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"It's Traumatic for All of Us": A Qualitative Analysis of Providers Caring for Seriously Ill Veterans With Surgical Conditions.
Ann Surg Open
December 2024
Department of Surgery, Center for Healthcare Outcomes and Policy, University of Michigan, Ann Arbor, MI.
Objective: We aimed to characterize sources of moral distress among providers in the context of surgery.
Background: Moral distress is defined as psychological unease generated when professionals identify an ethically correct action to take but are constrained in their ability to take that action. While moral distress has been reported among healthcare providers, the perspectives of providers working in surgery specifically are not often explored and reported.
Health equity and distributive justice: views of high-level African policymakers.
BMC Med Ethics
December 2024
Takemi Program in International Health, Harvard T.H. Chan School of Public Health, Harvard University, 665 Huntington Avenue, Bldg. 1, Boston, MA, 02115-6021, USA.
Health equity matters, but there is no universally accepted definition of this or associated terms, such as inequities, inequalities, and disparities. Given the flexibility of these terms, investigating how policymakers understand them is important to observe priorities and perhaps course correct. Accordingly, this study analyzed the perceptions high-level policymakers within the WHO African Region.
View Article and Find Full Text PDFMoral conviction interacts with metacognitive ability in modulating neural activity during sociopolitical decision-making.
Cogn Affect Behav Neurosci
December 2024
Department of Psychology, University of Chicago, Chicago, IL, 60637, USA.
The extent to which a belief is rooted in one's sense of morality has significant societal implications. While moral conviction can inspire positive collective action, it can also prompt dogmatism, intolerance, and societal divisions. Research in social psychology has documented the functional characteristics of moral conviction and shows that poor metacognition exacerbates its negative outcomes.
View Article and Find Full Text PDFMoral hazard and risk adjustment.
J Health Econ
December 2024
University of Groningen, EEF and FEBRI, The Netherlands. Electronic address:
We analyse a model of optimal risk adjustment in competitive health-insurance markets which suffer from both ex-ante adverse selection and ex-post moral hazard. We find, firstly, that, unlike in an adverse-selection-only market, in an environment where also moral hazard is important, removing insurers' selection incentives requires risk-adjustment payments that do not fully equalize costs among consumer types. Current practice of attempting to correct for all predictable cost differences among consumers is then misguided.
View Article and Find Full Text PDFDysregulation of dopamine neurotransmission in drug addicts: implications for criminal behavior and corrective interventions.
Front Psychiatry
November 2024
College of Physical Education, Yangzhou University, Yangzhou, China.
Drug addiction often correlates with criminal behavior. When investigating criminal behavior among individuals grappling with drug addiction, it becomes crucial to scrutinize the influence of dopamine. Substances such as heroin, morphine, methamphetamine and other drugs can cause abnormal dopamine secretion when people are addicted to them, which promotes changes in the brain's reward circuit and emotional balance, thereby increasing susceptibility to criminal behavior.
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