Clinician gate-keeping is the process whereby healthcare providers prevent access to eligible patients for research recruitment. This paper contends that clinician gate-keeping violates three principles that underpin international ethical guidelines: respect for persons or autonomy; beneficence or a favourable balance of risks and potential benefits; and justice or a fair distribution of the benefits and burdens of research. In order to stimulate further research and debate, three possible strategies are also presented to eliminate gate-keeping: partnership with professional researchers; collaborative research design and clinician education.
- personal autonomy
Statistics from Altmetric.com
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.
Funding This work was funded by grants from the Cancer Council and the National Health and Medical Research Council (ID no 509143).
Competing interests None.
Provenance and peer review Not commissioned; externally peer reviewed.
Read the full text or download the PDF:
Other content recommended for you
- Assent as an ethical imperative in the treatment of ADHD
- Applying the four principles
- How do community advisory boards fulfil their ethical role in HIV clinical trials? A protocol for a systematic review of qualitative evidence
- Is it ethical to deny genetic research participants individualised results?
- Acknowledging awareness: informing families of individual research results for patients in the vegetative state
- Fair and equitable subject selection in concurrent COVID-19 clinical trials
- Legitimate requests and indecent proposals: matters of justice in the ethical assessment of phase I trials involving competent patients
- Ethics in epidemiology and public health I. Technical terms
- Developing an ethics framework for living donor transplantation
- Adding justice to the clinical and public health ethics arguments for mandatory seasonal influenza immunisation for healthcare workers