Ethical Aspects of Human Experimentation in Health Services Research
Brett, Allan S.
Grodin, Michael A.
JAMA. 1991 Apr 10; 265(14): 1854-4857.
...Despite the recent proliferation of such studies, health services research involving human subjects has not yet received the detailed bioethical scrutiny accorded to conventional research. We believe, however, that many health services studies present ethical problems warranting analysis as a special case within the broader context of human experimentation. This article explores those problems initially by using accepted ethical principles to highlight areas of contrast between conventional and health services research. We then analyze in greater detail three frequently problematic issues -- defining research, cost containment, and informed consent. Finally, we will draw general conclusions about the ethical conduct of this research.
Autonomy; Beneficence; Conflict of Interest; Containment; Consent; Economics; Health; Health Care; Health Care Delivery; Health Insurance; Health Services; Health Services Research; Hospitals; Human Experimentation; Informed Consent; Institutional Policies; Insurance; Nontherapeutic Research; Patient Care; Patients; Physicians; Public Policy; Random Selection; Research; Research Design; Research Subjects; Review; Risks and Benefits; Standards;
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