Abstract: Based on the concept of Responsible Research and Innovation （RRI）,this paper summarizes and identifies several areas that require improvement in the research and practice of publishing ethics for medical sci-tech journals. In terms of the deliberative dimension,medical sci-tech journals are in urgent need of strengthening proactive prevention and control of research integrity,and establishing an academic misconduct early warning and accountability mechanism based on risk prediction. In the dimension of multi-stakeholder consultation,further exploration should be made into the collaborative governance paths involving publishing institutions,academic communities,regulatory authorities,and other entities to form a shared responsibility system with clear rights and obligations.In the dimension of reflection and responsiveness,editorial departments need to deepen collaboration with hosting institutions in internal control management,and management and evaluation departments should establish an evaluation index system for journal integrity and accountability. Through interdisciplinary collaboration and multi-dimensional governance,the construction of publishing ethics for medical sci-tech journals can be systematically promoted,ultimately achieving high-quality and sustainable development of medical sci-tech journals.

Key words: medical sci-tech journals, responsible research and innovation, publishing ethics, research integrity