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Conscientious objection: a global health perspective.
BMJ Glob Health
December 2024
Global Bioethics Collaborative, Los Angeles, California, USA.
Conscientious objection is a critical topic that has been sparsely discussed from a global health perspective, despite its special relevance to our inherently diverse field. In this Analysis paper, we argue that blanket prohibitions of a specific type of non-discriminatory conscientious objection are unjustified in the global health context. We begin both by introducing a nuanced account of conscience that is grounded in moral psychology and by providing an overview of discriminatory and non-discriminatory forms of objection.
View Article and Find Full Text PDFA Qualitative Systematic Review of Barriers and Facilitators to Hepatitis B and C Programmes in Prisons.
J Viral Hepat
February 2025
Centre for Public Health and Epidemiology, School of Medicine, University of Nottingham, Nottingham, UK.
The prevalence of viral hepatitis among people in prisons is higher than in the general population. Screening, treatment and vaccination programmes exist within prisons to reduce the incidence of hepatitis, although lower uptake has often been reported compared to similar programmes outside of prisons. We conducted a systematic review of qualitative evidence to explore the barriers and facilitators to hepatitis B and C reduction programmes in prisons from the perspectives of people in prison, custodial staff and prison healthcare staff.
View Article and Find Full Text PDFPOP-REFINE: A Comprehensive Framework for Evaluating and Optimizing Representativeness in Clinical Trials.
Clin Pharmacol Ther
December 2024
Flatiron Health, New York, NY, USA.
Clinical research has historically failed to include representative levels of historically underrepresented populations and these inequities continue to persist. Ensuring representativeness in clinical trials is crucial for patients to receive clinically appropriate treatment and have equitable access to novel therapies; enhancing the generalizability of study results; and reducing the need for post-marketing commitments focused on underrepresented groups. As demonstrated by recent legislation and guidance documents, regulatory agencies have shown an increased interest in understanding how novel therapies will impact the patient population that will receive them.
View Article and Find Full Text PDFThe impact of informatization development on healthcare services in China.
Sci Rep
December 2024
The Center for Internet and Society, Nantong Institute of Technology, 211 Yongxing Road, Nantong, 226002, China.
China faces substantial challenges in healthcare access and quality, marked by significant regional disparities. While the potential of informatization to enhance healthcare services is increasingly acknowledged, the specific mechanisms through which it impacts healthcare delivery remain underexplored. By employing provincial panel data and dynamic spatial panel models, we aim to uncover the mechanisms through which informatization impacts healthcare delivery.
View Article and Find Full Text PDFPharmacist preceptor perceptions of diversity, equity, and inclusion in experiential learning experiences.
Curr Pharm Teach Learn
December 2024
The Ohio State University College of Pharmacy, 500 W 12th Avenue, Columbus, OH 43210, United States of America. Electronic address:
Introduction: Societal inequities and public discourse have prompted healthcare organizations to focus on Diversity, Equity, and Inclusion (DEI). While DEI initiatives and strategic plans have been established within academia and applied to didactic curricula, literature is limited on preceptor perspectives in engagement with DEI. This study aimed to assess pharmacist preceptor perception of DEI in learning experiences and areas for improvement in the context of experiential teaching and learning within a large, multi-site pharmacy residency program to provide guidance for strategies to improve organizational approaches.
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