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Securing the Trustworthiness of the FDA to Build Public Trust in Vaccines

Bibliographic Data

ID20338410
AuthorsLeah Z Rand (0000-0003-3262-1584), Daniel Carpenter (0000-0002-5694-3927), Daniel P Carpenter (0000-0002-9238-1052), Aaron S Kesselheim (0000-0002-8867-2666), Anushka Bhaskar (0000-0002-6018-9058), Jonathan J Darrow (0000-0002-7351-4243), William B Feldman (0000-0003-3467-5869)
Year2023
Volume53
IssueS2
PagesS60-S68
Publication date2023-09-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueThe Hastings Center Report (JOURNAL)
Journal identifiersISSN: 0093-0334 • E-ISSN: 1552-146X
PublisherWiley (PUBLISHER • GB)
DOI10.1002/hast.1525
PMID37963051
OpenAlexW4388653143
LanguageEN
Citations received2
References cited17

The Covid‐19 pandemic highlighted the need to examine public trust in the U.S. Food and Drug Administration (FDA) vaccine approval process and the role of political influence in the FDA's decisions. Ensuring that the FDA is itself trustworthy is important for justifying public trust in its actions, like vaccine approvals, thereby promoting public health. We propose five conditions of trustworthiness that the FDA should meet when it reviews vaccines, even during emergencies: consistency with rules, proper expert or political decision‐makers, proper decision‐making and noninterference, connection to public preference, and transparency of both reasons and procedures. The five conditions provide a road map of procedural and substantive requirements, which the FDA has variably implemented, focused on ensuring appropriate influence of political interests. While being a trustworthy agency cannot guarantee the public's trust, implementing these conditions builds a groundwork for public trust

Agency (philosophy) · Business · Consistency (knowledge bases) · Internet privacy · Political science · Politics · Public health · Public relations · Public trust · Sociology · Transparency (behavior) · Trustworthiness · Computer Science · Ethics in medical practice · Law · Medicine · Psychology of Moral and Emotional Judgment · Vaccine Coverage and Hesitancy

  • Trust in Health Care and Science

    Open Access•Lauren A Taylor, Mildred Z Solomon et al.•The Hastings Center Report•2023

  • Citizens' perceptions of the legitimacy of independent agencies

    Open Access•Dovilė Rimkutė, Honorata Mazepus•Public Administration Review•2025

  • Autonomy and Trust in Bioethics

    Open Access•Onora O’neill, Onora O'Neill•Autonomy and Trust in Bioethics•2002

  • Ubiquitous Yet Unclear

    Ramona Benkert, Adolfo Cuevas et al.•Behavioral Medicine•2019

  • Moving beyond mistrust

    Open Access•Alyssa M Newman•Bioethics•2022

  • Above Politics

    Open Access•Gary J Miller, Andrew B Whitford•Above Politics•2016

  • Reputation and Public Administration

    Open Access•Daniel Carpenter, Daniel P Carpenter et al.•Public Administration Review•2011

  • Promoting Agency Reputation through Public Advice

    Susan L Moffitt•The Journal of Politics•2010

  • Approval regulation and endogenous consumer confidence

    Open Access•Daniel Carpenter, Justin Grimmer et al.•Regulation & Governance•2010

  • The Principle of Restraint

    Open Access•Gabriele Badano•Political Studies•2020

  • What Is Transparency

    Carolyn Ball•Public Integrity•2009

Unique citing works2
Citations per year0.67
Citation span2023 - 2025 (3)
Citation velocityrecent
Highly citedNo
Citation typesNeutral: 1

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