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Updated: Feb 6, 2026

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在临床试验中公平地纳入残疾人:范围审查
Grace Jo1, Franz Castro1, Caroline Cerilli1
1Disability Health Research Center, Johns Hopkins University, Baltimore, Maryland, USA.
BMJ open
|February 4, 2026
概括
包括残疾在内的临床试验对于有效和道德的研究至关重要. 本次审查综合了关于使试验可访问的指导意见,强调需要一致的,可执行的标准来改善健康公平.
科学领域:
- 临床研究和公共卫生
- 健康 公平与包容 卫生 公平与包容
背景情况:
- 残疾人在临床试验中代表性不足,影响了概括性和道德完整性.
- 参与者多样性的国际授权存在,但缺乏残疾人包容性的实际指导.
研究的目的:
- 确定和综合指导,实践和建议,使临床试验包括残疾.
- 解决临床试验参与者的多样化实际策略的差距.
主要方法:
- 根据阿克西和奥马利框架进行范围审查.
- 在Medline,公共事务信息系统指数,灰色文学和谷歌学者 (2019-2025) 中进行搜索.
- 两位独立审稿人对69份包含的文件进行了主题综合.
主要成果:
- 确定了八个关于残疾人包容性的建议领域:通用设计,可访问的招聘,包容性数据收集/分析,可访问的报告,道德监督,支持的同意和利益相关者的参与.
- 跨界主题包括通用设计,反能力主义框架,支持决策,灵活的协议和社区参与.
- 指导强调为所有参与者创造可访问和公平的试验流程.
结论:
- 包括残疾在内的临床试验对于有效的结果,道德行为和健康公平至关重要.
- 目前实施的包容性框架是不一致的和自愿的.
- 迫切需要明确,可执行的标准来指导政府,道德委员会,机构和资助者.
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