JOURNAL OF MEDICAL ETHICS医学伦理学杂志
JOURNAL OF MEDICAL ETHICS(英文缩写 J MED ETHICS),ISSN 0306-6800,eISSN 1473-4257,中文译名:医学伦理学杂志 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-09-27 至 2026-09-27，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 5.926 | Q1 |
| 2022 | 4.100 | Q1 |
| 2023 | 3.300 | Q1 |
| 2024 | 3.400 | Q1 |
| 2025 | 4.400 | Q1 |
JOURNAL OF MEDICAL ETHICS 最新收录文献
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2. Humanitarianism or toxic colonialism? The burdens of unusable drug donations during crises.
PMID:日期:2026-09-22该文献暂无摘要。
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3. Response to: Correspondence on 'No, pregnancy is not a disease' by Colgrove and Rodger.
PMID:日期:2026-09-22Colgrove and Rodger argue that the case advanced by Smajdor and Räsänen for classifying pregnancy as a disease can be defeated by an existence proof-that is, by identifying at least one plausible theory of disease that excludes pregnancy while avoiding objections raised by Smajdor and Räsänen. Their candidate is a dysfunction account, according to which a disease requires the failure of some internal mechanism to perform its biological function. Pregnancy, they claim, involves no such failure. Even if one accepts the legitimacy of this dialectical strategy, the proposed exclusion is not as simple as advertised. In particular, the exclusion is obtained by narrowing the target phenomenon and by treating the concept of 'proper function' as if it had a determinate, value-free extension-one that it in fact does not possess. Since the apparent dialectical effect of an imperfect rebuttal can be to strengthen rather than weaken the target of criticism, I find it worth responding to both pieces in a single, joined-up analysis, which I aim to present here.
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4. Germline genomic testing to assess the suitability of stem cell donors in the treatment of haematological malignancy: clinical ethics commentary.
PMID:日期:2026-09-22The increasing integration of genomic medicine into routine medical care brings to light issues of complexity and uncertainty in the interpretation of genetic variation.We describe a fictional case study based on our experiences in the haematological malignancy setting to illustrate the complexities in using genomic testing to evaluate the suitability of relatives to act as stem cell donors. In particular, we demonstrate the ethical issues arising following the identification of a germline variant of uncertain significance (VUS) in a gene associated with inherited cancer susceptibility in a potential recipient. We discuss the factors that need to be considered, such as how this might influence donor selection, the potential for donor-derived leukaemia and the issues of offering testing to other family members.Popular discourse suggests genomics can offer clarity and transformation in healthcare. This case highlights the ethically complex nature of decision-making in genetic medicine due to the familial aspects of genomic information, the uncertain nature of many genomic results and how changes in the use of genomic information in clinical practice can call for urgent decision-making. This highlights the need for increased interdisciplinary working which takes into account the factors driving decisions for each specialty and recommends access to independent ethics support for members of the multidisciplinary team.
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5. Licensing competent children to assist institutional review boards.
PMID:日期:2026-09-22Adults are not always capable of representing children's views and interests, and many ethical issues in paediatric research could be better approached if children's perspectives are taken into consideration. Children do not currently serve as institutional review board (IRB) members or provide support to IRBs who review and decide on paediatric research proposals. Based on research on moral development, however, many children are competent and could play expert roles in the IRB process with significant benefits to the latter. In this article, we argue that competent children should be permitted to assist members of IRBs in reviewing proposed paediatric research. We present three reasons in favour of involving children in IRB activities: (1) this allows children to be more adequately represented; (2) this yields a more sensitive approach to ethical complexities in paediatric research; and (3) this can improve the quality of paediatric research and enhance the well-being of research subjects. We offer a model of how competent children could play a role in the IRB process and we discuss the application of this model in the context of global paediatric research in Ghana. We address some worries about involving children in IRBs, focusing on different stakeholders involved in the research review process: the impact on children, IRB members and paediatric researchers.
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7. Scaffolding informed consent.
PMID:日期:2026-09-22The principle of respecting patient autonomy underpins the concept and practice of informed consent. Yet current approaches to consent often ignore the ways in which the exercise of autonomy is deeply epistemically dependent.In this paper, we draw on philosophical descriptions of autonomy 'scaffolding' and apply them to informed consent in medicine. We examine how this relates to other models of the doctor-patient relationship and other theories (eg, the notion of relational autonomy). A focus on scaffolding autonomy reframes the justification for existing ways of supporting decisions. In other cases, it suggests a need to rethink how, when and where professionals obtain consent. It may highlight the benefit of technology for supporting decisions.Finally, we consider the implications for some high-stakes decisions where autonomy is thought to be critical, for example, termination of pregnancy. We argue that such decisions should not be free from all sources of influence-rather they should be protected from undesired influence.
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8. Strengthening harm-theoretic pro-life views.
PMID:日期:2026-09-22A pro-life view can be called harm-theoretic if it claims abortion is impermissible because of the harm caused to the fetus. These positions are important in the abortion discussion because they allow pro-lifers to argue abortion is impermissible without claiming the fetus is a moral person. A major problem with harm-theoretic abortion views is that they fall victim to the contraception reductio. The contraception reductio was originally posed towards the Future like Ours argument for the impermissibility of abortion, but I show it is a problem for harm-theoretic positions in general. I argue that the currently proposed solutions aimed at solving the contraception reductio are unsatisfactory because they commit you to unnecessary controversial metaphysical positions, such as animalism and denying mereological universalism. Then, I give a new solution to the contraception reductio that avoids those metaphysical commitments. The main conclusion is that harm-theoretic views can avoid the contraception reductio by accepting a biological account of the harm of death.
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9. Value sensitive design and the artificial placenta.
PMID:日期:2026-09-22Artificial placenta technologies (also termed 'artificial wombs') for use in place of conventional neonatal intensive care are increasingly closer to first-in-human use. There is growing ethical interest in partial ectogestation (the use of an artificial placenta to continue gestation of an underdeveloped human entity extra uterum), however, there has been little reflection on the ethical issues in the design of the technology. While some have noted the importance of such reflection, and others have noted that a 'value sensitive design' approach should be preferred, they have not elaborated on what this means. In this article, we consider what a value sensitive design approach to artificial placenta design might encompass. We believe that applying this framework to the topic at hand raises theoretical and substantive ethical questions that merit further elucidation. Highlighting that there is a careful need to separate preferences from values and that our intervention should be considered only a starting point, we explore some of the values that could be used to make ethical design choices about the artificial placenta: efficacy, compassion and accessibility.
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10. Agentic AI, medical morality and the transformation of the patient-physician relationship.
PMID:日期:2026-09-21Agentic artificial intelligence (AI) is an emerging development in the digital transformation of healthcare. Unlike conventional generative AI, agentic AI systems can perform autonomous, goal-directed actions and coordinate complex tasks. They promise to support or even collaborate with clinicians and patients in increasingly independent ways. While agentic AI raises familiar moral concerns regarding safety, accountability and bias, this article focuses on a less explored dimension: its capacity to transform the moral fabric of healthcare itself. Drawing on the framework of techno-moral change and the three domains of decision, relation and perception, we investigate how agentic AI might reshape the patient-physician relationship and reconfigure core concepts of medical morality. We argue that these shifts, while not fully predictable, demand ethical attention before widespread deployment. Ultimately, the paper calls for integrating ethical foresight into the design and use of agentic AI.