Summary
Contents
Subject index
The `effectiveness revolution' both in research and clinical practice, has tested available methods for health services research to the extreme. How far can observational methods, routine data and qualitative methods be used in health care evaluation? What cost and outcome measures are appropriate, and how should data be gathered? With the support of over two million pounds from the British Health Technology Assessment Research Programme, the research project for this Handbook has led to both a synthesis of all of the existing knowledge in these areas and an agenda for future debate and research. The chapters and their authors have been selected through a careful process of peer review and provide a coher
Ethics of Clinical Trials: Social, Cultural and Economic Factors
Ethics of Clinical Trials: Social, Cultural and Economic Factors
Summary
It is now generally agreed that drug therapies cannot be licensed and adopted without thorough testing on human patients in properly designed and managed clinical trials. This methodology is now also widely applied in assessment of other healthcare interventions (‘health technologies’). The ethical debate about the rights and responsibilities of subjects and researchers is arguably as old as clinical trials methodology itself.1,2 Traditionally this debate has focussed upon subjects’ autonomy and informed consent, and upon balancing the risks and benefits of the research to the individuals and to society.3 Typically, debate has used the Beauchamp and Childress ‘Four Principles’ approach as a method for analysing the ethical ...
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