Brahme Radhika, Mehendale Sanjay
Clinical Trials Unit, National AIDS Research Institute, 73-G, MIDC, Bhosari, PO 1895, Pune 411 026, India.
Indian J Med Ethics. 2009 Apr-Jun;6(2):78-84. doi: 10.20529/IJME.2009.026.
Appropriate constitution of ethics committees (EC) is crucial to ensure a high quality review of research proposals. We studied the profile and role of EC members of Pune-based health and research organisations.
52 ethics committee members representing 12 health and bio-medical research institutions in Pune city completed the structured questionnaires.
The respondents represented ECs of hospitals (67%), research organisations (23%) and NGOs (10%). The attendance of members at EC meetings was significantly associated with higher qualification (p=0.004), more than 20 years of research experience (p=0.023) and more experience of working with ECs (p=0.032). Most of the chairpersons or secretaries had a medical background (p=0.027), and were more likely to be formally trained in ethics compared to other members (p=0.049) and had more research experience (0.043). Overall, 62% had doctorate degrees and 38% were post-graduates or graduates. Forty four percent had the correct knowledge of ethical principles. A majority (79%) of EC members felt that formal training was necessary and 84% said that there should be networking of the various ECs to share thoughts and experiences.
EC members were generally senior in age, highly educated and well-experienced in research. Representation of lawyers, ethicists and non-scientific members needs to be increased. Even with an appropriate EC constitution, the members had sub-optimal understanding of ethical issues and ethical principles. Formal training of EC members in ethics, and networking of ECs, is crucial. The scope of the role of EC members needs to be clearly recognised and understood by the constituting institutes.
伦理委员会(EC)的合理组建对于确保高质量审查研究提案至关重要。我们研究了浦那市卫生与研究机构伦理委员会成员的概况及作用。
代表浦那市12家卫生与生物医学研究机构的52名伦理委员会成员完成了结构化问卷。
受访者分别来自医院伦理委员会(67%)、研究机构伦理委员会(23%)和非政府组织伦理委员会(10%)。伦理委员会成员出席会议的情况与较高学历(p = 0.004)、20年以上研究经验(p = 0.023)以及更多参与伦理委员会工作的经验(p = 0.032)显著相关。大多数主席或秘书具有医学背景(p = 0.027),与其他成员相比,他们更有可能接受过伦理方面的正规培训(p = 0.049)且有更多研究经验(p = 0.043)。总体而言,62%拥有博士学位,38%为研究生或本科生。44%的人对伦理原则有正确认识。大多数(79%)伦理委员会成员认为有必要进行正规培训,84%的人表示各伦理委员会之间应建立网络以分享想法和经验。
伦理委员会成员通常年龄较大、受教育程度高且研究经验丰富。需要增加律师、伦理学家和非科学领域成员的代表比例。即使伦理委员会组建合理,成员对伦理问题和伦理原则的理解仍不够理想。对伦理委员会成员进行正规的伦理培训以及各伦理委员会之间建立网络至关重要。组建机构需要明确认识和理解伦理委员会成员的角色范围。