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An ethical analysis of the reimbursement requirement and practice in human research in South Africa
Thesis (MPhil)--Stellenbosch University, 2023.
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| Format: | Thesis |
| Language: | en_ZA en_ZA |
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Stellenbosch : Stellenbosch University
2023
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| _version_ | 1867614034941968384 |
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| access_status_str | Open Access |
| author | Engelbrecht, Sidney Frank |
| author2 | Van Niekerk, Anton A.
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| author_browse | Engelbrecht, Sidney Frank Van Niekerk, Anton A. |
| author_facet | Van Niekerk, Anton A.
Engelbrecht, Sidney Frank |
| author_sort | Engelbrecht, Sidney Frank |
| collection | Thesis |
| description | Thesis (MPhil)--Stellenbosch University, 2023. |
| format | Thesis |
| id | oai:scholar.sun.ac.za:10019.1/128888 |
| institution | Stellenbosch University (South Africa) |
| language | en_ZA en_ZA |
| last_indexed | 2026-06-10T12:45:37.487Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from SUNScholar — Stellenbosch University Repository |
| publishDate | 2023 |
| publishDateRange | 2023 |
| publishDateSort | 2023 |
| publisher | Stellenbosch : Stellenbosch University |
| publisherStr | Stellenbosch : Stellenbosch University |
| record_format | dspace |
| source_str | SUNScholar — Stellenbosch University Repository |
| spelling | oai:scholar.sun.ac.za:10019.1/128888 An ethical analysis of the reimbursement requirement and practice in human research in South Africa Engelbrecht, Sidney Frank Van Niekerk, Anton A. Stellenbosch University. Faculty of Arts and Social Sciences. Dept. of Philosophy. Applied Ethics. Research -- Moral and ethical aspects Compensation (Philosophy) Research participants -- Reimbursement Clinical trials -- Costs Thesis (MPhil)--Stellenbosch University, 2023. ENGLISH ABSTRACT: The practice of paying reimbursements to research participants continues to provoke discussion and disagreement among researchers and members of research ethics committees. The problem lies in the suspicion that reimbursement, especially in clinical trials, where such payment may result in undue incentive or potential coercive strategies. This practice might compromise informed consent by coercing or unduly influencing individuals to enrol in studies against their better judgment. The promise of monetary reimbursement might be detrimental to voluntary decision-making to participate in research regardless of the potential risks or harms. However, the general rule is that research participants ought to receive reimbursement for their time, inconvenience, and actual expenses that they incurred as a direct result of their participation in research. The calculation of time is based on an hourly rate for unskilled labour, which is R23 per hour (Statista, 2022). Scholars agree with this “wage payment model” approach to determine the hourly rate to pay research participants for their time (Moodley, 2003: 677). This study, therefore, aims to conduct an ethical analysis of the reimbursement policy and practice in human research with a specific focus on health research. In particular, it considers the current justifications for reimbursement for research participants prescribed by South African health law regulations. In addition, it determines a literature review on whether this practice is more prevalent in and perpetuates the use of marginalised and most vulnerable research participants from low-income communities because they are at greater risk of harm or exploitation. This study poses the question of whether it is ethically acceptable to allow excessive amounts of reimbursement for participation in health research within the South African context, with specific consideration of high-risk research. This study attempts to show that individual research participants ultimately decide to accept any payments despite the