Setting Risk Limits and Ensuring Fairness in Learning Health Care.
Setting Risk Limits and Ensuring Fairness in Learning Health Care.
复制标题
设定风险限制并确保学习医疗保健的公平性。
DOI：
10.1002/hast.1395
复制
发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Sullivan,Connor
中科院分区：
文献类型：
--
作者：
Wendler,David;Sullivan,Connor
Historical abuses resulted in the segregation of clinical research and clinical care. While this approach has protected participants, it is extremely inefficient, leading commentators to propose (re)integrating research and care into learning health care systems. Previous commentators have argued that, in these systems, it could be appropriate to condition care on patients’ consent to participation in research, but only when the added research risks are minimal. In the article “Compulsory Research in Learning Health Care: Against a Minimal Risk Limit,” Robert Steel agrees about making research participation a condition for receiving care in these systems, but he argues that the limit to minimal risks is unfounded, and he offers compelling reasons to think that, in principle, permitting greater research risks could be fair and consistent with individual rights. Unfortunately, the nature of current institutions suggests that this approach is unlikely to be implemented fairly. We conclude that, to ensure fair learning health care systems, research and care may need to be reformed in more fundamental ways.
学习保健的强制性研究：针对最低风险限制。
DOI：
--
发表时间：
2022
期刊：
The Hastings center report
影响因子：
--
作者：
R. Steel
通讯作者：
R. Steel