Braunack-Mayer A, Rogers W
Department of Public Health, University of Adelaide, South Australia.
Aust Fam Physician. 2000 Oct;29(10):1005-8.
A lack of consensus currently exists about which uses of patient data require informed consent or review by a human research ethics committee. However, any use of patient data other than for clinical care, requires the consent of the patient.
The aim of this paper is to discuss strategies for strengthening current practices regarding the use of patient information in general practice research, evaluation and audit.
Increasing community discussion and debate with respect to the use of patient data for research and evaluation is a pressing issue. Divisions of general practice are well placed to lead in this debate given the extent of community representation in many divisions' activities. Development of guidelines for use by those undertaking research and evaluation activities in general practice, based upon the Privacy Principles, will ensure a high standard of protection for patients. Community based Human Research Ethics Committees may be an appropriate way of providing education and training as well as a review of general practice research and related activities.
目前对于患者数据的哪些用途需要知情同意或由人类研究伦理委员会进行审查，尚无共识。然而，除临床护理外，对患者数据的任何使用都需要患者的同意。
本文旨在讨论加强当前全科医疗研究、评估和审计中患者信息使用实践的策略。
就将患者数据用于研究和评估展开更多的社区讨论和辩论是一个紧迫问题。鉴于许多部门活动中的社区代表性程度，全科医疗部门很适合引领这场辩论。根据隐私原则为从事全科医疗研究和评估活动的人员制定指导方针，将确保对患者的高标准保护。基于社区的人类研究伦理委员会可能是提供教育和培训以及审查全科医疗研究及相关活动的合适方式。
