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Working with Human Tissues for Translational Cancer Research
Published on: November 26, 2015
臨床研究における専門的な誠実さ
F G Miller1, D L Rosenstein, E G DeRenzo
1Department of Medical Education, University of Virginia School of Medicine, Charlottesville, USA. FGM3910@aol.com
JAMA
|November 4, 1998
まとめ
臨床研究における規制監督には限界があります. 研究医の研究者は,臨床医と科学者の役割を統合する,専門的な誠実さを必要とし,倫理的に研究複雑性と患者ケアを管理する必要があります.
科学分野:
- 医療倫理 医療倫理について
- クリニック・リサーチ 臨床研究
- 医師の調査員 誠実さ
背景:
- 人体での医療実験に対する公衆の懸念は,規制の集中につながった.
- 制度的審査委員会による審査や情報に基づいた同意を含む現在の規制は,倫理的な臨床研究を確保するうえでの効果が限られている.
- 医師の調査員における専門的な誠実さの役割は,十分に検討されていない.
研究 の 目的:
- 医師の調査員の専門的な誠実さの概念を検証する.
- 臨床医と科学者の道徳的アイデンティティの2つのモデルを分析する.
- 臨床研究を倫理的にナビゲートするための統合された道徳的アイデンティティを提案する.
主な方法:
- 医者の倫理的アイデンティティの既存のモデルを批判的に検討する.
- 臨床研究に固有の倫理的複雑性の分析.
- 研究の文脈における専門的な誠実さの概念的分析.
主要な成果:
- "臨床医としての研究者"や"科学者としての研究者"というモデルだけでは,臨床研究における道徳的葛藤を完全に解決することはできない.
- プロフェッショナル・インテグリティは,研究者と患者・ボランティアの間の倫理的関係を確立するために極めて重要です.
- 医師の調査員は,競合する忠誠心を管理するために,統合された道徳的アイデンティティが必要である.
結論:
- 臨床研究における効果的な倫理的行動には,単なる規制の遵守以上のものが必要です.
- 研究医の医師は,臨床的役割と科学的役割の両方を統合する一貫した道徳的アイデンティティを開発する必要があります.
- 臨床医と科学者の役割の統合は,臨床研究の倫理的な複雑さを慎重に管理するために不可欠です.
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