Guinea pigs on the payroll: the ethics of paying research subjects.
Guinea pigs on the payroll: the ethics of paying research subjects.
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DOI：
10.1080/08989629908573939
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发表时间：
1999-01-01
期刊：
影响因子：
--
通讯作者：
Elliott, Carl
中科院分区：
文献类型：
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作者：
Lemmens, Trudo;Elliott, Carl
监管机构和学者传统上将健康受试者的生物医学研究与患者研究概念化。准则和条例将向健康受试者付款描述为对受试者自由同意的潜在限制或“不当影响"。在这篇文章中，我们提出了另一种方式的概念化研究健康的科目，认为基本问题之一，而不是不正当的影响，但作为一个正义。健康受试者参加研究方案通常不是出于人道主义原因，而是为了他们将获得的资金。这些协议中有许多是由利润驱动的公司进行的。然而，目前的指南和法规禁止受试者就他们所经历的风险、不适和不便进行公平支付谈判，IRB也没有足够的人员来监测受试者的安全。我们建议通过将健康受试者的报酬作为劳动关系加以规范来纠正这种情况。
Regulatory bodies and scholars have traditionally conceptualized biomedical research on healthy subjects in the same way as research on patients. Guidelines and regulations have portrayed payment to a healthy subject as a potential constraint, or “undue influence,”; on the subject's free consent. In this essay we suggest an alternative way of conceptualizing research on healthy subjects, which sees the basic issue not as one of undue influence but as one of justice. Healthy subjects generally enroll in research protocols not for humanitarian reasons but for the money they will receive. Many of these protocols are conducted by profit‐driven corporations. Yet current guidelines and regulations prohibit subjects from negotiating for fair payment for the risks, discomforts and inconveniences they undergo, and IRBs are not staffed adequately to monitor the subject's safety. We propose to remedy the situation by regulating payment to healthy subjects as a labor relation.