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自主性、不知情权与了解个人研究结果的权利:存在哪些权利,以及应由谁来决定例外情况?

Autonomy, the Right Not to Know, and the Right to Know Personal Research Results: What Rights Are There, and Who Should Decide about Exceptions?

作者信息

Helgesson Gert

机构信息

Associate Professor in research ethics at Stockholm Centre for Healthcare Ethics, Department of Learning, Informatics, Management and Ethics at Karolinska Institutet in Stockholm, Sweden.

出版信息

J Law Med Ethics. 2014 Spring;42(1):28-37. doi: 10.1111/jlme.12116.

DOI:10.1111/jlme.12116
PMID:26767474
Abstract

This paper defends the right not to know personal health information, while it discards the right of research participants to receive individual research results. Disagreement regarding the right not to know stems from two different conceptions of autonomy, leading to opposing normative conclusions. Researchers occasionally have good reason to inform research participants about incidental findings in spite of the absence of a right to know such information. Such decisions have to be made by health care personnel and researchers on a case by case basis, although external support for the decisions may be available.

摘要

本文捍卫了不了解个人健康信息的权利,却摒弃了研究参与者获取个人研究结果的权利。关于不了解的权利的分歧源于两种不同的自主性概念,从而导致了相反的规范性结论。尽管研究参与者没有了解此类信息的权利,但研究人员偶尔有充分理由告知他们偶然发现的情况。此类决定必须由医护人员和研究人员根据具体情况做出,不过或许可以获得对这些决定的外部支持。

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Autonomy, the Right Not to Know, and the Right to Know Personal Research Results: What Rights Are There, and Who Should Decide about Exceptions?自主性、不知情权与了解个人研究结果的权利:存在哪些权利,以及应由谁来决定例外情况?
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引用本文的文献

1
The Right to Know: A Revised Standard for Reporting Incidental Findings.知情同意权:偶然发现报告的修订标准。
Hastings Cent Rep. 2018 Mar;48(2):22-32. doi: 10.1002/hast.836.