Ethics Governance
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| Article - Abstract. To view full article click on the article title. | |
eMJA: Jamrozik & Kolybaba, Are ethics committees retarding the improvement of health services in Australia? Are ethics committees retarding the improvement of health services in Australia? Konrad Jamrozik and Marlene Kolybaba Multicentre studies are now required to go through multiple systems of ethical approval, which adds to costs and delays MJA 1999; 170: 26-28. This article uses a case study to show that the system of institutional ethics committees (IECs) that has been created in Australia now stands to impede the identification of suboptimal practice and waste in the healthcare system, and that there is a grave danger that IECs will delay or even prevent identification of avoidable threats to health originating either inside or outside the medical system. It presents the case for simplifying the requirements for ethical review of multicentre investigations that require only access to medical records. Case study -- review of prostate cancer management The incidence of cancer of the prostate rose steeply in Australia in the first half of the 1990s, due partly to widespread use of the prostate-specific antigen test for case-finding.1 The rapid increase in incidence, with little concomitant change in mortality,1 had major consequences for the many more men who had to live with the diagnosis and for the health services that had to be provided to them. Recognising this, a multidisciplinary group of investigators is documenting the presentation, investigation and primary management of all cases of prostate cancer diagnosed in Western Australia (WA) in 1992, the year before active case-finding began. Full Article: http://www.mja.com.au/public/issues/jan4/jamrozik/jamrozik.html |
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2006 Ethics-Governance.com |
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