tag:blogger.com,1999:blog-4924069477103365664.post5068081212634205114..comments2023-12-18T20:42:48.285+01:00Comments on Philosophy and Bioethics: Distinguishing Audit from ResearchJames Wilsonhttp://www.blogger.com/profile/00845720480440223656noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-4924069477103365664.post-24112457890533539362007-08-02T09:05:00.000+00:002007-08-02T09:05:00.000+00:00Hmm, well I am wary of the notion of proportional ...Hmm, well I am wary of the notion of proportional review, primarily because of the last difficulty you mention, and the epistemic difficulties of identify risk. I'm inclined to think as I argued here: <A HREF="http://jme.bmj.com/cgi/content/abstract/33/4/241" REL="nofollow">Proportional Ethical Review and the Identification of Ethical Issues</A><BR/> <BR/>That unfortunately properly constituted RECs looking at comprehensive forms are the best means of doing so, but this then obviates the proportionality of the review. Given that though I am in favour of a more comprehensive approach to research ethics that doesn't differentiate on the ethics of the project depending on who is doing it, or how the participants are recruited. That presently for example the same project may require review by a properly constituted NHS REC or nobody depending on how recruitment is handled is absurd. Perhaps to avoid that absurdity I ought to be willing to bite on some form of proportional review.David Hunterhttps://www.blogger.com/profile/10511387997239132302noreply@blogger.comtag:blogger.com,1999:blog-4924069477103365664.post-44928085304195042122007-08-01T22:02:00.000+00:002007-08-01T22:02:00.000+00:00Perhaps one way forward would be to adopt as a gui...Perhaps one way forward would be to adopt as a guiding principle one that's already implicit in what you say, namely that level of regulation and scrutiny should be proportional to the level of risk? If we adopt this strategy, then we might be able to free up REC time to look at <I>both</I> potentially risky research <I>and</I> potentially risky audit. (Though this would have the problem that we would need to find a way of appraising risk features that was both reasonably accurate and not too time consuming).James Wilsonhttps://www.blogger.com/profile/00845720480440223656noreply@blogger.com