Hoeyer Klaus, Lynöe Niels
Department of Health Services Research, Institute of Public Health, University of Copenhagen, Oester Farimagsgade 5, Building 15, DK-1014, Copenhagen K, Denmark.
Med Health Care Philos. 2006;9(1):13-23. doi: 10.1007/s11019-005-5067-1.
In this article we explore the contribution from social anthropology to the medical ethical debates about the use of informed consent in research, based on blood samples and other forms of tissue. The article springs from a project exploring donors' motivation for providing blood and healthcare data for genetic research to be executed by a Swedish start-up genomics company. This article is not confined to empirical findings, however, as we suggest that anthropology provides reason to reassess the theoretical understanding of autonomy as generally defined by Beauchamp and Childress. Careful consideration of the trust expressed by donors through the act of donation, furthermore, suggests that there is reason to redirect the ethical scrutiny from informed consent to issues concerning institutional arrangements and social responsibility. In particular, we suggest that an anthropological approach could facilitate a reconsideration of the political implications of using informed consent as a regulatory practice in tissue-based research.
在本文中，我们探讨社会人类学对关于在基于血样和其他组织形式的研究中使用知情同意的医学伦理辩论的贡献。本文源自一个项目，该项目探讨捐赠者为一家瑞典初创基因组学公司进行基因研究提供血液和医疗保健数据的动机。然而，本文并不局限于实证研究结果，因为我们认为人类学为重新评估博尚和奇尔德雷斯普遍定义的自主性理论理解提供了理由。此外，仔细考虑捐赠者通过捐赠行为所表达的信任表明，有理由将伦理审查从知情同意转向有关机构安排和社会责任的问题。特别是，我们认为人类学方法有助于重新思考在基于组织的研究中使用知情同意作为一种监管实践的政治影响。
