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« Think Pragmatically: Investigators’ Obligations to Patient-Subjects When Research is Embedded in Care » by Stephanie Morain & Emily Largent

Quand :
3 avril 2023 @ 12:00 – 13:00
2023-04-03T12:00:00-04:00
2023-04-03T13:00:00-04:00
Où :
Local 3014-7 École de santé publique de l'UdeM (ESPUM), mode hybride

La prochaine discussion du Journal club de bioéthique sera consacrée à l’article « Think Pragmatically: Investigators’ Obligations to Patien-Subjects When Reseaarch is Embedded in Care », de Stephanie Morain & Emily Largent. C’est ouvert à toutes les personnes intéressées par la bioéthique ou par le sujet de cet article. 

Pour y participer par Zoom, c’est ici.

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« Think Pragmatically: Investigators’ Obligations to Patient-Subjects When Research is Embedded in Care » by Stephanie Morain & Emily Largent
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Growing interest in embedded research approaches—where research is incorporated into clinical care—has spurred numerous studies to generate knowledge relevant to the real-world needs of patients and other stakeholders. However, it also has presented ethical challenges. An emerging challenge is how to understand the nature and extent of investigators’ obligations to patient-subjects. Prior scholarship on investigator duties has generally been grounded upon the premise that research and clinical care are distinct activities, bearing distinct duties. Yet this premise—and its corresponding implications—are challenged when research and clinical care are deliberately integrated. After presenting three case studies from recent pragmatic clinical trials, we identify six differences between explanatory trials and embedded research that limit the application of existing scholarship for ascertaining investigator duties. We suggest that these limitations indicate a need to account for the implications of usual care and to move beyond a narrow focus on the investigator-subject dyad, one that better reflects the team- and institution-based nature of contemporary health systems. (
https://mc.manuscriptcentral.com/uajb).

Organisé par Charles Dupras.