Gradations of Ancillary-Care Responsibility

Henry S. Richardson

in Moral Entanglements

Published in print October 2012 | ISBN: 9780195388930
Published online January 2013 | e-ISBN: 9780199979196 | DOI:
Gradations of Ancillary-Care Responsibility

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To illustrate in some detail how the partial-entrustment model can concretely guide the determinations of Institutional Review Boards (IRBs) and Research Ethics Committees (RECs) as they review proposed studies’ ancillary-care provisions, this chapter shows how it can discriminate among different developing-country studies in which the ancillary care that predictably will be needed is HIV/AIDS care. Three factors highlighted by the model affect the stringency of medical researchers’ obligation to provide antiretroviral treatment to research participants in non-HIV-AIDS studies: (1) the centrality of HIV-AIDS to the study design, (2) the intensity or length of the researcher-participant interaction, and (3) the cost relative to the study budget. Analyzing the examples with these factors in mind reveals a gradation in the stringency of the obligation to provide this type of ancillary care, a gradation useful to IRBs and RECs.

Keywords: research ethics; ancillary care; partial-entrustment model; HIV-AIDS research; developing countries

Chapter.  4810 words.  Illustrated.

Subjects: Moral Philosophy

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