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April 17, 2026Journal of Medical Ethics

Street medicine as harm reduction ethics: reframing clinical responsibility under constraint

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JPJoseph Pham

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Overview

Demonstrates the need to integrate street medicine into clinical ethics, highlighting implications for healthcare accountability.

Key Points

  • The aim is to advocate for the formal integration of street medicine into clinical ethics as an ethic of harm reduction.
  • Analyzes principles of harm reduction within the context of street medicine.
  • Reinterprets the four main principles of bioethics to better fit structural challenges.
  • Discusses the impact of homelessness on healthcare needs and mortality.
  • Establishes that traditional bioethics principles need to be redefined in light of structural constraints.
  • Demonstrates that street medicine can mitigate the negative impacts of systemic exclusion.
  • Argues that formalizing this ethic can enhance accountability within the healthcare system.

Cite This Study

Joseph Pham (2026) studied this question.

synapsesocial.com/papers/69e1cecc5cdc762e9d857bb1https://doi.org/10.1136/jme-2025-111655
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