医疗实践和研究中不当行为的分类法的发展。
The development of a taxonomy of wrongdoing in medical practice and research.
机构信息
Bander Center for Medical Business Ethics, St. Louis University, Saint Louis, Missouri 63104-1314, USA.
出版信息
Am J Prev Med. 2012 Jan;42(1):89-98. doi: 10.1016/j.amepre.2011.08.027.
"Ethical disasters" or egregious violations of professional ethics in medicine often receive substantial amounts of publicity, leading to mistrust of the medical system. Efforts to understand wrongdoing in medical practice and research are hampered by the absence of a clear taxonomy. This article describes the authors' process of developing a taxonomy based on (1) reviews of academic literature, ethics codes, government regulations, and cases of wrongdoing; (2) consultation with experts in health law and healthcare ethics; and (3) application of the taxonomy to published cases of wrongdoing in medical research and practice. The resulting taxonomy includes 14 categories of wrongdoing in medical practice and 15 categories of wrongdoing in medical research. This taxonomy may be useful to oversight bodies, researchers who seek to understand and reduce the prevalence of wrongdoing in medicine, and librarians who index literature on wrongdoing.
“伦理灾难”或医学领域严重违反职业道德的行为经常会受到大量的关注，导致人们对医疗体系产生不信任。由于缺乏明确的分类法，人们很难理解医疗实践和研究中的不当行为。本文描述了作者们基于以下三个方面来开发一个分类法的过程：(1) 对学术文献、道德规范、政府法规和不当行为案例的审查；(2) 与卫生法和医疗保健伦理专家的咨询；(3) 将该分类法应用于已发表的医学研究和实践中的不当行为案例。由此产生的分类法包括医疗实践中的 14 类不当行为和医学研究中的 15 类不当行为。这个分类法可能对监督机构、试图理解和减少医学领域不当行为的普遍性的研究人员以及对不当行为文献进行索引的图书馆员有用。
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