Margaret A.WinkerMD, Deputy EditorIndividualAuthorPhil B.FontanarosaMD, Interim CoeditorIndividualAuthor
To the Editor: I read with interest the Policy
Perspectives article by Dr Moreno et al,1 but I am
concerned that the deliberations on this issue did not address the need
to develop rules and procedures that, while protecting subjects, also
allow the development of the relatively new field of primary care
Many, although certainly not all, primary care studies
conducted in busy community practice settings are minimal risk and
involve little or no intervention in patient care. Often they involve
the collection of small amounts of data about a specific problem in a
few patients in each practice. The practices are diverse and broadly
distributed geographically, which is necessary if the research results
are to be representative of primary care. Examples of these studies
include mental health in children,2 chest
pain,3 panic disorder,4 asthma,5
neonatal jaundice,6 and a wide variety of other common primary care problems.
Beasley JW. Primary Care Research and Protection for Human Subjects. JAMA. 1999;281(18):1697–1698. doi:10-1001/pubs.JAMA-ISSN-0098-7484-281-18-jac90004
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