RT Journal Article
SR Electronic
T1 The standard of care debate: the Declaration of Helsinki versus the international consensus opinion
JF Journal of Medical Ethics
JO J Med Ethics
FD BMJ Publishing Group Ltd and Institute of Medical Ethics
SP 190
OP 193
DO 10.1136/jme.2003.006031
VO 30
IS 2
A1 Lie, R K
A1 Emanuel, E
A1 Grady, C
A1 Wendler, D
YR 2004
UL http://jme.bmj.com/content/30/2/190.abstract
AB The World Medical Association’s revised Declaration of Helsinki endorses the view that all trial participants in every country are entitled to the worldwide best standard of care. In this paper the authors show that this requirement has been rejected by every national and international committee that has examined this issue. They argue that the consensus view now holds that it is ethically permissible, in some circumstances, to provide research participants less than the worldwide best care. Finally, the authors show that there is also consensus regarding the broad conditions under which this is acceptable.