Research ethics committees: agents of research policy?

<p>Abstract</p> <p>The purpose of this commentary is to describe the unintended effects ethics committees may have on research and to analyse the regulatory and administrative problems of clinical trials.</p> <p>Discussion</p> <p>The Finnish law makes an arb...

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Main Author: Hemminki Elina
Format: Article
Language:English
Published: BMC 2005-10-01
Series:Health Research Policy and Systems
Subjects:
Online Access:http://www.health-policy-systems.com/content/3/1/6
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author Hemminki Elina
author_facet Hemminki Elina
author_sort Hemminki Elina
collection DOAJ
description <p>Abstract</p> <p>The purpose of this commentary is to describe the unintended effects ethics committees may have on research and to analyse the regulatory and administrative problems of clinical trials.</p> <p>Discussion</p> <p>The Finnish law makes an arbitrary distinction between medical research and other health research, and the European Union's directive for good clinical trials further differentiates drug trials. The starting point of current rules is that clinical trials are lesser in the interest of patients and society than routine health care. However, commercial interests are not considered unethical. The contrasting procedures in research and normal health care may tempt physicians to continue introducing innovations into practice by relying on unsystematic and uncontrolled observations. Tedious and bureaucratic rules may lead to the disappearance of trials initiated by researchers. Trying to accommodate the special legislative requirements for new drug trials into more complex interventions may result in poor designs with unreliable results and increased costs. Meanwhile, current legal requirements may undermine the morale of ethics committee members.</p> <p>Conclusion</p> <p>The aims and the quality of the work of ethics committees should be evaluated, and a reformulation of the EU directive on good clinical trials is needed. Ethical judgement should consider the specific circumstance of each trial, and ethics committees should not foster poor research for legal reasons.</p>
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spelling doaj.art-6d4797f1b2bc43ad959df71b19159f1c2022-12-22T03:22:00ZengBMCHealth Research Policy and Systems1478-45052005-10-0131610.1186/1478-4505-3-6Research ethics committees: agents of research policy?Hemminki Elina<p>Abstract</p> <p>The purpose of this commentary is to describe the unintended effects ethics committees may have on research and to analyse the regulatory and administrative problems of clinical trials.</p> <p>Discussion</p> <p>The Finnish law makes an arbitrary distinction between medical research and other health research, and the European Union's directive for good clinical trials further differentiates drug trials. The starting point of current rules is that clinical trials are lesser in the interest of patients and society than routine health care. However, commercial interests are not considered unethical. The contrasting procedures in research and normal health care may tempt physicians to continue introducing innovations into practice by relying on unsystematic and uncontrolled observations. Tedious and bureaucratic rules may lead to the disappearance of trials initiated by researchers. Trying to accommodate the special legislative requirements for new drug trials into more complex interventions may result in poor designs with unreliable results and increased costs. Meanwhile, current legal requirements may undermine the morale of ethics committee members.</p> <p>Conclusion</p> <p>The aims and the quality of the work of ethics committees should be evaluated, and a reformulation of the EU directive on good clinical trials is needed. Ethical judgement should consider the specific circumstance of each trial, and ethics committees should not foster poor research for legal reasons.</p>http://www.health-policy-systems.com/content/3/1/6ethics committeesclinical trialsethicslaw
spellingShingle Hemminki Elina
Research ethics committees: agents of research policy?
Health Research Policy and Systems
ethics committees
clinical trials
ethics
law
title Research ethics committees: agents of research policy?
title_full Research ethics committees: agents of research policy?
title_fullStr Research ethics committees: agents of research policy?
title_full_unstemmed Research ethics committees: agents of research policy?
title_short Research ethics committees: agents of research policy?
title_sort research ethics committees agents of research policy
topic ethics committees
clinical trials
ethics
law
url http://www.health-policy-systems.com/content/3/1/6
work_keys_str_mv AT hemminkielina researchethicscommitteesagentsofresearchpolicy