加强医学伦理审查体系建设的医学人道主义反思  

Reflection on Medical Humanism in Strengthening the Construction of Medical Ethics Review System

作　　者：李振良[1] 聂业 张文英[3] 龚致富 LI Zhenliang;NIE Ye;ZHANG Wenying;GONG Zhifu(Institute of Higher Education,Hebei North University,Zhangjiakou 075000,China;School of Humanities and Management,Southwest Medical University,Luzhou 646000,China;Medical Humanity Education and Research Center,Kunming Medical University,Kunming 650000,China;Publicity Department,First Affiliated Hospital,Hebei North Uni�versity,Zhangjiakou 075000,China)

机构地区：[1]河北北方学院高等教育研究所,河北张家口075000 [2]西南医科大学人文与管理学院,四川泸州646000 [3]昆明医科大学医学人文教育与研究中心,云南昆明650000 [4]河北北方学院附属第一医院宣传统战处,河北张家口075000

出　　处：《医学与哲学》2024年第4期18-23,共6页Medicine and Philosophy

基　　金：2021年河北省高等教育教学改革研究与实践项目(2021GJJG337)。

摘　　要：好的伦理治理需要好的伦理审查、好的伦理组织和好的伦理委员。伦理审查是对涉及人的研究的科学性与伦理性进行审查,其中存在技术话语与伦理话语两套体系,分别代表着医学人道主义的两个方面。其中后者居于主导地位,二者应当统一于伦理话语。伦理审查的认知基础、价值观念、问题分析、问题处理和评价反思均应体现人道主义的要求。风险和受益的计算同样如此。伦理审查活动是人道主义的实践过程,需要体现科技发展与维护人的尊严融合的伦理治理理念;形成科技创新与人文关怀融合的伦理审查机制;建立科学精神与人文精神融合的伦理教育体系。Effective ethical governance requires robust ethical review,ethical organizations,and ethical committees.Ethical review involves assessing the scientific and ethical aspects of research involving human subjects,with two systems:technical discourse and ethical discourse,representing two aspects of medical humanitarianism.The latter occupies a dominant position,and the two should be unified within ethical discourse.The cognitive foundation,values,problem analysis,problem resolution,and evaluation reflection of ethical review should all reflect the requirements of humanitarianism.This applies equally to the calculation of risks and benefits.Ethical review activity is a humanitarian practice process that needs to reflect the ethical governance concept of integrating technological development with the maintenance of human dignity.This necessitates the establishment of an ethical review mechanism that integrates technological innovation and humanistic care,along with the creation of an ethical education system that integrates scientific and humanistic spirit.

关 键 词：伦理治理 医学人道主义 伦理审查 伦理委员会 

分 类 号：R-05[医药卫生]