A capacity-based approach for addressing ancillary care needs: implications for research in resource limited settings
A capacity-based approach for addressing ancillary care needs: implications for research in resource limited settings
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DOI：
10.1136/medethics-2011-100205
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发表时间：
2012-11-01
影响因子：
4.1
通讯作者：
Nelson, Robert M.
中科院分区：
文献类型：
--
作者：
Bright, Patricia L.;Nelson, Robert M.
在发展中国家进行的儿科临床试验可能会遇到与研究无关的参与者的状况或疾病。由于当地的医疗资源可能不足以满足这些需求，研究临床医生可能面临的困境，决定何时提供辅助治疗，并在多大程度上。作者提出了一个确定辅助护理义务的模型，该模型借鉴了对紧急情况、当地医疗基础设施的能力和研究基础设施的能力的评估。该模型适合于一个决策树，可以适应当地的情况和资源，以提供程序指导。这种方法可以帮助规划和建立管理提供辅助护理的组织政策。
A paediatric clinical trial conducted in a developing country is likely to encounter conditions or illnesses in participants unrelated to the study. Since local healthcare resources may be inadequate to meet these needs, research clinicians may face the dilemma of deciding when to provide ancillary care and to what extent. The authors propose a model for identifying ancillary care obligations that draws on assessments of urgency, the capacity of the local healthcare infrastructure and the capacity of the research infrastructure. The model lends itself to a decision tree that can be adapted to the local context and resources so as to provide procedural guidance. This approach can help in planning and establishing organisational policies that govern the provision of ancillary care.