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The Trust Crisis in HealthcareCauses, Consequences, and Cures$
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David A. Shore

Print publication date: 2006

Print ISBN-13: 9780195176360

Published to Oxford Scholarship Online: September 2009

DOI: 10.1093/acprof:oso/9780195176360.001.0001

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Healthcare Research: Can Patients Trust Physician Scientists?

Healthcare Research: Can Patients Trust Physician Scientists?

(p.89) 8 Healthcare Research: Can Patients Trust Physician Scientists?
The Trust Crisis in Healthcare

Greg Koski

Oxford University Press

Medical research, and specifically clinical trial research on human subjects, is necessary to make advances in medicine. Such research depends on high levels of trust between the subjects and the physician scientists conducting the trials. This chapter addresses the erosion of public trust in health research, its causes and consequences, and some solutions. Abuses of the past have left a broad legacy of mistrust. Government regulation attempted to impose better procedures to ensure good medical ethics. Institutional Review Boards were formed to monitor federally funded research. However, patient mistrust and conflicts of interest by researchers remain concerns in the field. The chapter recommends moving from a culture of compliance to a culture of conscience, in which people act responsibly because it is the right thing to do. In addition, it discusses the importance of providing incentives for good performance.

Keywords:   clinical trial, medical research, medical research ethics, medical research regulation, Institutional Review Board

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