从健康系统工程谈口腔影像学大数据研究伦理
THINKING ABOUT ETHICS OF INVESTIGATION ON ORAL IMAGING DATA UNDER HEALTH SYSTEM ENGINEERING
口腔健康被世界卫生组织(WHO)列为人体健康10大标准之一,口腔中微生物及其代谢产物已被证明与人体多种系统性疾病相关.随着口腔影像学、宏基因组学、宏转录组学和蛋白质组学等信息技术的快速发展,使得从基于大数据的健康系统论开展口腔疾病和健康研究变得可行,各种医学伦理问题也相应而生.鉴于我国健康大数据研究现状,文章针对口腔影像学大数据研究,提出知情同意,健全法律法规,分级伦理审查的建议,其核心是明晰数据所有权,以保护患者权益为核心,同时引导和规范临床科研的创新与探索,提高伦理委员会工作效率.
Oral health is listed as one of 10 criteria for human health by the World Health Organization (WHO). Oral microorganisms and their metabolites have been proved to be associated with a variety of systemic diseases. The rapid development of oral imaging, metagenomics, metatranscriptomics and proteomics technology makes it feasible to study the oral diseases and health under the health big data while issues of ethics rising. Regarding the current situation of researches on health big data in our country, this study suggested that informed consent on existed data, improve laws and different ethical review by risk level on coming new data. The study aims to achieve the protection of the rights and interests of patients while also guide and standardize research innovation and exploration, improve the efficiency of the ethics committee.
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