效抵御气候变化,就必须以每个社区面临的独特挑战和在制定抵御气候变化战略中的重要作用为中心。本文将讨论联邦政府最近与以社区为中心的方法相一致的发展,以及社区卫生工作人员如何影响结果。
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引用次数: 0
Toward Transparency and Trust: Assessing and Addressing Key Ethical Concerns in Normothermic Regional Perfusion. 实现透明与信任:评估和解决常温区域灌注中的主要伦理问题。
IF 2.1 4区 哲学 Q2 Medicine Pub Date : 2024-01-01 Epub Date: 2024-05-31 DOI: 10.1017/jme.2024.52
Amanda Buster, Ellen C Meltzer, Lisa Trost, Amanda Courtright-Lim, Timothy Ingall, Jon Tilburt

Normothermic Regional Perfusion, or NRP, is a method of donated organ reperfusion using cardiopulmonary bypass or a modified extracorporeal membrane oxygenation (ECMO) circuit after circulatory death while leaving organs in the dead donor's corpse. Despite its potential, several key ethical issues remain unaddressed by this technology.

常温区域灌注(Normothermic Regional Perfusion,简称 NRP)是一种在循环死亡后使用心肺旁路或改良体外膜肺氧合(ECMO)回路对捐献器官进行再灌注的方法,同时将器官留在死亡捐献者的尸体中。尽管该技术具有潜力,但仍有几个关键的伦理问题尚未解决。
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引用次数: 0
Addressing Bioethical Implications of Implementing Diversion Programs in Resource-Constrained Service Environments. 在资源有限的服务环境中实施转送计划时解决生物伦理问题。
IF 2.1 4区 哲学 Q2 Medicine Pub Date : 2024-01-01 Epub Date: 2024-05-31 DOI: 10.1017/jme.2024.53
Josephine D Korchmaros, Kevin Hall

The opioid epidemic demands the development, implementation, and evaluation of innovative, research-informed practices such as diversion programs. Aritürk et al. have articulated important bioethical considerations for implementing diversion programs in resource-constrained service environments. In this commentary, we expand and advance Aritürk et al.'s discussion by discussing existing resources that can be utilized to implement diversion programs that prevent or otherwise minimize the issues of autonomy, non-maleficence, beneficence, and justice identified by Aritürk et al.

阿片类药物的流行要求制定、实施和评估分流计划等以研究为基础的创新做法。Aritürk 等人阐述了在资源有限的服务环境中实施分流计划的重要生物伦理考虑因素。在本评论中,我们将通过讨论现有资源来扩展和推进 Aritürk 等人的讨论,这些资源可用于实施分流计划,以防止或最大限度地减少 Aritürk 等人提出的自主性、非渎职性、受益性和公正性问题。
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引用次数: 0
“Out Like a Lion:” Terminating the COVID-19 National Public Health Emergency “像狮子一样离开:”终止新冠肺炎国家公共卫生紧急状态
IF 2.1 4区 哲学 Q2 Medicine Pub Date : 2023-09-01 DOI: 10.2139/ssrn.4383405
J. Hodge
Abstract From its inception, the COVID-19 pandemic has been a disruptive force on U.S. health care and public health systems. President Biden’s announced termination of the national public health emergency on May 11, 2023 portends a return to normalcy and relief for Americans from the greatest infectious disease scourge the nation has ever faced. In reality, closing out this pandemic presents a tempest of legal and practical complications.
从一开始,COVID-19大流行就对美国的医疗保健和公共卫生系统造成了破坏性影响。拜登总统于2023年5月11日宣布结束全国公共卫生紧急状态,这预示着美国人将恢复正常,并从美国有史以来面临的最大传染病灾难中解脱出来。实际上,消除这一流行病带来了一系列法律和实际的复杂问题。
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引用次数: 0
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