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[直接面向消费者的基因检测:是市场监管,还是医学监管?]

[Direct-to-consumer genetic testing: a regulation by the market, or a medical regulation?].

作者信息

Jautrou Henri

机构信息

LISST-Cers (UMR 5193), Université Toulouse II, UFR Sciences Espaces et Sociétés, Département de Sociologie, 31058 Toulouse Cedex 9, France.

出版信息

Med Sci (Paris). 2020 Feb;36(2):153-159. doi: 10.1051/medsci/2019264. Epub 2020 Mar 4.

Abstract

The direct-to-consumer genetic testing (DTC-GT) market has been developing for about twenty years now, raising various debates, even controversies. But what about the regulation of these so-called "innovative" devices, but whose medical status is ambiguous? A first regulatory aspect is depending on the market itself, since the latter is currently subjected to a strong structuring process. A second regulatory aspect, more classical, is the legal one. While the DTC-GT status has long been unclear on European scale, a new text (a Regulation, not a Directive) is modifying the situation. It encourages regulation "by the market" rather than "by the medical profession", which does not imply that the latter will have no (indirect) impact on the DTC-GT market.

摘要

直接面向消费者的基因检测(DTC-GT)市场至今已发展了约二十年,引发了各种争论,甚至争议。但是,对于这些所谓的“创新”设备,其医疗地位尚不明确,该如何进行监管呢?第一个监管方面取决于市场本身,因为目前市场正经历一个强大的结构化过程。第二个更传统的监管方面是法律层面。虽然在欧洲范围内,DTC-GT的地位长期以来一直不明确,但一项新的法规(是法规,而非指令)正在改变这种情况。它鼓励通过“市场”进行监管,而非“由医疗行业”进行监管,不过这并不意味着后者对DTC-GT市场不会产生(间接)影响。

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