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Committee Membership↗

Clinical ethics support services in Europe.

The paper presents the main debates that have taken place on clinical ethics committees within the European project entitled Ethical Function in Hospital Ethics Committees. It depicts the great variety of formula existing in Europe in terms of legal status, functions, accessibility, composition and training requirements and a the onset of clinical ethics concept itself. Moreover, in the interstices of the various institutionalised ethics systems we can find extremely innovative initiatives under development, spawned more by premises of a political nature than drawn from the specialised corps of medical ethics. Could clinical ethical committees play some role in the overall democratisation process in medicine?

Committee Membership↗

The Ethics Committee of the General Faculty Hospital and First Medical Faculty, Charles University.

The purpose of this contribution is to inform about the activities of the local ethics commission established at one of our largest teaching (University) hospitals. In 1995 the following priorities were recognized: studying international ethical standards of research involving human subjects and strictly adhering to them; bilingual administrative agenda in Czech and English; enforcing the patients' rights in health care and emphasizing them in education of medics and other students of health related disciplines; stimulating effective communication between doctors, other health care workers and lay persons in the commission as well as between the members of the commission and authors of research projects applying for ethical evaluation. Since 1993 the commission has been revising and storing in the archives more than 600 research projects. In 1996, 181 new research projects were reviewed, which is 35% more than in 1995. Approval was granted in 154 cases (85.08%), 3 cases (1.66%) were rejected, 15 cases (8.29%) approved on condition of complying with the recommendations of the commission, 6 cases (3.31%) recommended for another commission, and in 3 cases reviewing the project was postponed for lack of necessary data. The members of the commission agree that the future activities should lead to forming a broader group of consultants of the commission and other professional and lay people interested in clinical ethics. According to their meaning, legislation concerning ethical commissions in the Czech Republic, including material and financial support and administrative help, is urgently needed.

Committee Membership↗

Ethical review of multi-centre research: a survey of local research ethics committees in the south Thames region.

OBJECTIVE: To generate baseline data about the standards of practice of local research ethics committees (LRECs) in order to describe accurately the situation of ethical review procedures prior to the establishment of multi-centre research ethics committees (MRECs). DESIGN: The LERECs in the South Thames NHS Region were asked to describe their current practices, and to send us a copy of their application forms and guidance notes for researchers. RESULTS: All of the 27 LRECs approached for the survey responded. The results indicate that there are generally high standards of practice, and that most LRECs work in accordance with published guidelines. CONCLUSION: The problems that researchers face in seeking to obtain ethical approval for multi-centre research (pages 242-5) do not seem to have been caused by substandard LRECs. Hence the new system needs to sustain the high standards of practice whilst confronting the difficulties.

Attitude↗