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American Journal of Bioethics最新文献

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Scientists' and Policy Professionals' Views on the Translational Pipeline of Human Gene Editing. 科学家和政策专家对人类基因编辑转化管道的看法。
IF 20.8 1区 哲学 Q1 ETHICS Pub Date : 2025-06-01 Epub Date: 2025-06-06 DOI: 10.1080/15265161.2025.2497979
R Jean Cadigan, Margaret Waltz
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引用次数: 0
DIY Justice. DIY正义。
IF 17 1区 哲学 Q1 ETHICS Pub Date : 2025-06-01 Epub Date: 2025-06-06 DOI: 10.1080/15265161.2025.2498847
Willow Shanks, Tod Chambers
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引用次数: 0
Translational Justice: A Worthy Goal Whose Argument Needs to be Pushed Even Further. 翻译公正:一个值得探讨的目标。
IF 17 1区 哲学 Q1 ETHICS Pub Date : 2025-06-01 Epub Date: 2025-06-06 DOI: 10.1080/15265161.2025.2497985
Geoffrey R Engel, J Wesley Boyd
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引用次数: 0
Building Better Medicine: Translational Justice and the Quest for Equity in US Healthcare. 建设更好的医学:转化正义和追求公平的美国医疗保健。
IF 17 1区 哲学 Q1 ETHICS Pub Date : 2025-06-01 Epub Date: 2025-02-23 DOI: 10.1080/15265161.2025.2457713
Megan A Allyse, Preya Agam, Yvonne Bombard, Roel Feys, McKenna Horstmann, Assata Kokayi, Rosario Isasi, Karen M Meagher, Marsha Michie, Kiran Musunuru, Kelly E Ormond, Kirsten A Riggan, Jane Q Yap

Despite considerable scientific progress and the evolution of regulatory pathways to ensure safety and efficacy, US healthcare continues to see increasing health disparities. This suggests that clinical translation in of itself cannot be the only measure of its own success, especially when the most marginalized patients, are neglected in the development and implementation of medical innovations. This raises the question of whether a system that is narrowly focused on technical achievement can meet the moral obligations of medicine and public health. We argue that traditional technocratic standards are failing to integrate normative considerations into biomedical translation. What is needed is a translational domain that moves beyond safety and efficacy toward anticipating how proposed technologies will be effective in society as it exists. We propose an additional metric of success: translational justice.

尽管有相当大的科学进步和监管途径的演变,以确保安全性和有效性,美国医疗保健继续看到越来越大的健康差距。这表明,临床翻译本身不能成为衡量其自身成功的唯一标准,特别是当最边缘化的患者在医疗创新的发展和实施中被忽视时。这就提出了一个问题,即一个狭隘地关注技术成就的系统能否履行医学和公共卫生的道德义务。我们认为,传统的技术官僚标准未能将规范性考虑纳入生物医学翻译。我们需要的是一个超越安全性和有效性的转化领域,以预测所提出的技术如何在现有的社会中发挥作用。我们提出了另一个衡量成功的标准:翻译公正。
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引用次数: 0
A Multi-Lens Ethics Analysis of Gender-Affirming Care for Youth with Implications for Practice and Policy. 青少年性别肯定关怀的多镜头伦理分析及其对实践和政策的影响。
IF 17 1区 哲学 Q1 ETHICS Pub Date : 2025-06-01 Epub Date: 2025-06-06 DOI: 10.1080/15265161.2025.2497983
Jeffrey Kirby

Currently, the provision of gender-affirming care to transgender and gender-diverse youth is highly contested. Fractious debate is being waged by GAC-permissive and GAC-restrictive proponents which has, importantly, spilled-over into the political domain. In the paper, an ethics analysis of gender-affirming care for youth is employed through the application of a set of relevant, ethics lenses, i.e., individual and relational autonomy; patient welfare (comparative benefits and burdens of GAC); health equity; traditional-distributive, formal and social justice; and injustices related to health research and political interference. In the author's view, this multi-lens analysis supports the continued use of a potentially adapted version of the gender-affirming care model in the assessment and treatment of transgender and gender-diverse youth. Arising from the analysis, a set of suggested recommendations is proposed that could potentially inform clinical practice and the development/revision of gender-affirming care for youth practice-standards, health policy and legislation.

目前,向跨性别和性别多样化的青年提供性别确认护理存在很大争议。支持和限制gac的支持者之间展开了激烈的辩论,重要的是,这场辩论已经蔓延到政治领域。在本文中,通过应用一套相关的伦理视角,即个人和关系自治,对青年性别肯定护理进行了伦理分析;患者福利(GAC的比较效益和负担);卫生公平;传统的分配正义、形式正义和社会正义;以及与健康研究和政治干预有关的不公正。在作者看来,这种多视角分析支持在评估和治疗跨性别和性别多样化青年时继续使用性别肯定护理模式的潜在改编版本。根据分析,提出了一套建议,可能为临床实践和制定/修订青年性别肯定护理实践标准、卫生政策和立法提供参考。
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引用次数: 0
Ethical Care Necessitates Synthesizing the Best Available Evidence. 伦理关怀需要综合现有的最佳证据。
IF 17 1区 哲学 Q1 ETHICS Pub Date : 2025-06-01 Epub Date: 2025-06-06 DOI: 10.1080/15265161.2025.2497990
Moti Gorin, Chan Kulatunga-Moruzi, Ari R Joffe, J Cohn
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引用次数: 0
Conscientious Objection to Gender-Affirming Surgery: Considerations for Training Programs. 出于良心反对性别确认手术:培训计划的考虑。
IF 17 1区 哲学 Q1 ETHICS Pub Date : 2025-06-01 Epub Date: 2025-06-06 DOI: 10.1080/15265161.2025.2497992
Myles N LaValley, Danielle J Eble, Rebecca Arteaga, Russell E Ettinger, Shane D Morrison
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引用次数: 0
Integrating Bioethics and Science Communication Insights to Promote Translational Justice, Critical Consciousness, and Global Health Equity in COVID-19 Vaccination. 整合生物伦理和科学传播见解,促进COVID-19疫苗接种的翻译正义、批判意识和全球卫生公平。
IF 20.8 1区 哲学 Q1 ETHICS Pub Date : 2025-06-01 Epub Date: 2025-06-06 DOI: 10.1080/15265161.2025.2497987
John Noel Montaño Viaña, Merryn McKinnon, Carys Fisser
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引用次数: 0
Remember the White Supremacy: Responding to ARIE: A Health Equity Framework for Public Health Interventions Informed by Critical Race Theory and Critical Gerontology. 记住白人至上:对ARIE的回应:一个由关键种族理论和关键老年学提供信息的公共卫生干预的卫生公平框架。
IF 20.8 1区 哲学 Q1 ETHICS Pub Date : 2025-06-01 Epub Date: 2025-06-06 DOI: 10.1080/15265161.2025.2497994
Jelani Kerr, Lesley Harris, Nqobile Nzama
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引用次数: 0
Adding Ontological and Epistemological Lenses and Polishing Ethical Ones in the Analysis of Gender-Affirming Care. 性别确认护理分析中增加本体论和认识论的视角,完善伦理视角。
IF 17 1区 哲学 Q1 ETHICS Pub Date : 2025-06-01 Epub Date: 2025-06-06 DOI: 10.1080/15265161.2025.2498008
Armand H Matheny Antommaria
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引用次数: 0
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American Journal of Bioethics
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