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AJPH First Look, published online ahead of print Jul 16, 2009
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American Journal of Public Health, 10.2105/AJPH.2008.152389


Health Policy and Ethics

Understanding Bureaucracy in Health Science Ethics: Toward a Better Institutional Review Board

Catherine Slade 1*, Barry Bozeman 2, Paul Hirsch 3

1 Arizona State University
2 University of Georgia
3 Georgia Institute of Technology

* To whom correspondence should be addressed. E-mail: slade3534{at}comcast.net.


   Abstract

Research involving human participants continues to grow dramatically, fueled by advances in medical technology, globalization of research, and financial and professional incentives. This creates increasing opportunities for ethical errors with devastating effects. The typical professional and policy response to calamities involving human participants in research is to layer on more ethical guidelines or strictures.

We used a recent case—the Johns Hopkins University/ Kennedy Kreiger Institute Lead Paint Study—to examine lessons learned since the Tuskegee Syphilis Study about the role of institutionalized science ethics in the protection of human participants in research. We address the role of the institutional review board as the focal point for policy attention.

Key Words: Health Policy, History, Human Rights, Social Science







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