A model of community substituted consent for research on the vulnerable

Persons of diminished capacity, especially those who are still legally competent but are de facto incompetent should still be able to participate in moderately risky research projects that benefit the class of persons with similar diseases. It is argued that this view can be supported with a modifie...

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Bibliographic Details
Published in:Medicine, health care, and philosophy health care, and philosophy, 2000, Vol.3 (1), p.47-57
Main Author: Thomasma, D C
Format: Article
Language:English
Subjects:
Alzheimer Disease
Bioethics
Communitarianism
Emergency medical care
Friends
Human Experimentation
Humans
Informed consent
Medical philosophy
Medicine
Mental Competency
Models, Organizational
Nontherapeutic Human Experimentation
Patients
Persons
Philosophy, Medical
Research Subjects
Risk Assessment
Schizophrenia
Social Responsibility
Stroke
Therapeutic Human Experimentation
Third-Party Consent
United States
United States Food and Drug Administration
Vulnerable Populations
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Summary:Persons of diminished capacity, especially those who are still legally competent but are de facto incompetent should still be able to participate in moderately risky research projects that benefit the class of persons with similar diseases. It is argued that this view can be supported with a modified communitarianism, a philosophy of medicine that holds that health care is a joint responsibility that meets foundational human needs. The mechanism for obtaining a substituted consent I call "community consent," and distinguish this from the usual family or surrogate consent for treatment. Care givers are included in the community that might consent for an individual who has no identifiable family members.
ISSN:1386-7423
1572-8633
DOI:10.1023/A:1009998118099