Ancillary Care Obligations of Medical Researchers
Ancillary Care Obligations of Medical Researchers
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DOI：
10.1001/jama.2009.1076
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发表时间：
2009-07-22
影响因子：
120.7
通讯作者：
Wendler, David
中科院分区：
文献类型：
--
作者：
Dickert, Neal;Wendler, David
一名计划在非洲研究严重疟疾患儿肺动脉高压患病率的调查人员预计，她和她的团队在研究过程中将遇到大量未得到满足的卫生需求。她认识到，研究程序，特别是超声心动图，可能会识别和诊断由于资源限制而无法在当地卫生系统内治疗的疾病。她意识到其中一些需求可能很严重，治疗起来也很困难和昂贵，她要求生物伦理咨询服务部门帮助确定她作为一名研究者有多大责任为她在进行研究时发现的疾病提供临床护理。本文回顾了研究者满足受试者辅助护理需求的责任问题，并认为研究者有责任为广泛的健康需求提供护理，包括有时对与研究问题或研究程序无关的疾病的护理。然而，这种责任受到研究者与参与者关系的深度和提供这种护理的资源需求的极大限制。《美国医学协会杂志》上。2009年;302 (4): 424 - 428
An investigator planning a study in Africa of the prevalence of pulmonary hypertension in children with severe malaria anticipates that she and her team will encounter significant unmet health needs during the course of the study. She recognizes that study procedures, particularly echocardiography, may identify and diagnose conditions that are not treatable within the local health system due to resource constraints. Aware that some of these needs may be serious, as well as difficult and costly to treat, she asks the bioethics consultation service for assistance in determining the extent to which she as an investigator has a responsibility to provide clinical care for conditions that she finds while conducting the study. This article reviews the issue of investigators' responsibilities to meet participants' needs for ancillary care and argues that investigators can have a responsibility to provide care for a wide range of health needs, including at times care for conditions not connected to the research question or study procedures. That responsibility, however, is significantly limited by the depth of the investigator's relationship with participants and the resource demands of providing such care. JAMA. 2009;302(4):424-428