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24 ヘルシンキ宣言
英文 ①②つなぎ方
demands that the physician use every means possible to cure the
1 The ultimate ethical standard among the medical profession
- but does this apply in a clinical trial, which is
patient's illness
understood to be experimental, not treatment? In a clinical trial, tension
exists at the beginning between gaining knowledge that can be used in
the longer term to benefit the public health, and the basic right of the
patient to receive treatment.
112 For the scientific profession, the ultimate standard is to produce
results that withstand scrutiny. For physicians and researchers, the 'gold
10 standard' in testing new drugs is a placebo-controlled study* in which
some of the patients receive no treatment at all. These standards present
an ethical dilemma as drug-approval agencies tend to lean toward the
need for clear scientific data, which is best gained when a drug is tested
against a control, or placebo. Furthermore, it becomes harder to
15 convince patients in First World countries to participate in drug trials
when there may be a 30-50% chance of receiving only a sugar pill instead
of a helpful medicine.
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