Rogers W A, Draper H
Department of General Practice, University of Edinburgh, Edinburgh, UK.
J Med Ethics. 2003 Aug;29(4):220-4. doi: 10.1136/jme.29.4.220.
In this paper we consider the use of cases in medical ethics research and teaching. To date, there has been little discussion about the consent or confidentiality requirements that ought to govern the use of cases in these areas. This is in marked contrast to the requirements for consent to publish cases in clinical journals, or to use personal information in research. There are a number of reasons why it might be difficult to obtain consent to use cases in ethics. Many cases concern people who are incompetent, and thus unable to give consent. Often the material is of a sensitive nature, it is not clear who should give consent, or the ethicist has no access to those involved. We argue that the use of cases in ethics research and teaching can be justified by appeal to the public interest argument, and suggest a number of areas for discussion and clarification.
在本文中，我们探讨了案例在医学伦理研究与教学中的应用。迄今为止，对于在这些领域使用案例应遵循的同意或保密要求，几乎没有相关讨论。这与临床期刊发表案例或研究中使用个人信息时的同意要求形成了鲜明对比。在伦理领域，获取案例使用的同意可能存在诸多困难。许多案例涉及无行为能力的人，因此无法给予同意。通常材料具有敏感性质，不清楚应由谁给予同意，或者伦理学家无法接触到相关人员。我们认为，通过诉诸公共利益论据，可以证明在伦理研究和教学中使用案例是合理的，并提出了一些需要讨论和澄清的领域。
