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知情同意:其对回溯性研究和医学科学进步的重要性。

Informed consent: its importance for retrolective research and medical science progress.

机构信息

Health Research National Coordination, Instituto Mexicano del Seguro Social, Mexico City, Mexico.

Department of Education, Northwest Vista College of San Antonio, Texas, United States of America.

出版信息

Gac Med Mex. 2021;157(1):90-93. doi: 10.24875/GMM.20000227.

Abstract

In retrolective research, the information necessary to answer the research question is directly generated from medical records and other clinical-documentary sources. This article analyzes the waiver of informed consent and privacy notice when research is retrolective, from which two lines of argument emerge: one is the physician's duty to protect patient dignity, integrity, right to self-determination and privacy, as well as the confidentiality of the information obtained from him; the other is retrolective research contribution to the control of diseases and society's health improvement. Waiver of informed consent or privacy notice documented in the medical record is important for retrolective research, but it has ethical implications for researchers who do not comply with the rationality and personal responsibility they have before society.

摘要

在回顾性研究中,回答研究问题所需的信息直接从病历和其他临床文献来源中生成。本文分析了当研究具有回顾性时,放弃知情同意和隐私通知的情况,从中出现了两条论点:一是医生有责任保护患者的尊严、完整、自决权和隐私,以及保护从他那里获得的信息的机密性;二是回顾性研究有助于控制疾病和改善社会健康。在病历中记录放弃知情同意或隐私通知对回顾性研究很重要,但对于那些不遵守他们在社会面前的合理性和个人责任的研究人员来说,这具有伦理意义。

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