To research (or not) that is the question: Ethical issues in research when medical care is disrupted by political action: A case study from Eldoret, Kenya

Darlene R. House, Irene Marete, Eric M. Meslin

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

While considerable attention has been focused on understanding the myriad of ethical analysis in international research in low and middle income countries, new issues always arise that have not been anticipated in guidelines or studied extensively. The disruption of medical care arising as a direct result of political actions, including strikes, postelection violence and related activities, is one such issue that leaves physician-researchers struggling to manage often conflicting professional responsibilities. This paper discusses the ethical conflicts that arise for physicianresearchers, particularly when disruption threatens the completion of a study or completion is possible but at the expense of not addressing unmet medical needs of patients. We review three pragmatic strategies and the ethical issues arising from each: not starting research, stopping research that has already started, and continuing research already initiated. We argue that during episodes of medical care disruption, research that has been started can be continued only if the ethical standards imposed at the beginning of the study can continue to be met; however, studies that have been approved but not yet started should not begin until the disruption has ended and ethical standards can again be assured.

Original languageEnglish (US)
Pages (from-to)61-65
Number of pages5
JournalJournal of Medical Ethics
Volume42
Issue number1
DOIs
StatePublished - 2016

Fingerprint

Kenya
Health Services Research
political action
Ethics
medical care
Research
Ethical Analysis
Episode of Care
Violence
strike
Research Personnel
Guidelines
Physicians
pragmatics
physician
Disruption
Ethical Issues
Medical Care
Political Action
violence

ASJC Scopus subject areas

  • Health Policy
  • Health(social science)
  • Issues, ethics and legal aspects
  • Arts and Humanities (miscellaneous)

Cite this

To research (or not) that is the question : Ethical issues in research when medical care is disrupted by political action: A case study from Eldoret, Kenya. / House, Darlene R.; Marete, Irene; Meslin, Eric M.

In: Journal of Medical Ethics, Vol. 42, No. 1, 2016, p. 61-65.

Research output: Contribution to journalArticle

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