Nikola Biller-Andorno
Dados Biográficos
| ID | 1737159 |
|---|---|
| NOME | Nikola Biller-Andorno |
| PRENOMES | Nikola |
| SOBRENOME | Biller-Andorno |
| ASSINATURA | BILLER-ANDORNO N |
| AFILIAÇÕES | University of Zurich |
| VERIFICADO | Não |
| TOTAL DE OBRAS | 21 |
| TOTAL DE CITAÇÕES | 10 |
| TOTAL COMO AUTOR | 21 |
| TOTAL COMO EDITOR | 0 |
| PRIMEIRO ANO DE PUBLICAÇÃO | 2001 |
| ANO MAIS RECENTE DE PUBLICAÇÃO | 2026 |
| ÍNDICE H | 2 |
Analyzing freedom
The Green Transition will be just – Or it won't succeed
The European Commission defines the Green Transition as the transformation set out in the European Green Deal. Ensuring that this transition is just is both an ethical requirement and a practical condition for maintaining public support and policy effectiveness. This Perspective proposes a multidimensional framework for assessing justice in Green Transition policies, encompassing distributional, procedural, recognitional, corrective, and transiti…
Mastering critical thinking skills is strongly associated with the ability to recognize fakeness and misinformation
Introduction In the current era of digital information overload, individuals are inundated with content of varying quality and truthfulness. Critical evaluation of such content is essential to distinguish between legitimate information and misinformation or fakeness. Despite this need, there is limited empirical evidence on the effectiveness of training in critical thinking skills for enhancing such discernment. Methods This study operationalized…
The role of social justice in triage revisited
Saving as many lives as possible while ensuring equity for vulnerable groups through access to triage resources has been the dominant position since the onset of the COVID-19 pandemic in 2020. However, the exact relationship between the principles of social justice and efficiency remains a controversial and unresolved issue. In this paper, we aim to systematically distinguish between different models of this relationship and show that conceptuali…
An International Comparison of Psychiatric Advance Directive Policy
The present work provides a comparative policy review of psychiatric advance directives, considering 1) variation across eleven international jurisdictions and 2) differentiation from other advance directive policy. The aim is to support well-founded legal and clinical practice when it comes to psychiatric advance directives by 1) clarifying the range of present approaches and 2) highlighting differential treatment of those with mental health con…
Digital twins for children with rare diseases
The digital twin concept promises to revolutionize all dimensions of the health sector, including healthcare planning and delivery, health promotion and education, and medical research. The present article maps the key legal and ethical challenges which will need to be addressed for a successful roll-out of digital twin models for children living with rare diseases, using the example of phenylketonuria (PKU) as model disease. The main legal chall…
Large language models in medical ethics
Large language models (LLMs) have now entered the realm of medical ethics. In a recent study, Balas et al examined the performance of GPT-4, a commercially available LLM, assessing its performance in generating responses to diverse medical ethics cases. Their findings reveal that GPT-4 demonstrates an ability to identify and articulate complex medical ethical issues, although its proficiency in encoding the depth of real-world ethical dilemmas re…
‘VaxTax’
Equal access to vaccines has been one of the key ethical challenges during the COVID-19 pandemic. Most scholars consider the massive purchase and hoarding of vaccines by high-income countries, especially at the beginning of the pandemic, to be unjust towards the vulnerable living in low-income countries. A recent proposal by Andreas Albertsen of a vaccine tax has been put forward to remedy this problem. Under such a scheme, high-income countries …
AI knows best? Avoiding the traps of paternalism and other pitfalls of AI-based patient preference prediction
A critical analysis of national dementia care guidances
Adopting an ethics and human rights lens, this paper provides a critical analysis of national dementia care guidance from countries ranked highly in providing quality of care towards the end-of-life, including Australia, Ireland, New Zealand, Switzerland, Taiwan and the United Kingdom. The aim of this paper is to determine areas of consensus and disagreement among guidance and to understand current gaps in research. Overall, studied guidances sho…
Aneurysmal Subarachnoid Hemorrhage and Clinical Decision-Making
Overall, aSAH was perceived as a life-threatening event with various challenges depending on severity. The results suggest the need for tools that aid decision-making and better prepare AFs and NoK using accessible means and at an early stage
Economic sanctions, healthcare and the right to health
