Williams A H, Rowell M
Joint Centre for Bioethics, The Hospital for Sick Children, 555 University Ave., Toronto ON M5G 1X8, Canada.
Ann R Coll Physicians Surg Can. 1999 Jun;32(4):227-31.
Health-care centres, universities, and the researchers and clinicians working in them are encouraged to procure research funding through the development of commercial relationships. There are positive, practical, and morally relevant arguments in support of this initiative, but the move also raises ethical issues concerning potential conflicts of interest. These include conflicts between an institution's or researcher's responsibilities to each other, to research subjects, and to the public, and competing financial interests. This article examines developments in research funding and ethical difficulties that may arise in the present administrative context. It provides suggestions for the development of guidelines by institutions that are supportive of investigators in their endeavors to enhance clinical care through crucial external funding and the implementation of research.
鼓励医疗保健中心、大学以及其中工作的研究人员和临床医生通过建立商业关系来获取研究资金。有积极、实际且与道德相关的论据支持这一举措，但此举也引发了有关潜在利益冲突的伦理问题。这些问题包括机构或研究人员对彼此、对研究对象以及对公众的责任之间的冲突，以及相互竞争的经济利益。本文探讨了研究资金方面的发展情况以及在当前行政背景下可能出现的伦理难题。它为机构制定指导方针提供了建议，这些指导方针有助于研究人员通过关键的外部资金和研究的实施来努力改善临床护理。
