“The Belmont Report Today”
“Today the Belmont Report serves as a historical document and provides the moral framework for understanding regulations in the United States on the use of humans in experimental research.
Commonly The individualized relationship of patient and physician of the moral framework or clinical study has “lost considerable currency”. But patients still cling to the doctor as a professional rather than an available “resource”.
Some hospital groups are facing important economic challenges and are turning to “systems redesign,” part of which is the reluctant recognition that the knowledge of in-the-trenches practitioners is indispensable for making the correct and important system changes that can ensure continued economic survival.”
“Critique of the Report”
“In a study by Nancy Shore, community-based participatory researchers were interviewed for their interpretation and critique of the Belmont Report. Interviewees expressed concerns regarding the Belmont Report’s ethical principles and interpretations as being one size fits all and advocated researchers to resist the tendency to rely on those principles systematically. It argues that the ethical analysis should be extended to take into account more appropriate factors, such as cultural, gender, ethnic and geographical considerations.”
This creates the problem of patient/subject and psychican/researcher becoming too blurred.
Probable loopholes and ambiguity that never get resolved.
Try watching this movie with that one size fits all approach:
“Borat: Cultural Learnings of America for Make Benefit”
“Physician, Researcher, Neighbor—Conflicting Roles in Community-Based Participatory Research
Conducting community-based research in the community where one resides demands careful planning, sensitivity to community members’ privacy, and a strong commitment to full and respectful communication.”
AMA-Virtual Mentor. February 2011, Volume 13, Number 2: 86-93.
Commentary by Carla C. Keirns, MD, PhD, MSc, and Florence Thicklin