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首页> 外文期刊>Journal of Clinical Research Best Practices >Are Payments to Human Research Subjects Ethically Suspect?
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Are Payments to Human Research Subjects Ethically Suspect?

机译：对人类研究对象的付款是否在道德上受到怀疑？

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Bioethicists and institutional review boards often worry that paying human subjects too much money for research participation might compromise informed consent by coercing or unduly influencing individuals to enroll in studies against their better judgment. However, empirical research does not support the hypothesis that payments adversely impact judgment and decision-making concerning research participation, and the opposite problem — underpayment — also raises significant ethical concerns, such as exploitation, and underenrollment. In this article, I argue that our ethical qualms about the negative impact of money on decisions concerning research participation are largely unfounded and reflect more general concerns about the need to avoid repeating abuses of human subjects that occurred in the past. I will also argue that the best way to promote the rights and welfare of human research subjects is to treat them as competent adults who have the capacity to make wise choices involving money. What this argument means in practice is that offering human subjects money for their participation should not be regarded as ethically suspect, absent substantial evidence to the contrary.
机译：生物伦理学家和机构审查委员会通常担心，为人类受试者支付过多的研究费用可能会通过强迫或不适当地影响个人以使其更好的判断而参加研究而损害知情同意。但是，实证研究不支持以下假设，即付款会对研究参与的判断和决策产生不利影响，而相反的问题（付款不足）也会引起重大的伦理问题，例如开发和注册不足。在本文中，我认为我们对金钱对与研究参与有关的决定的负面影响的伦理学质疑在很大程度上是没有根据的，反映出人们对避免重复发生过去对人类主体的滥用的担忧。我还将争辩说，促进人类研究对象的权利和福利的最佳方法是将他们视为有能力的成年人，他们有能力做出明智的选择，涉及金钱。该论点在实践中的含义是，在没有相反证据的情况下，不应为人类受试者的参与提供金钱。

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