Lertsithichai Panuwat
Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand.
J Med Assoc Thai. 2004 Oct;87(10):1253-61.
An approach to the ethical consideration of medical research in Thailand is presented in terms of Western principles. It is argued that at the present time the principle of therapeutic beneficence is to be considered a priority over respect for autonomy, expressed as informed consent. This approach is especially recommended for therapeutic research in an inpatient hospital setting in Thailand. Only when valid and effective informed consent processes have been developed should respect for autonomy be given more weight in research ethics considerations. The discussion is presented within the context of recent developments in the field of bioethics and in light of some recent findings in informed consent research both in and outside of Thailand.
本文依据西方原则，提出了一种对泰国医学研究进行伦理考量的方法。有人认为，目前在泰国，治疗性善举原则应被视为优先于以知情同意形式体现的对自主性的尊重。这种方法特别适用于泰国住院医院环境中的治疗性研究。只有当有效的知情同意程序得以确立后，在研究伦理考量中才应给予对自主性的尊重更多权重。本文的讨论是在生物伦理领域近期发展的背景下，并鉴于泰国国内外知情同意研究的一些最新发现展开的。
