Beyond diagnostic fixation: a multidimensional framework for health and longitudinal viability [0.03%]
超越诊断思维：健康和纵向生命力的多维框架
Rafael Tonella Vezzoli
Rafael Tonella Vezzoli
The ontological status of health and disease remains a central problem in medical philosophy, commonly framed through tensions between naturalistic and normativist accounts. While useful for acute classification, static conceptions of disea...
Power, privilege and moral responsibility: learning from I.M. Young's Social Connection Model in the context of AI-driven healthcare [0.03%]
权力，特权与道德责任：从I.M. Young的社会联系模型中学习以应对由人工智能驱动的医疗保健带来的挑战
Brandon Ferlito,Michiel De Proost,Seppe Segers
Brandon Ferlito
Artificial intelligence (AI) in healthcare is assumed to introduce risks that are not easily addressed by dominant philosophical models for thinking about responsibility. When an AI tool makes an error that results in patient harm, the ques...
Parents in the making: A critical encounter between bioethical theory and "Homegrown" accounts of moral parenthood [0.03%]
从理论上探讨成为父母的意义：生命伦理与道德家长观的碰撞与融合
Lei Decappelle,Veerle Provoost,Henny Bos
Lei Decappelle
In this paper, we explore questions of moral parenthood by setting up a critical encounter between accounts developed by bioethicists and the perspectives of prospective PACT (Pre-conception Agreement-Based Co-parenting Together-apart) pare...
The second patient: family suffering and the ethics of dependency in later life [0.03%]
第二个病人：家庭苦难与晚年的依赖伦理
Damian Sendrowski,Dariusz Kozłowski
Damian Sendrowski
Clinicians have long used the phrase the hidden patient to describe the relative who cares for a declining elder and whose own health quietly fails in the process. The moral philosophy of ageing has not taken the phrase seriously. It has co...
Structuring access and responsibility in transfusion refusal: a document analysis of relative non-transfusion policies in Japan [0.03%]
日本输血拒绝的亲属非输血政策文书分析
Tomoari Mori,Kana Nishida,Mizuho Suzuki et al.
Tomoari Mori et al.
Refusal of blood transfusion is often framed as a conflict between competent patients' refusal and clinicians' responsibility to prevent death or serious harm. In Japan, many hospitals have adopted relative non-transfusion policies, which s...
Boris Nikolic
Boris Nikolic
Artificial intelligence in clinical medicine is widely presented as a democratising advance, bringing the interpretive capacity of leading institutions to those that lack it. This paper argues that, under prevailing market governance, AI do...
Pain and autonomy: How theories of pain reshape clinical decision-making [0.03%]
疼痛与自主权—— 疼痛理论如何重塑临床决策过程
Shadan Alrawi
Shadan Alrawi
Pain is commonly seen as a factor that interferes with how patients make decisions, yet clinical ethics doesn't offer a systematic account of how different types of pain alter the conditions for autonomous agency. This paper argues that aut...
"Hermeneutic burden" and clinical responsibility: a response to Sparrow et al. on explanation and machine learning [0.03%]
阐释负担与临床责任——对斯帕罗等关于解释和机器学习的评论的回应
Jonathan Adams
Jonathan Adams
This paper critically reviews Sparrow et al.'s notion of the "hermeneutic burden" placed upon clinicians by the demand for explainable artificial intelligence (XAI) in the context of adaptive machine learning (ML) systems. While Sparrow et ...
Deliberate infection in research: ethical perspective of controlled human infection studies [0.03%]
故意感染在研究中的伦理观点：可控人体感染实验的伦理学视角
Govind Mishra,Hina Lal,Arpita Singh
Govind Mishra
A controlled human infection study is the deliberate exposure of a healthy volunteer to an infectious pathogen under a strict controlled environment. Although there has been noticeable contribution of such studies to the biomedical research...
Autonomy under uncertainty: the structural limits of substituted judgment in clinical practice [0.03%]
不确定性下的自主性：临床实践中替代判断的结构限制
Boris Nikolic
Boris Nikolic
The classical model of informed consent presupposes a competent patient capable of making an autonomous decision on the basis of adequate information. In clinical practice, decisional incapacity, prognostic uncertainty, and time pressure fr...