Cassel C K
J Am Geriatr Soc. 1985 Nov;33(11):795-9. doi: 10.1111/j.1532-5415.1985.tb04194.x.
The growing need for care of elderly persons demands research in biomedical and clinical areas, as well as health services, social science, psychology, and ethics. There is a special urgency for research into the problems that affect persons needing long-term care, and for research into the structures and patterns of the delivery of long-term care. There are ethical issues in all aspects of human subjects experimentation, but the long-term care setting raises specific ethical issues related to the dependency of the subjects and to the fact of institutionalization. Special considerations about equity, informed consent, the meaning of special protections, and confidentiality are among those needing attention. Research into these ethical issues can serve to enable better research, not simply to act as a barrier to research. Understanding the conceptual and historical bases of the special problems in long-term care research will serve to further the understanding of how to improve long-term care.
对老年人护理需求的不断增长，要求在生物医学、临床领域以及健康服务、社会科学、心理学和伦理学方面开展研究。对于影响需要长期护理者的问题以及长期护理服务提供的结构和模式进行研究，具有特别的紧迫性。人体受试者实验的各个方面都存在伦理问题，但长期护理环境引发了与受试者的依赖性以及机构化这一事实相关的特定伦理问题。关于公平、知情同意、特殊保护的意义和保密等方面的特殊考量，都需要予以关注。对这些伦理问题的研究有助于开展更好的研究，而不仅仅是成为研究的障碍。理解长期护理研究中特殊问题的概念和历史基础，将有助于进一步理解如何改善长期护理。
