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Chapitre 4. Subventions discriminatoires de soins medicaux à l’épreuve du principe éthique de la justice : cas d’un service d’orl au burkina faso. 第 4 章:根据公正的伦理原则检验歧视性医疗补贴:布基纳法索耳鼻喉科服务的案例。
Pub Date : 2024-01-01 DOI: 10.3917/jibes.343.0069
Richard Wend-Lasida Ouedraogo, Guillaume Durand, Diataga Sylvestre Yonli, Tarcissus Konsem

Introduction: A legal exception to the principle of equal health rights, discriminatory subsidies often pose an ethical dilemma in the field of application.

Aim: To analyze discriminatory subsidies for healthcare in the light of the ethical principle of justice and to propose alternatives to any inherent legal and ethical conflicts.

Method: This was a qualitative, descriptive and analytical study based on semi-structured interviews with caregivers.

Results: Participants felt that the application of discriminatory subsidies has a negative impact on substantial distributive justice. The infringements of the award conditions were exclusively for the benefit of the patients concerned. Their impact was considered positive on distributive justice and negative on formal justice.

Discussion: Discriminatory care subsidies generally stem from a legal requirement whose application should not be ambiguous. It is apparent that the infringements of the conditions for attribution were in favour of substantial distributive justice. This opposition is a potential source of decision-making difficulties for caregivers who often choose to violate conditions for the benefit of their indigent patients. There are therefore violations of ethically understandable standards, which must be admitted. This could be done through the provision of exceptions for the application of standards for ”noble causes” and conscientious objection clauses in health policy texts.

Conclusion: The legitimacy of health policy norms is essential for their effective application, hence the interest of taking distributive justice into account in the genesis of formal norms.

导言:目的:根据正义的伦理原则分析医疗保健方面的歧视性补贴,并就任何固有的法律和伦理冲突提出替代方案:这是一项定性、描述性和分析性研究,以对护理人员进行半结构化访谈为基础:结果:参与者认为,歧视性补贴的实施对实质性的分配公正产生了负面影响。违反奖励条件完全是为了相关患者的利益。讨论:讨论:歧视性护理补贴一般源于法律规定,其适用不应含糊不清。显然,对归属条件的违反有利于实质性的分配公正。这种对立是护理人员决策困难的潜在根源,他们往往为了贫困患者的利益而选择违反条件。因此,必须承认存在违反伦理上可以理解的标准的情况。要做到这一点,可以在卫生政策文本中规定为 ”崇高事业”和出于良心拒服兵役条款而适用标准的例外情况:卫生政策准则的合法性对其有效实施至关重要,因此在制定正式准则时应考虑到分配正义。
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引用次数: 0
Chapter 8. How can digitalization contribute to the transformation of food systems towards sustainability? Analysing the farm to fork strategy with the digitalization lens and raising possible ethical rules. 第 8 章数字化如何促进粮食系统向可持续方向转变?从数字化视角分析 "从农场到餐桌 "战略,并提出可能的道德规则。
Pub Date : 2024-01-01 DOI: 10.3917/jibes.344.0145
Silvia Rolandi, Gianluca Brunori

The present contribution aims to provide an overview of the role attributed to digitalization in relation to the EU Farm to Fork Strategy. The Strategy represents the set of instruments that the European Commission identified to achieve a European Union sustainable food system, and the role attributed to digitalization is pivotal, as the main overall instrument to boost sustainability. Based on the existing literature on the specific subject matter, the authors attempt to provide an analysis of the document looking for specific references to digitalization and highlighting possible emerging related ethical issues with the aim of initiating the discourse for further research on possible legal solutions.

