为何我们不应寻求个体对参与卫生服务研究的知情同意。
Why we should not seek individual informed consent for participation in health services research.
作者信息
Cassell J, Young A
机构信息
Department of Sexually Transmitted Diseases, Royal Free and University College Medical School, London, UK.
出版信息
J Med Ethics. 2002 Oct;28(5):313-7. doi: 10.1136/jme.28.5.313.
Abstract
Ethics committees now require that individuals give informed consent to much health services research, in the same way as for clinical research. This is misguided. Existing ethical guidelines do not help us decide how to seek consent in these cases, and have allowed managerial experimentation to remain largely unchecked. Inappropriate requirements for individual consent can institutionalise health inequalities and reduce access to services for vulnerable groups. This undermines the fundamental purpose of the National Health Service (NHS), and ignores our rights and duties as its members, explored here. Alternative forms of community consent should be actively pursued.
摘要
伦理委员会现在要求个人像参与临床研究一样，对许多医疗服务研究给予知情同意。这是一种误导。现有的伦理准则无助于我们决定在这些情况下如何寻求同意，并且使得管理性试验在很大程度上未受审查。对个人同意的不恰当要求会使健康不平等制度化，并减少弱势群体获得服务的机会。这破坏了国民医疗服务体系（NHS）的根本宗旨，也忽视了我们作为其成员的权利和义务，本文将对此进行探讨。应该积极寻求社区同意的替代形式。
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