Ethics and Health Care

Ethics and Health Care

by Juli Neuberger



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Ethics and Health Care by Juli Neuberger

This report analyzes the work of research ethics committees (RECs)in the United Kingdom, which examine proposals for research on human subjects largely within the NHS. Research on human subjects throws up a variety of ethical problems. The role of RECs is essentially that of a public watchdog: to try to protect subjects from harm, to ensure that they are adequately informed, to see that valid consent is given, and that no undue pressure to participate is exerted among subjects, and to reassure the public that this is so. The research was carried out by a postal survey of members of RECs in England and Wales, as well as visits to 25 RECs, observing them in action, and interviewing their chairmen and members. The report describes the present position, examines the history of ethical review in the UK, and compares practice with current guidelines from the Royal College of Physicians and the Department of Health. The report, whilst making detailed recommendations for improvements to present practice, also recommends that there should be proper legislation.

Product Details

ISBN-13: 9781870607292
Publisher: Kings Fund
Publication date: 07/31/1992
Series: Research Report Series
Pages: 48
Product dimensions: 6.00(w) x 1.25(h) x 9.00(d)

Table of Contents

Part 1 Introduction: ethics and therapeutic trials
the role of RECs
guidelines for RECs
aims and objectives of the project. Part 2 The committees and their work: membership
methods of appointment
written constitutions
training for members
how do they operate?
how public are they about their workings?
chairman's action
administrative support. Part 3 Policy issues: vetting the research
multi-centre trials
financing of research
legal liability
enforcement and sanctions
GP studies. Part 4 The ethical debate: consent
recruitment issues
local factors. Part 5 Conclusions: detailed recommendations.

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