Perspectives from South and East Asia on Clinical and Research Ethics: A Literature Review
Perspectives from South and East Asia on Clinical and Research Ethics: A Literature Review
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南亚和东亚对临床和研究伦理的看法：文献综述
DOI：
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发表时间：
2014
影响因子：
1.3
通讯作者：
B. Loff
中科院分区：
文献类型：
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作者：
Bridget Pratt;Cassandra Van;Y. Cong;Harun;Nandini K Kumar;Aasim Ahmad;Ross Upshur;B. Loff
对来自孟加拉国、中国、印度和巴基斯坦的作者撰写的关于健康和伦理的英语同行评议和灰色文献进行了审查。参与这些国家生物伦理学能力建设的共同作者的知识对此进行了补充。在重点关注西方原则应用的已识别文献中，它主要讨论了知情同意，并揭示了临床决策中的规范，包括医生家长式作风，家庭参与决策以及不愿提供可能使患者不安的信息。看来，西方的伦理原则可能会以意想不到的方式解释和应用。文献还表明，尽管伊斯兰教、儒家和印度的宗教和哲学传统与西方思想有一定的一致性，但其中所包含的概念并未反映在国际准则中。研究结果表明，来自这些国家的学者寻求进入一个生物伦理学对话的潜力，丰富和告知“国际”框架。
A review was conducted of english-language peer-reviewed and gray literature on health and ethics written by authors from Bangladesh, China, India, and Pakistan. This was supplemented by the knowledge of co-authors who are involved in bioethics capacity building in these countries. Of the identified literature that focused on the application of Western principles, it largely discussed informed consent and revealed norms in clinical decision-making that include physician paternalism, family involvement in decision-making, and reluctance to provide information that might upset patients. It appears that Western ethical principles may be interpreted and applied in unexpected ways. The literature further indicates that, although there is some consistency with Western ideas, Islamic, Confucian, and Indian religious and philosophical traditions contain concepts not reflected in international guidance. Findings suggest scholars from these countries seek to enter into a bioethics dialogue with the potential to enrich and inform “international” frameworks.