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Leveraging Academic-Medical Legal Partnerships to Advance Health Justice. 利用学术-医学法律合作伙伴关系促进健康正义。
IF 2.1 4区 哲学 Q2 Medicine Pub Date : 2023-01-01 Epub Date: 2024-03-13 DOI: 10.1017/jme.2024.5
Vicki W Girard, Yael Z Cannon, Deborah F Perry, Eileen S Moore

Unmet legal needs contribute to housing, income, and food insecurity, along with other conditions that harm health and drive health inequity. Addressing health injustice requires new tools for the next generations of lawyers, doctors, and other healthcare professionals. An interprofessional group of co-authors argue that law and medical schools and other university partners should develop and cultivate Academic Medical-Legal Partnerships (A-MLPs), which are uniquely positioned to leverage service, education, and research resources, to advance health justice.

法律需求得不到满足会导致住房、收入和粮食不安全,以及其他损害健康和造成健康不公平的情况。解决健康不公平问题需要为下一代律师、医生和其他医疗保健专业人员提供新的工具。一组跨专业的合著者认为,法学院和医学院以及其他大学合作伙伴应发展和培养医学-法律学术合作伙伴关系(A-MLPs),这种关系在利用服务、教育和研究资源以促进健康正义方面具有独特的优势。
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引用次数: 0
In this Together: International Collaborations for Environmental and Human Health. 共同参与:环境与人类健康国际合作。
IF 2.1 4区 哲学 Q2 Medicine Pub Date : 2023-01-01 Epub Date: 2023-09-01 DOI: 10.1017/jme.2023.82
Jaime S King, Joanna Manning, Alistair Woodward

Climate change exacts a devastating toll on health that is rarely incorporated into the economic calculus of climate action. By aligning health and environmental policy and collaborating across borders, governments and industries can develop powerful initiatives to promote both environmental and human health.

气候变化对健康造成的破坏性损失很少被纳入气候行动的经济计算中。通过调整健康和环境政策并开展跨界合作,政府和企业可以制定强有力的措施,促进环境和人类健康。
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引用次数: 0
Letter From The Editor. 编辑来信
IF 2.1 4区 哲学 Q2 Medicine Pub Date : 2023-01-01 Epub Date: 2024-03-04 DOI: 10.1017/jme.2024.17
Margo G Smith
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引用次数: 0
NIH Licensing Would Benefit from Free-Market Provisions. 美国国立卫生研究院(NIH)的许可将受益于自由市场条款。
IF 2.1 4区 哲学 Q2 Medicine Pub Date : 2023-01-01 Epub Date: 2024-03-04 DOI: 10.1017/jme.2024.1
Robin Feldman, Zachary Rosen

Government encouragement of free markets is a highly effective means of fostering pharmaceutical innovation; the NIH, by including "free-market provisions" in its licensing agreements that discourage anti-competitive and research-impeding behavior, can do a great deal to support this goal even without legislative overhaul.

政府对自由市场的鼓励是促进医药创新的一个非常有效的手段;NIH 通过在其许可协议中加入 "自由市场条款",阻止反竞争和阻碍研究的行为,即使没有立法改革,也能为支持这一目标做出巨大贡献。
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引用次数: 0
Conditions of Participation: Incorporating the History of Hospital Desegregation. 参与条件:医院取消种族隔离的历史。
IF 2.1 4区 哲学 Q2 Medicine Pub Date : 2023-01-01 Epub Date: 2024-03-13 DOI: 10.1017/jme.2024.13
Sallie Thieme Sanford

Our students ought to know about the history of formal hospital segregation and desegregation. To that end, this article urges those who teach foundational health law and policy courses to do three things. First, to teach the Simkins case. Second, to swap out the usual Medicare signing ceremony picture for one that includes W. Montague Cobb, M.D., Ph.D. Third, to highlight how the implementation of that program for the elderly led, in a matter of months, to the desegregation of hospitals throughout the country.

我们的学生应该了解正规医院隔离和解除隔离的历史。为此,本文敦促那些教授卫生法律与政策基础课程的人做三件事。第一,讲授 Simkins 案。第二,将通常的医疗保险签字仪式照片换成包括 W. Montague Cobb 医学博士在内的照片。第三,强调老年人计划的实施如何在短短几个月内导致全国各地的医院解除隔离。
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引用次数: 0
The Synergy of Legal and Medical Palliative Care: Challenges and Opportunities in Palliative MLP and the Yale Experience. 法律姑息关怀与医疗姑息关怀的协同作用:姑息治疗 MLP 的挑战与机遇以及耶鲁大学的经验。
IF 2.1 4区 哲学 Q2 Medicine Pub Date : 2023-01-01 Epub Date: 2024-03-13 DOI: 10.1017/jme.2023.161
Rebecca Iannantuoni, Emily B Rock, Abbe R Gluck

Palliative care and medical-legal partnership are complementary disciplines dedicated to integrating care to treat the whole patient and intervening before a legal or medical issue is at a crisis point. In this paper, we discuss the founding and operations of the Yale Palliative Medical Legal Partnership, give examples of typical cases, explain special considerations in this area of law, and propose areas for further research.

