Department of Nursing and Supportive Care Research, Peter MacCallum Cancer Centre, East Melbourne, Australia.
J Med Ethics. 2010 Jun;36(6):363-6. doi: 10.1136/jme.2009.031716. Epub 2010 May 3.
Clinician gate-keeping is the process whereby healthcare providers prevent access to eligible patients for research recruitment. This paper contends that clinician gate-keeping violates three principles that underpin international ethical guidelines: respect for persons or autonomy; beneficence or a favourable balance of risks and potential benefits; and justice or a fair distribution of the benefits and burdens of research. In order to stimulate further research and debate, three possible strategies are also presented to eliminate gate-keeping: partnership with professional researchers; collaborative research design and clinician education.
临床医生把关是指医疗保健提供者阻止符合条件的患者参与研究招募的过程。本文认为，临床医生把关违反了国际伦理准则所依据的三项原则：尊重人或自主权；善行或风险与潜在利益的有利平衡；以及公正或研究的利益和负担的公平分配。为了激发进一步的研究和辩论，还提出了三种消除把关的可能策略：与专业研究人员建立伙伴关系；协作研究设计和临床医生教育。
