Trust and informed consent: insights from community members on the, Kenyan coast
Trust and informed consent: insights from community members on the, Kenyan coast
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DOI：
10.1016/j.socscimed.2004.11.073
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发表时间：
2005-10-01
影响因子：
5.4
通讯作者：
Marsh, K
中科院分区：
文献类型：
--
作者：
Molyneux, CS;Peshu, N;Marsh, K
信任是贯穿生物医学研究伦理学文献的一个重要主题，但它很少被放在中心位置。在本文中，我们提出了收集的数据，旨在探索社区的意见，在肯尼亚海岸的一个大型研究中心进行的知情同意过程的研究。调查结果指出，信任和不信任的元素在一般社区的意见，在父母的（错误）理解的研究，他们同意他们的孩子参与，在拒绝和关注，并在社区成员的意见是否知情同意是一个相关的和实际的模式遵循的中心。关于如何平衡信任和健康的不信任的设想强调了加强围绕基本卫生保健和研究的沟通以及培养“内在生成的服务伦理”的重要性。后者特别重要，但无法通过目前管理生物医学研究实践的法律、政策和准则来建立和管理。(c)2005爱思唯尔有限公司保留所有权利。
Trust is an important theme running through the literature on the ethics of biomedical research, but it is rarely given centre stage. In this paper, we present data gathered from a study aimed at exploring community views regarding the informed consent processes carried out by a large research centre on the Kenyan Coast. The findings point to the centrality of trust and elements of mistrust in general community views, in parents' (mis)understanding of studies they consent their children to be involved in, in refusals and concerns, and in community members' views about whether informed consent is a relevant and practical model to follow. Tentative ideas on how trust and a healthy mistrust might be balanced highlight the importance of strengthening communication surrounding basic health care as well as research, and of fostering 'an inner generated ethic of service'. The latter is particularly fundamental, but cannot be built and regulated through the laws, policies and guidelines that currently govern biomedical research practice. (c) 2005 Elsevier Ltd. All rights reserved.