The standard of care debate: the Declaration of Helsinki versus the international consensus opinion. Issue 2 (13th April 2004)

• Record Type: Journal Article
• Authors: Lie, R K; Emanuel, E; Grady, C; Wendler, D
• Is Part Of: Journal of medical ethics. Volume 30:Issue 2(2004)
• Page Start: 190
• Page End: 193
• Publication Date: 2004-04-13
• Subjects: international research ethics -- research ethics; CIOMS, Council for International Organizations of Medical Sciences -- NBAC, National Bioethics Advisory Commission -- UNAIDS, United Nations Programme on HIV/AIDS -- WMA, World Medical Association; Medical ethics -- Periodicals; 174.2
• DOI: 10.1136/jme.2003.006031
• Languages: English
• ISSNs: 0306-6800

Abstract

Abstract : The World Medical Association's revised Declaration of Helsinki endorses the view that all trial participants in every country are entitled to the worldwide best standard of care. In this paper the authors show that this requirement has been rejected by every national and international committee that has examined this issue. They argue that the consensus view now holds that it is ethically permissible, in some circumstances, to provide research participants less than the worldwide best care. Finally, the authors show that there is also consensus regarding the broad conditions under which this is acceptable.