医疗伦理在发展中国家的应用--神经外科的视角。

IF 1.9 Q3 CLINICAL NEUROLOGY
Brain & spine Pub Date : 2024-10-12 eCollection Date: 2024-01-01 DOI:10.1016/j.bas.2024.103921
Iftakher Hossain, Peter Hutchinson, Khandkar Kawsar, Angelos Kolias, Adriana Libório Dos Santos, Ignatius N Esene, Nqobile Thango, Ronnie Baticulon, Beata Laki, Ahmed Ammar
{"title":"医疗伦理在发展中国家的应用--神经外科的视角。","authors":"Iftakher Hossain, Peter Hutchinson, Khandkar Kawsar, Angelos Kolias, Adriana Libório Dos Santos, Ignatius N Esene, Nqobile Thango, Ronnie Baticulon, Beata Laki, Ahmed Ammar","doi":"10.1016/j.bas.2024.103921","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Neurosurgery is one of the rapidly evolving specialities of medical science, where the neurosurgeons have to provide evidence-based interventions in life threatening conditions maintaining the ethical standards.</p><p><strong>Research question: </strong>This narrative review sheds light on the current hindrances of the ethical aspects of neurosurgical practice in low and middle-income countries (LMICs) and provide some feasible solutions for future.</p><p><strong>Material and methods: </strong>A literature search was conducted using PubMed, Scopus and ISI web of knowledge focused on articles in English with the words \"medical ethics\" together with the words \"neurosurgery\", \"ethical practice\", \"low and middle-income countries\", \"surgical innovation\", \"randomized clinical trials\" and \"outcome\" alone or in combination.</p><p><strong>Results: </strong>Due to the lack of neurosurgeons and essential infrastructures in LMICs, the practical application of medical ethics is more complicated in the field of neurosurgery. Main obstacles to conduct preclinical and clinical research in the LMICs are the lack of proper ethics committees, quality data, trained manpower and sufficient research funding. Implementation of randomized clinical trials (RCTs) is also difficult for the neurosurgeons working in LMICs.</p><p><strong>Discussion and conclusion: </strong>To improve the situation, socio-economic development, including educating the citizens of these countries about their rights, functional regulatory bodies like medical and dental councils, teaching the neurosurgeons about the internationally recognized medical ethics, quality control regulations by the ministry of health and welfare, and more funding for the health care sectors are urgently needed. Global collaboration is needed to help the LMICs to provide their patients international but \"customized\" standard care.</p>","PeriodicalId":72443,"journal":{"name":"Brain & spine","volume":null,"pages":null},"PeriodicalIF":1.9000,"publicationDate":"2024-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11530861/pdf/","citationCount":"0","resultStr":"{\"title\":\"The application of medical ethics in the developing countries - A neurosurgical perspective.\",\"authors\":\"Iftakher Hossain, Peter Hutchinson, Khandkar Kawsar, Angelos Kolias, Adriana Libório Dos Santos, Ignatius N Esene, Nqobile Thango, Ronnie Baticulon, Beata Laki, Ahmed Ammar\",\"doi\":\"10.1016/j.bas.2024.103921\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Neurosurgery is one of the rapidly evolving specialities of medical science, where the neurosurgeons have to provide evidence-based interventions in life threatening conditions maintaining the ethical standards.</p><p><strong>Research question: </strong>This narrative review sheds light on the current hindrances of the ethical aspects of neurosurgical practice in low and middle-income countries (LMICs) and provide some feasible solutions for future.</p><p><strong>Material and methods: </strong>A literature search was conducted using PubMed, Scopus and ISI web of knowledge focused on articles in English with the words \\\"medical ethics\\\" together with the words \\\"neurosurgery\\\", \\\"ethical practice\\\", \\\"low and middle-income countries\\\", \\\"surgical innovation\\\", \\\"randomized clinical trials\\\" and \\\"outcome\\\" alone or in combination.</p><p><strong>Results: </strong>Due to the lack of neurosurgeons and essential infrastructures in LMICs, the practical application of medical ethics is more complicated in the field of neurosurgery. Main obstacles to conduct preclinical and clinical research in the LMICs are the lack of proper ethics committees, quality data, trained manpower and sufficient research funding. Implementation of randomized clinical trials (RCTs) is also difficult for the neurosurgeons working in LMICs.</p><p><strong>Discussion and conclusion: </strong>To improve the situation, socio-economic development, including educating the citizens of these countries about their rights, functional regulatory bodies like medical and dental councils, teaching the neurosurgeons about the internationally recognized medical ethics, quality control regulations by the ministry of health and welfare, and more funding for the health care sectors are urgently needed. Global collaboration is needed to help the LMICs to provide their patients international but \\\"customized\\\" standard care.</p>\",\"PeriodicalId\":72443,\"journal\":{\"name\":\"Brain & spine\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":1.9000,\"publicationDate\":\"2024-10-12\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11530861/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Brain & spine\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1016/j.bas.2024.103921\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Brain & spine","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1016/j.bas.2024.103921","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0