potential risks associated with the proposed research. However, it remains the responsibility of Research Ethics Committees to approve an acceptable risk-benefit ratio. AFRIKAANSE OPSOMMING: Die praktyk om vergoeding aan navorsingsdeelnemers te betaal, ontlok steeds bespreking en onenigheid onder navorsers en lede van navorsingsetiekkomitees. Die probleem lê in die vermoede dat vergoeding, veral in kliniese proewe, waar sodanige betaling onnodige aansporing of potensiële dwangstrategie tot gevolg kan hê. Hierdie praktyk mag dalk ingeligte toestemming in die gedrang bring deur individue te lok of te beïnvloed om teen hul beter oordeel vir navorsing or kliniese proewe in te skryf. Die belofte van geldelike vergoeding kan moontlik nadelig wees vir vrywillige besluitneming om aan navorsing deel te neem, ongeag die potensiële risiko's of skade gebonde aan die voorgestelde navorsing. Die algemene reël is egter dat navorsingsdeelnemers vergoeding behoort te ontvang vir hul tyd, ongerief en werklike uitgawes wat hul vir deelname aan navorsing aangegaan het. Die tydsberekening is op 'n uurlikse tarief vir ongeskoolde arbeid, wat ZAR23 per uur is (Statista, 2022). Kenners stem saam met hierdie benadering van 'n "loonbetalingsmodel" om die uurlikse tarief te bepaal om navorsingsdeelnemers vir hul tyd te vergoed (Moodley, 2003: 677). Die doel van hierdie studie is dus om 'n etiese ontleding van die betalingsbeleid en - praktyk in mensnavorsing uit te voer met 'n spesifieke fokus op gesondheidsnavorsing. Die studie oorweeg die huidige regverdiging vir vergoeding vir navorsingsdeelnemers wat deur die Suid-Afrikaanse gesondheidswetgewing voorgeskryf word. Daarbenewens, deur middel van 'n literatuuroorsig, te bepaal of hierdie praktyk meer algemeen voorkom in en die gebruik van gemarginaliseerde en mees kwesbare navorsingsdeelnemers uit lae-inkomste gemeenskappe. Hierdie studie stel die vraag of dit eties aanvaarbaar is om buitensporige vergoeding vir deelname aan gesondheidsnavorsing binne die Suid-Afrikaanse konteks toelaatbaar is, spesifiek in hoë risiko-navorsing. Hierdie studie illustreer dat individuele navorsingsdeelnemers die uiteindelik besluitnemers is wat sodanige betalings aanvaar ten spyte van die potensiële risiko's verbonde aan die voorgestelde navorsing. Dit bly egter die verantwoordelikheid van Navorsingsetiekkomitees om 'n aanvaarbare en gunstige risiko-voordeel-ratio goed te keur. Masters 2023-11-05T05:31:38Z 2024-01-08T14:41:18Z 2023-11-05T05:31:38Z 2024-01-08T14:41:18Z 2023-12 Thesis https://scholar.sun.ac.za/handle/10019.1/128888 en_ZA en_ZA 97 pages application/pdf Stellenbosch : Stellenbosch University |
| spellingShingle | Research -- Moral and ethical aspects Compensation (Philosophy) Research participants -- Reimbursement Clinical trials -- Costs Engelbrecht, Sidney Frank An ethical analysis of the reimbursement requirement and practice in human research in South Africa |
| title | An ethical analysis of the reimbursement requirement and practice in human research in South Africa |
| title_full | An ethical analysis of the reimbursement requirement and practice in human research in South Africa |
| title_fullStr | An ethical analysis of the reimbursement requirement and practice in human research in South Africa |
| title_full_unstemmed | An ethical analysis of the reimbursement requirement and practice in human research in South Africa |
| title_short | An ethical analysis of the reimbursement requirement and practice in human research in South Africa |
| title_sort | ethical analysis of the reimbursement requirement and practice in human research in south africa |
| topic | Research -- Moral and ethical aspects Compensation (Philosophy) Research participants -- Reimbursement Clinical trials -- Costs |
| url | https://scholar.sun.ac.za/handle/10019.1/128888 |
| work_keys_str_mv | AT engelbrechtsidneyfrank anethicalanalysisofthereimbursementrequirementandpracticeinhumanresearchinsouthafrica AT engelbrechtsidneyfrank ethicalanalysisofthereimbursementrequirementandpracticeinhumanresearchinsouthafrica |