Ethical Issues in Auditory Prostheses

McCormick, Tyler H.

doi:10.1007/978-94-007-4707-4_103

Cited by 1 publication

(3 citation statements)

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“…The ethical literature also thematizes industry-sponsored research and physicians’ conflicts of interest in all implant areas. The existence of financial incentives regarding specific implant brands impacts prescriptions or maintenance, potentially undermining patient autonomy [ 120 , 124 – 126 ]. However, this was not addressed in the empirical studies included in this review.…”

Section: Discussionmentioning

confidence: 99%

“…The research landscape of implants is dominated by issues of patient safety in the sense of medical safety, efficacy and legal regulations [ 145 – 147 ]. Furthermore, the ethical duty of the physician in case safety concerns arise towards already implanted types of devices is elaborated [ 126 ]. Issues of remote accessibility or cybersecurity are addressed, also relating to privacy [ 119 , 120 , 125 , 148 ].…”

Section: Discussionmentioning

confidence: 99%

“…Against the background of social norms of a hearing, seeing and functioning body, implants can strongly influence participation. One participation-related ethical issue addressed in this review regarding CIs is potential discrimination of non-hearing community members by valuing functional hearing as a defining cornerstone for ‘good life’ and thereby disregarding the facets of a pluralistic society [ 126 ]. Emphasizing implantation as a gold standard concerning social “functioning” and inclusion inevitably indicates the potential of social exclusion in implant care.…”

Section: Discussionmentioning

confidence: 99%

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Patient-centered empirical research on ethically relevant psychosocial and cultural aspects of cochlear, glaucoma and cardiovascular implants – a scoping review

Schulz,

Harzheim,

Hübner

et al. 2023

BMC Med Ethics

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Background The significance of medical implants goes beyond technical functioning and reaches into everyday life, with consequences for individuals as well as society. Ethical aspects associated with the everyday use of implants are relevant for individuals’ lifeworlds and need to be considered in implant care and in the course of technical developments. Methods This scoping review aimed to provide a synthesis of the existing evidence regarding ethically relevant psychosocial and cultural aspects in cochlear, glaucoma and cardiovascular implants in patient-centered empirical research. Systematic literature searches were conducted in EBSCOhost, Philpapers, PsycNET, Pubmed, Web of Science and BELIT databases. Eligible studies were articles in German or English language published since 2000 dealing with ethically relevant aspects of cochlear, glaucoma and passive cardiovascular implants based on empirical findings from the perspective of (prospective) implant-wearers and their significant others. Following a descriptive-analytical approach, a data extraction form was developed and relevant data were extracted accordingly. We combined a basic numerical analysis of study characteristics with a thematically organized narrative synthesis of the data. Results Sixty-nine studies were included in the present analysis. Fifty were in the field of cochlear implants, sixteen in the field of passive cardiovascular implants and three in the field of glaucoma implants. Implant-related aspects were mainly found in connection with autonomy, freedom, identity, participation and justice, whereas little to no data was found with regards to ethical principles of privacy, safety or sustainability. Conclusions Empirical research on ethical aspects of implant use in everyday life is highly relevant, but marked by ambiguity and unclarity in the operationalization of ethical terms and contextualization. A transparent orientation framework for the exploration and acknowledgment of ethical aspects in “lived experiences” may contribute to the improvement of individual care, healthcare programs and research quality in this area. Ethics-sensitive care requires creating awareness for cultural and identity-related issues, promoting health literacy to strengthen patient autonomy as well as adjusting healthcare programs accordingly. More consideration needs to be given to sustainability issues in implant development and care according to an approach of ethics-by-design.

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Section: Discussionmentioning

confidence: 99%