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通过对广州数家高校附属医院的临床研究者进行问卷调查,分析临床研究者对临床研究中利益冲突的认知情况。利益冲突的主要环节表现在不良事件的处置、研究对象隐私保护、研究对象的选择和分组等。原因主要有研究者的工作压力大、研究方案的不足、研究者注重自身工作便利、伦理审查不够严格等。并提出了重点防范有直接诊疗关系的研究者与研究对象的利益冲突;提高临床研究者对研究对象利益保护的意识;建立临床研究管理体系,对临床研究进行全面的审查、监督、管理;减轻研究者的研究压力,为研究者创造适宜的研究环境的针对性对策。
Through the questionnaire survey of clinical researchers in several affiliated hospitals in Guangzhou, the author analyzes the clinical researchers’ cognition of the conflicts of interest in clinical research. The main aspects of conflicts of interest are manifested in the handling of adverse events, the privacy protection of research subjects, the selection and grouping of research subjects. The main reason is that researchers are under pressure to work, lack of research programs, researchers pay attention to their own work convenience, ethical review is not strict enough and so on. And put forward to focus on preventing conflicts of interest between the researcher and the research object who have the direct diagnosis and treatment relationship; raise the awareness of the clinical researcher on the protection of the interests of the research object; establish a clinical research management system to conduct a comprehensive review, supervision and management of the clinical research; Researchers research pressure, for the researcher to create a suitable research environment for countermeasures.