Accommodating quality and service improvement research within existing ethical principles

Trials 19 (1):334 (2018)

Authors
Cory E. Goldstein
University of Western Ontario
Charles Weijer
University of Western Ontario
Abstract
Quality and service improvement (QSI) research employs a broad range of methods to enhance the efficiency of healthcare delivery. QSI research differs from traditional healthcare research and poses unique ethical questions. Since QSI research aims to generate knowledge to enhance quality improvement efforts, should it be considered research for regulatory purposes? Is review by a research ethics committee required? Should healthcare providers be considered research participants? If participation in QSI research entails no more than minimal risk, is consent required? The lack of consensus on answers to these questions highlights the need for ethical guidance. Three distinct approaches to classifying QSI research in accordance with existing ethical principles and regulations can be found in the literature. In the first approach, QSI research is viewed as distinct from other types of healthcare research and does not require regulation. In the second approach, QSI research falls within regulatory guidelines but is exempt from research ethics committee review. In the third approach, QSI research is deemed to be part of the learning healthcare system and, as such, is subject to a different set of ethical principles entirely. In this paper, we critically assess each of these views. While none of these approaches is entirely satisfactory, we argue that use of the ethical principles governing research provides the best means of addressing the numerous questions posed by QSI research.
Keywords No keywords specified (fix it)
Categories No categories specified
(categorize this paper)
Options
Edit this record
Mark as duplicate
Export citation
Find it on Scholar
Request removal from index
Revision history

Download options

PhilArchive copy


Upload a copy of this paper     Check publisher's policy     Papers currently archived: 65,683
External links

Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
Through your library

References found in this work BETA

No references found.

Add more references

Citations of this work BETA

No citations found.

Add more citations

Similar books and articles

Catholic Social Teaching as a Framework for Research Ethics.Alan J. Kearns - 2014 - Journal of Academic Ethics 12 (2):145-159.
Empirical Research on Ethical Issues in Pediatric Research.Joan E. Sieber - 2008 - Ethics and Behavior 18 (2-3):127 – 138.

Analytics

Added to PP index
2020-03-10

Total views
0

Recent downloads (6 months)
0

How can I increase my downloads?

Downloads

Sorry, there are not enough data points to plot this chart.

My notes