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沙特阿拉伯报告的伦理挑战现状:2010 年至 2021 年的系统评价和文献计量分析。

Current state of ethical challenges reported in Saudi Arabia: a systematic review & bibliometric analysis from 2010 to 2021.

机构信息

Yale Interdisciplinary Center for Bioethics, Yale University, New Haven, CT, USA.

Radiodiagnostic and Imaging Department, King Fahad Military Medical Complex, Dhahran, Saudi Arabia.

出版信息

BMC Med Ethics. 2022 Aug 13;23(1):82. doi: 10.1186/s12910-022-00816-6.

Abstract

BACKGROUND

Over the past few years, five domains of importance about the current state of bioethics in Saudi Arabia have shaped the perspective of most research: doctor-patient relationship, informed consent, do-not-resuscitate, organ donation, and transplantation, medical students' knowledge and attitudes about medical ethics curriculum. This systematic review aimed to systematically identify, compile, describe and discuss ethical arguments and concepts in the best-studied domains of bioethics in Saudi Arabia and to present cultural, social, educational, and humane perspectives.

METHODS

Six databases were searched using Boolean operators (PubMed, Embase, Web of Science, Scopus, CINAHL, Google Scholar) from December 2020-June 2021. The search and report process followed the statement and flowchart of preferred reporting items for systematic reviews and meta-analyses (PRISMA).

RESUTLS

The search resulted in 1651 articles, of which 82 studies were selected for a final review and assessment. There is a gradual increase in research, whereby a substantial increase was observed from 2017. Most of the published articles focused on 'Organ Donation & Transplantation' with 33 articles, followed by 'Doctor-Patient Relations' with 18 publications. Most of the published articles were from Central Province (33), followed by Western Province (16). The authorship pattern showed a collaborative approach among researchers. The thematic analysis of keywords analysis showed that 'Saudi Arabia,' 'attitude PHC,' 'organ donation,' 'knowledge and education,' and 'donation' have been used the most commonly.

CONCLUSION

This systematic quantitative synthesis is expected to guide researchers, stakeholders, and policymakers about the strengths and gaps in knowledge and attitudes regarding medical ethics in Saudi Arabia, both among the general public and health professionals.

摘要

背景

在过去的几年中,沙特阿拉伯生物伦理学现状的五个重要领域塑造了大多数研究的观点:医患关系、知情同意、不复苏、器官捐赠和移植、医学生对医学伦理学课程的知识和态度。本系统评价旨在系统地识别、编译、描述和讨论沙特阿拉伯生物伦理学中研究最多的领域的伦理论点和概念,并呈现文化、社会、教育和人道观点。

方法

2020 年 12 月至 2021 年 6 月,使用布尔运算符(PubMed、Embase、Web of Science、Scopus、CINAHL、Google Scholar)在六个数据库中进行搜索。搜索和报告过程遵循系统评价和荟萃分析的首选报告项目声明和流程图(PRISMA)。

结果

搜索结果为 1651 篇文章,其中 82 篇研究被选中进行最终审查和评估。研究呈逐渐增加趋势,2017 年以来大幅增加。已发表的文章主要集中在“器官捐赠与移植”,有 33 篇文章,其次是“医患关系”,有 18 篇文章。已发表的文章主要来自中心省(33 篇),其次是西部省(16 篇)。作者模式显示研究人员之间的合作方法。关键词分析的主题分析表明,“沙特阿拉伯”、“初级保健态度”、“器官捐赠”、“知识和教育”以及“捐赠”是最常用的词。

结论

本系统的定量综合预计将为研究人员、利益相关者和决策者提供有关沙特阿拉伯医学伦理学知识和态度的优势和差距的指导,包括普通公众和卫生专业人员。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d44b/9375354/216b5b734734/12910_2022_816_Fig1_HTML.jpg

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