Is Best Interests a Relevant Decision Making Standard for Enrolling Non-Capacitated Subjects Into Clinical Research?
Author(s)
Berger, Jeffrey TKeywords
AdultsBioethics
Clinical Research
Consent
Decision Making
Dementia
Health
Research
Human Experimentation Policy Guidelines / Institutional Review Boards
Informed Consent or Human Experimentation
Third Party Consent
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http://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Is+best+interests+a+relevant+decision+making+standard+for+enrolling+non-capacitated+subjects+into+clinical+research?&title=Journal+of+medical+ethics+&volume=37&issue=1&date=2011-01&au=Berger,+Jeffrey+Thttps://dx.doi.org/10.1136/jme.2010.037515
http://hdl.handle.net/10822/1019207
Abstract
The 'best interests' decision making standard is used in clinical care to make necessary health decisions for non-capacitated individuals for whom neither explicit nor inferred wishes are known. It has been also widely acknowledged as a basis for enrolling some non-capacitated adults into clinical research such as emergency, critical care, and dementia research. However, the best interests standard requires that choices provide the highest net benefit of available options, and clinical research rarely meets this criterion. In the context of modern norms of bioethics, the best interests standard rarely supports surrogate consent for research and should not be accepted as a routine provision.Date
2016-01-09Identifier
oai:repository.library.georgetown.edu:10822/1019207doi:10.1136/jme.2010.037515
Journal of medical ethics 2011 Jan; 37(1): 45-9
http://worldcatlibraries.org/registry/gateway?version=1.0&url_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&atitle=Is+best+interests+a+relevant+decision+making+standard+for+enrolling+non-capacitated+subjects+into+clinical+research?&title=Journal+of+medical+ethics+&volume=37&issue=1&date=2011-01&au=Berger,+Jeffrey+T
http://dx.doi.org/10.1136/jme.2010.037515
http://hdl.handle.net/10822/1019207
DOI
10.1136/jme.2010.037515ae974a485f413a2113503eed53cd6c53
10.1136/jme.2010.037515