将伦理纳入传染病的临床实践指南
Elda Righi1, Dafna Yahav2, Asma Nasim3
1Guys and St Thomas's NHS Foundation Trust, London, UK; Dipartimento di Diagnostica e Sanità Pubblica, Università di Verona, Verona, Italy.
概括
将伦理学纳入传染病临床实践指南 (CPG) 是复杂的. 这项研究强调了科学协会需要为传染病CPG制定具体的伦理准则,以解决这一差距.
科学领域:
- 医学伦理 医学伦理
- 传染性疾病 传染性疾病
- 临床实践指南 临床实践指南
背景情况:
- 将伦理纳入临床实践指南 (CPG) 提出了挑战,特别是在传染病 (ID) 方面,因为复杂的伦理考虑和多样化的风险人群.
- 欧洲临床微生物学和传染病学会发起了OPENING项目,以解决这一差距.
研究的目的:
- 为系统地将道德原则纳入ID CPG中,制定指南.
- 审查现有的文献和关于CPG伦理方面的指导.
主要方法:
- 进行了关于将道德纳入CPG的文章 (1990-2024) 的范围审查.
- 来自国际协会的审查指导文件,关于将道德纳入.
- 概述了基于调查结果在ID CPG中包含主要的伦理原则.
主要成果:
- 获取了21篇文章 (1994-2024年),没有一个专门关注传染病伦理 (IDE).
- 关键主题包括公平原则,考虑子组,以及患者参与CPG开发.
- 提出了一个结构化的框架,以系统地纳入IDE原则.
结论:
- 值得注意的是,缺乏关于将道德纳入ID CPG的建议.
- 科学协会必须制定并将伦理准则整合到ID CPG中,以填补这一关键空白.
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