题名

台灣醫院人體試驗委員會組成之性別分析

并列篇名

Taiwan Hospital IRB Composition of Gender Analysis

作者

林怡欣(Yi-Shin Lin)

关键词

人體試驗委員 ; 性別主流化 ; 性別影響評估 ; 性別權力測度 ; 女性主義生命倫理 ; Human trials committee ; Gender mainstreaming ; Gender impact assessment ; Gender empowerment measure ; Feminist bioethics

期刊名称

元培學報

卷期/出版年月

20期(2013 / 12 / 01)

页次

27 - 48

内容语文

繁體中文

中文摘要

人體試驗為近十年的新興名詞與臨床醫療研究發展趨勢,人體試驗倫理委員組成方面,依據衛福部所擬定的醫療政策中明文規定委員必須包含醫療專業及非醫療專業委員。本研究初步發現台灣醫學中心之人體試驗委員會成員大多數仍以男性醫療委員居多,女性委員則大部分以非醫療人員佔多數,例如社工員、律師、宗教人員等;而女性醫療委員部分,則一般為護理人員、藥師等背景居多,而女性醫師委員人數則佔極少數,僅多1-2位,其主要原因可歸納為三點:職業結構問題(台灣臨床醫師仍以男性佔大多數)、權力結構(醫師性別在臨床上的權力差異或者男性醫師習慣採用非醫師身份之女性委員來展現其權力抗衡)、動機誘因(醫院相關委員會大都由醫療主管來擔當,而醫療主管大都為男性,因此女性醫師參與委員會機會不多,相對降低其參與動機)。台灣醫療界如果要有效推動「性別主流化」,單憑婦女團體來發聲仍顯不足,建議必須藉由再教育的方式,讓人體試驗委員會性別意識有正確的認知,增加其敏感度。其次對於性別與人體試驗之關係,在委員會性別合理比率下,透過不同性別的參與和對話,不僅有助於提升性別意識,更對受試者的權益有所保護。

英文摘要

Institutional Research Review is the new popular terms nearly a decade, and it is also the development trend of clinical research. In terms of the circular of Ministry of Health and Welfare, the members of Taiwan Association of Institutional Review Board(IRB) must include medical professional and non-medical professional.The preliminary findings of this dissertation is that the majority member of IRB are male, and the majority female members are non-medical professional , such as social workers , lawyer; and religious related personnel , etc. In addition, the female members of the medical mostly are nurses and pharmacists, only 1-2 members are female physicians. This research explored three reasons: First of all, career structure (majority physicians are male); secondly, the power structure (physician gender impacted on the authority or male physician get used to have non-medical female member to show their power); thirdly, motivational incentives (majority of IRB member are hospital directors who mostly male, female physician had few opportunities to participate the IRB and dramatically impact on their participation and motivation).Women advocating is not sufficient to promote ”gender mainstreaming” concept effectively in Taiwan Medical Field. It is recommended to adapt the re-education method, and ensure the IRB committee have a clear perception of gender awareness and enhance their sensitivity. Furthermore, with the reasonable gender ratio of IRB members, the institutional research will be benefit from improving gender awareness, but also the rights of research subjects protected.

主题分类 人文學 > 人文學綜合
基礎與應用科學 > 基礎與應用科學綜合
醫藥衛生 > 醫藥總論
醫藥衛生 > 基礎醫學
工程學 > 工程學綜合
工程學 > 市政與環境工程
社會科學 > 社會科學綜合