Knoepffler Nikolaus
Lehrstuhl für Angewandte Ethik/Ethikzentrum der Friedrich-Schiller-Universität, Jena, BRD.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2008 Aug;51(8):880-6. doi: 10.1007/s00103-008-0609-3.
In the Helsinki Declaration, the World Medical Association lay down basic ethical norms for medical research on humans: the commitment to ensure informed consent of patients, to particularly safeguard vulnerable persons, to use a risk-benefit evaluation that meets human needs and a commitment to adhere to legal regulations and scientific standards. These norms function here as a basic ethical framework as they do not depend on certain ethical systems, cultural or ideological beliefs. Therefore, they offer the chance of finding consensus. The actual challenge here is not to justify once more how useful those norms are that are strongly tied to the concept of human dignity but to apply them to cases of ethical conflicts and thereby increase our understanding of them. In this paper the position of the Bioethics Convention will be defended, that research undertaken with vulnerable subjects is ethically permissible even if the benefits serve others, yet only if the involved risks are minimal. The aim is to prevent vulnerable persons from becoming therapeutic orphans.
在《赫尔辛基宣言》中,世界医学协会为人类医学研究制定了基本的伦理规范:致力于确保患者的知情同意,特别保护弱势群体,采用满足人类需求的风险效益评估,并承诺遵守法律法规和科学标准。这些规范在此作为一个基本的伦理框架发挥作用,因为它们不依赖于特定的伦理体系、文化或意识形态信仰。因此,它们提供了达成共识的机会。这里实际面临的挑战不是再次论证那些与人类尊严概念紧密相连的规范有多么有用,而是将它们应用于伦理冲突案例,从而增进我们对这些案例的理解。在本文中,将捍卫生物伦理公约的立场,即对弱势群体进行的研究在伦理上是允许的,即使其益处是为他人服务,但前提是所涉及的风险最小。目的是防止弱势群体成为治疗上的孤儿。