Kinn S
Glasgow Caledonian University, Scotland.
J Med Ethics. 1997 Aug;23(4):250-3. doi: 10.1136/jme.23.4.250.
The aim of this paper is to start a debate about ethical issues associated with the practice of clinical audit. This is an area that has not received much consideration. The role of clinical audit is to raise general clinical standards. The ethical issues of clinical audit may have far-reaching consequences for clinicians, patients, health care providers and purchasers. Guidance is required to provide consistency in approach so that those involved in clinical audit, at whatever level, can be confident that they are following good practice. Clinicians and managers often think of good practice as being a technical matter. The main point of this paper is to bring out important ethical dimensions to good practice.
本文的目的是引发一场关于临床审计实践相关伦理问题的辩论。这是一个尚未得到充分考虑的领域。临床审计的作用是提高总体临床标准。临床审计的伦理问题可能会对临床医生、患者、医疗服务提供者和购买者产生深远影响。需要有指导方针来确保方法的一致性，以便参与临床审计的各方，无论处于何种层面，都能确信自己遵循的是良好做法。临床医生和管理人员常常认为良好做法是一个技术问题。本文的重点是揭示良好做法中重要的伦理层面。
