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为生物银行的治理做好前瞻性规划。

Future-proofing biobanks' governance.

机构信息

ETH Zürich, Department of Health Sciences and Technology, Health Ethics and Policy Lab, Zürich, Switzerland.

出版信息

Eur J Hum Genet. 2020 Aug;28(8):989-996. doi: 10.1038/s41431-020-0646-4. Epub 2020 May 18.

Abstract

Good biobank governance implies-at a minimum-transparency and accountability and the implementation of oversight mechanisms. While the biobanking community is in general committed to such principles, little is known about precisely which governance strategies biobanks adopt to meet those objectives. We conducted an exploratory analysis of governance mechanisms adopted by research biobanks, including genetic biobanks, located in Europe and Canada. We reviewed information available on the websites of 69 biobanks, and directly contacted them for additional information. Our study identified six types of commonly adopted governance strategies: communication, compliance, expert advice, external review, internal procedures, and partnerships. Each strategy is implemented through different mechanisms including, independent ethics assessment, informed consent processes, quality management, data access control, legal compliance, standard operating procedures and external certification. Such mechanisms rely on a wide range of bodies, committees and actors from both within and outside the biobanks themselves. We found that most biobanks aim to be transparent about their governance mechanisms, but could do more to provide more complete and detailed information about them. In particular, the retrievable information, while showing efforts to ensure biobanks operate in a legitimate way, does not specify in sufficient detail how governance mechanisms support accountability, nor how they ensure oversight of research operations. This state of affairs can potentially undermine biobanks' trustworthiness to stakeholders and the public in a long-term perspective. Given the ever-increasing reliance of biomedical research on large biological repositories and their associated databases, we recommend that biobanks increase their efforts to future-proof their governance.

摘要

良好的生物样本库治理至少意味着透明度和问责制,以及实施监督机制。虽然生物样本库界普遍致力于这些原则,但对于生物样本库为实现这些目标而采用的具体治理策略知之甚少。我们对位于欧洲和加拿大的研究型生物样本库(包括遗传生物样本库)采用的治理机制进行了探索性分析。我们审查了 69 个生物样本库网站上提供的信息,并直接联系他们以获取更多信息。我们的研究确定了六种常见的治理策略类型:沟通、合规、专家建议、外部审查、内部程序和伙伴关系。每种策略都通过不同的机制来实施,包括独立的伦理评估、知情同意程序、质量管理、数据访问控制、法律合规性、标准操作程序和外部认证。这些机制依赖于生物样本库内外的广泛机构、委员会和参与者。我们发现,大多数生物样本库旨在对其治理机制保持透明,但可以做更多工作,提供更完整和详细的信息。特别是,虽然可检索信息显示了生物样本库确保自身合法运作的努力,但没有足够详细地说明治理机制如何支持问责制,也没有说明如何确保对研究活动进行监督。从长远来看,这种情况可能会破坏生物样本库对利益相关者和公众的可信度。鉴于生物医学研究对大型生物存储库及其相关数据库的依赖程度不断增加,我们建议生物样本库加大努力,为其治理提供未来保障。

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