Integrating clinical and research psychiatry.
作者信息
de Groot J M, Kennedy S H
机构信息
University of Toronto, Ontario, Canada.
出版信息
J Psychiatry Neurosci. 1995 Mar;20(2):150-4.
Abstract
Residents involved in clinical research are frequently unprepared for the problems which may arise in relation to the dual roles of clinician-investigator and patient-subject. Common problems for the clinician-investigator will be outlined including: 1. enlisting patients; 2. using treatment one does not necessarily consider first choice; 3. being blind to treatment prescribed; 4. adhering to a fixed treatment protocol; and 5. deciding when to terminate a trial. Possible solutions will also be offered. In addition, the altered role of the patient as subject will also be considered as it affects patient care within trials.
摘要
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本文引用的文献
1
The need for research and ethical safeguards in special populations.
Can J Psychiatry. 1993 Dec;38(10):681-90. doi: 10.1177/070674379303801011.
2
Clinical issues in the assessment of competency.
Am J Psychiatry. 1981 Nov;138(11):1462-7. doi: 10.1176/ajp.138.11.1462.
3
Competency to consent to research: a psychiatric overview.
Arch Gen Psychiatry. 1982 Aug;39(8):951-8. doi: 10.1001/archpsyc.1982.04290080061009.
4
Some guiding principles for clinical investigation.
JAMA. 1966 Mar 28;195(13):1135-6.
5
Lay obligations in professional relations.
J Med Philos. 1985 Feb;10(1):85-103. doi: 10.1093/jmp/10.1.85.
6
Clinicians' guidelines for assessing and presenting subtle forms of patient incompetence in legal settings.
Am J Psychiatry. 1986 Aug;143(8):1020-3. doi: 10.1176/ajp.143.8.1020.
7
Patients' interests and clients' wishes: physicians and lawyers in discord.
Law Med Health Care. 1987 Fall;15(3):110-7. doi: 10.1111/j.1748-720x.1987.tb01013.x.
8
Physician response to informed consent regulations for randomized clinical trials.
Cancer. 1987 Sep 15;60(6):1415-22. doi: 10.1002/1097-0142(19870915)60:6<1415::aid-cncr2820600641>3.0.co;2-2.
9
Equipoise and the ethics of clinical research.
N Engl J Med. 1987 Jul 16;317(3):141-5. doi: 10.1056/NEJM198707163170304.
10
Informed consent: the physicians' perspective.
Soc Sci Med. 1987;24(2):135-43. doi: 10.1016/0277-9536(87)90246-2.
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