Pandiani J A, Banks S M, Schacht L M
Vermont Department of Developmental and Mental Health Services, Waterbury 05671-1601, USA.
J Behav Health Serv Res. 1998 Nov;25(4):456-63. doi: 10.1007/BF02287515.
The tension between personal privacy and public accountability produces one of the major ethical dilemmas facing behavioral health program evaluators and service system researchers. This article discusses the source of this tension and introduces a research methodology that allows program evaluators to fully and equally respect both ethical principles. This methodology uses contemporary computer and statistical technology in conjunction with aggregated, de-identified information derived from existing databases to provide valid and reliable measures of the performance of treatment programs while it protects the personal privacy of individuals.
个人隐私与公共问责之间的紧张关系,构成了行为健康项目评估者和服务系统研究者面临的主要伦理困境之一。本文探讨了这种紧张关系的根源,并介绍了一种研究方法,使项目评估者能够充分且平等地尊重这两项伦理原则。该方法结合当代计算机和统计技术,利用从现有数据库中获取的汇总、去识别信息,在保护个人隐私的同时,为治疗项目的绩效提供有效且可靠的衡量指标。