Background:
Adherence to ethical principles in clinical research and practice is becoming topical issue inChina, where the prevalence of mental illness is rising, but treatment facilities remainunderdeveloped. This paper reports on a study aiming to understand the ethical knowledgeand attitudes of Chinese mental health professionals in relation to the process of diagnosisand treatment, informed consent, and privacy protection in clinical trials.
Methods:
A self-administered survey was completed by 1110 medical staff recruited from Shanghai’s22 psychiatric hospitals. Simple random selection methods were used to identify targetindividuals from the computerized registry of staff.
Results:
The final sample for analysis consisted 1094 medical staff (including 523 doctors, 542nurses, 8 pharmacologists and 21 other staff). The majority reported that their medicalinstitutions had not established an Ethics Committee (87.8%) and agreed that EthicsCommittees should be set up in their institutions (72.9%). Approximately half (52%) had notreceived systematic education in ethics, and almost all (89.1%) of the staff thought it wasnecessary. Nearly all participants (90.0%) knew the Shanghai Mental Health Regulationswhich was the first local regulations relating to mental health in China, but only 11% and16.6% respectively knew of the Nuremberg Code and the Declaration of Helsinki. About half(51.8%) thought that the guardian should make the decision as to whether the patientparticipated in clinical trials or not.
Conclusions:
The study indicates that most psychiatric hospitals in Shanghai have no Medical EthicsCommittee. More than half the medical staff had not received systematic education andtraining in medical ethics and they have insufficient knowledge of the ethical issues related toclinical practice and trials. Training in ethics is recommended for medical staff during theirtraining and as ongoing professional development.