Centre for Genomics and Policy at McGill University, Canada.
J Law Med Ethics. 2011 Winter;39(4):621-30. doi: 10.1111/j.1748-720X.2011.00629.x.
The death of a research participant raises numerous ethical and legal issues regarding the return of research results to related family members. This question is particularly acute in the context of genetic research since the research results from an individual may be relevant to each of the biological relatives. This paper first investigates the ethical and legal frameworks governing the return of a deceased participant's individual research results to his or her related family members. Then, it weighs the rights and interests of both the deceased individual and related family members in an attempt to identify key ethical considerations underlying the return of such results. This analysis of international guidelines and national laws and regulations reveals that though the legal framework regarding privacy and confidentiality of clinical and research information is well established (albeit not homogenous), guidelines are generally absent in the post-mortem context. Nevertheless, a brief analysis of this issue through two ethical perspectives (principlism and consequentialism) allows us to identify six key elements to be taken into consideration when returning a deceased participant's research results.
研究参与者的死亡引发了许多关于向相关家属返还研究结果的伦理和法律问题。在遗传研究的背景下,这个问题尤为尖锐,因为个体的研究结果可能与每个生物学亲属都有关。本文首先调查了规范向已故参与者的相关家属返还其个人研究结果的伦理和法律框架。然后,权衡了已故个体和相关家属的权利和利益,试图确定返还此类结果的关键伦理考虑因素。对国际准则和国家法律法规的分析表明,尽管关于临床和研究信息的隐私和保密性的法律框架已经确立(尽管并非完全一致),但在死后情况下通常没有准则。然而,通过两种伦理观点(原则主义和后果主义)对这个问题进行简要分析,使我们能够确定在返还已故参与者的研究结果时需要考虑的六个关键要素。