我国采供血机构输血医学伦理工作实施现状调查及体系构建思考OA
Survey on the current status of transfusion medicine ethics implementation in blood collection and supply institu-tions in China and reflections on system construction
目的 了解我国采供血机构的伦理审查委员会建设现状,分析现存问题,为输血医学伦理工作规范化管理提供循证依据.方法 对全国范围内除港澳台地区外的 31 个省、市、自治区的采供血机构伦理审查委员会建设现状进行问卷调查,采用 χ2 检验和 Mann-Whitney U 检验对数据进行统计分析.结果 83 家采供血机构的伦理审查委员会成立率为 66.27%(55/83),成立率血液中心高于中心血站.83.64%(46/55)的伦理审查委员会在国家医学研究登记备案信息系统上传信息并完成备案,备案率血液中心高于中心血站.伦理审查委员会平均初始审查项目 3项,批准科研项目 2 项,初始审查项目数、批准科研项目血液中心均高于中心血站.血液中心和中心血站均存在主要领导任职主任/副主任委员、伦理学专业人员配置不足、突发事件伦理审查制度普遍缺失等共性问题.多数委员会缺乏独立场所,持续培训覆盖不全.与此同时,采供血机构对现有的献血激励措施的伦理认可度普遍较高.结论 我国输血医学伦理建设取得进展,但独立性、委员专业配置、持续培训及应急制度仍为短板,需针对性完善.
Objective To investigate the current status of institutional review board construction in blood collection and supply institutions in China,and to provide evidence for standardized management of transfusion medicine ethics.Methods A questionnaire survey was conducted to assess the development of institutional review boards in blood collection and sup-ply institutions in 31 provinces,municipalities and autonomous regions across the country,excluding hong kong,macao and taiwan.Data were statistically analyzed using the chi-square test and Mann-Whitney U test.Results Among 83 blood col-lection and supply institutions,the establishment rate of institutional review boards was 66.27%(55/83),with a higher rate in blood centers than in central blood stations.Of the 55 ethics review committees,83.64%(46/55)uploaded infor-mation and completed registration in the National Medical Research Registration and Filing Information System.The regis-tration rate was higher in blood centers than in central blood stations.On average,each institutional review board conducted 3 initial reviews and approved 2 research projects.The number of initial review items and the number of approved research projects were higher in blood centers than in central blood stations.Common problems in both blood centers and central blood stations included the appointment of the main leader as the director or deputy director,insufficient allocation of ethics professionals,and the general absence of an ethical review system for emergencies.Most committees lacked independent venues,and continuous training coverage was incomplete.Meanwhile,blood collection and supply institutions generally showed high level of ethical recognition of existing blood donation incentive measures.Conclusion Progress has been made in the construction of transfusion medicine ethics in China;however,shortcomings remain in independence,professional composition of committee members,continuous training,and emergency response systems,requiring targeted improvements.
黄璨;翟培聪;陈涵;孙国栋;巩怀证
长沙血液中心,湖南 长沙 410001山东省血液中心,山东 济南 250013北京市红十字血液中心,北京 100088邯郸市中心血站,河北 邯郸 056005山东省血液中心,山东 济南 250013
医药卫生
输血医学伦理管理伦理审查建设现状问卷调查
transfusion medicineethical managementethical reviewcurrent status of constructionquestionnaire survey
《中国输血杂志》 2026 (9)
1278-1285,8
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