An Ethics Framework for a Learning Health Care System: A Departure from Traditional Research Ethics and Clinical Ethics
An Ethics Framework for a Learning Health Care System: A Departure from Traditional Research Ethics and Clinical Ethics
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DOI：
10.1002/hast.134
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发表时间：
2013-01-01
影响因子：
3.3
通讯作者：
Beauchamp, Tom L.
中科院分区：
文献类型：
--
作者：
Faden, Ruth R.;Kass, Nancy E.;Beauchamp, Tom L.
越来越多的人呼吁将美国医疗保健组织成一个学习型医疗保健系统，医学研究所将其定义为一个医疗保健系统，其中知识的产生是如此嵌入到医学实践的核心，它是医疗保健提供过程的自然产物和产品，并导致护理的持续改进。我们赞同这一概念，在本文中，我们提出了一个新的伦理框架，以前没有这样的框架被阐明。我们的框架的目标是双重的：支持转变为学习型医疗保健系统，并帮助确保在这样一个系统内进行的学习活动是在道德上可接受的方式进行。
Calls are increasing for American health care to be organized as a learning health care system, defined by the Institute of Medicine as a health care system in which knowledge generation is so embedded into the core of the practice of medicine that it is a natural outgrowth and product of the healthcare delivery process and leads to continual improvement in care. We applaud this conception, and in this paper, we put forward a new ethics framework for it. No such framework has previously been articulated. The goals of our framework are twofold: to support the transformation to a learning health care system and to help ensure that learning activities carried out within such a system are conducted in an ethically acceptable fashion.