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生物样本库研究中的知情同意:关于该辩论的一种审议方法。

Informed consent in biobank research: a deliberative approach to the debate.

作者信息

Secko David M, Preto Nina, Niemeyer Simon, Burgess Michael M

机构信息

Department of Journalism, Concordia University, 7141 Sherbrooke St. West, Montreal, QC, Canada.

出版信息

Soc Sci Med. 2009 Feb;68(4):781-9. doi: 10.1016/j.socscimed.2008.11.020. Epub 2008 Dec 16.

Abstract

As acknowledged in the literature, public consultation related to biobanks has been largely oriented to assuring and informing rather than seeking considered input. In April and May of 2007, the authors participated in running a deliberative public engagement event in British Columbia, Canada, which sought to enhance public input related to the governance of biobanks. The topic of the event was 'Biobanking in British Columbia (BC)' and at the event a random-digit dialed demographically stratified sample of 21 participants deliberated on what values and interests ought to be considered in the regulation and use of biobanks for health research. In this paper, we report results related to debate over the place of informed consent in biobank research. Drawing on a pre/post-survey and qualitative analysis of event transcripts, we show that participants indicated strong support for biobanks, for a general reduction in concern for withdrawal of samples, and placed a strong emphasis on the need for review of biobanks research that is independent of funders and researchers. In this context, there was persistent disagreement about when consent was required for new research activities.

摘要

正如文献中所承认的,与生物样本库相关的公众咨询在很大程度上是为了确保信息公开和提供信息,而不是寻求深思熟虑的意见。2007年4月和5月,作者参与了在加拿大不列颠哥伦比亚省举办的一次公众参与审议活动,该活动旨在加强公众对生物样本库治理的意见。活动主题是“不列颠哥伦比亚省的生物样本库”,在活动中,通过随机拨号选取了21名参与者,他们来自不同人口统计学背景,就健康研究中生物样本库的监管和使用应考虑哪些价值观和利益进行了讨论。在本文中,我们报告了关于生物样本库研究中知情同意地位的辩论结果。通过对活动前/后的调查以及对活动记录的定性分析,我们发现参与者表示强烈支持生物样本库,普遍减少了对样本撤回的担忧,并强烈强调需要对独立于资助者和研究者的生物样本库研究进行审查。在这种背景下,对于新的研究活动何时需要获得同意,一直存在分歧。

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