Compulsory Research in Learning Health Care: Against a Minimal Risk Limit.
Compulsory Research in Learning Health Care: Against a Minimal Risk Limit.
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学习保健的强制性研究：针对最低风险限制。
DOI：
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发表时间：
2022
期刊：
影响因子：
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通讯作者：
R. Steel
中科院分区：
文献类型：
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作者：
R. Steel
Existing calls to implement learning health care systems have tended to stipulate a minimal or near-minimal risk limit for compulsory learning activities. I argue to the contrary that such a limit cannot be defended. So long as the way in which patients are compelled to participate in learning activities is solely through the withholding of nonresearch options for receiving care, compelling participation does not violate any individual's rights and can be both efficient and adequately fair. Because the decision to compel participation in this way is relevantly similar to the decision to ration care, theories of justice in cost-effectiveness rationing can be used to further specify when it is appropriate to use this method to compel research participation. When applied, these theories will not support a minimal risk limit for compulsory research.
