Defining the "community" in community consultation for emergency research: findings from the community VOICES study.
Defining the "community" in community consultation for emergency research: findings from the community VOICES study.
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紧急研究社区咨询中“社区”的定义：社区声音研究的结果。
DOI：
10.1016/j.socscimed.2007.10.022
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发表时间：
2008
期刊：
影响因子：
--
通讯作者：
Richardson,LynneD
中科院分区：
文献类型：
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作者：
Ragin,DeborahFish;Ricci,Edmund;Rhodes,Rosamond;Holohan,Jennifer;Smirnoff,Margaret;Richardson,LynneD
本文探讨了“社区会诊”概念在急诊医学研究中的应用。根据世界医学协会的规定和美国联邦法规，急诊医学研究人员可以对有生命危险的个人进行紧急医学研究，如果满足某些条件，无需征得他们或他们的代理人的同意。这些条件之一是要求研究人员遵守对参与者的一些特殊保护，包括在启动此类研究之前进行“社区咨询和通知”。“社区”一词没有明确界定，社区协商的程序也没有在本条例中明确。本研究探讨了在急诊医学研究背景下进行社区咨询的可行性，考察了研究参与者对纽约社区的定义，有助于形成他们对社区的定义的因素，以及他们授权代表他们做出参与决定的人。这项研究的结果表明，参与者对社区的定义随着定义的目的和受访者的人口统计而有所不同。最重要的是，这项研究表明，尽管受访者可以为他们的社区确定潜在的代言人，但这些社区代言人很少被确定为在医疗紧急情况下应该拥有决策权的人。最后，本文探讨了这些发现对社区定义的影响，因为社区适用于急诊医学研究的社区会诊。
This article explores the application of the concept “community consultation” in the context of emergency medical research. Emergency medicine researchers are permitted, by the World Medical Association regulations and in the United States by U.S. Federal Regulations, to conduct emergency medical research on individuals with a life-threatening condition without obtaining their consent or that of their surrogates if certain conditions are met. Among these conditions is the requirement that researchers observe a number of special protections for the participants, including “community consultation and notification” prior to the initiation of such studies. The term “community” is not defined clearly and the process for conducting community consultations is not specified in these regulations. This study explores the feasibility of conducting community consultation in the context of emergency medical research by examining: research participant's definitions of community in New York, the factors that help shape their definitions of community and the people they would authorize to render participation decisions on their behalves. Findings from this study suggest that participants' definitions of community vary as a function of the purpose of the definition and the demographics of the respondents. Most significantly, this study reveals that although respondents can identify potential spokespersons for their communities, these community spokespersons were rarely identified as those who should have decision-making authority in medical emergencies. Finally, this article explores the implications of these findings for the definition of community as it applies to community consultation for emergency medical research.