Prognoza bolnikovega stanja naj se ob spoštovanju njegove volje upošteva pri odločitvah o vključevanju respiratorjev v zdravljenje bolezni Covid-19. Zdravstveno osebje naj bo ustrezno zaščiteno.
Ethical principles of assessing medical research are to the greatest extent defined by the Nuremberg Code, the Declarations of Geneva and Helsinki, and the Oviedo Convention. Pursuant to their ...directives various national Medical Ethics Committees (MECs) were established which assess the ethics of research according to the risk and benefit ratio of the persons involved. Following the example of other countries, medical ethics committees eventually appeared also in hospitals and some medical and educational institutions around Slovenia. Due to an increased number of ethical challenges, it is of great importance to define the jurisdiction of the Slovenian MECs in order to ensure their coordinated operation. Exclusive jurisdiction of the national MEC includes multicentre and multi-national research, drug research (phases 1–3), high-risk research and research related to doctoral theses. The jurisdiction of the sectoral MECs includes testing the conditions for research, monitoring the execution and overviewing the final reports. A more significant jurisdiction of the sectoral MEC is preserving an ethical environment in their institutions. A network of Slovenian MECs is to be organised in the form of a jurisdiction pyramid where each member has its own obligations and responsibilities and plays an important role in relation to the entire structure.
Slovenska medicinska akademija (SMA), katere poslanstvo je tudi spodbujanje znanstveno-raziskovalnega dela, je organizirala okroglo mizo o pomenu in stranpoteh znanstveno-raziskovalnega dela v ...medicini. Sodelujoči so poudarili, da je znanost vodilna sila razvoja na vseh področjih življenja, vključno z medicino. Znanstveno-raziskovalno delo neposredno koristi medicinski praksi in omogoča bolj kakovostno obravnavo bolnikov. Medicinska znanost je v primerjavi z drugimi vedami v posebnem položaju, saj je večina raziskav povezana s poseganjem v telesno integriteto človeka. Zato mora biti pod drobnogledom nadzornih struktur, ki skrbijo za varnost in etičnost ravnanja na tem področju. Potrebno je pred samim začetkom etično oceniti vsako medicinsko raziskavo, kar opravlja Komisija za medicinsko etiko RS. Znanstvena dejavnost v medicini je glede financiranja v neenakopravnem položaju z raziskovalnim delom na številnih drugih področjih, saj so klinični zdravniki in zdravniki na obeh medicinskih fakultetah lahko raziskovalci le manjši del svojega delovnega časa. Celo na terciarnih ustanovah so raziskovalci entuziasti, ki opravljajo raziskovalno delo v svojem prostem času. Žal je tudi medicinska znanost neredko izpostavljena dejavnikom, ki ogrožajo njeno nevtralnost in objektivnost, ker je v ospredju tekmovalnost in interes institucij, od katerih je raziskovalno delo finančno odvisno. Prihaja do improvizacij in hitenja z objavami delnih rezultatov še pred zaključkom kompleksnih raziskav. V akademski sferi so vedno večji pritiski, saj so objave, čeprav tudi za lase privlečenih rezultatov, pogoj za napredovanje. Raziskovalec je neredko odvisen od financiranja raziskav od sponzorjev (zlasti farmacevtske industrije), ne pa od neodvisnih finančnih virov, kar lahko vpliva na verodostojnost rezultatov. V zadnjih letih se klasičnim raziskavam pridružujejo raziskave, ki uporabljajo umetno inteligenco. Analiza rezultatov, ki jo opravi umetna inteligenca, je neprimerno hitrejša in natančnejša, a ne vedno pravilnejša. Tudi uporabo umetne inteligence spremljajo pasti. Ni namreč vedno jasno, ali je besedilo napisal človek ali umetna inteligenca, kar odmika odgovornost za objavljene rezultate. Poleg tega se na internetnih zapisih pojavljajo tudi izmišljotine, ki postavljajo pod vprašaj verodostojnost poročanja o ugotovitvah raziskav. Znanost je gonilo razvoja medicine, mora pa biti vrednotenjsko nevtralna in temeljiti na preverjenih dejstvih.
Performing in the medical profession is combined with numerous medical, ethical and financial limitations. Doctors publicly rather often criticaly mention the financial situation, for it is well ...known, that no country can offer enough money for their health care. It is also known, that the same amount of money does not mean the same in different health care systems.The shortage of money in health care can be alleviated either by more money or by better use of the existing sources. In Slovenia typical indexies of different health care fields indicate, that health care sources are not used effectivelly enough, a fact which is a part of some open questions in politics, for instance the categorisation of hospitals. Primary health care seldom publishs its most typical indexes as well.Slovenia which still has in its percentage of GDP some reserves, will have to consider such situation both in solving financial questions and in the introduction of quality assurance in health care. The principles of the Ljubljana Charter in reforming health care also represent a usefull guideline in the search for equilibrium with unavoidable financial limitations.
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