Broad consent versus dynamic consent in biobank research: Is passive participation an ethical problem?

摘要: In the endeavour of biobank research there is dispute concerning what type consent and which form donor–biobank relationship meet high ethical standards. Up until now, a ‘broad consent' model has been used in many present-day projects. However it been, by some scholars, deemed as pragmatic, not an acceptable solution. Calls for change have made on basis avoidance paternalism, intentions to fulfil principle autonomy, wish increased user participation, questioning role experts ideas advocating reduction top–down governance. Recently, approach termed ‘dynamic proposed such challenges. Dynamic uses modern communication strategies inform, involve, offer choices last but least obtain every projects based resources. At first glance dynamic seems appealing, we identified six claims superiority this model; pertaining information, engagement, control, social robustness reciprocity. However, after closer examination, be several weaknesses with approach; among others risk inviting people into therapeutic misconception well individualizing review When comparing two models, broad still holds can good solution longitudinal research. Nevertheless, potential improvement model, criticism met adapting approach.