Hunter D L H
Lecturer in Bioethics, School of Biomedical Sciences, University of Ulster, Cromore Road, Coleraine, Co. Londonderry BT52 1SA, UK.
J Med Ethics. 2008 Nov;34(11):815-20. doi: 10.1136/jme.2008.024257.
The history of the National Health Service research ethics system in the UK and some of the key drivers for its change into the present system are described. It is suggested that the key drivers were the unnecessary delay of research, the complexity of the array of processes and contradictions between research ethics committee (REC) decisions. It is then argued that the primary drivers for this change are and will be replicated by the systems of research ethics review being put in place at UK universities in response to the Economic and Social Research Council research ethics framework. It is argued that this is particularly problematic for multi-centre review and for researchers who switch institutions. Finally, some potential solutions to this problem and their feasibility are discussed.
本文描述了英国国民医疗服务体系(National Health Service)研究伦理体系的历史,以及该体系转变为当前体系的一些关键驱动因素。研究表明,关键驱动因素包括研究的不必要延迟、一系列流程的复杂性以及研究伦理委员会(REC)决策之间的矛盾。文章进而指出,这一变革的主要驱动因素已经并将继续被英国各大学为响应经济和社会研究委员会的研究伦理框架而建立的研究伦理审查体系所效仿。文章认为,这对于多中心审查以及更换机构的研究人员而言尤其成问题。最后,讨论了该问题的一些潜在解决方案及其可行性。