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评估民主审议质量的框架:强化审议作为生物伦理学工具的作用

A framework for assessing the quality of democratic deliberation: enhancing deliberation as a tool for bioethics.

作者信息

De Vries Raymond, Stanczyk Aimee E, Ryan Kerry A, Kim Scott Y H

机构信息

Center for Bioethics and Social Sciences in Medicine, University of Michigan, 300 North Ingalls Street, Ann Arbor, MI 48109, USA.

出版信息

J Empir Res Hum Res Ethics. 2011 Sep;6(3):3-17. doi: 10.1525/jer.2011.6.3.3.

Abstract

The goal of democratic deliberation (DD) bioethics research is to elicit informed and considered opinions on ethically controversial issues. But the trustworthiness of DD outcomes depends on the quality of deliberations. We provide a framework to evaluate the quality of deliberations and apply that framework to a DD project on surrogate consent for dementia research involving randomly selected samples of the older general public. Using a mixed method approach, we found that participants were very satisfied with the sessions, learned and used new information, were respectful and collaborative, and were able to "reason together" to arrive at societal policy recommendations. Implications and limitations of the paper are also discussed.

摘要

民主审议(DD)生物伦理学研究的目标是就伦理争议问题引出明智且经过深思熟虑的意见。但DD结果的可信度取决于审议的质量。我们提供了一个评估审议质量的框架,并将该框架应用于一个关于痴呆症研究替代同意的DD项目,该项目涉及随机抽取的老年普通公众样本。采用混合方法,我们发现参与者对会议非常满意,学习并使用了新信息,相互尊重且协作良好,并且能够“共同推理”以得出社会政策建议。本文还讨论了其意义和局限性。

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