摘要：

【目的】 了解医学期刊编辑部对医学伦理规范的知晓度,调查其如何处理违背医学伦理的论文, 并针对其出现的问题提出对策。【方法】 采用自制问卷调查重庆市23种医学期刊编辑部对国内外主要医学伦理规范的知晓度,在审稿中主要审查的医学伦理内容,如何处理违背医学伦理的论文,已出版的论文中是否存在违背医学伦理的情况及如何处理。【结果】 重庆市医学期刊对医学伦理规范知晓度比较高,95.65%的编辑部对医学伦理审查有要求,在日常工作中主要审查的内容包括人体试验是否经过伦理委员会审批(100.00%)、是否获得患者知情同意(95.45%)、是否保护患者隐私(81.82%),但对动物实验的伦理审批和对临床试验注册的审查有待加强。编辑部在审稿时发现有违背医学伦理的情况时,处理方式比较符合国内外规范。但是对于已发表的论文,如果存在违背医学伦理的情况,并没有相应的处理措施。【结论】 编辑部应进一步加强对医学伦理的审查,对于出版前和出版后的医学论文存在违背医学伦理的情况,都应有相应的处理措施及流程,以促进我国的医学研究符合医学伦理要求。

关键词: 医学期刊, 医学伦理, 知情同意, 伦理审批, 患者隐私

Abstract:

[Purposes] This study aims to understand the awareness of medical editorial offices on medical ethics norms, investigate how to deal with papers that violate medical ethics, and propose countermeasures to these problems. [Methods] A self-made questionnaire was used to investigate the awareness of editorial offices of 23 medical journals in Chongqing on the main medical ethics standards at home and abroad, the main medical ethics content reviewed in the manuscript review about how editors deal with papers that violate medical ethics in the review process, and whether they encountered these issues in post-publication and how to deal with them. [Findings] The recognition of medical ethics norms in Chongqing medical journals is relatively high, and 95.65% of the editorial offices have requirements for medical ethics review. The main contents of the editorial office's daily work are whether the human test had been approved by the ethics committee (100.00%), whether the patient's informed consent had been obtained (95.45%), and whether the patient's privacy was protected (81.82%). But the editorial office's review of ethical approval of animal experiments and clinical trial registration needs to be strengthened. When the editors find that there is a violation of medical ethics during the review, the processing method is in line with international norms. But there is no corresponding countermeasure for how to deal with the published papers if there is a violation of medical ethics. [Conclusions] The editorial offices should further strengthen the review of medical ethics. There should be corresponding treatment measures and procedures for the violation of medical ethics before and after the publication of medical papers to promote medical research in China to meet medical ethics requirements.

Key words: Medical journal, Medical ethics, Informed consent, Ethical approval, Patient privacy