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Moral EntanglementsThe Ancillary-Care Obligations of Medical Researchers$
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Henry S. Richardson

Print publication date: 2012

Print ISBN-13: 9780195388930

Published to Oxford Scholarship Online: January 2013

DOI: 10.1093/acprof:oso/9780195388930.001.0001

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Gradations of Ancillary-Care Responsibility

Gradations of Ancillary-Care Responsibility

(p.153) Chapter 6 Gradations of Ancillary-Care Responsibility
Moral Entanglements

Henry S. Richardson

Oxford University Press

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

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