构建更好的医学:翻译性正义和在美国医疗保健中寻求公平的追求
Megan A Allyse1, Preya Agam1, Yvonne Bombard2
1Mayo Clinic.
The American journal of bioethics : AJOB
|February 24, 2025
概括
美国医疗保健面临着持续的健康差异,这表明仅仅临床翻译是不够的. 提出了一种新的衡量标准,即转化性正义,以确保医疗创新有利于所有人群,特别是边缘化群体.
科学领域:
- 生物医学翻译 生物医学翻译
- 健康 公平 卫生 公平
- 公共卫生政策 公共卫生政策
背景情况:
- 尽管有科学进步和监管监督,但美国医疗保健显示出越来越大的健康差异.
- 目前的临床翻译指标,专注于安全性和有效性,忽视了边缘化人口.
- 这引发了人们对医学中纯粹技术主义方法的伦理能力的担忧.
研究的目的:
- 在生物医学翻译中批评传统技术统治标准的局限性.
- 倡导整合技术成就之外的规范性考虑.
- 提出"翻译性正义"作为评估医疗创新的关键指标.
主要方法:
- 对当前生物医学翻译框架的概念分析.
- 对医疗保健系统对健康公平影响的伦理评估.
- 制定一个新的框架,包括社会影响和正义.
主要成果:
- 传统的生物医学翻译技术标准不足以解决健康差异.
- 现有的框架未能预测医疗创新对所有群体的社会有效性.
- 翻译的正义提供了一个更全面的衡量成功的方法.
结论:
- 生物医学翻译必须超越安全性和有效性,以应对社会现实和健康公平.
- 整合翻译性正义对于履行医学和公共卫生道德义务至关重要.
- 需要改变范式,以确保医疗创新有利于边缘化和服务不足的人群.
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