本文旨在概述数字化在欧盟 "从农场到餐桌 "战略中的作用。该战略是欧盟委员会为实现欧盟可持续食品体系而确定的一套工具,而数字化作为促进可持续性的主要总体工具,其作用举足轻重。作者根据有关该特定主题的现有文献,试图对该文件进行分析,寻找有关数字化的具体提法,并强调可能出现的相关伦理问题,目的是为进一步研究可能的法律解决方案展开讨论。
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引用次数: 0
Revue de livres. 书评
Christian Byk
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引用次数: 0
Revue de livres. 书评
Christian Byk
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引用次数: 0
Chapitre 7. Applications et éclairage éthique des Intelligences Artificielles Génératives linguistiques en Médecine. 第 7 章.语言人工生成智能在医学中的应用和伦理视角。
Cécile Monteil, Jérôme Béranger

With the emergence of innovations and technological advancements – exemplified by telemedicine and more recently by the extremely rapid development of Generative Artificial Intelligence systems (Gen AI) like Large Language Models (LLM) such as ChatGPT – we are witnessing a progressive transformation of ancient Hippocratic medicine and the physician-patient relationship. These healthcare Gen AI, which carry inherently stakes, risks, opportunities, hopes, and concerns, justify an increased and reinforced ethical vigilance. These digital applications, multiplying, diversifying, and improving their performance day by day, tend to reshape the role and practices of healthcare professionals in their analytical and decision-making medical process.The digitalization of medicine will inevitably encourage physicians to undergo specific training and acquire new competences in new technologies so that they can learn to navigate better in this new ecosystem of knowledge and practices while preserving their medical expertise, skills, and critical thinking. Therefore, faced with the inevitable arrival of Gen AI in medicine, this article aims to question how we can approach and use this technological tool within an evolving ethical framework to maintain a quality healthcare service for users.

随着创新和技术进步的出现 –;以远程医疗为例,以及最近以 ChatGPT 等大型语言模型(LLM)为代表的生成式人工智能系统(Gen AI)的极速发展 –;我们正在见证古老的希波克拉底医学和医患关系的逐步转变。这些医疗保健领域的新一代人工智能本身就蕴含着利害关系、风险、机遇、希望和担忧,因此有理由提高和加强伦理警惕。这些数字化应用的数量与日俱增,形式日趋多样化,性能不断提高,往往会重塑医疗保健专业人员在分析和决策医疗过程中的角色和实践。医学数字化将不可避免地鼓励医生接受专门培训,获得新技术方面的新能力,以便他们能够学会在这个新的知识和实践生态系统中更好地导航,同时保留他们的医学专业知识、技能和批判性思维。因此,面对人工智能在医学领域的必然到来,本文旨在探讨我们如何在不断发展的伦理框架内对待和使用这一技术工具,从而为用户提供高质量的医疗服务。
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引用次数: 0
Chapitre 4. L’accident du travail chez soi. 第 4 章 家庭事故家庭事故
Delphine Ronet-Yague

The widespread use of teleworking during the health crisis reduced the flow of occupational accident claims by 20%. This applies to commuting accidents, as well as claims related to « immediate » or “deferred” risks (Rapp. annuel 2020 de l’Assurance maladie - Risques professionnels : Eléments statistiques et financiers, déc. 2021, p. 2 and 113). On the basis of these figures, working at home could be analyzed as a means of preventing occupational risks and improving workers’ health. In reality, however, these figures should not obscure the fact that telecommuting is a major occupational hazard. This is all the more the case given that, while telecommuting was not very widespread before the pandemic, it is now popular with employees and is being developed by many companies as a source of productivity (Rapp. CNP, May 16 2022). We therefore need to keep a close eye on the development of workplace accident legislation in this area, its adaptability to the specific claims experience of teleworkers and its perfectibility, not forgetting the thorny question of the possible recognition of the employer’s inexcusable fault in the event of the accident being covered by professional legislation.

