David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
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Journal of Medicine and Philosophy 29 (6):717 – 738 (2004)
There is considerable confusion regarding the ethical appropriateness of using incentives in research with human subjects. Previous work on determining whether incentives are unethical considers them as a form of undue influence or coercive offer. We understand the ethical issue of undue influence as an issue, not of coercion, but of corruption of judgment. By doing so we find that, for the most part, the use of incentives to recruit and retain research subjects is innocuous. But there are some instances where it is not. Specifically, incentives become problematic when conjoined with the following factors, singly or in combination with one another: where the subject is in a dependency relationship with the researcher, where the risks are particularly high, where the research is degrading, where the participant will only consent if the incentive is relatively large because the participant's aversion to the study is strong, and where the aversion is a principled one. The factors we have identified and the kinds of judgments they require differ substantially from those considered crucial in most previous discussions of the ethics of employing incentives in research with human subjects.
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Citations of this work BETA
J. S. Taylor (2008). Market Incentives and Health Care Reform. Journal of Medicine and Philosophy 33 (5):498-514.
Blumenthal-Barby (2013). “Choosing Wisely” to Reduce Low-Value Care: A Conceptual and Ethical Analysis. Journal of Medicine and Philosophy 38 (5):559-580.
E. Roche, R. King, H. M. Mohan, B. Gavin & F. McNicholas (2013). Payment of Research Participants: Current Practice and Policies of Irish Research Ethics Committees. Journal of Medical Ethics 39 (9):591-593.
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