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一项探索马来西亚生物样本库研究中的知情同意方法及伦理挑战的初步研究。

A Preliminary Study to Explore the Informed Consent Approach and the Ethical Challenges in the Malaysian Biobanking for Research.

作者信息

Azahar Amnah, Mohd Yusof Aimi Nadia, Azhar Zahir Izuan

机构信息

Faculty of Medicine, Department of Medical Ethics and Law, Universiti Teknologi MARA, Sungai Buloh, Malaysia.

Faculty of Medicine, Department of Public Health Medicine, Universiti Teknologi MARA, Sungai Buloh, Malaysia.

出版信息

Asian Bioeth Rev. 2022 Nov 8;15(2):141-154. doi: 10.1007/s41649-022-00229-y. eCollection 2023 Apr.

Abstract

Since 2005, Malaysia has established several biobanks to keep in line with the advancement of biomedical research and development of biobanks in other countries such as the UK and the USA. Despite the establishment of several biobanks in Malaysia, little is known about the informed consent approach in biobanking research and its ethical challenges. This study aims to identify the approach in obtaining informed consent in the Malaysian biobanking for research and explore its ethical challenges. Using non-probability purposive sampling, an in-depth interview with the key informants was conducted in Klang Valley. Based on the interviews, broad consent is the main approach used in obtaining informed consent in biobanking for research in Malaysia and five major ethical challenges were identified. These challenges include the informants' opinion on the current informed consent approach, understanding participants' rights, the role of the research ethics committee, biobanking governance in Malaysia, and informants' knowledge and awareness. In summary, there is a lack of understanding among those involved in biobanking on the ethical, legal, and social aspects of biobanking for research in Malaysia.

摘要

自2005年以来,马来西亚已建立了多个生物样本库,以跟上生物医学研究的发展步伐,并与英国和美国等其他国家的生物样本库发展保持一致。尽管马来西亚已经建立了多个生物样本库,但对于生物样本库研究中的知情同意方法及其伦理挑战却知之甚少。本研究旨在确定马来西亚生物样本库研究中获取知情同意的方法,并探讨其伦理挑战。采用非概率目的抽样法,在巴生谷对关键信息提供者进行了深入访谈。基于访谈结果,广泛同意是马来西亚生物样本库研究中获取知情同意的主要方法,并确定了五个主要的伦理挑战。这些挑战包括信息提供者对当前知情同意方法的看法、对参与者权利的理解、研究伦理委员会的作用、马来西亚生物样本库的治理以及信息提供者的知识和意识。总之,参与生物样本库工作的人员对马来西亚生物样本库研究在伦理、法律和社会方面缺乏了解。

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