传染病防控中的知情同意:走向一种新的范式OACSTPCD
Informed consent in epidemic prevention and control is moving towards a new paradigm
知情同意是一项重要的医学伦理原则,在临床治疗和医学科研中得到了广泛的应用.然而,这一原则在传染病防控工作中并不完全适用.传染病防控的技术手段与治理措施的公共性特征,会导致知情同意部分要素的缺失或者伦理标准的改变.知情同意原则具有维护个体权益的重要作用,因此又不能忽视其实践价值.一种解决方式是对知情同意原则的内涵与实践路径进行新的界定,包括在知情过程中强调群体知情和个体知情的结合,在同意过程中把握好自主的界限以及明确法定同意的方式和范围等,从而建构出适用于传染病防控工作的知情同意原则范式.
Informed consent is an important medical ethical principle,which has been widely applied in clinical treatment and medical research.However,it is not fully applicable in epidemic prevention and control.The public characteristics of the technical means and governance measures of epidemic prevention and control have led to the lack of some elements of informed consent or changes in ethical standards.The principle of informed consent plays an important role in safeguarding individual rights and interests,therefore its practical value can't be ignored.One of the solutions is to redefine the connotation and practice path of informed consent,including emphasizing the combination of group-informed and individual-informed in the informed process,as well as grasping the boundaries of autonomy,and clarifying the way and scope of legal consent in the process of consent,so as to construct a paradigm of informed consent principles applicable to epidemic prevention and control work.
刘月树
天津中医药大学管理学院,天津 301617
知情同意自主权公共卫生传染病防控
informed consentautonomypublic healthepidemic prevention and control
《中国医学伦理学》 2024 (002)
131-137 / 7
国家社科基金项目"我国重大疫情防控《伦理指南》的建构问题研究"(21BZX117)
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