Computers, confounding, clusters, consent, cost, COVID and consultation: how the Health and Disability Code impedes the learning health system.
N Z Med J
; 133(1522): 138-143, 2020 09 25.
Article
in English
| MEDLINE | ID: covidwho-807307
ABSTRACT
The Health and Disability Code precludes any research involving a competent patient without the informed consent of the participant. A learning health system requires rigorous evaluation of both new and established clinical practice, including low-risk components of usual care pathways. When comparing two accepted practices, the only way to control for unknown confounders is by randomisation. In some limited circumstances, particularly when comparing groups or clusters of patients, this comparison can only practicably be undertaken without consent. The current Code impedes a learning health system and is detrimental to the health of New Zealanders. It urgently needs updating.
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Collection:
International databases
Database:
MEDLINE
Main subject:
Randomized Controlled Trials as Topic
/
Learning Health System
/
Informed Consent
Type of study:
Experimental Studies
/
Prognostic study
/
Randomized controlled trials
Limits:
Humans
Country/Region as subject:
Oceania
Language:
English
Journal:
N Z Med J
Year:
2020
Document Type:
Article
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