姑息关怀和医疗法律合作是一门互补的学科,致力于整合关怀以治疗整个病人,并在法律或医疗问题处于危机点之前进行干预。在本文中,我们将讨论耶鲁大学姑息医疗法律合作组织的成立和运作,列举典型案例,解释该法律领域的特殊考虑因素,并提出进一步研究的领域。
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引用次数: 0
Addressing High Drug Prices by Reforming Pharmacy Benefit Managers. 通过改革药房福利管理机构解决药品价格高的问题。
IF 2.1 4区 哲学 Q2 Medicine Pub Date : 2023-01-01 Epub Date: 2024-03-04 DOI: 10.1017/jme.2024.23
Benjamin N Rome

Recently, Congress has focused on reforms to address pharmacy benefit managers' (PBMs) role in high drug prices for patients. Congress must not excessively restrict PBMs' ability to negotiate with manufacturers; alternatively, reforms could be paired with other policies that address the high prices of brand-name drugs.

最近,国会将重点放在改革上,以解决药房福利管理机构(PBMs)在患者高药价中的作用。国会决不能过度限制 PBM 与制造商谈判的能力;或者,可以将改革与其他解决品牌药高价的政策结合起来。
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引用次数: 0
Is that Hospital Food Pantry an Illegal Patient Inducement? Analysis of Health Care Fraud Laws as Barriers to Food and Nutrition Security Interventions. 医院食品储藏室是非法诱导病人吗?分析作为食品和营养安全干预障碍的医疗欺诈法。
IF 2.1 4区 哲学 Q2 Medicine Pub Date : 2023-01-01 Epub Date: 2024-03-13 DOI: 10.1017/jme.2023.164
Rachel Landauer, Hilary Seligman, Jennifer L Pomeranz, Kurt Hager, Dariush Mozaffarian

The complex regulatory framework governing the U.S. health care system can be an obstacle to programming that address health-related social needs. In particular, health care fraud and abuse law is a pernicious barrier as health care organizations may minimize or forego programming altogether out of real and perceived concern for compliance. And because health care organizations have varying resources to navigate and resolve compliance concerns, as well as different levels of risk tolerance, fears related to the legal landscape may further entrench inequities in access to meaningful programs that improve health outcomes. This article uses food and nutrition programming as a case study to explore the complexities presented by this area of law and to highlight pathways forward.

美国医疗保健系统的监管框架十分复杂,这可能会成为满足与健康有关的社会需求的计划编制的障碍。特别是,医疗保健欺诈和滥用法是一个有害的障碍,因为医疗保健组织可能会出于对合规性的实际或感知上的担忧,最大限度地减少或完全放弃计划编制。由于医疗机构拥有不同的资源来引导和解决合规问题,以及不同程度的风险承受能力,与法律环境相关的恐惧可能会进一步加剧在获取可改善健康结果的有意义计划方面的不平等。本文以食品和营养计划为案例,探讨了这一法律领域所带来的复杂性,并强调了前进的道路。
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引用次数: 0
What Can State Medical Boards Do to Effectively Address Serious Ethical Violations? 州医学委员会如何有效处理严重违反职业道德的行为?
IF 2.1 4区 哲学 Q2 Medicine Pub Date : 2023-01-01 Epub Date: 2024-03-13 DOI: 10.1017/jme.2024.6
Tristan McIntosh, Elizabeth Pendo, Heidi A Walsh, Kari A Baldwin, Patricia King, Emily E Anderson, Catherine V Caldicott, Jeffrey D Carter, Sandra H Johnson, Katherine Mathews, William A Norcross, Dana C Shaffer, James M DuBois

State Medical Boards (SMBs) can take severe disciplinary actions (e.g., license revocation or suspension) against physicians who commit egregious wrongdoing in order to protect the public. However, there is noteworthy variability in the extent to which SMBs impose severe disciplinary action. In this manuscript, we present and synthesize a subset of 11 recommendations based on findings from our team's larger consensus-building project that identified a list of 56 policies and legal provisions SMBs can use to better protect patients from egregious wrongdoing by physicians.

州医学委员会(SMB)可以对犯有严重错误行为的医生采取严厉的纪律处分(如吊销执照或停职),以保护公众。但值得注意的是,医管局采取严厉纪律处分的程度存在差异。在本手稿中,我们介绍并综合了 11 项建议的子集,这些建议是基于我们团队的大型共识建立项目的研究成果,该项目确定了一份包含 56 项政策和法律条款的清单,中小型医院可以利用这些政策和法律条款更好地保护患者免受医生严重错误行为的侵害。
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引用次数: 0
Differences in Perceptions of Gun-Related Safety by Race and Gun Ownership in the United States. 美国种族和枪支拥有者对枪支相关安全认知的差异。
IF 1.6 4区 哲学 Q2 ETHICS Pub Date : 2023-01-01 Epub Date: 2023-05-25 DOI: 10.1017/jme.2023.38
Julie A Ward, Mudia Uzzi, Talib Hudson, Daniel W Webster, Cassandra K Crifasi

Motivated by disparities in gun violence, sharp increases in gun ownership, and a changing gun policy landscape, we conducted a nationally representative survey of U.S. adults (n=2,778) in 2021 to compare safety-related views of white, Black, and Hispanic gun owners and non-owners. Black gun owners were most aware of homicide disparities and least expecting of personal safety improvements from gun ownership or more permissive gun carrying. Non-owner views differed. Health equity and policy opportunities are discussed.

受枪支暴力差异、枪支拥有量急剧增加和枪支政策格局变化的影响,我们在2021年对美国成年人(n=2778)进行了一项具有全国代表性的调查,以比较白人、黑人和西班牙裔枪支拥有者和非拥有者的安全相关观点。黑人枪支拥有者最清楚凶杀案的差异,最不期待枪支拥有或更宽松的枪支携带会改善人身安全。非所有者的观点各不相同。讨论了卫生公平和政策机会。
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引用次数: 0
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Journal of Law Medicine & Ethics
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