Ho Calvin Wai-Loon
Centre for Biomedical Ethics and World Health Organization Collaborating Centre for Bioethics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore,.
Indian J Med Ethics. 2017 Jul-Sep;2(3):175-179. doi: 10.20529/IJME.2017.061.
This paper begins by considering how the revised CIOMS guidelines have progressed beyond a mere labelling approach in the handling of vulnerability.. However, progress is limited as the guidelines remain fixated on voluntariness and harm reduction or prevention. Although these are important considerations, vulnerability could also serve as a robust analytic for the evaluation of situational and pathogenic (or structural) contributions to susceptibilities to harm. They could also provide better guidance on how to differentiate among varying types and degrees of harm, rather than merely noting their presence. The paper concludes by considering vulnerability in relation to especially vulnerable children in health research.
本文开篇探讨了修订后的国际医学科学组织理事会（CIOMS）指南在处理脆弱性问题上如何超越了单纯的标签方法。然而，进展有限，因为该指南仍执着于自愿性以及伤害减少或预防。尽管这些是重要的考量因素，但脆弱性也可作为一种有力的分析工具，用于评估情境因素和致病（或结构性）因素对易受伤害性的影响。它们还能就如何区分不同类型和程度的伤害提供更好的指导，而不仅仅是指出伤害的存在。本文结尾部分探讨了健康研究中与特别脆弱儿童相关的脆弱性问题。
