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Compulsory Research in Learning Health Care

Against a Minimal Risk Limit

Bibliographic Data

ID20336581
AuthorsRobert W Steel (corresponding author), Robert Steel (0000-0003-4879-2070)
Year2022
Volume52
Issue3
Pages18-29
Publication date2022-05-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueThe Hastings Center Report (JOURNAL)
Journal identifiersISSN: 0093-0334 • E-ISSN: 1552-146X
PublisherWiley (PUBLISHER • GB)
DOI10.1002/hast.1392
PMID35763204
OpenAlexW4283695832
LanguageEN
Citations received4
References cited7

Existing calls to implement learning health care systems have tended to stipulate a minimal or near‐minimal risk limit for compulsory learning activities. I argue to the contrary that such a limit cannot be defended. So long as the way in which patients are compelled to participate in learning activities is solely through the withholding of nonresearch options for receiving care, compelling participation does not violate any individual's rights and can be both efficient and adequately fair. Because the decision to compel participation in this way is relevantly similar to the decision to ration care, theories of justice in cost‐effectiveness rationing can be used to further specify when it is appropriate to use this method to compel research participation. When applied, these theories will not support a minimal risk limit for compulsory research

Actuarial science · Business · Economic Justice · Economics · Health care · Law and economics · Limit (mathematics) · Political science · Rationing · Ethics in Clinical Research · Ethics in medical practice · Law · Patient Dignity and Privacy

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Unique citing works4
Citations per year1
Citation span2022 - 2026 (5)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 3

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