简介:摘要目的根据近5年天津三甲医院发表的论文伦理情况,发现论文中存在的医学伦理委员会学问题.方法通过知网筛选三家三甲医院2011-2015年发表的学术论文,对其中以人为研究对象的论文伦理意识进行描述.结果共纳入论文2756篇,分析显示①提到对患者有知情同意的过程的论文有80篇,占总数的2.9%;②提到考虑了伦理学问题的论文有58篇,占总数的2.1%.结论本次调查论文有关医学伦理学问题说明的比例很低,证明医务人员的医学伦理学意识薄弱,应做好医学伦理学培训,并加强科研管理部门和伦理委员会的管理合作,规范伦理委员会的审查职能.关键词医学伦理学;伦理审查;知情同意;伦理委员会SurveyonthemedicalpapersaboutethicspublishedbythetopthreehospitalsinTianjinforforthelastfiveyearsYangShujun,ZhangJinzhong(1ScientificReGsearchManagementSection,theSecondHospitalofTianjianMedicalUnivercity,Tianjin300211,China;2TianjianMedicalUnivercityCorrespondingAuthorE-mailjzh098@126.com)AbstractObjectiveAfterstudyingthepapersonethicspublishedbythetopthreehospitalsforthelast5yearsinTianjin,somequestionscanbefoundinthepapersontheMedicalEthicsCommittee.MethodsScreenthepapersofthethreetopthreehospitalspublishedfrom2011to2015onHowNetandthendeGscribetheethicalconsciousnessonthepaperswhichregardsthehumanasresearchobject.ResultsAtotalof2756paperswereincluded.Theanalysisshowedthat①80papersmentionedthatthepatientownedtherightstobeinformedofthestateofillnessandwhetherheagreedwiththetreatment,accountingfor2.9%ofthetotal;②58papersreferredtotheethicalissues,accountingfor2.1%ofthetotal;Conclusionitisshowninthesurveythatthelowproportionofthepapersthatstudiedthemedicalethicsproblemprovedthefactthatthemedicalstaffhasweakawarenessonmedicalethics,whichsignifiesthatthemedicalstaffstronglyneedsmedicalethicstraining,andstrengthensthecooperationandmanagementbetweenthedepartmentofscientificresearchmanagementandtheethicscommitGteesoKtehyatwtohredsreviewfunctioncanberegulatedbytheethicscommittee.Medicalethics;Ethicalreview;Informedconsent;Ethicscommittee中图分类号R-052文献标识码A文章编号1008-6315(2015)12-1283-01