摘要
近年来发生的几个伦理事件提示,应在国家治理大背景下开展涉及人的健康相关研究的伦理治理体系建设。伦理治理的主体包括政府、医疗机构、高校、科研院所、企业、伦理委员会、研究者、公众等,多元主体彼此之间相互联系和相互作用,通过不同治理工具约束和规范伦理。但中国伦理治理存在伦理治理理念和体系建设相对滞后、多方参与度不够、仅立法难以解决风险与伦理问题、规范无法满足、监管不到位、违规问责力度不够、研究者伦理意识欠缺、伦理教育滞后、面向公众的信息公开不足等问题。可采取注重伦理治理体系的理论研究、加强伦理治理体系建设、多元共治、敏捷治理、加强立法,完善规范、落实监管、加强伦理委员会建设、人才培养、培训研究者、伦理教育、公众科普、学术界自律、信息公开、公众参与等对策,构建符合中国国情并与国际接轨的科技伦理治理体系,为世界伦理治理贡献中国智慧。
The frequent several ethical events in recent years suggested carry out the construction of ethical governance system involving human health-related research under the background of national governance.The subjects of ethical governance include the government,medical institutions,universities,scientific research institutes,enterprise,ethics committees,researchers,the public,etc.,the multiple subjects are interrelated and interact with each other to restrict and standardize ethics through different governance tools.However,there are some problems in China's ethical governance,such as the relative lag in the construction of ethical governance concept and system,insufficient multi-party participation,the difficulty in sole legislation to solve risk and ethical problems,the specification cannot be met,inadequate supervision,insufficient accountability for violations,researchers lack ethical awareness,ethical education lags behind and insufficient information disclosure to the public.It should be taken such as countermeasures as paying attention to the theoretical research of ethical governance system,strengthening the construction of ethical governance system,pluralistic co governance,agile governance,strengthening legislation,improving norms,implementing supervision,strengthening the construction of ethics committee,talent training,training researchers,ethical education,popular science public,academic self-discipline,information disclosure and public participation,so as to build a scientific and technological ethics governance system in line with China's national conditions and in line with international standards,and contribute China's wisdom for world ethical governance.
作者
周吉银
ZHOU Jiyin(National Drug Clinical Trial Institution,the Second Affiliated Hospital of Army Medical University,Chongqing 400037,China)
出处
《中国医学伦理学》
2022年第4期407-414,共8页
Chinese Medical Ethics
基金
2019年陆军军医大学人文社会科学基金重点项目“伦理倾销对我国的危害及防范研究”(2019XRW04)。
关键词
涉及人的健康相关研究
伦理治理
监管体系建设
Human Health-Related Research
Ethical Governance
Construction of Supervision System