摘要

导言:神经外科是医学科学中发展迅速的专科之一,神经外科医生必须在维持伦理标准的前提下,对危及生命的情况进行循证干预:这篇叙述性综述揭示了中低收入国家(LMICs)神经外科实践伦理方面的现有障碍,并为未来提供了一些可行的解决方案:使用 PubMed、Scopus 和 ISI 知识网进行文献检索,重点检索以 "医学伦理 "为关键词,并单独或同时以 "神经外科"、"伦理实践"、"中低收入国家"、"外科创新"、"随机临床试验 "和 "结果 "为关键词的英文文章:由于中低收入国家缺乏神经外科医生和必要的基础设施,医学伦理在神经外科领域的实际应用更为复杂。在低收入国家开展临床前和临床研究的主要障碍是缺乏适当的伦理委员会、高质量的数据、训练有素的人才和充足的研究资金。对于在低收入国家工作的神经外科医生来说,实施随机临床试验(RCT)也很困难:为了改善这种状况,迫切需要社会经济发展,包括教育这些国家的公民了解他们的权利,建立医疗和牙科理事会等职能监管机构,向神经外科医生传授国际公认的医学伦理,由卫生和福利部制定质量控制条例,以及为医疗保健部门提供更多资金。需要开展全球合作,帮助低收入和中等收入国家为患者提供国际化但 "量身定制 "的标准医疗服务。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The application of medical ethics in the developing countries - A neurosurgical perspective.

Introduction: Neurosurgery is one of the rapidly evolving specialities of medical science, where the neurosurgeons have to provide evidence-based interventions in life threatening conditions maintaining the ethical standards.

Research question: This narrative review sheds light on the current hindrances of the ethical aspects of neurosurgical practice in low and middle-income countries (LMICs) and provide some feasible solutions for future.

Material and methods: A literature search was conducted using PubMed, Scopus and ISI web of knowledge focused on articles in English with the words "medical ethics" together with the words "neurosurgery", "ethical practice", "low and middle-income countries", "surgical innovation", "randomized clinical trials" and "outcome" alone or in combination.

Results: Due to the lack of neurosurgeons and essential infrastructures in LMICs, the practical application of medical ethics is more complicated in the field of neurosurgery. Main obstacles to conduct preclinical and clinical research in the LMICs are the lack of proper ethics committees, quality data, trained manpower and sufficient research funding. Implementation of randomized clinical trials (RCTs) is also difficult for the neurosurgeons working in LMICs.

Discussion and conclusion: To improve the situation, socio-economic development, including educating the citizens of these countries about their rights, functional regulatory bodies like medical and dental councils, teaching the neurosurgeons about the internationally recognized medical ethics, quality control regulations by the ministry of health and welfare, and more funding for the health care sectors are urgently needed. Global collaboration is needed to help the LMICs to provide their patients international but "customized" standard care.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Brain & spine
Brain & spine Surgery
CiteScore
1.10
自引率
0.00%
发文量
0
审稿时长
71 days
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信