Sanctions are increasingly used by national states and the international community to put economic and political pressure on target countries, with the aim of effecting a shift in foreign or internal policies. In this paper, we argue that sanctions should never be imposed on healthcare products—diagnostic, curative or preventive—or on any other good or service that can be reasonably expected to entail direct negative consequences on access to hea…
Revisiting respect for persons
In everyday conversations, professional codes, policy debates, and academic literature, the concept of respect is referred to frequently. Bioethical arguments in recent decades equate the idea of respect for persons with individuals who are capable of autonomous decision-making, with the focus being explicitly on ‘autonomy,’ ‘capacity,’ or ‘capability.’ In much of bioethics literature, respect for persons is replaced by respect for autonomy. Thou…
AI support for ethical decision-making around resuscitation
Artificial intelligence (AI) systems are increasingly being used in healthcare, thanks to the high level of performance that these systems have proven to deliver. So far, clinical applications have focused on diagnosis and on prediction of outcomes. It is less clear in what way AI can or should support complex clinical decisions that crucially depend on patient preferences. In this paper, we focus on the ethical questions arising from the design,…
First Insights into Barriers and Facilitators from the Perspective of Persons with Multiple Sclerosis
Multiple Sclerosis (MS) is a complex, lifelong disease. Its effects span across different areas of life and vary strongly. In Switzerland, there is an intense discussion on how to optimize quality of care and patient safety. Patients should be more involved in the management of health care to improve the quality of care from the patient's perspective and form a more comprehensive perspective. This multiple-case study explores the question of how …
Are our data ready for the next global challenges? Resilient data for resilient societies and economies
COVID-19 has shaken a wide range of national systems and infrastructures, including health, welfare, environment or security. • The related challenges cannot be tackled in isolation as all parts of the systems are tightly interlocked and interdependent. • Addressing scenarios emerging from these interlocking challenges require transversal approaches and agile public policies. • Yet, approaches and policies depend on a steady, continuous supply of…
Compulsory Interventions in Severe and Persistent Mental Illness
Background: Some psychiatric patients develop severe and persistent mental illness (SPMI), which, for a variety of reasons, can be therapy-refractory. Sometimes, treatment is not considered helpful by the patients themselves and does not improve their subjective quality of life. Furthermore, many SPMI patients experience compulsory interventions such as seclusion, restraint, or treatment against their will, which can cause harm. Methods: In a cro…
Parkinson’s Disease and Deep Brain Stimulation Have an Impact on My Life
Parkinson's disease (PD) has a large impact on patients' physical and mental health, which also greatly affects their family caregivers. Deep brain stimulation (DBS) has emerged as an effective treatment for PD, but different authors have expressed their concerns about the potential impact of DBS on personality and identity. Our study aims at better understanding how patients and family caregivers experience life with PD and DBS, the impact of bo…
Conflicting Priorities Between Risk Management and Treatment of Schizophrenia in Swiss Forensic Services—A Case Report
The Swiss Criminal Code provides measures for mentally-ill offenders focusing on their need for treatment. This may lead to the deprivation of the patient's liberty up to several years. Under certain circumstances the mentally-ill offender can be sentenced to an indefinite incarceration. This case presentation we will describe a forensic psychiatric patient diagnosed with schizophrenia who was ordered an indefinite incarceration in Switzerland af…
Hymen reconstruction as pragmatic empowerment? Results of a qualitative study from Tunisia
Case Study
Ms. Bach is a thirty-eight-year-old professional artist with diabetes and end stage renal disease. She has been on dialysis for a little over a year and is on a waiting list to receive a cadaveric kidney, but transplantation is not likely for at least three years. No family member or friend has volunteered as a living donor. Although she tolerates dialysis quite well, she says it causes her such psychological distress that it may drive her to com…
Hymen reconstruction as pragmatic empowerment? Results of a qualitative study from Tunisia
Are our data ready for the next global challenges? Resilient data for resilient societies and economies
