走向 (更多) 基于证据的伦理准则:设计REIGN框架
Corinna Klingler1, Marcel Mertz2
1University of Potsdam, Germany.
概括
REIGN框架通过澄清证据,包括规范性证据,应该如何为健康建议提供信息,从而增强伦理准则. 它为开发人员提供了一个结构化的方法,以便在创建伦理指南时系统地考虑和应用证据.
科学领域:
- 生物伦理学生物伦理学
- 卫生政策 卫生政策
- 基于证据的实践.
背景情况:
- 临床指导方针的证据综合学的方法学进步与伦理指导方针缺乏进展形成鲜明对比.
- 伦理建议的证据基础往往不清楚,阻碍了可靠的决策.
- 该REIGN框架旨在通过详细说明在道德指导开发中的证据利用来弥补这一差距.
研究的目的:
- 引入一个结构化的框架,REIGN,用于将证据整合到道德准则开发中.
- 定义"规范性证据"及其在伦理上下文的经验证据旁边的作用.
- 为开发人员指导健康伦理建议的证据的类型,来源和评估.
主要方法:
- 对学术和灰色文献进行了全面的审查.
- 搜索包括PubMed和参与制定伦理准则和卫生技术评估的机构的网站.
- 对文献的概念分析为REIGN框架的开发提供了信息.
主要成果:
- 该REIGN框架定义了生产性证据的伦理学,从基于证据的医学原则.
- 它区分经验和"规范性证据".
- 该框架确定了制定规范性健康建议的五个证据支持组件 (ESC),并提供了关于证据来源和质量评估的指导.
结论:
- 该REIGN框架为道德准则制定中的证据论述提供了结构.
- 它使开发人员能够系统地考虑证据搜索的必要性,范围和方法.
- 这种结构化的方法促进了医疗保健中更连贯和基于证据的伦理指导.
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