回顾性放射学研究:我们需要患者知情同意吗?

IF 1.8 3区 哲学 Q2 ETHICS Journal of Bioethical Inquiry Pub Date : 2024-08-19 DOI:10.1007/s11673-024-10368-6
Yfke Ongena, Thomas C Kwee, Derya Yakar, Marieke Haan
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引用次数: 0

摘要

虽然了解民众对回顾性放射学研究是否需要知情同意的看法,可以为如何在患者权益与加快放射学科学发展之间实现最佳平衡提供有价值的见解,但迄今为止,这是一个被文献忽略的话题。为了调查普通民众的观点,我们收集了具有荷兰代表性的 2407 人的调查数据。结果表明,对于非商业机构,尤其是医院(97.4%),受访者同意回顾性使用影像数据,尽管他们普遍表示需要征得他们的明确同意。然而,大多数受访者(63.5%)决不允许商业公司追溯使用他们的成像数据。如果只包括完成最低要求的阅读时间(12.3 秒)以理解调查中关于放射学回顾性研究描述的受访者(n = 770),几乎所有受访者(98.9%)都表示不反对医院将其影像数据用于回顾性研究,其中 57.9% 的受访者表示需要征得他们的同意,41.0% 的受访者表示无需征得患者的明确同意。我们的结论是,普通民众允许医院进行回顾性放射学研究,而且在了解回顾性放射学研究的内涵后,相当一部分人表示无需征得患者的明确同意。然而,对于与医院无关联的大学、其他非商业机构、政府机构,尤其是商业公司,普通民众对不经患者同意为研究目的不受限制地回顾性使用影像数据的支持率有所下降。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Retrospective Radiology Research: Do We Need Informed Patient Consent?

While knowledge of the population's view on the need for informed consent for retrospective radiology research may provide valuable insight into how an optimal balance can be achieved between patient rights versus an expedited advancement of radiology science, this is a topic that has been ignored in the literature so far. To investigate the view of the general population, survey data were collected from 2407 people representative of the Dutch population. The results indicate that for non-commercial institutions, especially hospitals (97.4 per cent), respondents agree with the retrospective use of imaging data, although they generally indicate that their explicit consent is required. However, most respondents (63.5 per cent) would never allow commercial firms to retrospectively use their imaging data. When including only respondents who completed the minimally required reading time of 12.3 s to understand the description about retrospective radiology research given in the survey (n = 770), almost all (98.9 per cent) mentioned to have no objections for their imaging data to be used by hospitals for retrospective research, with 57.9 per cent indicating their consent to be required and 41.0 per cent indicating that explicit patient consent to be unnecessary. We conclude that the general population permits retrospective radiology research by hospitals, and a substantial proportion indicates explicit patient consent to be unnecessary when understanding what retrospective radiology research entails. However, the general population's support for the unrestricted retrospective use of imaging data for research purposes without patient consent decreases for universities not linked to hospitals, other non-commercial institutions, government agencies, and particularly commercial firms.

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来源期刊
Journal of Bioethical Inquiry
Journal of Bioethical Inquiry 医学-医学:伦理
CiteScore
5.20
自引率
8.30%
发文量
67
审稿时长
>12 weeks
期刊介绍: The JBI welcomes both reports of empirical research and articles that increase theoretical understanding of medicine and health care, the health professions and the biological sciences. The JBI is also open to critical reflections on medicine and conventional bioethics, the nature of health, illness and disability, the sources of ethics, the nature of ethical communities, and possible implications of new developments in science and technology for social and cultural life and human identity. We welcome contributions from perspectives that are less commonly published in existing journals in the field and reports of empirical research studies using both qualitative and quantitative methodologies. The JBI accepts contributions from authors working in or across disciplines including – but not limited to – the following: -philosophy- bioethics- economics- social theory- law- public health and epidemiology- anthropology- psychology- feminism- gay and lesbian studies- linguistics and discourse analysis- cultural studies- disability studies- history- literature and literary studies- environmental sciences- theology and religious studies
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