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直接面向消费者的基因检测——爱尔兰的法律与政策问题

Direct to consumer genetic testing-law and policy concerns in Ireland.

作者信息

de Paor Aisling

机构信息

School of Law and Government, Dublin City University, Glasnevin, Dublin 9, Ireland.

出版信息

Ir J Med Sci. 2018 Aug;187(3):575-584. doi: 10.1007/s11845-017-1712-y. Epub 2017 Nov 25.

Abstract

BACKGROUND

With rapid scientific and technological advances, the past few years has witnessed the emergence of a new genetic era and a growing understanding of the genetic make-up of human beings. These advances have propelled the introduction of companies offering direct to consumer (DTC) genetic testing, which facilitates the direct provision of such tests to consumers, (for example, via the internet). Although DTC genetic testing offers benefits by enhancing consumer accessibility to such technology, promoting proactive healthcare and increasing genetic awareness, it presents a myriad of challenges, from an ethical, legal and regulatory perspective. As DTC genetic testing usually eliminates the need for a medical professional in accessing genetic tests, this lack of professional guidance and counselling may result in misinterpretation and confusion regarding results. In addition, an evident concern relates to the scientific validity and quality of these tests. A further problem arising is the lack or inadequacy of regulation in this field. Despite the increasing accessibility of DTC genetic testing, this legislative vacuum is apparent in Ireland, where there is no concrete legislation.

AIMS AND OBJECTIVES

This article explores the main ethical, legal and regulatory issues arising with the advent of rapid advances in DTC genetic testing in Ireland. Further, with inevitable future advances in genetic science, as well as increasing internet accessibility, the challenges presented are likely to become more amplified.

CONCLUSIONS

In consideration of the ethical and legal challenges, this paper highlights the regulation of DTC genetic testing as a growing concern in Ireland, recognising its importance to both the scientific community as well as in respect of enhancing consumer confidence in such technologies.

摘要

背景

随着科技的飞速发展,过去几年见证了一个新的基因时代的出现以及人们对人类基因构成的日益了解。这些进展推动了提供直接面向消费者(DTC)基因检测的公司的出现,这使得此类检测能够直接提供给消费者(例如,通过互联网)。尽管DTC基因检测通过提高消费者对此类技术的可及性、促进积极主动的医疗保健以及增强基因意识带来了好处,但从伦理、法律和监管角度来看,它也带来了无数挑战。由于DTC基因检测通常无需医疗专业人员即可进行基因检测,缺乏专业指导和咨询可能导致对检测结果的误解和困惑。此外,一个明显的问题涉及这些检测的科学有效性和质量。另一个出现的问题是该领域监管的缺失或不足。尽管DTC基因检测的可及性不断提高,但在爱尔兰,这种立法空白很明显,那里没有具体的立法。

目的

本文探讨了爱尔兰DTC基因检测快速发展所引发的主要伦理、法律和监管问题。此外,随着基因科学在未来不可避免地取得进一步进展,以及互联网可及性的提高,所面临的挑战可能会变得更加严峻。

结论

考虑到伦理和法律挑战,本文强调对DTC基因检测的监管是爱尔兰日益关注的问题,认识到其对科学界以及增强消费者对此类技术的信心的重要性。

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