AJOB Primary Research.

Physician-Researchers’ Experiences of the Consent Process in the Sociocultural Context of a Developing Country

Background: International guidelines for medical research involving human subjects maintain the primacy of informed consent while recognizing cultural diversity. Methods: This article draws on empirical data obtained from interviews with physician-researchers in teaching hospitals of Lahore, Pakistan, to identify social and cultural factors that affect the consent process for participants in research. Results: This article presents variable findings with regards to communication, comprehension, and decision making. While some physicians consider that social factors such as lack of education, a patriarchal family system, and skepticism about research can make patients dependent on either the physician-researcher or the family, others believe that patients do make independent decisions. Conclusions: In light of the findings, the article ends with a recommendation for communication and decision making that is sensitive to the local sociocultural environment while at the same time meeting the ethical imperative of respect for persons.

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Volume 2, Issue 3
July 2011

Target Articles.

It's Time to Reframe the Savior Sibling Debate Kimberly A. Strong, Chris F. Jordens, Ian H. Kerridge, John Miles Little & Rachel A. Ankeny
Potential Workplace Discrimination Based on Genetic Predisposition: Views of Workers Laura Weiss Roberts, Liliana Kalogjera Barry & Teddy D. Warner
The Brazilian Ethics Research Review System: An Evaluation from the Perspectives of Institutional Review Boards Silvana Ferreira Bento, Ellen Hardy, Eliana Maria Hebling, Karla Simônia de Pádua & Maria José Duarte Osis