Abstract:
BACKGROUND:Providing compensation for participants in clinical research is well established and while international guidelines exist, defining a context-specific and fair compensation for participants in low-resource settings is challenging due to ethical concerns and the lack of practical, national compensation and reimbursement frameworks. METHODS:We reviewed Oxford University Clinical Research Unit (OUCRU) internal reimbursement documentation over a 10-y period and conducted a scoping literature review to expand our knowledge of compensation and reimbursement practices including ethical concerns. We developed a preliminary reimbursement framework that was presented to community advisory boards (CAB) and clinical investigators to assess its applicability, fairness and transparency. RESULTS:The main topics discussed at the workshops centered on fairness and whether the reimbursements could be perceived as financial incentives. Other decisive factors in the decision-making process were altruism and the loss of caregivers' earnings. Investigators raised the issue of additional burdens, whereas the CAB members were focused on non-monetary elements such as the healthcare quality the patients would receive. All elements discussed were reviewed and, where possible, incorporated into the final framework. CONCLUSION:Our new reimbursement framework provides a consistent, fair and transparent decision-making process and will be implemented across all future OUCRU clinical research in Vietnam.
journal_name
Int Healthjournal_title
International healthauthors
Sansom LJ,Minh TPN,Hill IE,Ha QNT,Trong TD,Vidaillac C,Quynh ND,Turner HC,Van Nuil JI,Phuong DNT,Kestelyn Edoi
10.1093/inthealth/ihaa066subject
Has Abstractpub_date
2020-11-09 00:00:00pages
533-540issue
6eissn
1876-3413issn
1876-3405pii
5962051journal_volume
12pub_type
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