在健康危机期间,远程办公的广泛使用使工伤事故索赔减少了 20%。这适用于通勤事故,以及与« 即时 »或“延迟”风险有关的索赔(Rapp. annuel 2020 de l’Assurance maladie - Risques professionnels :Eléments statistiques et financiers, déc.2021 年,第 2 页和第 113 页)。根据这些数字,可以分析出在家工作是预防职业风险和改善工人健康的一种手段。但实际上,这些数字不应掩盖电子通勤是一种重大职业危害的事实。尽管远程办公在大流行病之前并不普遍,但现在却受到了员工的欢迎,许多公司都将其作为提高生产力的一种手段(Rapp. CNP,2022 年 5 月 16 日)。因此,我们需要密切关注该领域工伤事故立法的发展,关注其对远程办公人员特殊索赔经历的适应性及其完善性,同时也不要忘记一个棘手的问题,即在专业立法涵盖事故的情况下,雇主不可原谅的过失是否可能得到承认。
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引用次数: 0
Revue de livres.
Pub Date : 2023-04-25 DOI: 10.1051/rphysap:01990002502025300
C. Byk
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引用次数: 0
Chapitre 4. Is it time for a plant bioethics? Chapitre 4。是时候建立植物生物伦理学了吗?
Pub Date : 2023-01-01 DOI: 10.54695/jibes.333.0053
Amir Muzur, Iva Rinčić

As early as 1926, Fritz Jahr suggested the broadening of Kant’s Categorical Imperative onto all living beings. And while, at that time, Jahr’s animal ethics could have been built upon Ignaz Bregenzer and other scientifically accepted sources, Jahr’s ideas on plant ethics must have relied only on more poetical and philosophical conjectures, like the ones by Richard Wagner, Hans Christian Andersen, or Eduard von Hartmann. Today, we have accummulated certain knowledge about plant physiology, proving the complexity of plant cognition and feeling. Ten years ago, the “Rheinauer Theses on the Rights of Plants” once again provoked discussion, eventually supported by Monica Gagliano, Stefano Mancuso, and other biologists advocating the redefinition of human relation toward plants. In the present paper, we intend to review those arguments, but also to examine whether our ethics should be based upon our knowledge only.

早在1926年,弗里茨·雅尔就建议将康德的定言令式扩展到一切生物。当时,雅尔的动物伦理学可以建立在伊格纳兹·布雷根泽和其他科学上公认的资料的基础上,而雅尔关于植物伦理学的思想却只能依赖于更富有诗意和哲学意义的猜想,比如理查德·瓦格纳、汉斯·克里斯蒂安·安徒生或爱德华·冯·哈特曼的猜想。今天,我们已经积累了一定的植物生理学知识,证明了植物认知和感觉的复杂性。十年前,《莱茵瑙尔关于植物权利的论文》(”这再次引发了讨论,最终得到了莫妮卡·加利亚诺、斯特凡诺·曼库索和其他生物学家的支持,他们主张重新定义人类与植物的关系。在本文中,我们打算回顾这些论点,但也检查我们的伦理是否应该只基于我们的知识。
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引用次数: 0
Chapitre 8. Mexique : Comment un pays catholique approuve-t-il l’avortement ? 第八章。墨西哥:天主教国家如何批准堕胎
Pub Date : 2023-01-01 DOI: 10.3917/jibes.332.0113
Jessica de Alba-Ulloa

In a first part, this article shows the characteristics of Mexican society and their opinion on abortion. The second part develops the legal evolution of the decriminalization of abortion in Mexico and with the data, gives elements that can answer the main question.

在第一部分,本文展示了墨西哥社会的特点和他们对堕胎的看法。第二部分发展了墨西哥堕胎合法化的法律演变,并结合数据,给出了可以回答主要问题的要素。
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引用次数: 0
Chapitre 4. La « démocratie Internet », une disparition sociale des corps ? 第四章。“互联网民主”,身体的社会消失?
Pub Date : 2023-01-01 DOI: 10.3917/jibes.332.0051
David Colon

The article discusses the impact of the digitalisation of politics on the place of bodies in the political and social life of liberal democracies. The author intends to show that the promise of the disappearance of bodies from the public space has only been partially fulfilled, and that ’surveillance capitalism’ has instead given new vigour to new forms of mobilisation characterised by the instrumentation of bodies for political purposes.

本文讨论了政治数字化对自由民主国家政治和社会生活中身体位置的影响。作者试图表明,身体从公共空间消失的承诺只是部分实现了,并且’监视资本主义’反而给新的动员形式带来了新的活力,其特点是为政治目的使用机构。
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Journal international de bioethique et d'ethique des sciences
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