如果它像子一样行走...:监控未注册和实验性干预的紧急使用 (MEURI) 是研究
1Centre for Biomedical Ethics, National University Singapore Yong Loo Lin School of Medicine, Singapore owen_schaefer@nus.edu.sg.
Journal of medical ethics
|December 5, 2023
概括
分析了世界卫生组织监测的未注册和实验性干预的紧急使用 (MEURI) 框架. 据说MEURI是一种研究形式,而不是临床护理和研究伦理之间的中间关系.
科学领域:
- 公共卫生道德 公共卫生道德
- 医学研究伦理学医学研究伦理学
- 应急准备情况 应急准备情况
背景情况:
- 世界卫生组织制定了未注册和实验性干预 (MEURI) 监测紧急使用框架.
- MEURI旨在应对公共卫生紧急情况,当研究不可行但需要收集未经证实的干预措施的数据时.
研究的目的:
- 批判性地评估MEURI框架的伦理定位.
- 确定MEURI是否有效地将临床护理和研究伦理联系起来.
主要方法:
- 对MEURI框架的意图,结构和监督要求进行道德分析.
- 将MEURI与现有的临床和研究伦理框架进行比较.
主要成果:
- 该研究认为,MEURI具有研究的关键特征.
- 最好将MEURI理解为一种研究形式,而不是临床护理和研究的交叉点.
结论:
- 当研究可行时,应该使用现有的研究框架,而不是MEURI.
- 对于研究不可能实现的情况,需要一个比MEURI更简单的监督系统.
- 临床伦理委员会可以提供一种平衡的方法来监督缺乏证据基础的未经证实的干预措施.
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