COVID-19 has shaken a wide range of national systems and infrastructures, including health, welfare, environment or security. • The related challenges cannot be tackled in isolation as all parts of the systems are tightly interlocked and interdependent. • Addressing scenarios emerging from these interlocking challenges require transversal approaches and agile public policies. • Yet, approaches and policies depend on a steady, continuous supply of…
Case Study
Ms. Bach is a thirty-eight-year-old professional artist with diabetes and end stage renal disease. She has been on dialysis for a little over a year and is on a waiting list to receive a cadaveric kidney, but transplantation is not likely for at least three years. No family member or friend has volunteered as a living donor. Although she tolerates dialysis quite well, she says it causes her such psychological distress that it may drive her to com…
Hymen reconstruction as pragmatic empowerment? Results of a qualitative study from Tunisia
Conflicting Priorities Between Risk Management and Treatment of Schizophrenia in Swiss Forensic Services—A Case Report
The Swiss Criminal Code provides measures for mentally-ill offenders focusing on their need for treatment. This may lead to the deprivation of the patient's liberty up to several years. Under certain circumstances the mentally-ill offender can be sentenced to an indefinite incarceration. This case presentation we will describe a forensic psychiatric patient diagnosed with schizophrenia who was ordered an indefinite incarceration in Switzerland af…
Compulsory Interventions in Severe and Persistent Mental Illness
Background: Some psychiatric patients develop severe and persistent mental illness (SPMI), which, for a variety of reasons, can be therapy-refractory. Sometimes, treatment is not considered helpful by the patients themselves and does not improve their subjective quality of life. Furthermore, many SPMI patients experience compulsory interventions such as seclusion, restraint, or treatment against their will, which can cause harm. Methods: In a cro…
Parkinson’s Disease and Deep Brain Stimulation Have an Impact on My Life
Parkinson's disease (PD) has a large impact on patients' physical and mental health, which also greatly affects their family caregivers. Deep brain stimulation (DBS) has emerged as an effective treatment for PD, but different authors have expressed their concerns about the potential impact of DBS on personality and identity. Our study aims at better understanding how patients and family caregivers experience life with PD and DBS, the impact of bo…
Economic sanctions, healthcare and the right to health
Sanctions are increasingly used by national states and the international community to put economic and political pressure on target countries, with the aim of effecting a shift in foreign or internal policies. In this paper, we argue that sanctions should never be imposed on healthcare products—diagnostic, curative or preventive—or on any other good or service that can be reasonably expected to entail direct negative consequences on access to hea…
Revisiting respect for persons
In everyday conversations, professional codes, policy debates, and academic literature, the concept of respect is referred to frequently. Bioethical arguments in recent decades equate the idea of respect for persons with individuals who are capable of autonomous decision-making, with the focus being explicitly on ‘autonomy,’ ‘capacity,’ or ‘capability.’ In much of bioethics literature, respect for persons is replaced by respect for autonomy. Thou…
AI support for ethical decision-making around resuscitation
Artificial intelligence (AI) systems are increasingly being used in healthcare, thanks to the high level of performance that these systems have proven to deliver. So far, clinical applications have focused on diagnosis and on prediction of outcomes. It is less clear in what way AI can or should support complex clinical decisions that crucially depend on patient preferences. In this paper, we focus on the ethical questions arising from the design,…
First Insights into Barriers and Facilitators from the Perspective of Persons with Multiple Sclerosis
Multiple Sclerosis (MS) is a complex, lifelong disease. Its effects span across different areas of life and vary strongly. In Switzerland, there is an intense discussion on how to optimize quality of care and patient safety. Patients should be more involved in the management of health care to improve the quality of care from the patient's perspective and form a more comprehensive perspective. This multiple-case study explores the question of how …
Are our data ready for the next global challenges? Resilient data for resilient societies and economies
