医科大学が制度的な利益相反に反応する
Susan H Ehringhaus1, Joel S Weissman, Jacqueline L Sears
1Association of American Medical Colleges, Washington, DC 20037, USA. sehringhaus@aamc.org
JAMA
|February 14, 2008
まとめ
米国医科大学は,官僚に関する機関金融の利害対立 (ICOI) に関する方針をますます採用しているが,機関政策とIRB通知のギャップは残っている. ICOIの課題を包括的に解決するには,さらなる注意が必要である.
科学分野:
- 医療教育 医療教育について
- 研究倫理 研究倫理
- 健康政策 保健政策 保健政策
背景:
- 金融機関の利益相反 (ICOI) は,潜在的に研究結果に偏見をもたらす可能性があります.
- 米国医学部がICOIをどのように扱っているかについては,全国的なデータが不足しています.
研究 の 目的:
- 米国医学部における現在の制度的利益相反 (ICOI) 政策と慣行を評価する.
- これらを,国家高等教育および研究機関の勧告と比較する.
主な方法:
- 認定された125の米国アロパシー医学部の院長を対象に全国的な調査が行われました.
- ICOIの方針,範囲,組織構造,機関審査委員会 (IRB) とのリンクに関するデータを収集した.
主要な成果:
- 69%の学校が回答し,38%が組織的なICOIポリシーを持っている.
- 役人を対象とする政策の採用率は高かった (71%の上級,69%中級,81%IRBメンバー).
- ほとんどの機関は,研究と投資/技術移転を分離していますが,潜在的なICOIのIRB通知にはギャップがあります.
結論:
- この研究は,米国の医学部のICOI政策と慣行に関する最初の全国データを示しています.
- 特定されたギャップは,ICOIの課題に対する一貫した包括的な制度的注意の必要性を強調しています.
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