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国际临床研究电子知情同意监管及对中国的启示

Supervision of Electronic Informed Consent in International Clinical Research and Its Implications for China

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【作者】 卢晓然; 王晓敏; 谭心; 刘星;

【Author】 LU Xiaoran;WANG Xiaomin;TAN Xin;LIU Xing;School of Literature and Journalism, Central South University;Clinical Pharmacology Center/Clinical Trial Research Center, the Third Xiangya Hospital of Central South University;Research Center for Medical Ethics, Central South University;Medical Ethics Committee, Xiangya Hospital of Central South University;Medical Humanities Research Center/Hospital Administration Institute Central South University;

【通讯作者】 刘星;

【机构】 中南大学文学与新闻传播学院; 中南大学湘雅三医院临床药理中心/临床试验研究中心; 中南大学医学伦理学研究中心; 中南大学湘雅医院医学伦理委员会; 中南大学医学人文研究中心/医院管理研究所;

【摘要】 目前,中国在电子知情同意领域还处于探索阶段,相关政策法规与应用指南还未建立健全,而传统知情同意监管体系难以适应电子知情同意创新发展的需求,如受试者隐私与数据安全等伦理问题。梳理并分析了欧美电子知情同意监管的法律规范和建设体系,结合中国目前电子知情同意发展现状以及问题挑战,针对性地从约束电子知情同意书的签署形式及过程、调整电子知情同意的伦理审查范式及提高电子知情同意伦理审查力度、提高电子知情同意法律体系建设、加强相关研究人员培训等方面提出构建中国临床研究电子知情同意监管的路径。

【Abstract】 At present, China is still in the exploratory stage in the field of electronic informed consent(eIC), and relevant policies, regulations and application guidelines have not yet been established and improved. While the traditional informed consent supervision system is difficult to meet the needs of the innovative development of eIC, such as subject privacy and data security. Through sorting out and analyzing the legal norms and construction system of eIC supervision in Europe and the United States, combined with the current development status, problems, and challenges of eIC in China, this paper targeted proposed the path to construct the supervision of eIC in clinical research in China from the aspects of restricting the signing form and process of eIC, adjusting the ethical review paradigm of eIC, enhancing the strength of eIC ethical review, improving the construction of eIC legal system, and strengthening the training of relevant researchers.

【基金】 2022年长沙市自然科学基金项目“医疗卫生机构伦理委员会质量评估研究”(kq2202362);2021年度中南大学湘雅医院管理研究基金“湖南省出生缺陷防治的伦理指导原则与实施细则”(2021GL13);2022年度中南大学研究生教学改革课题“医学人文教学改革研究”(2022JGB126)
  • 【文献出处】 中国医学伦理学 ,Chinese Medical Ethics , 编辑部邮箱 ,2023年03期
  • 【分类号】R-052
  • 【下载频次】43
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