COVID-19 has shaken a wide range of national systems and infrastructures, including health, welfare, environment or security. • The related challenges cannot be tackled in isolation as all parts of the systems are tightly interlocked and interdependent. • Addressing scenarios emerging from these interlocking challenges require transversal approaches and agile public policies. • Yet, approaches and policies depend on a steady, continuous supply of…
‘VaxTax’
Equal access to vaccines has been one of the key ethical challenges during the COVID-19 pandemic. Most scholars consider the massive purchase and hoarding of vaccines by high-income countries, especially at the beginning of the pandemic, to be unjust towards the vulnerable living in low-income countries. A recent proposal by Andreas Albertsen of a vaccine tax has been put forward to remedy this problem. Under such a scheme, high-income countries …
AI knows best? Avoiding the traps of paternalism and other pitfalls of AI-based patient preference prediction
A critical analysis of national dementia care guidances
Adopting an ethics and human rights lens, this paper provides a critical analysis of national dementia care guidance from countries ranked highly in providing quality of care towards the end-of-life, including Australia, Ireland, New Zealand, Switzerland, Taiwan and the United Kingdom. The aim of this paper is to determine areas of consensus and disagreement among guidance and to understand current gaps in research. Overall, studied guidances sho…
Aneurysmal Subarachnoid Hemorrhage and Clinical Decision-Making
Overall, aSAH was perceived as a life-threatening event with various challenges depending on severity. The results suggest the need for tools that aid decision-making and better prepare AFs and NoK using accessible means and at an early stage
Large language models in medical ethics
Large language models (LLMs) have now entered the realm of medical ethics. In a recent study, Balas et al examined the performance of GPT-4, a commercially available LLM, assessing its performance in generating responses to diverse medical ethics cases. Their findings reveal that GPT-4 demonstrates an ability to identify and articulate complex medical ethical issues, although its proficiency in encoding the depth of real-world ethical dilemmas re…
Mastering critical thinking skills is strongly associated with the ability to recognize fakeness and misinformation
Introduction In the current era of digital information overload, individuals are inundated with content of varying quality and truthfulness. Critical evaluation of such content is essential to distinguish between legitimate information and misinformation or fakeness. Despite this need, there is limited empirical evidence on the effectiveness of training in critical thinking skills for enhancing such discernment. Methods This study operationalized…
The role of social justice in triage revisited
Saving as many lives as possible while ensuring equity for vulnerable groups through access to triage resources has been the dominant position since the onset of the COVID-19 pandemic in 2020. However, the exact relationship between the principles of social justice and efficiency remains a controversial and unresolved issue. In this paper, we aim to systematically distinguish between different models of this relationship and show that conceptuali…
An International Comparison of Psychiatric Advance Directive Policy
The present work provides a comparative policy review of psychiatric advance directives, considering 1) variation across eleven international jurisdictions and 2) differentiation from other advance directive policy. The aim is to support well-founded legal and clinical practice when it comes to psychiatric advance directives by 1) clarifying the range of present approaches and 2) highlighting differential treatment of those with mental health con…
Digital twins for children with rare diseases
The digital twin concept promises to revolutionize all dimensions of the health sector, including healthcare planning and delivery, health promotion and education, and medical research. The present article maps the key legal and ethical challenges which will need to be addressed for a successful roll-out of digital twin models for children living with rare diseases, using the example of phenylketonuria (PKU) as model disease. The main legal chall…
Analyzing freedom
The Green Transition will be just – Or it won't succeed
The European Commission defines the Green Transition as the transformation set out in the European Green Deal. Ensuring that this transition is just is both an ethical requirement and a practical condition for maintaining public support and policy effectiveness. This Perspective proposes a multidimensional framework for assessing justice in Green Transition policies, encompassing distributional, procedural, recognitional, corrective, and transiti…
Medicine (14 obras) · Psychology (13 obras) · Political science (11 obras) · Computer Science (8 obras) · Law (7 obras) · Health care (6 obras) · Nursing (5 obras) · Social Psychology (5 obras) · Sociology (5 obras) · Business (4 obras)