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Progress in centralised ethics review processes: Implications for multi-site health evaluations

机译：集中式道德审查流程的进展：对多站点健康评估的影响

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摘要

Increasingly, public sector programmes respond to complex social problems that intersect specific fields and individual disciplines. Such responses result in multi-site initiatives that can span nations, jurisdictions, sectors and organisations. The rigorous evaluation of public sector programmes is now a baseline expectation. For evaluations of large and complex multi-site programme initiatives, the processes of ethics review can present a significant challenge. However in recent years, there have been new developments in centralised ethics review processes in many nations. This paper provides the case study of an evaluation of a national, inter-jurisdictional, cross-sector, aged care health initiative and its encounters with Australian centralised ethics review processes. Specifically, the paper considers progress against the key themes of a previous five-year, five nation study (Fitzgerald and Phillips, 2006), which found that centralised ethics review processes would save time, money and effort, as well as contribute to more equitable workloads for researchers and evaluators. The paper concludes with insights for those charged with refining centralised ethics review processes, as well as recommendations for future evaluators of complex multi-site programme initiatives. (C) 2015 Elsevier Ltd. All rights reserved.
机译：公共部门计划越来越多地应对与特定领域和各个学科相交的复杂社会问题。这样的响应导致了跨越国家，辖区，部门和组织的多站点计划。现在，对公共部门计划的严格评估是一个基线期望。对于大型和复杂的多站点计划计划的评估，道德审查流程可能会带来巨大挑战。但是，近年来，在许多国家，集中式道德审查流程有了新的发展。本文提供了一个案例研究，该案例评估了一个国家级，跨部门，跨部门的老年护理健康计划及其与澳大利亚集中式道德审查程序的遭遇。具体而言，本文根据过去的五年五国研究的关键主题来考虑进展（Fitzgerald和Phillips，2006年），该研究发现集中的道德审查流程将节省时间，金钱和精力，并有助于更加公平研究人员和评估人员的工作量。本文最后总结了负责完善集中式道德审查流程的人士的见解，以及对未来复杂多站点计划举措评估人员的建议。 （C）2015 Elsevier Ltd.保留所有权利。

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